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02-102167N City Federal Way Conununity Development Services Electrical Permit #: 02 -102167 - 00 - EL un 33530 1st Way S Federal Way, WA 98003-6210 2 O Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.035.3050 Project Name: BELMOR MOBILE HOME PARK SPACES 29 & 30 Project Address: 2101 S 324TH Parcel Number: 162104 9037 Project Description: ELE - Replace meter pedestal for mobile homes - SPACES 29 & 30 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. n Olvner or agent: See A Date: 5 Z 2 a 2L� } 1% on�L CF4VF.DCONSTRUCTION PERMIT APPLICATION �� APPLICATION NUMBER: PPUCATION NUMBER: MAY 2 3 ,L f PPUCATION NUMBER: **The following is re i AT ation - Please print (in ink) or type** q3VjPlease note: Electrical, Fire r and Engineering permits may require a separate application. SITE ADDRESS:ASSESSOR'S TAX/PARCEL #: - LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION PI ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): QL&fj- PROJECT NAME: PROPERTY OWNER: CONTRACTOR: APPLICANT: NAME: 7G iY'^`'Gw^'� µ `cZ DAYTIME PHONE: - �� (a MAILING ADDRESS (STREET ADDRESS, 'ATE, ZIP): a -t dl S aY 91M NAME: DAYTIME PHONE: MAIUNG ADD (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: ( CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: -7) CONTRACTOR'S REGISTRATION NUMBER: (CDP►-o(cab required) l %' e P /Y S .� 6 �-o EXPIRATION DATE: C) /3/ 3 / O-.31 NAME: MAIUNG ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE RELATIONSHIP TO PROJECT: F NUM ❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ACONTRACTOR 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 11 HIGHLINE 11 PRIVATE (SEPTIC) r� **NEW RESIDENTIAL CONSTRUCTION ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: ■ PROIECT 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 NOW MANY FLOORS? URINAL(S) WATER HEATER(S) DISHWASHERS) TOTAL. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) '1TSCI_ATMFR/ST[SN1k1rIIRF Al 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 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 a art of this application. NAME/TITLEDATE: / O �— ❑ PROPERTY OWNER ❑ 49PPLICANT ❑ CONTRACTOR OOMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO ISOX 9718 • FEDERAL WAY, WA 98%3-9718 • 253.661-4000 • FAX: 253-661-4129 www.S1lY41Si'�alwaY9� 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) SINK(S) WATER CLOSET(S) MISC. ( ) INTERCEPTORS) SUMP(S) '1TSCI_ATMFR/ST[SN1k1rIIRF Al 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 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 a art of this application. NAME/TITLEDATE: / O �— ❑ PROPERTY OWNER ❑ 49PPLICANT ❑ CONTRACTOR OOMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO ISOX 9718 • FEDERAL WAY, WA 98%3-9718 • 253.661-4000 • FAX: 253-661-4129 www.S1lY41Si'�alwaY9� ■ ELECTRICAL TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES Single Family _ Service or feeder only ......................... $50.00 _ # of Thermostats (First 437.50; add'n-S11.50ea) (First 1300 ft2-$75.00; Each add'n 500 ft' -$24.00) Service and feeder ............................... $81.00 # of Low voltage fire or burglar alarms Square Feet: _ _ First 2500112-$43.50; Each add'n 2500 ft2-$11.50 _ Each outbuildingor garage ........................... $31.00 MOBILE HOME/RV PARK Square Feet: (Inspected with service) a # 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) feeder432 each) $17.50 each) CIO _ 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 .................................. *V 01-200.................................... .........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 (1-4 circuits -$50.00; Add'n circuits $5 ea) _ it a new or anerea commercial service is /-uu amps or greater, or a new or atterea reswentiai service is greater than 4UU amps, a plan review is requires. Pee is 3) /o of 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) ■ DEMOLITION Estimated Permit Fee: (14) Bond Amount: (15) Estimated Permit Fee: (16) Bond Amount: (17) Mitigation Fee: (18) SBCC Surcharge: (19) (21) (23) TOtal (Pages One &Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24) 0 Bulletin #100 - February 19, 2002 eOFjjC�- BUSINESS REGISTRATION License Number 19 -90 -101895 -00 -BL Non -Resident Business SHEPPARD & NELSON ELECTRIC 22659 PACIFIC HWY S DES MOINES, WA 98198 Category: 1700 - Contractors- Special Trade Expires: 12/31/2002 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. F ED""//, V : CORPORATF•'. y SEAL28 y �S1yING10 \ City Clerk, City of Federal Way 111isicerti6es that the above entity has been issued the rcosdation or license listed. City of Federal Way - Licensing (253) 661-4072 33530 h0 Way S.. Federal Way, WA 98003-9718 ArldsmCl FuV tprp(l / 61R) (XX) t50 SZ9d OZZO-Z£086: VM JNHX 0 £ 9 £ ` XOS Od 4 OIUIDS'IS NOS'ISN';12* allVc`ldEHS (< < tSfi6T/8Z/6b 1, �`ts Q �1Aga 000.rZ�/-rC/L0Ob95S9Xd,,d.tb. h 'IVUHNSJ UJAO0 'OSrIS SV MKrI AS CSCIAOUd SK CSSNSOIrl - •;. '.;ti SAINISf CINI CINV HOUVI:10INF]WINVdSQ '