02-102060no
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 -102060 - 00 - EL
Inspection request line: 253.835.3050
Project Name: BELMOR MOBILE HOME PARK
Project Address: 2101 S 324TH Parcel Number: 162104 9037
Project Description: ELE - Replace meter pedestal for mobile home spaces #64 and #65.
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 13, 2002, IF NO WORK IS STARTED.
Permit issued on May 17, 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 Application
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Date: d-' /% - O Z
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`�°' oL CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER: _ — &P
1 1 PPUCATION NUMBER: — _
MPS \Np,`l APPLICATION NUMBER:
**The followineiffHIR 1"61 �malion — Please print (in ink) or type**
Please note: Electrical, Fire PreventiA Systems and Engineering permits may require a separate application.
SITE ADDRESS: -216 32-Y ` y 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
PROJECT NAME: _ L rLfr) v- �LT • `.
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME:
// DAYTIME PHONE: -
`L ca��
MAILING ADDRESS (STREET ADDRESS, CTTY, ATE, ZIP).
t-->=c�e-.. ,P 410-y- LX- /C'7-00-5
NAME:
S"-J- -� S
DAYTIME PHONE:
MAILING ADD (STREET ADDRESS; CITY, STATE, ZIP):
PHONE:
lEVENING
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
(;166),S,'*EXPIRATION
CONTRACTORS REGISTRATION NUMBER:
(cvy of card required) bE
P A A a— -0
DATE:
U / 3 1
O 3
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: -
RELATIONSHIP TOPROJECTTAX : NUM
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): _
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ACONTRACTOR I I
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 LAKEHAVEN 11 HIGHLINE 13 PRIVATE (SEPTIC)
Ob
**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
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. ( 1
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUBS) LAVATORY(S) URINAL(S) WATER HEATERS)
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)
7T'SCLA2MER/SiGNATl1RE t3 LC
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/TITLE:
DATE: /
❑ PROPERTY OWNER ❑ PPLICANT ❑ CONTRACTOR
ODMMUNITY DEVELOPMENT' SERVICES • 33530 FIRST WAY SOUTTI • PO 13OX 9718 - FEDERAL WAY, WA 98063-9718 •253.661-4000 • FAX: 253-661-4129
W W W.dtyoffedcra1Way,M
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES
MOBILE HOMES
MISC EQUIPMENT/TEMP SERVICES
-Single Family . s
_ Service or feeder only .........................
$50.00
_ # of Thermostats (First -$37.50; add'n-$11.50ca)
(First 1300 H2-$75.00; Each add'n 500 ft'
-$24.00)
_ Service andfeeder ...............................
$81.00
_ # of Low voltage fire or burglar alarms
Square Feet:
First 2500 1112443.50; Each add'n 2500 ft' -S 11.50
_ Each outbuilding or garage ............................
$31.00
MOBILE HOME/RV PARK
Square Feet:
(Inspected with service)
2.-r 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 -S32 each)
_
$17.50 each)
_ Swimming pool, hot tub, spa...............S75.00
Q
_ Yard Pole meter loops .........................550.00
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 ..............................................S 81.00
_ Up to 200 amp .............. S 81.00 ................
S 24.00
Feeder
_ 201-600 .............................................. 189.00
201 - 400 amp ................ 101.00....................
50.00
_ 0 to I00 ......................... S 81.00.......
S 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 -S63.50; 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 ...............................................
S 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 -550.00; Add'n circuits $5 ea)
_
••-..-.-- v. -.w...-. w.. ... ... ...a, .1.- , .a - a ... MJ v. 61VOM1, vl a r.cw yr mtcrcu rasrucnuai scrvrac is greater rnan *vv amps, a pian review is requires. Pee is 3S%or
permit fee +S63.50. Add'I plan review for other submissions is S75.00/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)
0 ENGINEERING
Estimated Permit Fee: (16)
Bond Amount: (17)
Mitigation Fee: (18) (20) (22)
SEIM Surdtarge: (19) (21) (23)
TOM (Pages 0ne6 Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24) I
Bulletin #100 - February 19, 2002