02-102056City of Federal Way
Community Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Electrical Permit #:02 -102056 - 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 #54 and #55.
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 Date: S 17. - OZ
'2,V-, a ti r1 A11 -L — "
I
gfYOf G
CONSTRUCTION PERMIT APPLICATION
ffPPUCATION
N NUMBER:
r[u�2 NUMBER:MAYN vin NUN;
BUIL I - _
! **The follo iA �r/WAY — -' — -- — —
�anon - Please print (in Ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application,
PROPERTY
SITE ADDRESS:' 36�-Y ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
i
.a
TYPE OF PROJECT (This application): ❑ BUILDING
I " " ELECTRICAL
r
5 -
PROJECT DESCRIPTION (Provide detailed description):
+ 4�
PROJECT NAME:
, R.PPERTYOWNER:
CONTRACTOR:
s ,
f {.
APPLICANT:
❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
NAME. DAYTIME PHONE
MAILING ADDRESS (STREET ADORES ^ Tr �'AT L
a--[ d! S r aY Rege-m-0 tW -
NAME:
DAYTIMEPHONE*�8
-73 33
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:FAX
NUM
CONTRACTORS REGISTRATION NUMBER: t
(copy of card ' -
N
EXPIRATION GATE:
/
puked)
1
C-17 1
/ 0 3
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER. —
❑ ARCHITECT ❑ TENANT 11OTHER( DESCRIBE): _
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ACONTRACTOR
EXISTING USE: EXISTING BUILbING 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 ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
SHOWER(S)
GAS PIPE OUTLET(S)
SINKS)
FIRST
SUMP(S)
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL'
AIR HANDLING UNITS)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S)
FAN(S) HOOD(S)
FIREPLACE INSERTS) RANGE(S)
FURNACE(S)
GAS PIPE OUTLET(S)
PLUMBING
BATHTUB(S)
LAVATORY(S)
DISHWASHER(S)
RAIN WATER SYS.
DRINKING FOUNTAIN(S)
SHOWER(S)
GAS PIPE OUTLET(S)
SINKS)
INTERCEPTORS)
SUMP(S)
REFRIG.SYSTEM(S)
WOODSTOVE(S)
MISC. ( )
HEAT SOURCE: ❑ ELECTRIC ❑ GAS
URINAL(S) WATER HEATER(S)
VACUUM BREAKER(S) 11ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC. ( )
❑TSCLATMFR/STGNATURF BLC
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 :asa art of this application. >
NAME/TITLE: DATE:
❑ PROPERTY OWNER ❑ PPLICANT ❑ CONTRACTOR
ODMMUNRY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253.661-4000 • FAX: 253-661-4129
www.dLwff—cdmlway.com
TABLE B
NEW RESIDENTIAL SERVICES
MOBILE HOMES
MISC EQUIPMENT/TEMP SERVICES
-Single Family .
_ Service or feeder only ......................... 550.00
_ # of Thermostats (First -$37.50; add'n-S 11.50ea)
(First 1300 ft' -575.00; Each add'n 500 ft' -$24.00)
_ Service and feeder ............................... $81.00_
# of Low voltage fire or burglar alarms
Square Fut:
First 2500 ft' -543.50; Each add'n 2500 82411.50
_ Each outbuilding or garage ........................... $31.00
MOBILE HOME/RV PARK
Square Feet:
(Inspected with service)
�L # of service or feeders
' Per WAC 29646-910(5)(b)(i & ii)
_ Each outbuilding or garage ........................... $50.00
(First service/feeder-550.00; Add'n service/
_ # of Signs (First sign -S37.50; add'n sign
(Inspected separately)
feeder -832 each)
$17.50 each)
_ Swimming pool, hot tub, spa ...............$75.00
x`\ ` �
=r 96
_ 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 .............................................. lsq.00
_ 201 - 400 amp ................ 101.00 .................... 50.00
_ 0 to 100 .........................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
_ 601400 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..........................: �'...................5 50.00
_ 201- 600 amp ........................ 101.00
.....................
_ Mast or meter repair.............................. 68.50
_
_ 101 - 200.................................... ............63.50
- oast 600 amp........................................... 151.50
_ 201-400 ................................................ 75.00
_ Mast air
meter repair ....................................... 37.50
401-600 .............................................. jol.00
it
_ # of circuits
_
over 600 ...............................................109.00
(14 circuits -550.00; Add'n circuits $5 ea)
_
1 -11---A .. _I _
-- -- --- - ----------------------•--...__ •- _-- -....r- �. g. �...�.. ..... ......... u..a...,., IFJ.VGia101 JN �IGG IJ �IGGlG1 L11MI nVV maps, a plan revlcw Is rcquirea. tee Is .fzo% of
permit fee +S63.50. Add1 plan review for other submissions is S75.00/hr.
Estimated Permit Fee: (12)
Total Column (0)
Estimated Pennit 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)
OTHER
Mitigation Fee: (18) _
S8CC Surcharge: (19)
(20) (22)
(21) (23.
TOtal (PagmOne &Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100 - February 19, 2002