02-102168-4%.
City 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 -102168 - 00 - EL
Inspection request line: 253.835.3050
Project Name: BELMOR MOBILE HOME PARK SPACES 33 & 34
Project Address: 2101 S 324TH Parcel Number: 162104 9037
Project Description: ELE - Replace meter pedestal for mobile homes - SPACES 33 & 34
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
-g
Service or Feeder - Manud M.H. Park 2
PERMIT EXPIRES November 19, 2002, IF NO 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:
See A viDlication
Date:
` • c„or c RECEIVED
-0��L CONSTRUCTION PERMIT APPLICATION
4 �y 6 „APPLICATION NUMBER: D
APPLICATION NUMBER:-
-- ------ --
CITY OF FEDERAL WAY APPLICATION NUMBER:
BUILDING DEPT. — — — —
**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.
j O.ERTY INFORMATION
SITE ADDRESS: ,' 3r*3Ll ASSESSOR'S TAX/PARCEL #: _ -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): �Q G -e�
a- o)b, Le s) Pvt ,5� � -r- 2, 3 y
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME:
`GZ DAYTIME PHONE: -
MAILING ADDRESS (STREET ADDRESS, CITY, ATE, ZIP). (VIO)
o! s aye f--��.-..P ,- 5'003
NAftE.
S io-gz
DAYTIME PHONE:
MAILING ADD (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMB
Q- 1
1 8 L b - 4
(P,7C)6)S?(9
-7 %
CONTRACFORS REGISTRATION NUMBER:
(CPV of cud mquired) 5
N S 5-A s- 9
EXPIRATION DATE:
01 /3 1/
0 3
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TOPROIECT: NUMBER.,
ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
DETAILED BUILDING INFORMATION
EXIST
-
EXISTING USE: EXISTING BUILDINGASSESSED/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 0 HIGHLINE 0 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY*" '
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
AIR HANDLING UNIT(S)
FIRST
GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
SECOND
HOOD(S)
WOODSTOVE(S)
BOILERS)
THIRD
RANGE(S)
MISC. ( )
COMPRESSOR(S)
FOURTH
DUCT(S)
OTHER FLOORS (DESCRIBE)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
DECK
BATHTUB(S)
GARAGE
HOW MANY FLOORS?
URINAL(S)
WATER HEATER(S)
DISHWASHERS)
TOTAL:
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
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 daim (including costs, expenses, and attorneys' fees Incurred in the
Investigation and defense of such daim), which may be made by any person, induding 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 syp4ied to the city as akart of this application.
NAME/TITLE: DATE: _— / .. 0;?—
❑ PROPERTY OWNER ❑10PPLICANT ❑ CONTRACTOR
OOMMUNTTY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUT11 • PO OOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
W W W.dtyoll edM1 Way.com
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($)
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)
SINK(S)
WATER CLOSET(S)
MISC. ( )
INTERCEPTORS)
SUMP(S)
•13LOCK
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 daim (including costs, expenses, and attorneys' fees Incurred in the
Investigation and defense of such daim), which may be made by any person, induding 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 syp4ied to the city as akart of this application.
NAME/TITLE: DATE: _— / .. 0;?—
❑ PROPERTY OWNER ❑10PPLICANT ❑ CONTRACTOR
OOMMUNTTY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUT11 • PO OOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
W W W.dtyoll edM1 Way.com
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 andfeeder ...............................
$81.00_
# of Low voltage fire or burglar alarms
Square Feet:
First 2500 ftZ-$43.50; Each add'n 2500 ftZ-$11.50
Each outbuilding or garage ...........................
$31.00
MOBILE HOME/RV PARK
Square Feet:
(inspected with service)
_1# 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 ................................. ,i :..........63.50
over600 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 ea)
u a ucw V. a.wMu cw1111MMIM bcI v We 1s wv w11p5 ur grcarcr, ur at new ur alrereu reswcnual scrvicc is grcarer man wuu amps, a pian review is requires. ree is sa %o or
permit fee +$63.50. Add'l plan review for other submissions is $75.00/hr.
Estimated Permit Fee: (12)
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)
■ DEMOLITION
■ OTHER FEES
(20) (22)
(21)
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
CITY OF
BUSINESS REGISTRATION
License Number 19 -90 -101895 -00 -BL
Non -Resident Business
SHEPPARD & NELSON ELECTRIC
22659 PACIFIC HWY S
DES MOINES, WA 98198
t
Expires: 12/31/2002
CateQorv: 1700 - Contractors- Special Trade
`Conditions: This license is non -transferable.
Please notify the City Clerk's office of any chane in your business such as a new
location or business name.
FEDF,
U ..CORPORATc y
SEAL
28
t \ Cit Cler , Crt of -Federa� Wa
Tltisicertifies that the above entity has been issued the registration or license listed.
City of Federal Way - Licensing (253) 661-4072 33530 1 st Way S., Federal Way, WA 98003-9718
r atr.mpjl mj ,(rldsi(I PuV 4'rp(j —�
(L6/R) WO -r; -Md
r F OTZO, Z£086; VM ZNEX,
0£9£:XOg Od
t' DI2iM= NOS'ISN`;'y' (12iKddHHS
t'f F51,6T/8Z'/l►0t
tC00Z/TC�G0",.) ,9 5'3bldaa 0
r1Vd21NH0.,' NIN00 Ogrlg
SSI MVrI AS QgQIAOUd SV agSNEDI'I
;�> '> S3R1LSf1aN1 (INV NOf)b" 1 SO ,LN3W UdNdHa ,