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02-102165W City Federal Way Community Development Services Electrical Permit #: 02 -102165 - 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 14 & 15 Project Address: 2101 S 324TH Parcel Number: 162104 9037 Project Description: ELE - Replace meter pedestal for mobile homes - SPACES 14 & 15 Owner Applicant Contractor BELMOR HOLDINGS LTD SHEPPARD & NELSON ELECTRIC SHEPPARD & NELSON ELECTRIC 1571 BELLEVUE AVE W SUITE 210 PO BOX 3630 PO BOX 3630 VANCOUVERCN 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, 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. See Amfi � Owner or agent: catlon Date: 1k, err T or n i=F)-*,- L RECEIVES P�cAT1oN NON PERMIT APPLICATION M AY _� _ PPLICATION NUMBER: PPLICATION NUMBER: ** �TY FFED RAL WAY -- ------ -- The f�llovKjS��b(Iformation - Please print (in ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. SITE ADDRESS:3r Lei 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 PROJECTDESCRIPTION (Provide detailed/description): Q La G ..�V— PROJECT NAME: PROPERTY OWNER: CONTRACTOR: APPLICANT: NAME: 2 r '^sor, � K // DAYTIME PHONE: - ��YIc `G ca�� MAILING ADDRESS (STREET ADDRESS, CITY, VATE, ZIP). NAME: (V YTIME SSS -73 33 MAILING ADD (STREET ADDRESS; CRY, STATE, ZIP): PHONE: (EVENING CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMB: Q- 1 1 8 L b - Q d �6��'3 -7 CONTRACTORS REGISTRATION NUMBER: (0ovy of card IC Mred) Li P N EXPIRATION DATE: c>7 13 / 3 NAME: DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: RELATIONSHIP TO PROJECT: F NUM 11 ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ACONTRACTOR I I 4LTAILLO 15111.01AG. , 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 LAKEHAVEN 11 HIGHLINE 11 PRIVATE (SEPTIC) 19 **NEW RESIDENTIAL CONSTRUCTION ONLY** UMBER 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) �2SClA2MFR/AMNATURF RI C 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 informations ied to the city a�aart of this application. NAME/TITLE: DATE: ❑ PROPERTY OWNER ❑ PPLICANT ❑ CONTRACTOR ODMMUNTTY DEVELOPMENT SERVICES.- 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253.661-4000 • FAX: 2S3-661-4129 www.dtyoffedm1way.00m 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) RAINWATER 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) �2SClA2MFR/AMNATURF RI C 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 informations ied to the city a�aart of this application. NAME/TITLE: DATE: ❑ PROPERTY OWNER ❑ PPLICANT ❑ CONTRACTOR ODMMUNTTY DEVELOPMENT SERVICES.- 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253.661-4000 • FAX: 2S3-661-4129 www.dtyoffedm1way.00m V ■ ELECTRICAL TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _ Single Family _ Service or feeder only ......................... $50.00 _ # of Thermostats (First -$37.50; add'n-$ l 1.50ea) (First 1300 ft' -$75.00; Each add'n 500 ft'424.00) _ Service and feeder ............................... $81.00_ # of Low voltage fire or burglar alarms Square Feet: First 2500 ft2-$43.50; Each add'n 2500 ft2411.50 _ 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) Swimming hot tub, _ pool, 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 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) _ as a .. vA anew ac. vwc w cvv ainpa v1 glcarci, v1 a new vi ancicu reswcnuai scrvnm a grcaro[ ujan -tvv amps, a pian rcvicw Is requlreu. ree Is J7 /o oI permit fee +$63.50. Add'I plan review for other submissions is $75.00/hr. Estimated Permit Fee: (1 Total Column (D) 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) (20) (21) ■ OTHER FEES (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 CITY OF ■�� s BUSINESS REGISTRATION License Number 19 -90 -101895 -00 -BL Non -Resident Business d. 'Registered: SHEPPARD & NELSON ELECTRIC X I'i� A) z;•: 22659 PACIFIC HWY S DES MOINES, WA 98198 E<Cate gory: 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 U "; .CORPORATE• .'SEAL ' i sem'%�S'NING�0 i ': �,•fis...,,.->y. 11111 This certifies that the above entity has been issued the registration or City of Federal Way -Licensing (253) 661-4072 33530 1st Way I listed. A Way, WA 98003-9718 City Clerk, C,Ty o? Fe—CeraMi—y -- 0 Q618) 00010-9Z9d 0TZ0,-Z£086, VtA ZNEX 0£9£'<X0S Od' b OIUIDTIS NOS' 212 ` (WVddSHS t t �,' ra ,•, ,,,: ... y. t i �zk �a-kar �.*� sv� .fi�y �L,�.°,,.L'� f. 'Icaoz/rt£`�LO=` �5C'955'3Ndr# 13� tl � Siva � dxa ` ti, " *# 1fqsi�� gVKdHNSJ HINOO OSZg Sid MVV 7,E QSQIAOUd SK CISSNSOI'I •` SSINISf1CINI CINV UOUVI JO .LNAW LNVdSQ