16-100177 t 411 • Electrical
City of FederalWay Permit #: 16-100177-00-EL
Community&Econ.n.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
FILE
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: MIRROR ESTATES LOT 19
Project Address: 31520 11TH PL SW Parcel Number: 555700 0190
Project Description: 100 AMP TEMP POLE
Owner Applicant Contractor
HENLEY USA INC NANCY BABST PROVIDENT ELECTRIC INC
11100 MAIN ST SUITE 100 PROVIDENT ELECTRIC INC PROVIEI103C2(2/22/16)
BELLEVUE WA 98004 17615 SE 252ND ST PO BOX 7087
COVINGTON WA 98042 COVINGTON WA 98042
Additional Permit Information
Electrical Work Valuation? .210 Is this an Online or O.T.C.application? Yes
Is Use Educational or Institutional? No
Electrical Fixtures
Temp. Service:61- 100 amps(Res 1
PERMIT EXPIRES Monday, July 18, 2016
Permit Issued on Wednesday,January 20, 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:
• THINS CARD IS TO IN ON-SITE
cirri
'"11116,.
�� Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 16-100177-00-EL Address: 31520 11TH PL SW
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.
El UFER Ground (4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By , Date , _ ,� By Date
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) E Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
Final-Electrical(4055) '
Approved
By , ,n Date
0 Rough ElectricalFinal Electrical Right of Way
Approved Approved Approved
By Date By Date By Date