02-102053City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 93003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Electrical Permit #:02 -102053 - 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 #25 and #26.
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
rl3edrititiort" ._. t rrr�tint�. % fJl'tl
Service or Feeder - Manu./ M.H. Parkl 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: A wmillAAtfAM Date: `' •(7 'vy
U
S'(22.112Zwt2
CONSTRUCTION —PERMIT APPLICATION �!
uV F{yL MAY 202 PPLICATION NUMBER: 6 Z - O 2ds'7 _ pv 2'
- - -
CITY OF FEDERAL WAY PPLICA7ION NUMBER:
BUILDING DEPT. PPUCATION NUMBER: -
**The following is required information — Please print (in ink) or type**
*. ;5 Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTYINFORMATION
SITE ADDRESS: �? S 3g- Ll
` ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
i�
TYPE OF PROJECT (This application): ❑ BUILDING
ELECTRICAL
"r
PROJECT DESCRIPTION (Provide detailed description):
ACA) 12 f $ I1/L -e
`
',PROJECT NAME:
PROPERTY OWNER: NAME:
MAILING ADDRESS (STREET ADDRESS;
CONTRACTOR:
to .
11PLUMBING 11MECHANICAL 11DEMOLITION
❑ ENGINEERING[] FIRE PREVENTION SYSTEM
NAME. /
DAYTIME PHONE:
(�) S�q
—73 33
MAILING (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
OF FEDERAL WAY BUSINESS LICENSE NUMBER:
NEER:
Q
CONTRACTORS REGISTRATION NUMBER: • ,,1
of card mquked) 5, d
EXPIRATION DATE:
y ,
z$
CITY
APPLICANT: NAME:
❑ ARCHITECT ❑ TENANT
IE, ZIP): EVENING PHONE:
FAX NUMBER:
❑
OTHER( DESCRIBE): ( -
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPOSED,VALUATION FOR IMPROVEMENTS:
SPRINKLERED BUILDING? ❑ YES ❑ NO 1 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 11 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FAN($)
HOOD(S)
WOODSTOVE(S)
FIRST
FIREPLACE INSERT(S)
RANGE(S)
MISC. ( )
SECOND
FURNACE(S)
THIRD
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
FOURTH
PLUMBING
OTHER FLOORS (DESCRIBE)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
DECK
RAIN WATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
GARAGE
HOW MANY FLOORS?
SHOWER(S)
WASH MACHINE OUTLET
TOTAL:
SINKS)
WATER CLOSET(S)
MISC. ( )
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S)
EVAPORATIVE COOLER(S)
GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
FAN($)
HOOD(S)
WOODSTOVE(S)
BOILERS)
FIREPLACE INSERT(S)
RANGE(S)
MISC. ( )
COMPRESSOR(S)
FURNACE(S)
DUCTS)
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
RAIN WATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
bRINKING FOUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINKS)
WATER CLOSET(S)
MISC. ( )
INTERCEPTOR(S)
SUMP(S)
v2SCL1ktMFR/STGNA,ruRF 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 daim), which may be made by any person, including the undersigned, and filed against the City of
Federal Way, but only where such daim arises out of the reliance of the city, including Its officers and employees, upon the accuracy
of the Informations f4ied to the city as a art of this application.
NAME/TITLE: DATE:�—
❑ PROPERTY OWNER ❑ ZPLICANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 2S3-661-4000 • FAX: 253-661-4129
www.dtwffcdcralway.com
TABLE B
NEW RESIDENTIAL SERVICES
MOBILE HOMES
MISC EQUIPMENT/TEMP SERVICES
-Single Family . I
_ Service or feeder only .........................
$50.00
_ 11 of Thermostats (First -$37.50; add'n-S 11.50ea)
(First 1300 ft2-$75.00; Each add'n 500112
-$24.00)
_ Service and feeder ...............................
$81.00_
N of Low voltage fire or burglar alarms
Square Feet:
First 2500 R2 -S43.50; Each add'n 2500 fie -S 11.50
_ Each outbuilding orgarage ........................:..$31.00
MOBILE HOME/RV PARK
Square Feet:
(Inspected with service)
2_9 of service or feeders
• Per WAC 296-46-910(5)(b)(i & ii)
_ Each outbuilding or garage ...........................
$50.00
(First service/feeder-$50.00; Add'n
service/
of Signs (First sign -$37.50; add'n sign
(Inspected separately)
feeder -$32 each)
_!l
$17.50 each)
Swimming pool, hot tub, spa ...............$75.00
O
_
_ 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 g 1.00
_ 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 ............................................ 284.50
_ 401- 600 amp ................ 138.00 ....................
68.50
_ 101-200 ........................ 101.00...........
63.50
-over 1000 ............................................. 3 17.00
_ 601400 amp ................ 176.50 ....................
94.50
_ 201-400 ........................ 189.00 ...........
75.00
q of circuits
_Over 800 amp ................. 252.50..................
189.00
_ 401-600 ........................ 220.50 ...........
88.50
_
(I-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 ...........................::5..................5 50.00
_ 201- 600 amp ..............................................
101.00
_ Mast or meter repair..............................
68.50
_ 101-200 .......................:: .
...................... 63.50
_ over 600 am p..........................................
151.50
_ 201 - 400................................................75.00
_ Mast air
meter repair .......................................
37.50
_ 401-600 .............................................. 101.0o
_ f1 oCeircuits
it
_ over 600 ...............................................109.00
(I.4 circuits -550.00; Add'n circuits $5 ca)
,. a R.C.. Of ammu wrrrnrcecrar service is evv amps or greater, or a new or anerea resiaenuai service is greater than 4uo amps, a plan review is required. Fee is 35% of
permit fee +$63.50. Add'I plan review for other submissions is $75.00/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)
i� ■ OTHER FEES
Mitigation Fee: (18) _
SBCC Surcharge: (19)
(20) (22)
(21) (23)
TOtal (PayesOne&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin // 100 -February 19, 2002