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06-103656 fr‘ City of Federal Way Community Development Services Electrical Permit #: 06-103656-00-EL P O.Box 9718 Federal Way,WA 98063-9718 Ph:03)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 289 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 will be in accordance with the laws, rules and regulations of the State of Washington ) and the City of Federal Way. Owner or agent: l,?avt \ Plc 1 -, Date: 0 7/2 6/0,/v .- THIS CARD IS TO REMAIN ON-SITE r ~ CITY Cr Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 06-103656-00-EL Owner: BELMOR MOBILE HOME PARK Address: 2101 S 324TH ST Space 289 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) 1231Final-Electrical(4055) Approved to place concrete Approved By Date By 1,P Date 1 (925/01 # ' ... oto- i 0,;t) w (2- a Feop A. FecENED deral Way ( a 3 (D S k 2 5 2006 PERMIT SF MF CO MEI.J PL DE EN FP COMMUNITY DEVELOPMENT SERVI 3332Ftim RWA,WVENUE A9TH•6971, PLICATION 53-835FEDERAL WAY,FAX 98063.9718 2531unmu.cS 7f a ,aq}fY OF FEDERAL BUILDING DEPT. The ollowi • is --r bred r rmation-an bloom'tete a yr Iication will not be .«« ,ted. Please • 'lit le! •I (in ink)or c • PROPERTY INFORMATION SITE ADDRESS ,2/O I S t&T?"I 32'/rN 57R£E- / NFi1 . .Ii. . / WOG SUITE/UNIT# 22 q ASSESSOR'S TAX/PARCEL# - _ _ _ _ LOT SIZE(s) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) tiwtoa PE., OnB,LE- }1.$2K Spe-C-14-4 24? (Atrach separate page for lengthy legal description • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION,'JLECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) J- o $lc)Th L L. act . PROJECT NAME(Name of Business or Owner Last Name) • PEOPLE INFORMATION PROPERTY NAMEPRIMARY PHONE * OWNER 1V' c.-44tj. •� (75y )sag -0411- MAILING ADDRESS CITY.ST TE,ZIP 210 15 .114 32� 57R$L wA( tt/A . 9Oa3 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE 51IL 'ATyb Tl 1IAJo Li` e-ies V 1� (2QC) 8.? -4 MAI LNG ADDRESS , )) cmr � � E 2.2659 PAci4c-M4M S. 'boas 4i Ams 'JA. �ia7i (ZoG, )3fel -east CnY OF FEDERAL WAY BUSINESS LICENSE NtJMBER EXPIRATION DATE FAX NUMBER 10 - o 4-L Q Q 3_ ? 4-B ° /2- /3/ /2d0(2 i •C ) 03'e -41'4 CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE H E c' ? T 1 g 1 2 i / / APPLICANT ' COMPANY NAME APPLICANT NAME OFFICE PHONE 5, ,t As Cj6" 4lt . ( ) - MAILING ADDRESS CITY.STATE,ZIP CELL PHONE ( ) RELATIONSHIP TO PROJECT1 �II FAX NUMBER ❑Architect 0 Tenant 0 Agent )COther(Describe)C. co•AmC7'pra. ( ) - CONTACT NAME Yoe.( 1 2-rVI PRIMARY PHONE 206)8 `4?- }3,33 �: MA L:1: EZ Sliscpwri N Cdr LENDER ; .r', ,•;'. h , s: •'• ,gx: NAME MAILING ADDRESS ._ CITY,STATE,ZIP PHONE i ( ) - • DETAILED BUILDING INFORMATION EXISTING USES PROPOSED USE - • TA EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC) ti PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.PT. SQ.FT. BASEMENT FIRST SECOND THIRD FOURTH • ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE 0 CARPORT 0 NUMBER OF FLOORS ®rB16 PROPOS= TOTAL totimsairomv' TOE ALrlteor»t' unsure "NEW HOMES ONLY"* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of fbcture 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(c inaa,e W WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS frosee MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom saki.) 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 perso r uding the undersigned,and filed against the City of Federal Way,but only where such claim arises out of the reliance of the city, l ' its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE Or Ca 6� G, 2 DATE al T -Zq""ZCI0to _ (signature) mile) RELATIONSHIP TO PROJECT o Owner o Agent NContractor o Architect ❑ Other a.NEW a ADDITION a ALTERATION n REPAIR a TENANT IMPROVEMENT 'BUILDING Stoma,ONLY? a TES a NO BASIC PLAN? in TES a NO ZONING'D3 SItGIU TION , "CHANGE OP USE? ©'YES a NO :NEWrAt7DBESSNEQt3.18ED? a YES a NO IiP1SEPA/SU?° a YES , stNO PLATTED LOT? a YES in NO V DFA&O.PERAIIT.REQVIRED? n YES a NO Bulletin#100-January 1,2006 Page 2 of 4 lAHandouts\Permit Application • v . • 1 4 . 0 \ • . 1/ e I \ RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE Service or Feeder Each Adrl'n ❑ Single Family Square Feet (First 1300 ft2-$107.50;Each add'n 500 ft2-$34.50) U 0 to 100 amp $117.00 $71.50 ❑ Detached outbuilding or garage ❑ 101-200 amp 145.00 91.50 (Inspected with service) $45.50 ❑ 201-400 amp 272.00 107.50 ❑ Detached outbuilding or garage ❑ 401-600 amp 317.00 127.00 (Inspected separately) $71.50 ❑ 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 U 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 ❑ over 1000 amp 456.50 ❑ oto200amp $89.50 ❑ 201 -600 amp 145.00 U #of circuits to be added/altered ❑ over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ea) ❑ #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 U 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 Residentiai/MultiFamily $63.00 ❑ #of service or feeders (First service/feeder-$71.50;each add'n-$46.50) Commercial/Industrial Service or Feeder Ampacity U 0-100 amps $71.50 ❑ 101-200 amps 91.50 U 201-400 amps 107.50 ❑ 401-600 amps 145.00 U 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 U Additional Plan Review ❑ Voice Cabling $107.50/hour ❑ Data Cabling (for modified submittals) ❑ ?automation Fee oa ali Permits .. $5.00 (Per System(s)1•e 2500 ft2-$63.00; Each add'n 2500 ft2-16.50)•Per WAC 296-46-910(51(b)(t h W , Bulletin#100-January 1,2006 Page 3 of 4 k\Handouts\Permit Application I