15-106032F _ +
- Eltctrical
City Federal Way Permit #: 15 -106032 -00 -EL
Community & & Econ. Dev. Services
33325 8th Ave S
W
Federal Way, WA 98003 FILE Ph: (253) 835-2807 Fax: (253) 835-2609 Inspection Request Line: (253) 835-305()
Project Name: MIRROR LAKE VILLAGE SENIOR HOUSING
Project Address: 840 SW 312TH ST Parcel Number: 072104 9088
Project Description: Temporary Power for construction of new Senior Housing building
Owne
ARRlicant
Contractor
MIRROR LAKE VILLAGE LLC
RACHEL HANSON
MERIDIAN CENTER ELECTRIC INC
PO BOX 6961
MERIDIAN CENTER ELECTRIC
MERIDCE318SG (2/28/17)
BELLEVUE WA 98007
11109 66TH AVE E
11109 66TH AVE E
PUYALLUP WA 98373
PUYALLUP WA 98373
Additional Permit Information
Electrical Work Valuation?....................................3000.00 Is this an Online or O.T.C. application? ................. Yes
Is Use Educational or Institutional? ....................... No Service greater than 999 Amps? ............................. No
Electrical Fixtures
New Service: 201- 400 amps (Con 1
PERMIT EXPIRES Sunday, May 29, 2016
Permit Issued on Tuesday, December 1, 2015
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:
-� �' �0&n
• TJFII,S CARD IS TOrection
IN ON-SITE -
�,n of Construction In Record
Federal Way INSPECTION REQUE(253) 835-3050
PERMIT #: 15 -106032 -00 -EL Address: 840 SW 312TH ST
Project: MIRROR LAKE VILLAGE LLC FEDERAL WAY, WA 98023-4515
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.
11 Final - Electrical (4055)
Approved
By Date >,
UFER Ground (4295)13
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
Approved
By
Approved
By
Approved to place concrete
By
Date
By
Date
By
Date
11 Final - Electrical (4055)
Approved
By Date >,
Pool Bonding (4195)
E]
Temporary Power (4275)
Date
Approved
Right of Way
By
Approved
By
Date
By
By
Date
Date
Feeders/Sub-panels (4045)
❑
Rough Electrical (4225)
Approved
Approved
By
Date
By
Date
11 Final - Electrical (4055)
Approved
By Date >,
Service (4235)
Approved
By
Date
1:1Approved
Right of Way
By
Ceiling Cover (4020)
Approved
By
Date
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date