12-101268� Electrical
City of Community & Econ�Dev. Services Permit #: 12 -101268 -00 -EL
33325 8th Ave S FILE
Federal Way, WA 98003
ift: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (2
53) 835-3050
Project Name: VENTANA LOT 25
Project Address: 30421 25TH AVE SW Parcel Number: 889420 0250
Project Description: 200 AMP SERVICE AND WIRING
Owner
A22111can
Contractor
CARY LANG
KIM MITCHELL
PROVIDENT ELECTRIC INC
29815 24TH AVE SW
PROVIDENT ELECTRIC INC
PROVIEI103C2 (2/22/14)
FEDERAL WAY WA
17615 SE 252 ST
PO BOX 59284
COVINGTON WA 98042
RENTON WA 98058
Additional Permit Information
Is Use Educational or Institutional?.......................No
"Electrical Fixtures
New Service: Residential ............... 1
PERMIT EXPIRES Thursday, March 20, 2014
Permit Issued on Tuesday, March 20, 2012
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:
i
CITY OF V:&!�
Federal Way
PERMIT #:
Project:
THIS CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
12 -101268 -00 -EL Address: 30421 25TH AVE SW
CARY LANG 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.
Final - Electrical (4055)
Approved
By Date
EJ
UFER Ground (4295)
0
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
E]
Approved
By
Approved
Approved to place concrete
By�VDate
.� Z % �'
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
EJ
Pool Bonding (4195)
E]
Temporary Power (4275)
E]
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date _ ,a _, ,L_
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date _ _
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