02-102052w
Ir
City 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 -102052 - 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 #21 and #22.
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: (r,,,, A InInU„ ftnift Date: J` '17 • OL
2 2 — P v w94 ;A) I F--7 ti#Z- Ods d�
� X1,1'— 52-
-�fR
RECEIVED CONSTRUCTION PERMIT APPLICATIONuV, PPLICATION NUMBER: _O Z - _/ v 2 _D„s_Z_ rw
tt� MAY 17 200Z PPLICATION NUMBER:
PPLICATION NUMBER:
**The follc jiRd OFre� ion — Please print (in Ink) or type**
BUILDING D�t—
+. Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY.. •
SITE ADDRESS:. ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL'- ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
a�
PROS DESCRIPTION (Provide detailed descriptioi 2c Q�v--
CONTRACTOR:
73"
APPLICANT:
7^'
NAME:
DAYTIME kPHONE: _
MAIUNG ADDRESS (STREET ADDRESS. CrTY, 4TATE, ZIP).
NAME,
I--gl s
DAYTIME PHONE'
cam) S/S
PHONE:
-73 33
MAILING ADDRW (STREET ADDRESS: CITY, STATE, ZIP). '
(`EVENING
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
L
)BAS
_W902
CONTRACTORS REGISTRATION NUMBER: }�
(COPY oftwd kwMr b� , ` _ .5` G s� 9
EXPIRATION DATE:
--C>7/
/ 0 3
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): ) -
EVENING PHONE: (
RELATIONSHIP TO PROJECT:
❑ FAX NUMBEP-'
ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ) _
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
11 TACOMA ❑PRIVATE (WELL)
SEWER SERVICE PROVIDER: 11 LAKEHAVEN 0 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
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNITS)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
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(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
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 sWAied to the city as akart of this application.
NAME/TITLE: DATE: .; / / y
❑ PROPERTY OWNER ❑MIPPLICANT ❑ CONTRACTOR
ODMMUNTTY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTri • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 •253-661-4000 • FAX: 2S3-661-4129
WWW.dly0ffedM1Way 0D
TABLE B
NEW RESIDENTIAL SERVICES
MOBILE HOMES
MISC EQUIPMENT/TEMP SERVICES
-Single Family, . I
-Service or feeder only .........................
550.00
_ It of Thermostats (First -$37.50; add'n-$11.50ea)
(First 1300 fl' -$75.00; Each add'n 500112-$24.00)
_ Service and feeder ...............................
$81.00
_ # of Low voltage fire or burglar alarms
Square Feet:
First 2500 ft2-$43.50; Each add'n 2500112 -SI 1.50
_ Each outbuilding or garage ...........................
$31.00
MOBILE HOME/RV PARK
Square Feet:
(Inspected with service)
# of service or feeders
• Per WAC 296-46-910(5)(b)(i & ii)
_Each oulbuiidingor 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)
_
$17.50 each)
Swimming pool, hot tub, spa ...............$75.00
p
_
_ Yard Pole meter loops .........................$50.00
NEW MULTI -FAMILY
COMMERCIAL/INDUSTRIAL
COMMERCIAL/INDUSTRIAL
(Includes three units or more)
Altered Service or Feeders
Service
Feeder
Amps Service or
Add'n
_ 0 to 200 ..............................................S 81.00
_ Up to 200 amp .............. S 81.00................
S 24.00
Feeder
-201-600 .............................................. 189.00
_ 201 - 400 amp ................ 101.00 ....................
50.00
-0 to 100.........................$ 81.00.......
S 50.00
_ 601-1000 ............................................ 284.50
_ 401- 600 amp ................ 139.00 .................... 68.50
_ 101-200 ........................ 101.00 ...........
63.50
_ over 1000 ............................................. 3l7.00
_ 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
_ 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.00
_ # of circuits
_ over 600 ...............................................109.00
(14 circuits -$50.00; Add'n circuits $5 ea)
•• •• • 1 _• o-• ............ V. gicarcl, ul a new ur mwrcu resiucnua" scrvicc rs grcarcr roan wVu amps, a pian review is requrrea. tee is 35%o1
permit fee +S63.50. Add'1 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)
Estimated Permit Fee: (14)
Bond Amount: (15)
Estimated Permit Fee: (16)
Bond Amount, (17)
Mitigation Fee: (18) _
SBOC Surcharge: (19)
■ DEMOLITION
■ OTHER FEES
(20) (22)
(23) 1
TOtal (Pages One &Two): Une(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100 - February 19, 2002