06-103651 K
City of Federal Way Electrical Permit #: 06-103651 -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
Project Name: BELMOR MOBILE HOME PARK
Project Address: 2101 S 324TH ST Space 173 Parcel Number: 162104 9037
Project Description: Providing connectivity from an existing 200 amp pedastal 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.
-9041 11
Owner or agent: An ` Date: 07 b o(o
THIS CARD IS TO REMAIN ON-SITE
cin OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-103651-00-EL
Owner: BELMOR MOBILE HOME PARK
Address: 2101 S 324TH ST Space 173
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.
•❑ Slab/Concrete Floor(4255) tit Final-Electrical(4055)
Approved to place concrete Approved
11 Q j
By Date B � 'i' Date
O('- 1029 15
RELIVED
,�A 0 . - Jo ' 6. 51
Federal Way JUL2 5 2006 PERMIT
SF MF CO is EL''PL DE EN FPe"AISOA'7J•�BT OF FEDE LI CATI ON 4-�
Frn�tAt,wAY,we 99099-s '
2534354807 PAX 253435.2809 BUILDING
wuntwaudiederahramoom
The . . . - is -, -• - . . , -an -- •bete •4•lication will not be • •ted. Please ' t _',l (in ink)or p .
• PROPERTY INFORMATION
SITE ADDRESS Z/Q( 5cr .ri-i 3z y r/ S mRA E T- woo SUITE/UNIT. /73
ASSESSOR'S TAX/PARCEL# - — — — LOT SIZE WI
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) /Irl 612.,E_ N'10131 L C.. p 14_ CA/ANC ")
(Attach-mimics knWwlegal .
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this rermft only)
` 1 nV(DF.— (m,,.,_s_.4;Y; 00-1...z_., r.►. E�c;,s4 1 2aoA }7eccs
'T itJe„A ria&itR_ a. -.
PROJECT NAME(Name of Business or Owner Last Name) 4211 M I' . $442;(.Z. ?0,62-14-- -(14ANC-N) .
• PEOPLE INFORMATION
PROPERTY PRIMARY PHONE
OWNER NAME C (253 ) d3 g -0514--
?IAN)
o l 1rAri-/ azo 5ii .
CITY.STATE, AA liM . 9 i'o o3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
5&/E?Pr D 'recd./NOL000 ES 3c t' sc1 (2cC) of e-7333
MAILING ADDRESS kITY,STATE,ZJP CELL PHONE
22-G)S9 WAY OF FEDERAL ywER f4 • kik. 9?19? � 3/ -dos-C.
MBER
2 0 - o b-1 Q Co a u -s L '2- /3/ /00(ex, VOG. )em -Teti
CONTRACTOR'S REGISTRATION NUMBER(copy.f ward rNuNed with each application) EXPIRATION DATE
2ft (< LE. T lai _-_ s1 / /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
SAsina.. AS Cow‘kilx.eAttr. ( ) -
MAILING ADDRESS CM,STATE.ZIP CELL PHONE
( ) -
REIATIONSHIP TO PROJECT f FAX NUMBER
0 Archit ct. 0 Tenant 0 Agent ekOther(Describe) E.C s-In4r rte. ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
z3 4 ..rt.` (Zv( )f l 8 - 333 •. . I
LENDER '..'-) .-,:„--...17,,,,--...., 4er`T NAME
Plfr:,yya µ „
MAIUN►G ADDRESS CITY,STATE,ZIP PHONE
( ) -
1 • DETAILED BUILDING INFORMATION
EXISTING USE Ra-S;d L C.& PROPOSED USE I Cf 0..1.C.-1._
=LISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRI NKLEEREDD BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER 0 LAEEHAVEN ❑HIGBLIINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEBAVEN a BIGELINE 0 PRIVATE(SEPTIC)
� f
PROJECT FLOOR AREAS
AREA DESCRIPTION RIMMED PROPOSED TOTAL
so.FT. Sq.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDLTIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT❑
NUMBER OF FLOORS zasma MORN= roe" _s T IR " r -,mss w'rewa �r ,;,�"_ -
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Ind lr me number of each type of fixture to be installed or relocated as part of this project Do not include existing fixtures to remain.
Value of Mechanical Work $
AIR HANDING UNTIE EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commerass WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS Mr Mb/Shower Combo) SHOWERS WATER CLOSETS mad) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS Duna..sink,) 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 0/Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred in the investigation and defense of
such clainy,which may be made by any uding the undersigned,andfiled against the City of Federal Way,but only where such claim
arises out of the reliance of the city, its officers and employees,upon the accuracy of the Information supplied to the city as a part of
this application. D �r
NA1[E/TITLE S 4...! g_R1i*t Ct. ndew2.,_DATE C 7" ad
tsvgvncure) mow
RELATIONSHIP PROJECT ❑Owner ❑Agent /laContractor ❑Architect 0 Other
7-ii= _41 ALTERATites" b Jll - -'-Q' i _
_ _
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Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application
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RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/IND17STRIAL SERVICE
La 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
U 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 MULTIFAMILY(three units or more) U Over 1000 amp 546.00 291.00
Service Feeder
U Up to 200 amp $117.00 $34.50 ❑ Over 600 volts surcharge 091.50
❑ 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 ❑ over 1000 amp 456.50
❑ 0 to 200 amp $89.50
❑ 201 -600 amp 145.00 ❑ it 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 eircuits-$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
......cc��cc--,,,,,,222222MOBIL E HOMES
rvice or feeder only $71.50
AlService and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Mufti-Family $63.00
❑ #of service or feeders
(First service/fender-$71.50;each add'n-$46.50) Conunercial/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 ❑ #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) um-hides 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 2Automation Fee on all Permits .. $5.00
(Per System(s)la 2500 ft2-$63.00;
Each add'n 2500 ft2-16.50)•Per WAC 296-i6-910(50A6.e0
Bulletin#100-January 1,2006 Page 3 of 4 k Handouts\Permit Application