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02-100074 414, City of Federal Way Electrical Permit #:02 - 100074 - 00 - EL Community Development Services 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 PARK Project Address: 2101 S 324TH Parcel Number: 162104 9037 Project Description: ELE-Install 150 AMP load center with related branch circuits and bonding for new swimming pool addition to club house Owner Applicant Contractor BELMOR PARK&COUNTRY CLUB SHEPPARD&NELSON ELECTRIC SHEPPARD&NELSON ELECTRIC 2101 S 324TH ST SHEPPARD&NELSON ELECTRIC SHEPPARD&NELSON ELECTRIC FEDERAL WAY WA 98003 PO BOX 3630 PO BOX 3630 KENT WA 98032-0210 (206)878-7333 Electrical Fixtures Description !Quantity Description [Quante Description [Quantity Service/Feeder:101-200 amps-Coma 1 PERMIT EXPIRES July 6,2002,IF NO WORK IS STARTED. Permit issued on January 7,2002 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. Owner or agent: '' Date: / — 0) ^ 0 7- l - P:)o ez.2,,v_a;N7 - p _ S - 02 frog1ecv! St 4 favL 4--t7Ve� Z —v 2 ti' (,✓4-r1 PvD e 9-1 i' e-72- — go 4 (2,1_ �o v c G 1 L� evy ml•-) 1)-"I-/( tz 7- 3 o-- co,22 eLt A' R// - ,, -- 110 A-10 P (1J) frERrnrAC*11N ip ° ' Pg 1 tLft4efor aro- (&c J✓' & i.7-- — t— .LVi --.(E +Cil VT.. CONSTRUCTION PERMIT APPLICATION uV L APPLICATION NUMBER: 2- L Q oZ _ C •`; ,. ,. APPLICATION NUMBER: - - - APPLICATION NUMBER: - _ I **The following is required information-Please print(in ink)or type** i• ! Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. • PROPERTY INFORMATION ji I SITE ADDRESS: aI 0 i 5, 39.1-itir ,57,- /. 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 • Pi ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM ---,,s4-z..,,,,.,• ' PROJECT DESCRIPTION(Provide detailed description): -r. F{$DA-L.L. 1 ) i i P Load c aAv7'`Yl.-- NJ 71 re Lcs7'c d b r a.4.ic11, c. r Cad,17'S a.ikt 16_0,4d ,H 9 4-or Ne vi, 5wt4 ,> Po. & .:2d /71'o04 Th c___L4b house , "PROJECT NAME:TtyN9i/ ?Q.V K , • ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: ; 5:,.1-7:t;' �•e L mor P r X o,5-3858 -05-i MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): 9_1o1 S 3 , 1-€7:6 `5 d e re L 1J�liRy J ?c�C�O3 ` CONTRACTOR: NAME ` DAYTIME PHONE: /7cpporM 4 4' ,Lsc ' L�c'r'N4C., 620878 -?333 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP)• EVENING PHONE: `. P, o. tBoy 3630 , ,.•y1 • z4n , 5.843a. ( ) ,' CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: I a - 'l 0 1 6 Sc - 4 6_ (406 )8,8 -7807' •L ., ,4. CONTRACTORS REGISTRATION NUMBER: ,`- ' • s EXPIRATION DATE: *. d' e 'EPr .-` ''�6Z. 4 7 13 / / x3 _ APPLICANT: LAD. _ itEr() T�W AUC,STAT EVENING PHONE: ( ) — RELATIONSHIP TO PROJECT: - FAX NUMBER: 0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: r CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR • DETAILED BUILDING INFORMATION EXISTING USE: • EXISTING BUILDING;ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 4 • 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) '411F"Ili **NEW.RESIDENTIAL CONSTRUCTION ONLY** • , "``y • F 8 ' • ' `" """'NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ . • PROJECT FLOOR AREAS 's. ...f-.:.•,. FLOOR EXISTING SQ.FT. " PROPOSED SQ.FT. TOTAL BASEMENT ; .,i- s; . FIRST. ., ' T-44 r •,' SECOND ' THIRD - FOURTH k , OTHER FLOORS(DESCRIBE) • _•,...-_. - DECK ' - i'4';`.` ..44k.„.'''',..• GARAGE 771; ;- . . HOW MANY FLOORS? TOTAL: . ■ FIXTURES Indicate number of,each type of fixture , . , MECHANICAL " AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(5) . RANGES)- MISC.( ) . — .. COMPRESSOR(S) FURNACES) - i "•sem "- 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) Q ELECTRIC 0 GAS DRINKING FOUNTAIN(S) 'SHOWER(S) '- = , WASH MACHINE OUTLET -.• GAS PIPE OUTLET(S) SINKS) • - • WATER CLOSET(S) MISC.( ) ' INTERCEPTORS) 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 ! fuither,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 supplied to the city as a part of this application. NAME/TITLE: (PgALd 04-4...."-S-4` DATE: /^' b P—. V ❑ PROPERTY OWNER 0 APPLICANT ® CONTRACTOR W-0R QFFlCE FUSE PNLY::;,1 s : ;,<, .;,'4 `• �':.�'�L.„ Vit C]'�►I. �l`°i�4... z� �r ...� ,�': 3. v.•.-- e,y, , ..L�,.1:.� ."Fru::.!, •,'m , ni i;' 7! - "!.'.�'";+14e.{.vii i.ri.�:,:7i.r'_,- :µ::, A1'a+l,a: �,�EN5U5 SDE._�,: i�y,,: ,,rr� y��y+�.y:.y��,+ ,!!� :_.:. ,r!- -T �:�;,,:; _ :CODE' en•!:!u f 'm�!:i'�', v, .,�E•'i '9L i"i�l!'��Vl. iLG•.i�u.r!.0„8,1'�:,: :: 'wig"" ....,..,y,y ._ .:,......c...r q ga;;•T' ck. v' �"yrv, n' 1 --43,r4V, _ .��� ,4, •NIL_` ' NA Ol4 r!!;N .--1+, '--Ffi A� a:, :°-��;;a L )N i HELL�ONLY?'.i.it 0. _-M1! '�'; ..-.p, i:L' ,N ESIGNATION';'A`.... ' `'-,P 11 ,P " ?.^,;1 j3„Y ';,,OfU _:!NO f.+�!;r,:41 w�!1,: -. . it,': ,,SECTION''"WI' '-:`;TOYi1N5HIP -RANGE' ''+u{�)i;; - i,>q DDRESS REQUIRED?.;,.; ',_'=: YES,._ b,.,,.._:.^ t..... `N _ . . ❑ N.. ' , ApLl117iD„�.�T7, '❑''YES „�r❑NO' '` '. . ,`.�:-: MAN�G��t=''US�7:'i ��C]-YES� �'© O�- '�� �'.;n � .Ni COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718.253-6614000•FAX:253-661-4129 • . . . -•'�.. - . :x..s -- , ,tsM..i'?3''•'sr i;._ .,3.Y,t,,,t ,l, ;,.,.4. i,;.,:....,,ti.,„ : :,,,,,,t .v,„ "t-,-":. . - ,, :k%:, - ' � '1- ;F, : ^F+ w c.,: :.:. ,,, .x , ,s �' „ *4 ���ABLE B , , rrrrr .,4: :4s //,' r. -: .- .. "t.%�`M•4, v 'C?1: *Yi.. - .t:.. ; xw - _ .- i -}-y.'-. .+W<,t�y.:l'L. , ti:c.^4 .M,. ax+- -Ki.ryeW r,: , ,,. Yt , NEW RESIDENTIAL SERVICES MOBILE HOMES' ' MISC EQUIPMENT/TEMP SERVICES -' _Single Family _Service or feeder only . 544.25 _N of Thermostats(First-533:50;add'n.$I0.50ea) (First 1300 ft2-567.00;Each add'n 500 ft-521.50) _Service and feeder $72.25 _N of Low voltage fire or burglar alarms Square Feet: First 2500 ft2-$38.75;Each add'n 2500 ft2-S 10.50 _Each outbuilding or garage $28.00 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. $44.25 (First service/feeder-$44.25;Add'n service/ _#of Signs(First sign-$33.50;add'n sign (Inspected separately) 3 ut•. --. .' .. : - .r=„ - 3 4..: asp.a-», �..3 c:-4-:s', ) .-.;' .�~�, ' - y � feeder-528 each) '- S 16.00 each ;� `�.`' le: t. ,. t. ,, .',+,..;. ,.;-,,....,,,,,-1 :,x._: .+ z :. `s .- ,,,:,A:i,,,.^rt n-r.. . •:,,.. -Progress inspection per rfz hr, • 2' 533.50 .. ' _Swimming pool,hot tub,spa '- 67.00 _Yard Pole meter loops .:..._...44.25 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 S 72.25 _Up to 200 amp S 72.25 $21.50 Feeder - _201-600 169.00 _201-400 amp. 89.75 44.25 _0 to 100 S 72.25 S 44.25 _601-1000 254.50 _401-600 amp 123.25 61.50 X 101-200 89.75 56.25 _over 1000 282.75 _601-800 amp 158.00 84.25 _201-400 169.00 67.00 _#of circuits _Over 800 amp 225.25 169.00 _401-600 197.00 78.75 (1-5 circuits-556.25;Add'n circuits,S5 ea) ALTERED SINGLE/MULTI FAMILY _601-800 254.50 107.25 (When inspected separately from the services.) _801-1000.-.-... 310.75 129.75 Temporary Service Service or Feeder _Over 1000_..._ 339.00 181.00 _0 to 60 _ S38.75 _0 to 200 amp $61.50 _Over 600 volts surcharge 56.25 _61-100 4425 _201-600 amp 89.75 _Mast or meter repair 61.50 _101-200.._ 56.25 _over 600 amp 135.25 _201-400 67.00 _Mast or meter repair 33.50 _401-600 89.75 1 _#of circuits _over 600 97.75 (1-4 circuits-544.25;Add'n circuits S5 ea) -7. i - If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+55625.Add'I plan review for other submissions is$67.00/hr. 1 - -FIXTUREbESCRIP,TION:(A)'=t: yFD(TURE=FEE FROM-TABLE-BIB), ,':•..NUMBER'OF UNITS{C) l 4'-==' 4h �TOTALID)..';s-*; --2..:Y 1 TOTAL COLUMN(D): 7 " Total Column(D) Estimated Permit Fee: (12) Estimated Permit Fee from line 12 Estimated Plan Review Fee: $56.25+ 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(Pagesone&Two):Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)=.(24) - .t ,, Bulletin#100-August 29,2000 +