06-103657 f , •
City of Federal Way Electrical Permit #: 06-103657-00-EL
Community Development Services
P 0 Box 9718
Federal Way,WA 98063-9718
• Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: BELMOR MOBILE HOME PARK
Project Address: 2101 S 324TH ST Space 298 Parcel Number: 162104 9037
Project Description: Provide connectivity from existing 200 amp pedestal to new mobile home.
Owner Applicant Contractor
BELMOR MOBILE HOME PARK SHEPPARD TECHNOLOGIES INC. SHEPPARD TECHNOLOGIES INC.
2101 S 324TH CT PO BOX 3630 SHEPPTI956Q1 11/21/07
FEDERAL WAY WA 98003 KENT WA 98032-0210 PO BOX 3630
KENT WA 98032-0210
Additional Permit Information
Electrical Fixtures
Service or Feeder-Manu./M.H.P 1.00
PERMIT EXPIRES Sunday, January 21, 2007
Permit Issued on Tuesday, July 25, 2006
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use wilt be in accordance with the laws, rules and regulations of the State of Washington
l and the City of Federal Way.
Owner or agent: 1) \ � I _ Date: 01)?kr,/
Dc 27 (0a c, t . g
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-103657-00-EL
Owner: BELMOR MOBILE HOME PARK
Address: 2101 S 324TH ST Space 298
Federal Way, WA 98003
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence On-going inspections
are logged on the back of this card.
0 Slab/Concrete Floor(4255) ❑ Final-Electrical(4055)
Approved to place concrete Approved
By Date By Q ,43 Date I
04,-/034(0
, ,
„; RECEIVED .
0 - ( v 3 .(25 5
Federal Way PERMIT
li COMMUNI7YDEVELOPMENT SF L 2 5 2006 SF MF CO ME�'L DE EN FP
33325 IFH AVENUE SOUTH•PO 8
FEDERAL WAY,WA 98083.9718 pLI CATI O N 7D /
253:35-2807•FAX 25.1
uAunu.cuuofleAerduA Zre OF FEDERAL
BUILDING DEPT.
The o A , is -, fired ,tion-an incom'lete a y•lication will not be ace •ted. Please A 'nt _'.1 (in ink)or _j• .
• PROPERTY INFORMATION
SITE ADDRESS .210 1 5)(�rte/ 32 y?! S'r"R£Frr 9V01.3 SUITE/UNIT# 298
ASSESSOR'S TAX/PARCEL# - _ _ _ LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) Li` VVtotz L MOE i LL. ?Ay-At 5 24?
Mach aepararc prwefor Ir gthy I.gd deacrl,tloN
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of//work included on this permit onlu)
v, D c (ivt►'1lL,c'�,vi -(yjw` Ex's-ime, 2'io A ?£UAsr4L_
e'ro AiE.I,J Ai d%I L F aJa w(F- .
•
PROJECT NAME(Name of Business or Owner Last Name) Sell&ten WI i L L /Qj�k _ C1VA/1IC 4.()
MI PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
�,/
OWNER
I`(►��C- l G2c3 wm - 061+
MAILING ADDRESS CITY.STATE,ZIP
210 I ScrArq 32.41e ST S— F&rcAL Nov( ',Mk,. G'603
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
54E9r evreD 1 Wol..o4,e,3 -Sal Vg-eat (24 ) 'it -4'333
MAILING ADDRESS 1 CITY.STATE,ZIP MI PHONE
7.2691 We..1. t... 41s. bes� s I�
iswgi J"1 . 9gliF (20(0)3 eq -BoS�O
CITY OF FEDERAL WAY BUSINESS UE NUMBER EXPIRATION DATE FAX NUMBER
2 (2-0 G-1 o v 3 o I-By /2 /3/ /2006 (206)gTe - W07-
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
slfLELI. lq 5 6 Q 1 / /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Of G4rac. r ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP'TO PROJECT //�b ] FAX NUMBER
0 Architect 0 Tenant 0 Agent Other(Describe) G CC/ tt r, GK�at, ( ) -
CONTACT �/' PRIMARY PHONE
NAS.•, i Ve 1 (206)8T8 - 7.333 iZ s(bap ,cower.
LENDER iii.'_G:': ,'"' ;',„L'!:..
: ,'"'a - ;L!:.. ,a;,,,1-',,.` -:•:;:lt- `':i,1 NAME
^MAILING ADDRESS CITY.STATE"ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE 1?-42,SialL , PROPOSED USE Rats;a .
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
•
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE D CARPORT 0
NUMBER OF FLOORS Erma Immo= Torte s vtxscreorsisorw gums,
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(comme,e,q WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
_ COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Mb/Shover Combo) SHOWERS WATER CLOSETS trooe) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
IAVS(Bathroom Shue) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 - uding the undersigned,and,filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,incl • • is officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE — ' S•r t�(C2 fr4N4G7L..JZ. DATE 67 -Z V-2006. _
(signature (Title)
RELATIONSHIP TO PROJECT 0 Owner ❑Agent ,ontractor ❑Architect o Other
Q NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDINCT-SHELL ONLY? a TES a NO -BASIC PLAN? a TES a'NO
7gONiNG;ZIESIG 1TIONC &NGE OF'USE? a TES a,NO
W t!"i7t.tR E R a -a'NO a-TES ca•NO
SES) a TRS o,RO DEM PERM'r REQV:IRED? a TES a NO •
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application
•
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$107.50;Each add'n 500 ft2-$34.50) ❑ 0 to 100 amp $117.00 $71.50
❑ Detached outbuilding or garage ❑ 101-200 amp 145.00 91.50
(Inspected with service) $45.50 U 201-400 amp 272.00 107.50
❑ Detached outbuilding or garage ❑ 401-600 amp 317.00 127.00
(Inspected separately) $71.50 U 601-800 amp 410.00 173.50
❑ 801 - 1000 amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $34.50 ❑ Over 600 volts surcharge $91.50
❑ 201 -400 amp 145.00 71.50 ❑ Mast or meter repair $99.00
❑ 401 -600 amp 198.50 99.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 254.00 136.00
❑ Over 800 amp 364.00 272.00 Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY ❑ 201-600 amp 272.00
❑ 601 - 1000 amp 410.00
Service or Feeder
U over 1000 amp 456.50
❑ 0to200amp $89.50
❑ 201 -600 amp 145.00 ❑ #of circuits to be added/altered
❑ over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ca)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
Service or feeder only $71.50
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Mu/ti-Family $63.00
❑ #of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $71.50
❑ 101-200 amps 91.50
❑ 201-400 amps 107.50
❑ 401-600 amps 145.00
❑ over 600 amps 157.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats U #of Signs
(First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $107.50
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $71.50
❑ Security Alarm System ❑ Additional Plan Review
❑ Voice Cabling $107.50/hour
❑ Data Cabling (for modified submittals)
❑ id Automation Fee on all Permits .. $5.00
(Per System(s)1•t 2500 ft2-$63.00;
Each add'n 2500 ft2-16.50)•Per WAC 296-46-910(5)(W a.C
r
Bulletin#100-January 1,2006 Page 3 of 4 k\Iandouts\Permit Application •