02-102059City of Federal Way
Community Development Services
33510 1st Way's
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Electrical Permit #:02 - 102059 - 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 #62 and #63.
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 - Manud 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 Citv of Federal Way.
Owner or agent:
See Application Date: r- /*7 • OL --
f "�" =1eL CONSTRUCTION PERMIT APPLICATION
VV RGG� PPLICATION NUMBER: QZ - _ _ - tee eL
A� 10 l 4PPUCATION NUMBER:
PLICATION NUMBER:o
**The following is ((r;;`�u(Ir��G - Please print (in ink) or type**
Please note: Electrical, Fire PreventloTi Sod Engineering permits may require a separate application.
SITE ADDRESS: ASSESSOR'S TAX/PARCEL #: 1 [ (i 7 — j !p
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
N ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): 2 Q
F- AfAv I21 Le avL -e -;092 d?'e-- -r
•• y
■ PEOPLE INFORMATION
r
PROPERTY OWNER:
CONTRACTOR:
NAME:/�
�'/ � � Of F K // DAYTIME PHONE: -
,�, Y `"4 `C ca r
MAILING ADDRESS (STREET ADDRESS,. CTfY,ATE, ZIP).
- o! St
3 aY
NAME:
. ems`.
DAYTIME PHONE:
(=) 19/8
-73 33
MAILING ADD (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
)
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
Q- 1
1 8 ti- 4
FAX NUMBER:
)-BAS
-7I;W
CONTRACTORS REGISTRATION NUMBER:
(copydcard required) 5 14
Ay t
EXPIRATION DATE:
07 / 3 1
103,
APPLICANT: NAME: DAYTIME PHONE:
MAIUNG ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PRO)ECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ACONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE:
PROPOSED USE:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
PROPOSED VALUATION FOR IMPROVEMENTS: $
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN 11 HIGHLINE 11 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO]ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTALL,
AIR HANDLING UNIT(S)
BBQ(S)
BOILER(S)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC. ( )
FURNACE($)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
❑iSCLAiMER/SiGNATIIRE RLC
WATER HEATER(S)
❑ ELECTRIC ❑ GAS
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 cityasa art of this application.
NAME/TITLEDATE:
❑ PROPERTY OWNER ❑ PPLWANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661.4000 • FAX: 2S3.661-4129
www.dwo-cdmiwav�m
■ 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-$11.50ca)
(First 1300 ftr-S75.00; Each add'n 500 ft' 424.00)
_ Service and feeder ............................... $81.00
_ # of Low voltage fire or burglar alarms
Square Feet:
First 2500 ftr-543.50; Each add'n 2500 ft' -511.50
_ Each outbuilding or 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 ........................... S50.00
(First service/feeder-$50.00; Add'n service/
_ # of Signs (First sign -537.50; add'n sign
(Inspected separately)
feeder -S32 each)
$17.50 each)
_ Swimming pool, hot tub, spa...............S75.00
067C'_Yard
Pole meter loops .........................S50.00
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 ................ $ 24.00
Feeder
_ 201-600 .............................................. 189.00
201 - 400 amp ................ 101.00 .................... 50.00
_0110 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 -$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 ............................................... S 68.50
_ Over 600 volts surcharge ...................... 63.50
_ 0 - 100...............................3 c.............5 50.00
_ 201- 600 am ............. 101.00
Mast or meter repair.............................. 68.50
_ 101-200 ................................................63.50
_ over 600 amp ................................................ 151.50
201-400 ................................................ 75.00
_ Mast meter repair ....................................... 37.50
_
_ 401-600 .............................................. 101.00
# of circuits
_ it
_ over 600 ...............................................109.00
(1-4 circuits -550.00; Add'n circuits $5 ea)
-- - ..�.........�..... �..............«..,..........., ....v a...N� v. g.a.aw�, va a .-T ut auc[cu rcbucnual br1 V 1%c ]s grcaicr uran wvv amps, a pian review is required. 1•ee is 3.5% of
permit fee +563.50. 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: (1S)
0 ENGINEERING
Estimated Permit Fee: (16)
Bond Amount: (17)
OTHER
f Mitigation Fee: (18) (20) (22)
SBOC Surcharge: (19) (21) (23)
TOtal (Pages one &Two): une(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
: Bulletin #100 - February 19, 2002