06-103653 City of Federal Way Electrical Permit #: 06-103653-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
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Project Name: BELMOR MOBILE HOME PARK
Project Address: 2101 S 324TH ST Space 212 Parcel Number: 162104 9037
Project Description: Provide connectivity from existing 200 amp pedestal new mobile home
Owner Applicant Contractor
BELMOR HOLDINGS LTD SHEPPARD TECHNOLOGIES INC. SHEPPARD TECHNOLOGIES INC.
1571 BELLEVUE AVE SUITE 210 PO BOX 3630 SHEPPTI956Q1 11/21/07
WEST VANCOUVER BC KENT WA 98032-0210 PO BOX 3630
CANADA 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: 'PR+" �� -, Date: 0 7)Z 6)0 t
. .
-- THIS CARD IS TO REMAIN ON-SITE '
CITY OF Community Development Inspection Record -
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-103653-00-EL
Owner:
Address: 2101 S 324TH ST Space 212
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 C fid, (w Date es„31_o
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�., A RECEIVED QL2 - ( 0 .3 ja 53
Federal Way PERMIT
2 5 2006 SF MF CO ME m PL DE EN FP
�'AVENUE
EOM
'P° 91 APPLICATION
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FEDERAL WAY,we 980634718252485.2807•FAX 2
,,,u,,.dp„ pl�my�F FEDERAL WAY
The •Mud • is U iL D I N G D R • -an Meant•lete •4i•lication will not be •�« •ted.. Please • ' t • •I (in ink)or •j• .
• PROPERTY INFORMATION
sun ADDRESS 210 / amm-1 32N rV s+ t-'7' /WC7,3.3 surrEforar. 2.1 2—
ASSESSOR'S TAX/PARCEL 0 - -..�— — — LOT SITS(4)LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) Bet/ MORE ikki3/G £_ j' 'C, SI„C.e 4 Z.lZ.—
UMa h aepva.mi.for know hrogi damnation
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION X-E LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
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PROJECT NAME(Name of Business or Owner Last Name) lJb41 12,1._ 1410B i(..E. j4Rkt_ C P3 ANG?
• PEOPLE INFORMATION
PROPERTY NAME
PRIMARY� PHONE
OWNER NPtNc.lv (2S3)33e -0611
MAILING ADDRESS CITY.STATE.ZIP n
2101 54711 32.41 Tl 57Et,L-r— Fe.cturc. („paq• IV 4. C11?oo3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
kPPAP-- iec.14goc46,/Es :cael U (206)8?� -}333
MAILING ADDRESS CITY.STATE.z8 CELL PHONE
22(059 T( is tiw(.5, besr4.0iNcS L , 9,m(2o6)3e -I'o
CITY OF FEDERAL WAY BUSINESS LICENSE ER EXPIRATION DATE FAX NUMBER
2 ° -.0 -1.- 8 -B° /2 /31 /2c (2a ) FM-1-80}
CONTRACTOR'S REGISTRATION NUMBER(cop,of cord required with tech applieatlea) EXPIRATION DATE
S H E L ETlg s X31 / /
APPLICANT COXPANY NAME APPLICANT NAME OFFICE PHONE
AA- 4s Coectra c h rt._ • ( ) -
MAILING ADDRESS CITY.STATE,ZIP CEL.PHONE
( ) -
RELATIONSHW TO PROJECT � l )_ ,, FAX NUMBER
❑Architect 0 Tenant o Agent C9erther(Describe)f. .../�off c.� ( ) -
CONTACTPRIMARY PHONE EMAIL ADD
oe. C- (2 ,) 8 '- X 333 �.AL lie,d�S&e.f f . cam.
LENDER,Ww•-. :'..-,'" ''''''"`"'",„1 -,,,:..,_,_ ...<- NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION //��
EXISTING USE ' ae....C.
t . _PROPOSED USE /'Qs.c,1_ -.
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO •
WATER SERVICE PROVIDER 0 LAKEMAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAHERAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXERTING PROPOSED TOTAL
SQ.FT. Sg.FT. sq.FT.
BASEMENT
FIRST
•
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS wren eISo•a.tm TOTAL � . J5� '` " M"
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMAt-F2)SPITING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project Do not include existing fixtures to remain.
I10CCBANIC.AL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
Bogs FANS HOODS tccmmmn.o WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS Com, ) SHOWERS WATER CLOSETS rroso MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom SIM* VACUUM BREAKERS ELKCERIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify wider penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further, that I
am autlwrized 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 claim(including costs,expenses, and attorneys'fees incurred in the investigation and defense of
such claim,),which may be made by arty including the undersigned,and filed against the City ofIrederal Wag,but only where such claim
arises out of the reliance of the city, ' lading its officers and employees,upon the accuracy of the Information supplied to the city as a part of
this application. �/ P
NAME/TITLE Zer° 1'tSL 040W 4Crt 2 DATE Q 7 ^25/`�-csc+�.
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RELATION TO PROJECT ❑ Owner ❑Agent rontractor o Architect ❑ Other
.o kI3FSIttit*ON n'RE>A1R__ = ;-;:rt TENA IlittIROVE11012tt " - -
4114111741i447, -441CS-;4244.01-.." -14-MES—
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application •
•
C 4 C1,I SO • ► ll4 $ • k.
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(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 ❑ 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
❑ 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
❑ 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/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
❑ 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/Multi-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 U 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 $107.50/hour
❑ Voice Cabling (for modified submittals)
0 Data Cabling Xi Automation Fee on all Permits .. $5.00
(Per System(s)1a 2500 ft2-$63.00: . -
Each add'n 2500 ft2-16.50)•Per WAC 29646-91 oi5MA&S •
Bulletin#100-January 1,2006 Page 3 of 4 k\flandouts\Permit Application