02-102757 City of Federal Way
Community Development Sernces Electrical Permit #:02 - 102757 - 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 SPACES 104& 105
Project Address: 2101 S 324TH Parcel Number: 162104 9037
Project Description: ELE-Replace meter pedestal for mobile homes-SPACES 104& 105.
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
Description": 'quantity ~ 441escriptiorl ",` -IQuanti i L °' Description . ]Quantity
Service or Feeder-Manu./M.H.Park 2
PERMIT EXPIRES December 28,2002,IF NO WORK IS STARTED.
Permit issued on July 1,2002
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. See or agent: Application Date:
F /A) AreP-Pv 0 2,- f
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�ErzRL �C°\1 CONSTRUCTION PERMIT APPLICATION
�/ R APPLICATION NUMBER: 'Z -�_.'S"�-�.-111,
` ;`,,�;.rr" �` 1 Z0c ':.rl'f; ; APPLICATION NUMBER: - -
' Y ' ' APPLICATION NUMBER: _ _
EDERALW ` ' _ _ - _ - _
j **The folleigir�g( w4tmation—Please print(in ink)or type** -
'• 'I,;,,_; , , Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
"'` ■ PROPERTY INFORMATION
'''` SITE ADDRESS: .,(7 I 5 39-11 d : ,,r ASSESSOR'S TAX/PARCEL#:
•
s .LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
;,. ' = • - - . _ ._ •• -- . • ■ PROJECT INFORMATION .
';,c`TYPE OF PROJECT(This application): 0 BUILDING •0 PLUMBING 0 MECHANICAL 0 DEMOLITION
= 'r'r ; j$ELECTRICAL ❑'ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT bESCRIPTION(Proviide detailed description): G..Q rn--e-Y.•*.e..-V- P g e—
r- "ke)b le /vt.-e '`S�1 aG- I OLI -/d5
hR
' POJECT NAME: V'
RAF"w
Q' w PEOPLE INFORMATION
":_ ,PROPERTY OWNER: NAME: ii pe
1 DAYTIME PHONE:
GP 66)
UNG ADDRESS(STREET ADORESY, ATE.ZIP): 5 „e'
-1 d! S 1 3 ADO;
FSP z1/24....f
L- 5$-003
CONTRACTOR: NAME:
DAYTIME PHONE:
She cL ti L scw E--ec_7`. (?)SSS -7333
?'i.,10:44' ;k�2„:r, MAIUNG�ET ADDRESS;CITY,STATE,ZIP):..,
EVENING PHONE:
( ) -
' ,• •• CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: _//• ' , /� Q /�_ A �} FFAX NUMBER:M ` Q
OONIRACTOR5 REGISTRATION �` •q -'0 ,,. -
Sd 1 0 1 8 L �� - {1 1G EXPIRM•7�'ATE: -7c907
w t.". NUMBER: • I• EXPIRATION DATE:
• , ( a ) 5 a" e`'P ly '5.5.6 ” 0 07 /3/ 1 03
APPLICANT: NAME: DAYTIME PHONE:
( ) -
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT ACONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
,",7,--, ''I$Sis.
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 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:
. ., •........ - __.. ... •..... r.. « ... t.FIXTURES �.• . . .,. „_......,,., ,. .. a..,r•.., .:-,..• _ •.. . .,.,,,
Indicate number of each type of fixture
•
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) • HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS
PLUMBING
•
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
• - ■ "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 daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information s • - ied to the city as a *art of this application.
NAME/TITLE: i _ ..r DATE:
❑ PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR
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COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718.253661-4000•FAX:253-661-4129
www.dtyofederalwaY
■ ELECTRICAL
•
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50.00 _4 of Thermostats(First-$37.50;add'n-$l 1.50ea)
(First 1300 ft2-$75.00;Each add'n 500 ft'-$24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-$43.50;Each add'n 2500 f12-$11.50
_Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) '#-of service or feeders *Per WAC 296-46-910(5)(b)(i&ii)
-Each outbuilding or garage $50.00 (First service/feeder-$50.00;Add'n service/ _#of Signs(First sign-$37.50;add'n sign
(Inspected separately) feeder-$32 each) $17.50 each)
�� _Swimming pool,hot tub,spa $75.00
a _Yard Pole meter loops $50.00
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 $ 81.00
_Up to 200 amp $ 81.00 $ 24.00 Feeder _201-600 189.00
_201-400 amp 101.00 50.00 _0 to 100 $ 81.00 $ 50.00 _601- 1000 284.50
_401-600 amp 138.00 68.50 _101-200 101.00 63.50 _over 1000 317.00
_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 $ 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
(1-4 circuits-$50.00;Add'n circuits$5 ea)
If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps,a plan review is required.Fee is 35%of
permit fee+$63.50.Add'l plan review for other submissions is$75.00/hr.
'' FIXTURE DESCRIPTION(A)''" FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C): " TOTAL(0)" ,' ''
TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50+( X.35)= (13)
• DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
■ ENGINEERING
Estimated Permit Fee:(16)
Bond Amount: (17)
■ OTHER FEES
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)
Bulletin #100-February 19,2002