02-102100City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Electrical Permit #: 02 -102100 - 00 - EL
Inspection request line: 253.835.3050
Project Name: BELMOR MOBILE HOME PARK SPACES 35 & 36
Project Address: 2101 S 324TH Parcel Number: 162104 9037
Project Description: ELE - Replace meter pedestal for mobile homes - SPACES 35 & 36
Owner
Applicant
Contractor
BELMOR HOLDINGS LTD
SHEPPARD & NELSON ELECTRIC
SHEPPARD & NELSON ELECTRIC
1571 BELLEVUE AVE W SUITE 210
PO BOX 3630
PO BOX 3630
VANCOUVER CN
KENT WA 98032-0210
KENT WA 98032-0210
(206) 878-7333
Electrical Fixtures
Service or Feeder - Manu./ M.H. Park 2
PERMIT EXPIRES November 17, 2002, IF NO WORK IS STARTED.
Permit issued on May 21, 2002
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 ac cor ce with the laws, rules and regulations of the State of Washington and
the City of Federal Way. _ Of
Owner or agent: 4� p Date: �' tl '
_57-- 2 L Z 7Z o tj% bj, ,y
�.« G RECEIVED CONSTRUCTION PER
r= G r= L MIT APPLICATION
PPLICATION
J MAY 2002 NUMBER:
PPLICATION NUMBER:
-- ------
RPLICATION NUMBER:
CITY 0 LF NG RALDEPWA - _
**The following Is required Information — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
•
SITE ADDRESS:
ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
x
nPR03ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
a�'..r ,
PROS bESCRIPTION (Provide detailed description): G .� .�� �(/-- cl X15
PROPERTY OWNER:
CONTRACTOR:
f
APPLICANT:
NAh1E,
DAYTIME PHONE:
cam) a�9
-73 33
MAILING (STREET ADDRESS, CITY, STATE, ZIP):
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
—
-
CONTRACTORS REGISTRATION NUMBER:
(SPY oI card e> 15 6 —
' '^ f -
P — S a 9
EXPIRATION DATE.:
Cj /31—
O 3
NAME: NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): /EVENING `� ONE:
RELATIONSHIP TO PROJECT. FAX
❑ ARCHITECT ❑ TENANT 11OTHER( DESCRIBE): NUMBER: _
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED, VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO ; FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
PROJECT••• AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED S% FT.
TOTAL
BASEMENT
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S)
FA'( °-` ' HOOD(S) WOODSTOVE(S)
FIRST
FIREPLACE INSERTS) RANGE(S) MISC. ( )
COMPRESSOR(S)
FURNACE($) '
SECOND
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
THIRD
LAVATORY(S) URINAL(S) WATER HEATER(S)
• DISHWASHER(S)
RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
FOURTH
SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINKS) WATER CLOSET(S) MISC. ( )
OTHER FLOORS (DESCRIBE)
SUMP(S) '
4
1
DECK
I certify under penalty of perjury that the information furnished by me Is true and correct to the best of my knowledge, and
further, that I am authorized by the owner
of the above premises to perform the work for which the permit application is made. I
GARAGE
HOW MANY FLOORS?
Investigation and defense of such daim), which may be made by any person, including the undersigned, and filed against the City of
Federal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
of. the InforTnation supWied, to the city
TOTAL
/asaart
NAME/TITLE•
5 '.•— / ..
OOMMUNn Y DWELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 980639718 • 253-661.4000 • FAX: 253.661-1129
www.c0.v9ffgdm1way.com
Indicate number of each type of fixture
MECHANICAL
• AIR HANDLING UNIT(S)
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S)
FA'( °-` ' HOOD(S) WOODSTOVE(S)
BOILERS)
FIREPLACE INSERTS) RANGE(S) MISC. ( )
COMPRESSOR(S)
FURNACE($) '
ti DUCT(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S)
LAVATORY(S) URINAL(S) WATER HEATER(S)
• DISHWASHER(S)
RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINKS) WATER CLOSET(S) MISC. ( )
INTERCEPTORS)
SUMP(S) '
4
1
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 authorized by the owner
of the above premises to perform the work for which the permit application is made. I
e• _further agree to hold harmless the City of Federal Way as to any daim (including costs, expenses, and attorneys' fees incurred in the
Investigation and defense of such daim), 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, including its officers and employees, upon the accuracy
of. the InforTnation supWied, to the city
of this application.
/asaart
NAME/TITLE•
5 '.•— / ..
DATE: _ .
❑ PROPERTY OWNER ❑ PPLICANT
❑ CONTRACTOR
OOMMUNn Y DWELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 980639718 • 253-661.4000 • FAX: 253.661-1129
www.c0.v9ffgdm1way.com
TABLE B
NEW RESIDENTIAL SERVICES
MOBILE HOMES
MISC EQUIPMENT/TEMP SERVICES
Family
_ Service or feeder only ......................... $48.00
_ # of Thermostats (First -$36.00; add'n-S l 1.00ca)
_Single
(First 1300 W-$72.00; Each add'n 500 ft' -$23.00)
_ Service and feeder ............................... S78.00
_ # of Low voltage fire or burglar alarms
Square Feet:
First 2500 ft' -542.00; Each add'n 2500 ftr-$11.00
Each outbuilding or garage...........................$30.00
MOBILE HOME/RV PARK
Square Feet:
(inspected with service)
L # of service or feeders
• Per WAC 296A6-910(5)(b)(i & ii)
Each outbuilding or garage ........................... $48.00
T (First service/feeder-548.00; Add'n service/
_ # of Signs (First sign -$36.00; add'n sign
_
(Inspected separately)
(ceder -S31 each)
$17.00 each)
Cis
_ Swimming pool, hot tub, spa.................72.00
�i a��
_ Yard Pole meter loops ...........................48.00
NEW MULTI -FAMILY
COMMERCIAL/INDUSTRIAL
COMMERCIAL/INDUSTRIAL
(Includes three units or more)
Altered Service or Feeders
Service Feeder
Amps Service or Add'n
_ 0 to 200 ..............................................S 78.00
Up to 200 amp .............. S 78.00 ................ S 23.00
Feeder
_ 201-600 .............................................. 182.00
_
201 - 400 amp .................. 97.00 .................... 48.00
0 to 100 .........................S 78.00....... S 48.00
_ 601-1000 ............................................ 274.00
_
401- 600 amp ................ 133.00 .................... 66.00
_
_ 101-200 .......................... 97.00 ........... 61.00
-over 1000 ............................................. 305.00
_
601- 800 amp ................ 170.00 .................... 91.00
201-400 ........................ 182.00 ........... 72.00
_ # of circuits
_
800 amp ................. 243.00 .................. 182.00
_
401-600 ........................ 212.00........... 85.00
(1-5 circuits -$61.00; Add'n circuits, $5 ea)
_Over
ALTERED SINGLE/MULTI FAMILY
601-800 ........................ 274.00......... 116.00
(When inspected separately from the services.)
_ 801-1000 ...................... 335.00......... 140.00
TEMPORARY SERVICE
Service or Feeder
_ Over 1000 ...................... 365.00......... 195.00
Residential/Multi-Family/Commercial/Industiral
_ 0 to 200 amp ................................................ $ 66.00
_ Over 600 volts surcharge ...................... 61.00
_ 0-100 .................................................... 48.00
201- 600 amp ................................................ 97.00
_ Mast or meter repair.............................. 66.00
_ 101-200 ................................................ 61.00
_
600 amp ................................................ 146.00
_ 201-400 ................................................ 72.00
-over
Mast or meter repair ....................................... 36.00
_ 401-600 ................................................ 97.00
_
# of circuits
_ over 600 ...............................................105.00
_
(1-4 circuits -S48.00; Add'n circuits $5 ea)
if service is greater than 200 amp, a plan review is req'd. Fee is 351/6 of permit tee +161.M. Aaa,t plan review ror outer submissions is a ic.winr.
Total Column (0)
Estimated Permit Fee: (12)
Estimated Plan Review Fee: $56.25 +
Estimated Permit Fee: (14)
Bond Amount: (15)
Estimated Permit Fee: (16)
Bond Amount: (17)
Mitigation Fee: (18)
Estlmated Peff dt Fee from line 12
X .35 = (13)
■ DEMOLITION
■ OTHER FEES
(20) (22)
SBOC Surcharge: (19) (21) (23)
Total (Pages one &Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100 - August 20, 2001