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 ' �—�'%
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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;
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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
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