12-103729City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
� FILE
0 -Electricah
Permit #: 12 -103729 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: VENTANA LOT 21
Project Address: 30513 25TH PL SW Parcel Number: 889420 0210
Project Description: 200 amp service and wiring for new single family residence
Ownr
Annlicant
Contractor
CARY LANG CONSTRUCTION INC
KIM MITCHELL
PROVIDENT ELECTRIC INC
29815 24TH AVE SW
PROVIDENT ELECTRIC INC
PROVIE1103C2 (2/22/14)
FEDERAL WAY WA 98023
17615 SE 252ND ST
PO BOX 7087
COVINGTON WA 98042
COVINGTON WA 98042
Additional Permit Information
Is Use Educational or Institutional?.......................No
Electrical Fixtures
New Service: Residential ............... 1
PERMIT EXPIRES Thursday, August 14, 2014
Permit Issued on Tuesday, August 14, 2012
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
l and the Catty off F tiq Way.
`"
Owner or agent: z; ' `' Date:
CITY OF ,
Federal Way
PERMIT #:
Project:
THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
12 -103729 -00 -EL Address: 30513 25TH PL SW
CARY LANG CONSTRUCTION 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.
❑
UFER Ground (4295)
Ditch cover (4030)
❑
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved
Approved to place concrete
By
fl/ Date .0-17-12
By
Date
By
Date
❑
Pool Bonding (4195)
Temporary Power (4275)
Final Electrical
Approved
Service (4235)
Approved
By
Date
Approved
By
Approved
By
Date
Date
By
Date
By�o-
Date'q — 7 t
Feeders/Sub-panels (4045)
❑
Rough Electrical (4225)
Ceiling Cover (4020)
Approved.
Approved
Approved
By
Date
By��
Date �_� _ lZ
By
Date
Final - Electrical (4055)
Approved
By
Date
EJ
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date