15-103364City of Federal Way is
Electrical
Community & Econ. Dev. Services Permit #: 15 -103364 -00 -EL
33325 8th Ave S
Federal way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 p Q
Project Name: MIRROR ESTATES LOT 9
Project Address: 921 SW 315TH PL Parcel Number: 555700 0090
Project Description: NEW 200 AMP SFR, SQ FT 3610
Owner
9A.RI!can
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
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional?....................... No
Electrical Fixtures
New Service: Residential ............... 1
PERMIT EXPIRES Sunday, January 17, 2016
Permit Issued on Tuesday, July 21, 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
OINETNI= Way.
Owner or agent: Date:
CITY CW
Federal Way
PERMIT #:
Project:
• THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
15 -103364 -00 -EL Address: 921 SW 315TH PL
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.
LIFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
❑
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By V-0
Date 'i l+ IT-
T-
Feeders/Sub-panels
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
KA Date y
(4
it-
By
Date
Final - Electrical (4055)
Approved
By
Date _16,0 Rt
Rough Electrical
Approved1:1
Final Electrical
Approved
Right of Way —�
Approved
By
Date
By
Date
By
Date