02-102169City unity Development Services Federal Way
mun
ComElectrical Permit #: 02 -102169 - 00 - EL
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: BELMOR MOBILE HOME PARK SPACES 45 & 46
Project Address: 2101 S 324TH Parcel Number: 162104 9037
Project Description: ELE - Replace meter pedestal for mobile homes - SPACES 45 & 46
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
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. �r A -
Owner or agent: See A DDlieaflon Date: d !/
� k
;°'
f== CONSTRUCTION PERMIT APPLICATION
�� AY RECEIVED PPLICATION NUMBER: - - O _
PPLICATION NUMBER:
APPLICATION NUMBER: -
**The fo@jWW1GDjs�� qAitnfgg�ation — Please print (in ink) or type**
Please note: Electrical, Fire PreBeritloN Q4WWand Engineering permits may require a separate application.
SITE ADDRESS: ,(' t 5 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):
_2,,o L-
v- v btL,e A4?) oyl .e -;0a2,e--
PEOPLE
ry
PEOPLE INFORMATION
PROPERTY , -
CONTRACTOR:
NAME:
DAYTIME PHONE: -
MAIUNG ADDRESS (STREET ADORES , u, ,, ,nuc, ur).
nl S aY �--�c�e 2r003
NAME:
DAYTIME PHONE:
MAIUNG AD (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMB
Q d
(v66 �A9
CONTRACTORS REGISTRATION NUMBER:
(-WofC.,-quh-ed) = e Lo /-y O A Q07
EXPIRATION DATE:
/3 1/
03
APPLICANT: NAME: DAYTIME PHONE:
MAfUNG ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT:FAX NUM
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): ( -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ACONTRACTOR
INFORMATIONDETAILED BUILDING
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 11 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY"
BER OF BEDROOMS:
ESTIMATED SELLING PRICE:
■ PR07ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT _
,
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
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 INSERTS) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHERS) 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)
'1TQCL1kTMER/SIGNATURE BLC
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 hannless 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 claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the information s led to the city as iaatt of this application.
NAME/TITLE: DATE: �� i / y D �---
❑ PROPERTY OWNER ❑ PPLICANT ❑ CONTRACTOR
OOMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTTI • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253661-4000 • FAX: 253661-4129
www.dlyofTedcralway.-W—M
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES
MOBILE HOMES
MISC EQUIPMENT/TEMP SERVICES
_ Single Family
(First 1300 ftZ-$75.00; Each add'n 500 ft'
-$24.00)
_ Service or feeder only .........................
_ Service and feeder ...............................
$50.00
$81.00
_ # of Thermostats (First -$37.50; add'n-$11.50ea)
_ # of Low voltage fire or burglar alarms
Square Feet:
First 2500 ftZ443.50; Each add'n 2500 ftZ-$11.50
_ Each outbuiIdingorgarage ...........................$31.00
MOBILE HOME/RV PARK
Square Feet:
(Inspected with service)
# of service or feeders
* Per WAC 29646-910(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)
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 ..................................: & ..........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
(14 circuits -$50.00; Add'n circuits $5 ca)
It It new or mrereu wmmcrcRM seMcc 15 cuv amps or greater, or a new or anereu resiuenmai service is greater man 4uv amps, a pian review is regmreo. ree is .SJ% or
permit fee +$63.50. Add'I plan review for other submissions is $75.00/hr.
Total Column (D)
Estimated Permit Fee: (12)
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)
■ DEMOLITION
■ OTHER FEES
(20) (22)
(23)
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