02-102055City 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 -102055 - 00 - EL
Project Name: BELMOR MOBILE HOME PARK
Project Address: 2101 S 324TH
Project Description: ELE - Replace meter pedestal for mobile home space #49.
Inspection request line: 253.835.3050
Parcel Number: 162104 9037
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
w �Y.„ � � Descriptidri
Service or Feeder - Manu./ M.H. Park 1
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:
GA-
See Application Date: S (� o Z-
CONSTRUCTION PERMIT APPLICATION
RECEIVE[)
VV Fes! PPLICATION NUMBER: d-
'3`�'f " 1 PPLICATION NUMBER:-
F�Ay RPLICATTON NUMBER:
The fol
be"MIN VT�rii
fi g0ki"tation — Please print (in ink) or type**
enpu DING DEPT
Please note: Electrical, Fire Pre on Systems and. Engineering permits may require a separate application.
PROPERTY•• •
SITE ADrDRESS:„L ASSESSOR'S TAX PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT INFORMATION,
a
,:,.,.TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
a
ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
x.
PROJECT DESCRIPTION (Provide detailed description): Q L,& G .e-
r
PROJECT NAME:
PROPERTY OWNER:
. 1
CONTRACTOR:
APPLICANT:
NAME: DAYTIME PHONE:
l -C vk� 70Cw lL ca�� -
MAILING ADDRESS (STREET ADDRESS;CITY crATE
a@g of S I - a� 4
NAME.
S �C1 X12 s
DAYTIME PHONE:
(am) 8,)8
-73 33
MAILING ADD (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMB:
-
)628
--729w
CONTRACTORS REGISTRATION NUMBER:
, .
EXPIRATION DATE:
(Cvv oftard reaa) P
N
0
nnnt: __.. DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: c
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): FAX
NUM ) -
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 11 PRIVATE (WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 13 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?
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) FIREPLACEINSERT(S) RANGE(S) MISC.{ )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
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)
I]2SCLAYMER/SIGNATURE 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 as a art of this application. LL >
NAME/TITLE: DATE:�-
-41
❑ PROPERTY OWNER ❑PPI TCANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTI I • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.dtvoRedcralwaysgm
` ■ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES
MOBILE HOMES
MISC EQUIPMENT/TEMP SERVICES
Single Family .
_ Service or feeder only .........................
$50.00
_ 0 of Thermostats (First -$37.50; add'n-$l1.50ea)
(First 1300 ft' -575.00; Each add'n 500 Q'
-524.00)
_ Service and feeder ............................... $81.00
_ # of Low voltage fire or burglar alarms
Square Feet:
First 2500 R'-$43.50; Each add'n 2500 li'-$11.50
_ Each outbuilding or garage ...........................
$31.00
MOBILE HOME/RV PARK
Square Feet:
(Inspected with service)
# 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 -S37.50; add'n sign
(Inspected separately)
feeder -$32 each)
_
$17.50 each)
_ Swimming pool, hot tub, spa ...............$75.00
_ Yard Pole meter loops ......................... $50.00
NEW MULTI -FAMILY
COMMERCIAL/INDUSTRIAL
COMMERCIAL/INDUSTRIAL
(includes three units or more)
Altered Service or Feeders
Service
Feeder
Amps Service or
Add'n
_ 0 to 200 ..............................................$ 81.00
_ Up to 200 amp .............. S 81.00................
$ 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 ............................................ 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-Fa
_ 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
_ 101-260 ................................................63.50
_ oast 600 amp ................................................
151.50
_ 201-400 ................................................ 75.00
_ Mast meter repair .......................................
37.50
_ 401-600 .............................................. 101.0o
_ # of circuits
over 600 ...............................................109.00
(14 circuits -$50.00; Add'n circuits SS ea)
_
-------- -----------._. __...__ .- ___ .....r,. ,,. b.-- _., w.....,... - o.-...a..a.awa...a.a. tea, - .. bwaw..nan -.vv amps, a p.mr rcvrcw is requlreo. COC is -s %o Or
permit fee +563.50. Add'I plan review for other submissions is S75.00/hr.
Estimated Permit Fee: (12)
Total Column (D)
Estimated Permit 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 Pee: (18) (20) (22)
SBX Surcharge: (19)
(21) (23)
TORI (P"es One& Two): Une(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24
Bulletin # 100 - February 19, 2002