04-102404 I City of Federal Way
Community Development Services Electrical Permit #:04 - 102404 - 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-SPACE 205
Project Address: 2101 S 324THSpace205 Parcel Number: 162104 9037
Project Description: Installing one feekr circuit from pedestal to mobile home panel
Owner Applicant Contractor
BELMOR MOBILE HOME PARK SHEPPARD&NELSON ELECTRIC SHEPPARD&NELSON ELECTRIC
2101 S 324TH ST PO BOX 3630 PO BOX 3630
FEDERAL WAY WA 98003 KENT WA 98032-0210 KENT WA 98032-0210
(206)878-7333
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Service and Feeder-Manu./Mobile H 1
PERMIT EXPIRES December 14,2004.
Permit issued on June 17,2004
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: _LED Date: 6'" /7" O 51
411
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THIS CARD IS TO REMAIN ON-SITE .f
CITY OF VP".."1/0114 Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-102404-00-EL
Owner: SHEPPARD & NELSON ELECTRIC
Address: 2101 S 324TH ST Space 205
FEDERAL WAY, WA
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) FL
Final-Electrical(4055)
Approved to place concrete Approved
By Date B vk. Date (a � b
4
REGE1 / D
COMMUNITY DEVELOPMENT SERVICES
cnv of 1.11116%......, 33530 FIRST WAY SOUTH•PO BOX 9718
FEDERAL WAY,FAX
98063-9718
FederalWay PERMIT APPLICATION
253-661-IIIIS•FAX 25353-661129
J',-.; 1 7 7004
For O _'M/ w„�„ ��r_ _
Ewe Uae Only: C y D[4'l1;d,ri V - � D L -
amp li\le
The ollowin• is re•wired in*rotation-an Inco •fete • .•lication will not be acre•ted. Please • *at le
1
■ PROPERTY INFORMATION or /.
SITE ADDRESS: 2jo I S, 32L J -5p.4Gr 20.4-* ASSESSOR'S TAX/PARCEL#: L 6 2 / a fes/ - I Q 3 7-
1 LEGAL DESCRIPTION(eg:Acme Estates,Lot 1) -9 1!' /l T,f C lvet vel
(Attach separate page for lengthy legal description)
SQUARE FOOTAGE OF LOT: 560.00
is PROJECT INFORMATION
TYPE OF PERMIT(This application): ❑ BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
A ELECTRICAL a ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu): _rat/S/2,)/ G311/,C
PROJECT NAME Name 0 Business/Owner Last Na -,:
■ PEOPLE INFORMATION
PROPERTY NAME:
OWNER: PRIMARY PHONE:
,3•el/Loo� NOla i i o 11on4 V �,,_r e (2s3 ) 238 -0,5-12
MAILING ADDRESS(STREET ADD ESS;): CITY,STATE,ZIP
2.)o1oI s' 32.1-i 7 S' ` .fe4A6,2A-1-. )Ay / IVA-r_ qvPe `eg5o7
CONTRACTOR: NAME COMPANY
� OFFICE PHONE:S he/7'41'd If V / v/ ilYGPR/G ` 9/ ) 28 /MAILING ADDRESS(STREET ADDRESS; CUT,STATE,ZIP CELL PHONE:434-"3O e-t/T; 4� 9o�f ( ) -
07,
t CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER:
•
17- - a 1 e21- 8 95:1-oQ - /2. / 3i ) / cy (26& ) 828 -2,07
CONTRACTORS REGISTRATION NUMBER:
Pplcation)-6 & E P P Al £ 6- K F& , / 31 DATE:EXPIRATION
(con'of card repaired with / Gts-- -
,;*ch a
LENDER: NAME:
([f trrroied Volans>$S,0001 DAYTIME PHONE:
IMAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP ( )
APPLICANT: NAME:
COMPANY OFFICE PHONE:
(
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING
RELATIONSHIP TO PROJECT: ( )
FAX NUMBER:
❑r Architect ❑ Tenant ❑ Other(Describe): ( ) -
ICONTACT PERSON FOR THIS PROJECT: ❑ Property Owner Contractor ❑ Applicant E- ADDRESS:
I
■ DETAILED BUILDING INFORMATION
EXISTING USE: A4 Ijfk'Y �bA? 'a P4 P PROPOSED USE: 54-A4-P
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ J 52)0 0.0
—
SPRINKLERED BUILDING? ❑YES XNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES2 O
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) I°l
SEWER SERVICE PROVIDER: a LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
■ PROJECT FyOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
"NEW HOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• FIXTURES
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS MOODS)commernd) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING •
BATHTUBS(or Tub/ShouerCombo) SHOWERS WATER CLOSETS(talo MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS)e>nuooms VACUUM BREAKERS ELECTRIC WATER HEATERS
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■ 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 claim(including costs,expenses, and
attorneys'fees incurred in the investigation and defense of such claim), which may be made by any person, including the
undersigned,and filed against the City of Federal Way, but only where such claim arises out of the reliance of the city,
including its officers and emplo ees,upon the accuracy of the information supplied to the city as a part of this application.
r
NAME/TITLE: (Signature)�s DATE: 6 -
(Titre)
RELATIONSHIP TO PROJECT: ❑ Property Owner 0 Applicant XContractor 0 Architect ❑
FOR OFFICE USE•ONLY:
o NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION: CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES ❑NO
• - Page 2.
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SHEPPARD & NELSON ELECT. r
P 0 BOX 3630
i
KENT, WA 98089 -r
( 6) 8784333
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■ ELECTRICAL PERMIT 2NFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑
Service or Feeder Each Add'n
Single Family Square Feet:
(First 1300 ft2-$87.00, Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201 -400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 401 -600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601 -800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) CI 801 - 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
CI 201 -400 amp 117.50 58.00
CI Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
(Inspected separately from service) ❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 ❑ #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea)
U Service over 200 amps
❑ Mast or meter repair $43.50 ❑ Medical/Educational/Institutional Facility ,
$74.00 plus 35%of Permit Fee
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
JCl Service or feeder only $58.00
❑ Service and feeder $94.50 Commercial Residential
❑ 0- 100 $58.00 $51.00
MOBILE HOME/RV PARK ❑ 101 -200 74.00 51.00
❑ #of service or feeders ❑ 201 -400 87.00 n/a
(First service/feeder-$58.00;each add'n-$37.50)
❑ 401 -600 117.50 n/a
U over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s): (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $58.00
❑ Security Alarm System ❑ Additional Plan Review
$87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s): 1st 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5)(6)(&ii)
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