16-102019 E> ctcal
City of Federal Way
Community&Econ.Dev.Services Permit #: 16-102019-00-EL
33325 8th Ave S
Feder l W WA 980 3 L
Ph:(253)835-2607yFax:(253)835-2609 Inspection Request Line: (2553)835-3050
Project Name: MIRROR ESTATES LOT 25
Project Address: 31513 11TH PL SW Parcel Number: 555700 0250
Project Description: 100 AMP U/G TEMP POWER 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
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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 Thursday, April 27, 2017
Permit Issued on Wednesday,April 27, 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: 0 NJ I 1741 E Date:
TIES CARD IS TO ,MAIN ON-SITE r
"T' • Construction In. ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 16-102019-00-EL Address: 31513 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 itis 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) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) ❑ Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By 0e Date s,._„), ....., By. Date
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
By .L limn,, Date ' .L, ,,,,‘,1,
0 Rough Electrical Final Electrical Ei Right of Way
Approved Approved Approved
By Date By Date By Date
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