07-101792 e •
City or Federal Way Electrical Permit #: 07-101792-00-EL
Comunity Development Services
P.O.Box 9718
Federal Way,WA 98(063-9718
`T'i:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: BELMOR PARK SPACE 157
Project Address: 2101 S 324TH ST Space 157 Parcel Number: 162104 9037
Project Description: Installation of(1) service/feeder in mobile home park
Owner Applicant Contractor
BELMOR HOLDINGS LTD BELMOR MOBILE HOME PARK SHEPPARD TECHNOLOGIES INC.
1571 BELLEVUE AVE W SUITE 210 2101 S 324TH CT SHEPPTI956Q1 11/21/07
VANCOUVER CN FEDERAL WAY WA 98003 PO BOX 3630
KENT WA 98032-0210
Additional Permit Information
Electrical Fixtures
Service or Feeder-Manu./M.H.P 1
PERMIT EXPIRES Monday, October 1, 2007
Permit Issued on Wednesday, April 4, 2007
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u e will be in accordance with the laws, rules and regulations of the State of Washington
and the City • Federal Way.
Owner or agent:A Pi A •A. �'� . ;: ,I Date: 4- `b- 07
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-101792-00-EL
Owner: BELMOR HOLDINGS LTD
Address: 2101 S 324TH ST Space 157
FEDERAL WAY, WA 98003
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.
❑ Slab/Concrete Floor(4255) ❑ Final-Electrical(4055)
Approved to place concrete Approved
By Date By C ; p��,L j Date �a��
RECEIVED
ft
Federal Way APR 0 .4 2007 PERMIT ? - ?�
commurvnvnEPELOPmE t,�+•t F FEDERAL WAY SF MF CO ME EL PL DE EN FP
3332 DERALwAYSwA 9 rLO(Na DEPAPPLICATION -r°
253-835-2607•FAX 253-835-2609 / /
8063-97.1
I a Pr.CUyattPtlerab rat.cum
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS_ Z 1,- i s . 3ZN *. SUITE/UNIT#_ 157
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal descrlptlN
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION AELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
a I
PROJECT NAME(Name of Business or Owner Last Name) �', ,�, J rlig ll�1
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER ( ) -
MAILING ADDRESS CITY,STATE.ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
sh R«► 1 Ze-A'Nnol=?;&s fh;ke Ma+rbet (z ■ ) 4-1. - -i33a
MAILING ADD ZS 1v�'�}` 1-4,-)14 CITY,STATE,ZIP
��✓, IVI-, CELL PHONE
�r
CfIY OF FEDERAL WAY BUSINESr I e. NUMBERS CS EXPIRATION DATE 6P FAX NUMBER(, - (Z4c
( )
COPY of card raqulead CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
with each•ppllcNlm
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
NYS.t ( )
MAILIWADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant ❑Agent ❑ Other ( ) -
PROJECT NAME t' PRIMARY PHONE E-MAIL ADDRESS
CONTACT i,1 _ OIq( (Zoe) •ISil - IZNS
LENDER NAME Per RCW/9.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY.STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? C YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES c NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS =RPM PROPOSED TOTAL TOTALBssfW F
ae< TOTAL PROPOSED SF TOTAL S
""NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not Include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WTIH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODS RIVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS ICo(s,memai
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or mb/Shower Combo) LAYS Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(rooro
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 authorized 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,includin its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. (`
NAME/TITLE 144"\ MG G� DATE o t) Jc7-7
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent Contractor ❑Architect ❑ Other
FOR OFFICE USE ONLY
e NEW a ADDITION ❑ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES ❑NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? a YES ❑NO UP/SEPA/SU? a YES a NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? a YES c NO
Bulletin#100-April 2,2007 Page 2 of 4 k\Handouts\Pennit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft,-$111.00;Each add'n 500 ft,-$35.50) ❑ 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage ❑ 101-200 amp 149.50 94.50
(Inspected with service) $47.00 ❑ 201-400 amp 280.00 111.00
❑ Detached outbuilding or garage ❑ 401-600 amp 327.00 131.00
(Inspected separately) $74.00 ❑ 601-800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50
❑ 201 -400 amp 149.50 74.00 ❑ Mast or meter repair $102.00
❑ 401 -600 amp 205.00 102.00
❑ 601 -800 amp 262.00 140.50 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 375.50 280.50 Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 280.50
❑ 601 - 1000 amp 423.00
Service or Feeder ❑ over 1000 amp 471.00
❑ 0 to-200 amp $92.50
❑ 201 -600 amp 149.50 ❑ #of circuits to be added/altered
❑ over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$74.00;Add'n circuits 57.00/ea) $94.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $65.00
#of service or feeders
(First service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps S 74.00
❑ 101 -200 amps 94.50
❑ 201 -400 amps 111.00
❑ 401 -600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $74.00
❑ Security Alarm System ❑ Additional Plan Review $111.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
lay 2500 ft%-$65.00;
Each add'n 2500 ft=-17.00) •Per wAC 296-46-91 o(5)(b1(i&ii)
•
Bulletin#100-April 2,2007 Page 3 of 4 k\Ilandouts\Permit Application