08-102442 • . .
Cixy of Federal Way
Corn unity Development Services Electrical Permit : 08-102442-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax.(253)835-2609 Inspection Request •• ) 835-3050
Project Name: BELMOR MOBILE HOME PARK SPACE 262
Project Address: 2101 S 324TH ST SPACE 262 'arc- NI 104 9037
Project Description: Run feeder to manufactured home from existing meter box.
Owner Applicant ontrac r
NANCY EVANS PRONG ELECT LLC RONG E LC
BELMOR MOBILE HOME PARK 1901 ABERDEEN SE RON (10/11/09)
2101 S 324TH ST RENTON WA 98 1901R1RI;EEN AVE SE
FEDERAL WAY WA 98003 RE WA 98055
itional - •rmati
Service greater than 1000 Amps? No l'
tO\I Fixtures
Service or Feeder-Manu obile 1
P IT EXPIRES Wednesday, November 12, 2008 •
Permit Issued on Friday, May 16, 2008
I hereby c that the above information is correct and that the construction on the above described property and
the occupa 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: x Date: - ,
THIS CARD IS TOREMAIN ON-SITE
--
CITY OF • Community Development Inspection Record
� ��.��
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-102442-00-EL
Owner: NANCY EVANS
Address: 2101 S 324TH ST SPACE 262
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.
0 Slab/Concrete Floor(4255) ❑ Final-Electrical(4055)
Approved to place concrete Approved
By Date By , Date 10
For inspector reference only
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
CITY OF /�
Federal Wa a e 2
I PERMIT '�-
COMMUNI7YDEVELOPMENT SERVICES
Sr MF CO MF' E PL DE EN FP
33325 AVENUE SOUTH• BOX 9718
FEDERAL 7Y, 58063 MAY 1 s APPLICATION
TD
253-835-2607•FAX 253-835-2609 / /
www.cituoffederalwat.corn
The followingeir q ia~edinformation-an incomplete application Will not be accepted. Please print legibly(in ink)or type.
■ PROPERTY INFORMATION
SITE ADDRESS_ ) Jv H SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) o ., ) - Tr L7 Pcr r
(Attach separate page for Lengthy legal desaiptlonl
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION E J ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit oniti)
-. (.' , ,,) /. 1 2 rr, .
PROJECT NAME(Name of Business or Owner Last Name) ti va w F
in PEOPLE INFORMATION
PROPERTY NAME .
OWNER . (- `q £ /o N . PRIMARY PHONE
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAMEAPPLICANT NAME OFFICE PHONE
-1r0 1 Ll-Prfr:r l _; (-,, ,,, Pro" c ) •'r3 - c5S .
MAILING ADDRESS .J CITY,STATE,ZIP CELL PHONE
i Cl N , a: r. 4''' _ �. ,45 ( ) .- .' .
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
e) Y 'se 1"2_ 3I' b (44).c )79 3 — Cr,
CONTRACTOR'S REGISTRATION NUMBER I IRATION DATE E-MAIL ADDRESS
-)r•i ;Z PJ t DP)jai
APPLICANT COMPANYgels� r { APPLICANT NAME
��jj�� �/`-C/,1('V„��� OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant 0 Agent 0 Other ( ) -
PROJECT NAME / � i �C, Ff PRIMARY PHONE -
E-MAIL ADDRESS
CONTACT ( )
LENDER NAME
Per RCW 19.27.095:
Lender information is requt°id i project value exceeds$5,000
MAILING ADDRESSa CITY,STATE,ZIP PHONE
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALVE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
Th, Ill PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
• SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST _"�_______
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
O
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE 0 CARPORT ❑ _„-____-------- w'
`fes-_'
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of fixture 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 WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOFSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS "\ HOODS(comme:c,,D
COMPRESSORS FURNACES ----\., RANGES
DUCTS GAS LOG SETS '''''.-RPRFIG..2 STEMS
PLUMBING {{
BATHTUBS(orTUb/shows:combo) LAVS(Bathroom s URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roue)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local,state,or federal laws regulating construction or environmental laws.
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, but only
where such claim arises out of the reliance of th city, including its officers and employees, upon the accuracy of the information supplied to
the city as a part of this application.
/� / }
ri/1-4 "
SIGNATURE' `�-1 .^/�f ^^ � /DATE /` >/oC U
Property Owner and/or Authorized Agent
vissamiiimiamimmis
❑NEW a ADDITION a ALTERATION ❑ REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? ❑YES a NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application
• S
ELECTRICAL PERMIT INFORMA •N
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
LI Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$115.50;Each add'n 500 ft2-$37.00) ❑ 0 to 100 amp $125.50 $76.50
❑ Detached outbuilding or garage ❑ 101 -200 amp 155.50 98.00
(Inspected with service) $48.50 ❑ 201 -400 amp 291.00 115.00
❑ Detached outbuilding or garage ❑ 401 -600 amp 339.50 136.00
(Inspected separately) $76.50
❑ 601 -800 amp 439.00 186.00
❑ 801 - 1000 amp 536.50 224.50
NEW MULTI-FAMILY(three units or more) U Over 1000 amp 584.50 311.50
Service Feeder
U Up to 200 amp $125.50 $37.00 ❑ Over 600 volts surcharge $98.00
❑ 201 -400 amp 155.50 76.50 ❑ Mast or meter repair $106.00
U 401 - 600 amp 212.50 106.00
U 601 - 800 amp 272.00 145.50 ALTERED COMMERCIAL/INDUSTRIAL
U Over 800 amp 389.50 291.00
Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 291.00
Service or Feeder LI601 - 1000 amp 439.00
U 0 to 200 amp $96.00
LI over 1000 amp 489.00
❑ 201 - 600 amp 155.50 ❑ #of circuits to be added/altered
❑ over 600 amp 234.00 (1-5 circuits-$98.00;Add'n circuits,$7.50/ea)
U #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$76.50;Add'n circuits$7.50/ea) $98.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $57.50 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
te Service or feeder only $76.50
U Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK
Residential/Multi-Family $67.50
U # of service or feeders
(First service/feeder-$76.50;each add'n-$50.00) Commercialfndustrial Service or Feeder Ampacity
❑ o- 100 amps $76.50
U 101-200 amps 98.00
U 201-400 amps 115.00
❑ 401-600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$57.50;add'n-$17.50/ea) (First sign-$57.50;add'n sign$27.00/ea)
U Low Voltage U Swimming pool/hot tub
Square Feet to be served by system(s) $115.00
(Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $76.50
❑ Security Alarm System ❑ Additional Plan Review
❑ Voice Cabling $115.00/hour
❑ Data Cabling (for modified submittals)
0 U Automation Fee on all Permits .. $5.50
1*t 2500 ft2-$67.50;
Each add'n 2500 ft2-$17.50) 'Per WAC 296-46910(5)(b)fi as ii)
Bulletin#100-January 1,2008 Page 3 of 4 k\Handouts\Permit Application