16-1051324k
City offederal Way
Community Development Dept.
33325 8th Ave S
Feral Way, WA 98003
Ph: (253) 8352607 Fax (253) 835 -2609
_ a A-
Electrical
Permit #:16- 105132 -00 -EL
FILE Inspection Request Line: (253) 835 -3050
Project Name: MIRROR ESTATES LOT 8
Project Address: 924 SW 315TH PL
Project Description: Adding new circuit for A/C unit install
Parcel Number: 555700 0080
Owner
Applicant
Contractor
HENLEY USA INC
CHELSIE PEREZPROVIDENT ELECTRIC
PROVIDENT ELECTRIC INC
11100 MAIN ST SUITE 100
INC
PROVIE1103C2 (222/18)
BELLEVUE WA 98004
17615 SE 252ND ST
PO BOX 7087
COVINGTON WA 98042
COVINGTON WA 98042
Additional Permit Information
Is this an Online or O.T.C. application ? .................. Yes
Circuits - Residential 1 Temp. Service: 61 -100 amps
PERMIT EXPIRES Wednesday, 25 October, 2017
Permit Issued on TuesdaY, October 25, 2016
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way.
Owner or agent: Date:
FINALED
z
errr of of
Federal Way
PERMIT #: 16105132 00
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835 -3050
Address: 924 SW 315TH PL
Project: HENLEY USA INC FEDERAL WAY WA 98023
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible
(read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if
you are unsure about any of the inspections or the inspection sequence. On -going inspections are logged on the back of this card.
(J
UFER Ground (4295)
0
Ditch cover (4030)
Q
Slab /Concrete Floor (4255)
Service (4235)
Approved
JBy
Approved
1By
Approved to place concrete
By
Date
By
Date
I
Date
(J
Pool Bonding (4195)
®
Rough Electrical (4225)
Temporary Power (4275)
®
Service (4235)
Approved
Approved
Approved
I
Approved
By
Approved
By
Date
I
By
Date
By
Date
Q
Feeders/Sub- panels (4045)
®
Rough Electrical (4225)
0
Ceiling Cover (4020)
Approved
Approved
IBY
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved f
By Date k ( /
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date