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