19-100338 •
Electrical
City of Federal Way Permit #:19-100338-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 FILE
Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: MIRROR LAKE VILLAGE SENIOR HOUSING BLDG A 6
Project Address: 31000 9TH PL SW Parcel Number:072104 9087
Project Description: Install a Two-Way Communication System in a 3 floor over Parking Garage,pair of connected
Assisted Living Buildings in Federal Way per supplied floor plans.
Owner Applicant Contractor
MIRROR LAKE VILLAGE LLC CLAYTON HAMILLKLEPPS INC KLEPPS INC
PO BOX 6961 13330 SE 30TH ST KLEPPI.938C6(2/26/19)
BELLEVUE WA 98008 BELLEVUE WA 98005 13330 SE 30TH
BELLEVUE WA 98005
Additional Permit Information
Is this an Online or O.T.C.application Yes
Low Voltage-Other(Commel 10
PERMIT EXPIRES Thursday,23 January,2020
Permit Issued on Wednesday,January 23,2019
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
hi n a e i Federal Way.
Owner or agent Date:
r / A,n )
THIS CARD IS TO REMAIN ON-SITE
CRY4 OP
Construction Inspection Record
nivay
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 100338 00 Address: 31000 9TH PL SW
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 date. Work must not be cavae 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.
Q UFER Ground(4295) CI Ditch cover(4030) p Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) ® Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
ID Feeders/Sub-paneb(4045) ® Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date 9-if r/g By Date
Q Final-Electrical(4055)
Approved
By /XDatef4 P-424‘d42
C/tier AY d 1/Ivo✓ xivfor/9 I i-30:-.20 At
Cot/07 A :2 J Chat'- , / - d -3' ' die
O Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date