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02-102170City of Federal Way Community Development Services 33530 1 st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Electrical Permit #:02 -102170 - 00 - EL Inspection request line: 253.835.3050 Project Name: BELMOR MOBILE HOME PARK SPACES 50 & 51 Project Address: 2101 S 324TH Parcel Number: 162104 9037 Project Description: ELE - Replace meter pedestal for mobile homes - SPACES 50 & 51 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 19, 2002, IFNO WORK IS STARTED. •Permit issued on May 23, 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 accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: Date: d / s— 3l— oZ C.en. ✓.+e�.`(/1/� iJv i i S �i-tiktl 'S.G v v ' �—�'% is A on CONSTRUCTION PERMIT APPLICATION �' RECEIVED PPUCATION NUMBER: - Q _0. APPLICATION NUMBER: 0 PPLICATION NUMBER: - **The following is required information - Please print (in ink) or type** Please note: Electrical, FWPY,e� �iTd Engineering permits may require a separate application. SITE ADDRESS:. Die) t S 3 fn-� "" ASSESSOR'S TAX/PARCEL #: - LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION P< ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): Q �-{� G .�.•p�� �v— �6 ��,� PROJECT NAME: PROPERTY OWNER: CONTRACTOR: APPLICANT: NAME: k 01CAr, v� z DAYTIME PHONE: - Y -` `L (PI MAILING ADDRESS (STREET ADDRESS, CITY, ATE, ZIP): n! s aY--�g NAME: 5 4� �-r- C s DAYTIME ) PHONE: -73 33 MAILING ADD (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: l CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: 8 -72 CONTRACTORS REG[STRATION NUMBER: (SPY of prd.eGuhed) L->� P P N �^ S .� �' 9/ EXPIRATION GATE: 3 1 1031 NAME: DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS; CrTY, STATE, Z[P): EVENING NING PHONE: RELATIONSHIP TO PROJECT: FAX NUM ❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ACONTRACTOR DETAILED BUILDING INFORMATION 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: 11 LAKEI IAVEN 11 HIGHLINE 11 PRIVATE (SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: ■ PR03ECT FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK HOW MANY FLOORS? TOTAL: Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILERS) FIREPLACE INSERT(S) RANGE(S) MIsc ( COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUBS) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAINWATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLETS) SINKS) WATER CLOSET(S) MISC. ( ) INTERCEPTORS) SUMP(S) ❑iSCLAiMER/SiGNAT1IRF RLC 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 daim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the informations ied to the ci=artof cation. NAME/TITLE• DATE: ❑ PROPERTY OWNER ❑PPLICANT ❑ CONTRACTOR COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO 13OX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129 www.dlvWTedC*alway.00m IV . - TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _ Single Family _ Service or feeder only ......................... $50.00 _ # of Thermostats (First -$37.50; add'n-$11.50ea) (First 1300 ftZ-$75.00; Each add'n 500 ft' -$24.00) _ Service and feeder ............................... $81.00 _ # of Low voltage fire or burglar alarms Square Feet: First 2500 ftZ-$43.50; Each add'n 2500 ft' -$I 1.50 _ Each outbuilding or garage ........................... $31.00 MOBILE HOME/RV PARK Square Feet: (Inspected with service) # of service or feeders * Per WAC 296-46-910(5)(b)(i & ii) _ Each outbuilding or garage ........................... $50.00 (First service/feeder-$50.00; Add'n service/ _ # of Signs (First sign -$37.50; add'n sign (Inspected separately) feeder -$32 each) $17.50 each) .y v _ Swimming pool, hot tub, spa...............$75.00 _ Yard Pole meter loops .........................$50.00 NEW MULTI -FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three units or more) Altered Service or Feeders Service Feeder Amps Service or Add'n _ 0 to 200 ..............................................$ 81.00 _ Up to 200 amp .............. $ 81.00................ $ 24.00 Feeder _ 201-600 .............................................. 189.00 _ 201 - 400 amp ................ 101.00 .................... 50.00 _ 0 to 100.........................$ 81.00....... $ 50.00 _ 601-1000 ............................................ 284.50 _ 401 - 600 amp ................ 138.00 .................... 68.50 _ 101-200 ........................ 101.00........... 63.50 _ over 1000.............................................317.00 601 - 800 amp ................ 176.50 .................... 94.50 _ 201-400 ........................ 189.00........... 75.00 # of circuits _ Over 800 amp ................. 252.50 .................. 189.00 _ 401-600 ........................ 220.50 ........... 88.50 _ (1-5 circuits -$63.50; Add'n circuits, $5 ea) ALTERED SINGLE/MULTI FAMILY _ 601-800 ........................ 284.50......... 120.50 (When inspected separately from the services.) _ 801-1000 ...................... 348.00......... 145.50 TEMPORARY SERVICE Service or Feeder -Over 1000 ...................... 379.00......... 202.50 Residential/Multi-Family/Commercial/Industrial _ 0 to 200 amp ............................................... $ 68.50 _ Over 600 volts surcharge ...................... 63.50 0-100 ................................................ $ 50.00 _ 201 - 600 amp .............................................. 101.00 _ Mast or meter repair.............................. 68.50 _ _ 101-200 .................................. 4;�' ........... 63.50 _ over 600 amp ................................................ 151.50 _ 201-400 ................................................ 75.00 _ Mast or meter repair ....................................... 37.50 401-600 .............................................. 101.00 _ # of circuits _ over 600 ...............................................109.00 (1-4 circuits -$50.00; Add'n circuits $5 ea) _ u a new ur ancrcu wnuncrciai servicc is cuu amps ur grcater, or a new or aitereu resiuenuai service is greater man 4uv amps, a pian review is requirea. ree is s:) %o or permit fee +$63.50. Add'I plan review for other submissions is $75.00/hr. Estimated Permit Fee: Total Column (D) Estimated Permit Fee from line 12 Estimated Plan Review Fee: $63.50 + ( X.35) = (13) Estimated Permit Fee: (14) Bond Amount: (15) Estimated Permit Fee: (16) Bond Amount: (17) Mitigation Fee: (18) SBCC Surcharge: (19) (20) (22) Total (Pages one &Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24) Bulletin #100 - February 19, 2002 CITr -2a VOF G BUSINESS REGISTRATION License Number 19 -90 -101895 -00 -BL Non -Resident Business tegistered: SHEPPARD & NELSON ELECTRIC 22659 PACIFIC HWY S DES MOINES, WA 98198 Expires: 12/31/2002 �. Category: 1700 - Contractors- Special Trade Conditions: This license is non -transferable. Please notify the City Clerk's office of any change in your business such as a new location or business name. FEDE, c�CORPOR : y ATF SEAL; ` •, � •CCB ,9p�0. \ � r" / 28 * -( 0\ �� --- Clty Clerk, City of Feral -Way —� '} � ;jSNING� Thiscerti4es that the above entity has been issued he registration or license listed. City of Federal Way - Licensing (253) 661-407`2 33530 1st Way S., Federal Way, WA 98003-9718 �— amal.1p.1ij Arldsi(I Puv gpri.)(1 (L6/R) 000 250-M-4 ' i, OZZO-Z£086i KM ZNEX r. 0 £ 9 £': X08- Od y OI2iI0= N0S'i9W'9' ' C1aVddHHS ;. 1 C00Z/T/G0�' Z1C9�3�IdcHS tl rIVEHNSD , HIN00 03rI3: SV MVq &S QSQIAOUdSK QHSNHOI'I j .:�' S9RLLSn(JN1 4NV 2100V'l AO .LN3WLNVd9U ' 1