05-102219 City of Federal Way Electrical Permit #: 05 - 102219 - 00 - EL
Community Development Services
P.O.Bet 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
1 Project Name: NIELSEN
Project Address: 406 SW 350THFL- Parcel Number: 132174 0100
Project Description: Alter circuit for bathroom fan and lighting.
Owner Applicant Contractor
Clark D Nielsen &R Kristine Nielsen AUDIO ONE(DBA MONACO ELECTRIC)*B AUDIO ONE(DBA MONACO ELECTRIC)*B
406 SW 350TH PL 628 102ND PL SUITED 628 102ND PL SUITE D
FEDERAL WAY WA EVERETT WA 98028 EVERETT WA 98028
98023-8101 (206)715-8298
Electrical Fixtures
Description Quantity Description Quantity Description !Quantity
Circuits-Residential II 1
PERMIT EXPIRES November 7,2005.
Permit issued on May 11,2005
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: Orli i/05"
Ii
\Ck
#A THIS CARD IS TO REMAIN ON-SITE '
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-102219-00-EL
Owner: CLARK D NIELSEN ,
Address: 406 SW 350TH PL
FEDERAL WAY, WA 98023-8101
This card is part of your required inspection documents. 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.
O Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels (4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) 71 Final-Electrical(4055)
Approved Approved Approved
B Dat ByDate B Date n
Y ��_ Y 11
,\�� l •. .\
❑ Under-slab groundwork(4295)
Approved
By Date
I
�,�0,. RECEIVED
Federal Way bS - a l
COMMUNr1Y DEVELOPMENT SERYN IAY 1 1 Z005 PERMIT SF MF CO M:( .L DE EN FP
-
333251PTMR L WA .SOUTH•PO 9718 , P P LI CATI O N
FEDERAL WAY,WA 9-8063-971 d
253-835-2607•FAX 253-d35�Y O F F ED ER
www.dtyaffedemiway.Oom BUILDING DEPT.
The ollowi • is • fired in ormation-an Inco •lete • ••lication will not be acce•ted. Please •rint le•ibl in t or
• PROPERTY INFORMATION
SITE ADDRESS ii Od 5 L.-i 3 51) **'-
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(s,)
' LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
/Abach separate page for knotty legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
.,t S-e_ �,c L 5-r l N L.-. C.,1 11-4.•u ..— -e- Adla+e AL b c-a .Yb,,-Ar-. . .
PROJECT NAME(Name of Business or Owner Last Name) 1\-1IJ�J,/L/►
• PEOPLE INFORMATION
PROPERTY NA/ v Q -
oN
Iset— PRIMARY PHONE
OWNER ( )
IGtAtL[NG A R CITY,STATE,ZIP .
4 O c0 sw 3�-- poi. (,.� q Si DiA 3 . _
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
/' li4J,4- z) r(4-C)74Ac ,a)‘ r")/2 -'a (2-46) 7/C -8-1-10
MAILING ADDRESS // A �1 CITY ATE,ZIP c:/g.64,, CELL PHONE/QQ_ ��JQ� o62KOr !� t`
CITYFEDERAL WAY BUST �J¢LICENSE MBER EXPIRATION DATE FAX NUMBER
- /i. — B L / / )
CONTRACTOR'S REOISTRAT N B (copy required with each application) EXPIRATION DATE
* / /
APPLICANT COMPANY E APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect o Tenant 0 Agent 0 Other(Describe) ( ) _
CONTACT NAME PRIMARY PHONE
c,� E-MAIL ADDRESS
.. t-� ritl 04-PS-C--1,-1 (2Z(4,) 715- - 84q8
WO P `_ i{e
LENDER
.J.• ;l:!•, "i• .;4:'. v_i;r:ri: ri3`Cii`u.7as,, NAME
--•l,Fr--:;f fi er,..ic:•; ,,.•{ii::�{.r- (4,- ,1ii:,.
MAILING ADDRESS a STATE,ZIP
U DETAILED BUILDING INFORMATION
EXISTING USE PROPO' D USE
EXISTING ASSESSED/APPRAISED VALUE-4 ---- V V . UE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑NO FIRE SUPP• c IO` - -- - '_•OPOSED/REQUIRED? 0 YES 0 NO -
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLLI(E 0 TACOMA 0 PRIVAT
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGI;LINE ❑PRIVATE(SEPTIC(
i
PROJECT FLOOR AREAS
I
AREA DESCRIPTION -EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST •
SECOND
THIRD
FOURTH -
ADDITIONAL FLOORS(DESCR�$E)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS susrua OPOSSD totAL ;i,:, .., ;,h,; ,u:reorosn)sr' N. ._,u,sr+<•
• ' a ,..,. R. "•,,,..f't;age- �
**NEW HOMES ONLY** NUMBER OF BEDROOMS E MATED SELLING PRICE $
Indicate number of each type of fixture to be installed o elocat as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS VAPORATIVE COOLERS \ AS LOGS REFRIG.SYSTEMS
BBQS FANS H DS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS N`
PLUMBING
BATHTUBS(or •/Shower Combo) SHOWERS WATER CLOSETS(rodeo N, MISC(Describe)
DISHWASH• -S SINKS DRINKING FOUNTAINS
GAS PP- OUTLETS SUMPS RAINWATER SYST
W : ING MACHINES URINALS HOSE BIBBS ---------
VS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
•I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I
am authorised by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,includ • its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLEc-3--------_, DATE 6f.5-/( OSS
(S'. ure) (Title)
RELATIONSHIP TO PROJ 'T 0 Owner 0 Agent 0 Contractor 0 Architect 0 Other
?"C'7:;_ c):^'(e„ E.`,
:r PE.`,-',:r pa. Y
.---:- Ai/01100R( .—... sil. --„,�Fi -''' r- tSt'1F,ril '`Ze)4f _.
, }FtJiF,(h� .F7'F�F,*0 F.•fi) 7,-247:7•17. - ._,.'
>),r);t;(e .s�o`).e)4k?`616,)�J :. , ”` . ;y ":,: -(S�-T� ;(ig �`� *'-' ' _.,- .41:2-,4,74: .:,
1�'';;E0s. ' ~" • +��" `
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
.L
ELECTRI r RMIT INFORMATION
1
4+ RESIDENTIAL COMMERCIAL
• NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
LISingle Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601-800 amp 398.50 168.50
0 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder _
❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401 -600 amp 193.00 96.00
ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
❑ 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 ❑ #of circuits to be added/altered
3cnp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
' ircuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1its-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
, ❑ Service and feeder $113.50
'lTEMPORARY SERVICE
1 MOBILE HOME/RV PARK
Residential/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercia(/Industriai Service or Feeder Ampacity
1 ❑ 0-100 amps _ $69.50
❑ 101-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps - 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s)_ (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
I ❑ Voice Cabling (for modified submittals)
❑ Data Cabling
❑ ElAutomation Fee on all Permits .. $5.00
(Per System(s) 1•s 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) •Per WAC 296-46-910(5N6 As ill
F
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application