04-101573 City of Federal Way
Community Development Services Electrical Permit #:04 - 101573 - 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 COMMUNITY BUILDING
Project Address: 2101 S 324TH Cj''r Parcel Number: 162104 9037
Project Description: Installing 2 new circuits for new oven and hood fan
Owner Applicant Contractor
BELMOR HOLDINGS LTD C&R ELECTRIC INC C&R ELECTRIC INC
1571 BELLEVUE AVE W SUITE 210 919 SW 150TH 919 SW 150TH
VANCOUVER CN BURIEN WA 98166 BURIEN WA 98166
(206)937-3654
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits- Commercial 2
PERMIT EXPIRES October 24,2004.
Permit issued on April 27,2004
I hereby certify that the above info .tion is correct and that the construction on the above described property and
the occupancy and the use will b- �� ordance with the laws,rules and regulations of the State of Washington and
the City of Federal A . .
Owner or agent: 4f�.. Date: 2 7 Oy
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4(3(I( ON0a. Na"
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CITY Of` /� � /
Federal Way (J `� - 5 -3
E%VEC PERMIT
COMMUM7YDEVELOPMENT SERVIBEC = SF MF CO M DE EN FP
33530 FIRST WAY SOUTH•Po BOX 1 PLICATION
FEDERAL WAY,WA 98063-9718 p /
253-667-1115•FAX 2536611129 /
www dtjofederalway.00m AP R
The ollowin• is re•uired i ,,Au,• : Vithillrw. ,•fete a••lication will not be acce•ted. Please •rint le
ibi (in ink)or
PROPERTY INFORMATION
SITE ADDRESS 47 5 3 `1 y �>�
2t o I SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desmp ion)
PROJECT INFORMATION
TYPE OF PERMIT 0 B 1 l MING ❑ PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit on.lu)
/N --15171`e.-4-- 5 O A- P Zit, ✓ p vas C•P-c_v:T ,1– ' _ hot"( -r—
PROJECT NAME(Name of Business or Owner Last Name) O6-"IYL fvJ8ISI L45- 124"740- i)/4.4-64
PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER /'JA-c>/ ev,q-is (Z.S3) 93 c— ,7
MAILING ADDRESS CITY,STATE,ZIP
5•'}r'7tf /+S ff6dleer Fell GN/- lop
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
C 4` /Z z-r-A-/c ,,git-- G,',q.i2.,) .,J ( ze ro) 5'3? — G Ty
MAILING� 5 i-ti eADDRESS r rf CITY,STATE,ZIP CELL PHONE
J J E7 rr4 J/2./e�J// �v� ( Zoo) 99-o-9333
CITY OF FEDERAL WAY BUSINESS� NE� LICENSE NUMBER ` EXPttATION DATE/1 �/ FAX NUMB R
`r �:/10 - B L / r�/N aucc(c
CONTRACT REGISTRATION NUMBER(copy of card required with each application) EXPI TION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT -_ FAX NUMBER
❑ Architect ❑ Tenant ❑Agent ❑ Other(Describe) ( )
"CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( )
LENDER Per RCW 19. .095: •er information is NAME
required i project pa •- exceeds$5,000 .441111111111111111116._ .441111111. ....mu..
MAILING ADD' SS
CITY,STATE,
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED
EXISTIStFCLASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 ■ NO v i - - ...-._ _ .1 PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PRO 0 r 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(W
SEWER SER - •OVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTI(a)
1
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND '
THIRD
FOURTH
ADDITIONAL F0.1•RS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS ES'' •TED SELLING PRICE $
FIXTURE:.
Indicate number of each type of fixture to be installed • relocated as part o •roject. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tu• hoarrcombo) SHOWERS WATER CLOSETS(Toakq MISC(Describe)
DISHWASHE•' SINKS DRINKING FOUNTAINS
GAS PIPE •• LETS SUMPS RAINWATER SYST
WASHINt MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) V•CUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the in •rat• •n 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 premi es to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to •ny claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim), which may be made by • • rson,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the ci uding its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE a!U - .,t0011 7.6) V
DATE / 7
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
a NEW a ADDITION a ALTERATION ❑REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES ❑NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? o YES a NO
PLATTED LOT? a YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100-March 30,2004 • Page 2 of 4 k\Handouts-Revised Tema Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL s . COMMERCIAL
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NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
CI Family Square Feet Service or Feeder Each Add'n
(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
❑ 201 -400 amp 117.50 58.00 ❑ 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
❑ 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 /f #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 ❑ Service over 200 amps
U Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
❑ #of service or feeders ❑ 101 -200 74.00 51.00
(First service/feeder-$58 00;each add'n-$37.50) ❑ 201 -400 87.00 n/a
❑ 401 -600 117.50 n/a
❑ 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
❑ Secunty Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
O Data Cabling
0
(Per System(s) 1.,2500 ft2-$51.00,
Each add'n 2500 ft2-13.50) 'Per WAC 29646-910(5)(b)(i&a)
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Bulletin#100-March 30,2004 Page 3 of 4 k\I landouts-Revised\Permit Application