10-102736 • Electrical
City of Federal Way Permit #: 10-102736-00-EL
Communi Development Services ? �k
P.O.Box 9718 e.
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: BELMOR MFH PARK-SPACE 183
Project Address: 2101 S 324TH ST SPACE 183 Parcel Number: 162104 9037
Project Description: Hook-up feeder panel to service
Owner Applicant Contractor
NANCY EVANS PRONG ELECTRIC LLC PRONG ELECTRIC LLC
BELMOR MOBILE HOME PARK 1901 ABERDEEN AVE SE PRONGEL938PJ(10/11/11)
2101 S 324TH ST RENTON WA 98055 1901 ABERDEEN AVE SE
FEDERAL WAY WA 98003 RENTON WA 98055
Is Use Educational or Institutional? No
Service or Feeder-Manu./M.H.P 1
PERMIT EXPIRES Wednesday, June 29, 2011
Permit Issued on Tuesday, June 29, 2010
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 cordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: 1 ►-_.��L.�.
Date: t � � Gj
J ./zjio
' THIS CARD IS TO IN ON-SITE F y 4
CITY OF
• Construction Ins ction Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT #: 10-102736-00-EL Address: 2101 S 324TH ST SPACE 183
Owner: NANCY EVANS FEDERAL WAY, WA
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 UFER Ground (4295) 0 Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
.By Date By ��� Date �R—C72—1 k� . By Date
Pool Bonding(4195) •0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By 0_.4 . k Date 6`l-62- t'1/4-1 By
Date By Date
o Final-Electrical(4055)
Approved
By Date
b -0"›--Vik.
Rough Electrical El Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
} III IV.-‘' / 0 2 ,
CITY OF -
Federal Way ELECTRICAL RECEIVED
PERMIT APPLICATION JUN 2 9 ?01,9
**Most electrical permits may be obtained on-line at www.cityo t' lw
SITE ADDRESS: I Q I S 0 c±J\ 3 } J�(T H S (_
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL II` CURRENT/PROPOSED USE
I 1 3 / 2.. / ° - ° 37
PROJECT NAME el mor r 1 [0 b l e r{-I
(Tenant or Homeowner Last Name) U O 1 - V-�
PROJECT DESCRIPTION OH 00 k L p ( c Q �or Pc4 h(1 I i \ #Y
Detailed description o work to (`+� Q �r �� 5 Q‘,- �/i i
be included on this permit only
FO
NAME PRIMARY PHONE
PROPERTY OWNER Nar\Cq c IA rS (),,c3) b 3� 0 517
MAILING ADDRESS J
E-MAIL
ki () I Sock 31),.4 T,
CITY STATE ZIP
FAX
CMoral li/ V w-i 6 7IZ 00'3 Us,c3 1t-0r- 6wq
NAME PRIMARY PHONE
ela Pro n EIeL ri L1.� (y.si 7q3 - 5 59
/ MAILING ADDRESS 9 E-MAIL
ELECTRICAL I C1DI ,II)3Q roI -Q re live, SE-
CONTRACTOR CITY STATE ZIP FAX
RQ/1,i0ON \VA RooCS (ti S )793 - 39x7
WA STATE CONTRACTOR'S LICENSE it EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE C
PRDNCIELqC3 P5 / / 6$IDDa.30-7
NAMEPRIMARY PHONE
APPLICANT MAu nv6ADb ,„p r C f\J ( ) -
E-MAIL
I i0) RIPrd eh II v9, SE
CITY STATE ZIP FAX
RO KV°I, W A CTS c c ' ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT 6 a r J Pro � (x.06 )313 -70T3
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 the city, including its officers and employees, upon the accuracy of the
information supplied to the city a",art of this application.
SIGNATURE: l7 A %- DATE g/�C / a,O /0
/f
PRINT NAME: -10 r y roil
33325 8'h Avenue South•PO Box 9718•Federal Way•WA•98063-9718♦253-835-2607•fax:253-835-2609 1 www.cityoffederalway.com
Bulletin#160—April 9,2010 Page 1 of 2 k:\Handouts\Electrical Permit Application
RESIDENTI C MERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 1st Service/Feeder Additional Feeders
(including attached garage): 0- 100 amp x$132.50 x$ 80.50
FEES: First 1300 ft2-$122.00; 101- 200 amp x$164.00 x$103.50
Each additional 500 ft2 :00"
; 201- 400 amp x$307.00 x$121.00
TE fIULTIFAM'ILY (3 units or more) 401- 600 amp x$358.00 x$143.50
10 Serfiice/Feeder Additional Feeders 601- 800 amp x$463.00 x$196.00
0- 200 amp x $132.50 x $ 39.00 801- 1000 amp x$565.00 x$236.50
201 -400 amp x $164.00 x $ 80.50 Over 1000 amp x$616.00 x$328.50
401 -600 amp x $224.00 x $111.50
601 -800 amp x $287.00 x $153.50 Over 600 volts surcharge x$103.50
Over 800 amp x $410.50 x $307.00
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1st Service/Feeder 1st Service/Feeder Additional Feeders
0- 200 amp x $101.00 0- 200 amp x$132.50 x$103.50
201 600 amp x $164.00 201- 600 amp x$307.00 x$121.00
Over 600 amp x $246.50 601- 1000 amp x$463.00 x$196.00
Over 1000 amp x$515.50 x$328.50
Added or Altered Circuits
1-4 circuits$80.50;each additional$8.00 Added or Altered Circuits
1-5 circuits$103.50;each additional$8.00
Mast or meter repair $60.50
Mast or meter repair $111.50
MANUFACTURED HOMES PLAN REVIEW FEES
Service or feeder only / x $ 80.50 Plan Review required only for:
Service and feeder x $132.50 • New,or alteration to,service of 1,000 amps or greater
• Medical/Educational/Institutional Facility
$103.50 plus 35%of Permit Fee
(Permit Fee x 35%= +$103.50=Plan Review Fee)
Plan review for modified submittals $105.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
❑ Fire Alarm System 1st Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling 0- 60 amp x $ 71.00 x $ 32.00
❑ Other 61- 100 amp x $ 80.50 x $ 39.00
Area to be served by system:
1st 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 101 -200 amp x $103.50 x $ 51.00
201-400 amp x $121.00 x $ 60.50
#of Thermostats 401-600 amp x $164.00 x $ 80.50
First$60.50;each additional$18.50
Over 600 amp x $184.50 x $ 92.00
FEE CALCULATIONS
#of Signs
First$60.50;each additional$28.50 • Fees are determined by the scope of work as indicated.
Yard Pole/meter loops/pedestal x$ 80.50 • A$6.00 Automation Fee will be added to all permits.
• For assistance in calculating fees or completing the
Portable Generator(transfer equipment) x$101.00 application form,contact the Permit Center at
Ditch cover/inspection only x$121.00 253-835-2607
33325 8'"Avenue South•PO Box 9718•Federal Way•WA•98063-9718♦253-835-2607•fax:253-835-2609•www.cityoffederalway.com
Bulletin#160-April 9,2010 Page 2 of 2 k:\Handouts\Electrical Permit Application