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02-102057.i City Federal Way Community Development Services Electrical Permit #:02 -102057 - 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 Project Address: 2101 S 324TH Parcel Number: 162104 9037 Project Description: ELE - Replace meter pedestal for mobile home spaces #56 and #57. 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 e; i sc '101. Glciari IZsri irl, ur_iti m _ a 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. See Application s. t 7. o z Owner or agent: Date: (o — 4 0 z fZa6i j 4,( 4) f 0 ,14 L lfP�A,� Y70 - REIE�VED CONSTRUCTION PERMIT APPLICATION CATION r PPLICATION NUMBER: Q ,:w a VV F3Y. AY 1 7 M 2002 f PPUCATION NUMBER: CITY OF FEDERALWAY, RPl1CATION NUMBER: **The followirWAW4 it 9eeTnformation – Please print (in ink) or type** Y Please note: Electrical, Fire Prevention Systems and.Engineering permits may require a separate application. PROPERTY SITE ADDRESS:^�S 36LY ASSESSOR'S TAX/PARCEL #: lO Y �— ! — LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): PROJECT INFORMATION TYPE OF PROJECT (This application): ❑ BUILDING d �y, ELECTRICAL f PROSECT DESCRIPTION (Provide detailed • descri tion • _ P ) _I PROJECT NAME: PROPERTY OWNER: CONTRACTOR: APPLICANT: ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM Sd ar -r h1�s �,.► �7 NAME: k1l1cir. CAR I DAYTIME PHONE: MAIUNG ADDRESS (STREET ADD CITY, ATE, ZIP). a-[ of S aY rales -,-P At 0-y- 5'003 NAME: SDAYTIME s PHONE: MAIUNG ADO (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUM (0�D6)cS" S -� COMTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: " MAIUNG ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: - RELATIONSHIP TO PROJECT: FAX NUMBER.*- ❑ 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: 11 LAKEHAVEN 11 HIGHLINE 11 PRIVATE (SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROIECT FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: AIR HANDLING UNIT(S) BBQ(S) BOILERS) COMPRESSOR(S) DUCTS) BATHTUB(S) DISHWASHERS) DRINKING FOUNTAIN(S) GAS PIPE OUTLET(S)- INTERCEPTOR(S) 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) SINK(S) SUMP(S) URINAL(S) VACUUM BREAKER(S) WASH MACHINE OUTLET WATER CLOSET(S) ■ ' DISCLAIMER/SIGNATURE BLOCK 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 Information sypp)ied to the city as akart of this application. NAME/TITLE: ��/j�/,/ L DATE: / / 0' ❑ PROPERTY OWNER ❑GI!PPLICANT ❑ CONTRACTOR ODMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253.661-4000 • FAX: 253-661-4129 www.dwoffedcolway.com ■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-S 11.50ea) (First 1300 W-$75.00; Each add'n 500 ft' -$24.00) - Service and feeder ............................... S81.00- # of Low voltage fire or burglar alarms Square Feet: First 2500 fl= -543.50; Each add'n 2500 Ii' -S 11.50 _ Each outbuilding or garage ........................... $31.00 MOBILE HOME/RV PARK Square Feet: (Inspected with service) ;I.#of service or feeders • Per WAC 29646-910(5)(b)(i & ii) - Each outbuilding or garage ........................... $50.00 (First service/feeder-S50.00; 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 ...............$75.00 G �b 7 = 6,;L_0 G - 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 ..............................................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 100 .........................S 81.00....... S 50.00 -601-1000 - 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 -563.50; 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 ................................................. S 50.00 r, 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 .............................................. jol.0o _ # of circuits - over 600 ...............................................109.00 (14 circuits -550.00; Add'n circuits $5 ca) - -- - -•--- ---••------•••••••-•-•••• +.•....... w ...,., .....r.a - b.a.awy - a I- - aatc,cu MbiuoJILWI bolvlt:0 p K1Gatll Ulall 9W amps, a plan review is requirea. tee is -i-,moot permit fee +$63.50. Add'I plan review for other submissions is $75.00/hr. Total Cok,mn IDI 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) ■ OTHER FEES Mitigation Fee: (18) (20) (22) SBM Surcharge: (19) (21) (23) TOtal (PayesOne &Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24) y Bulletin #100 - February 19, 2002