18-105748 r
* Electrical
City of Federal Way Permit #:18-105748-00-EL
Community lWay,WveSFILE
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: MIRROR LAKE VILLAGE SENIOR HOUSING FOUR-PLEX(R-4)
Project Address: 901-913 SW 310TH CT Parcel Number:072104 9087
Project Description: Installation of twelve(12)thermostats
Owner Applicant Contractor
MIRROR LAKE VILLAGE LLC ALEX BURKHARTEiVERGREEN EVERGREEN REFRIGERATION LLC
PO BOX 6961 REFRIGERATION (ELECTRICAL)
BELLEVUE WA 98008 727 S KENYON ST EVERGRL882JB(4/2/20)
SEATTLE WA 98108 727 S KENYON ST
SEATTLE WA 98108
Additional Permit Information
Is this an Online or O.T.C.application Yes
Thermostat 12
PERMIT EXPIRES Friday,6 December,2019
Permit Issued on Thursday,December 6,2018
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
as ' on Ee City of Federal Way.
N wi
Owner or agent: Date:
�� 1
i - .►
THIS CARD IS TO REMAIN ON-SITE
4w
Way Construction Inspection Record
etrr or
y INSPECTION REQUESTS:(253)835-3050
PERMIT#: 18 105748 00 Address: 901 -913 SW 310TH CT
Project: MIRROR LAKE VILLAGE LLC 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 itis approved-f Chock with your inspector if
you are unsure about any of the inspeetians ortheinspection sequence. On-going inspections are logged on the back of this card.
E UFER Ground(4295) 0 Ditch cover(4030) Q Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) ® Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
ID Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020)
Approved 4 Approved Approved
1
By Date By i` Date r By Date
0 Final-Electrical(4055)
ved
By Date 3-/.3- 6
Rough Electrical El Final Electrical Right of Way
Approved Approved Approved
•By Date By Date By 'Date