02-102754 City of Federal Way
Community Development Sernces Electrical Permit #:02 - 102754 - 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 98&99
Project Address: 2101 S 324TH Parcel Number: 162104 9037
Project Description: ELE-Replace meter pedestal for mobile homes-SPACES 98&99.
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
DescriptionY'' �tit71, - t Description. L(QuantiDescription • -: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 Application
Owner or agent: Date:
1 2-- f— ig-p p v
\°)
•J
awxE�EJZRL RECEIVED CONSTRUCTION PERMIT APPLICATION
N) APPLICATION NUMBER: Q Z - l L -412)
JUL 0 12002 APPLICATION NUMBER: -
APPLICATION NUMBER:
**The followA Q4LFFerIIi1A((T qn-Please print(in ink)or type**
BUILDING DEPT
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: 24Q 1 S 3r--L 1:6 ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
' ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
j ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): a p 1"--6C- L {
! , g�S �
r- 0-to bile 64 ,i- .e ,2.7/0a�-t 9. - ` I
PROJECT NAME: Com/ r rr RAS^C�
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
I vker, go," lL ca3)
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
v�-1 nl S 32‘f pcu aim
-P 444.7„.
/ ! 3
CONTRACTOR: NAME: DAYTIME PHONE:
5/ t ADDRESS(STREET ADDRESS;art, L s cvf E--eco. (?)SSS -7333
MAILIZIP): EVENING PHONE:
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
9Q - 1oL8t - Qd (PC06)S'8 -7 ?
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy o ) 5 d eLYE5 � , ' 4 07 /31
APPLICANT: NAME: DAYTIME PHONE:
( )
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ 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 $
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 ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
• NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO3ECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
•
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE •
HOW MANY FLOORS?
TOTAL:
,,..,.....,.. _ ,.• __.. .,...,..w,-r,'r..�. ,h,„,,o,»■.FIXTURES t,,.ta _.,.,. .., :...t- ,.,.v,,-.,., _.,.,.:.,�,
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,including 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 • • led to the city as a art of this application.
NAME/TITLE: A _ r " DATE: / 0 �—
❑ PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR
I •(OOF�F,�ICE1USEIONL1 ,i ,
1=,1:1311AL -AMA
_ sus Cc•b f-
- 1'�,1.11 x,77,7 '�, 1 • d777
-�,,;,..
Mi.._ ' ,Cc _-? i .��� ��,.,It. gr'1�' �' i ' 77 ' '} "D C 140 +�
FF.isz ,r,..s.^,,Miti+�.i.yr+71r�, .1�' � � �A�-A.'L.:4F'•��,�t.+1�F-���..lal wE:4� ��1�..
E : �w4`t'.=aQ f,.^ n :h , } i ��y. :'rL 'Cst E] r ,,;;,.•r [�
rAir ,011Y I.1.-1F! 4 rr.y •,:Fti�+;v� rya:'Tii�...'" ;',
.} I 7E' r' ' '_� •ti R b � sr f ":�. 1,01
N ,CMI 4a ♦•�( lar.,ue �a.!
TrEo orf a„, l,� 11140,1 na ry 1 *E. nlfc a ,�► •. rl 1: .°��: fto, r, s ;�4! .ao ;, 1 -yi
OOMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOU1T1•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dlv'olfederalwaY.00m