02-102051a,
City unity Development Services Federal Way
mun
ComElectrical Permit #:02 - 102051 - 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 #19 and #20.
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
ft escri t'o Quantity
} ! p
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: J77 ' oZ
L
r
U
•RECEIVED
°' �L CONSTRUCTION PERMIT APPLICATION
MAY 17 2002 PPLICATION NUMBER:
PPLICATION NUMBER:—
CITY OF FEDERAL WAY— —
BUILDING DEPT. PPLICATION NUMBER:
**The following is required information — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY••
SITE ADDRESS: -11n l S -39-Y " ASSESSOR'S TAX/PARCEL #: Z !� �- 9 O
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
w.` PROJECT INFORMATION
+;TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
P( ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): Q `-&G .4p—
PROPERTY OWNER:
f Y jtif m
r
i.
NAME:
S �-c (—c
J
DAYTIME PHONE:
O S SS
-73 33
MAILING AD (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
Q 1 1 8
FAX NUMBER:
797
CONTRACTOR'S REGISTRATION NUMBER:
cCDPY d cata n ., .R:12 5 IA X- Q
EXPIRATION DATE:
07 /
103
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): /EVENING PHONE:
l
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( )
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ACONTRACTOR I
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: ❑ LAKEHAVEN 11 HIGHLINE 0 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 UNIT(S)
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)
DiSCLAtMFR/SI'GNATURF nLC
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 s led to the citya�aart of this application. >
NAME/TITLE: DATE: / / �—
❑ PROPERTY OWNER ❑PPLICANT ❑ CONTRACTOR
' ODMMUNRI' DEVELOPMENT SERVICES • 33530 FIRST WAY SOLM f • PO BOX 9718 • FEDERAL WAY, WA 98063.9718 • 253-661-4000 • FAX: 253-661-4129
WWW.dtv0ffCdCra1Way 0D
■ 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-$11.50ea)
first 1300 W-575.00; Each add'n 500 t1=-$24.00)
_ Service and feeder ...............................
$81.00.
_ # of Low voltage fire or burglar alarms
Square Feet:
First 2500 1`12443.50; Each add'n 2500 fl2-$11.50
_ Each outbuilding or garage ...........................
$31.00
MOBILE HOME/RV PARK
Square Feet:
(inspected with service)
Z2# of service or feeders
« Per WAC 296-46-9I0(5)(b)(i & ii)
_Each outbuilding or garage ...........................
$50.00
(First service/feeder-S50.00; Add'n service/
_ # of Signs (First sign -$37.50; add'n sign
(Inspected separately)
feeder -$32 each)
$17.50 each)
�r�
H a
C�
_ Swimming pool, hot tub, spa...............S75.00
Yard Pole meter loops .........................$50.00
!/
I 70
_
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................
$ 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
_ 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, $5 ea)
ALTERED SINGLE/MULTI FAMILY
601-800 ........................284.50.........
120.50
(When inspected separately from the services.)
_ 801-1000 ...................... 348.00.........
145.50
TEMPORARY SERVICE
Service or Feeder
-Over 1000 ...................... 379.00.........
202.50
Residential/Multi-Family/Commercial/Industrial
_ 0 to 200 amp ...............................................
S 68.50
_ Over 600 volts surcharge ......................
63.50
_ 0-100 ..................,:.:.......................$ 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 .............................................. 101.00
_ # of circuits
_
_ over 600 ...............................................109.00
(IA circuits -$50.00; Add'n circuits $5 ea)
••-.•-....• .•••..•........••••..........• .1.. 11 ....vv -F. v. g.a.aa.., u. a new u1 anacu Ic4IUClLida SCI VI" lb 61c4ici Man vw arnp5, a pian renew is requirea. tee is »%Or
permit fee +563.50. Add1 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)
Estimated Permit Fee: (14)
Bond Amount: (15)
Estimated Permit Fee: (16)
Bond Amount: (17)
Mitigation Fee: (18)
■ DEMOLITION
■ OTHER FEES
(20) (22)
SBOC Surcharge: (19) (21) (23)
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