15-103682 �y -� • - electrical
City ofWay Perot #: 15-103682-00-EL
Community&Econ.con.Dal Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609Fax
Inspection Request Line: (253)835-3050
Project Name: NIELSEN
Project Address: 2809 SW 347TH ST Parcel Number. 502946 0060
Project Description: Install air conditioner(1)circuit
Owner Applicant Contractor
RONALD SCOTT NIELSEN SUSAN DUNHAM BLACK HILLS 1NC(ELECTRICAL)
KELLY NIELSEN BLACK HILLS INC BLACKHI919DL(3/15/17)
2809 SW 347TH ST 1003 85TH AVE SE UNIT A 1003 85TH AVE SE UNIT A
FEDERAL WAY WA OLYMPIA WA 98501 OLYMPIA WA 98501-5706
98023
•
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Alt.ServfFeeder.0 to 200 amps(F 1 Low Voltage-Other(Residential). I
PERMIT EXPIRES Saturday, January 23, 2016
Permit Issued on Monday, July 27, 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
i.... f Eof Federal Way.Owner or agent: ODate:
r i' AL E D
. THIS CARD IS TO MAIN ON-SITE
CIT401 •Y OF Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 15-103682-00-EL Address: 2809 SW 347TH ST
Project: RONALD SCOTT NIELSEN FEDERAL WAY, WA 98023-3038
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.
0 UFER Ground(4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
'
o Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
---:-.----
By 1 Date, zE.,_,./f
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date