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02-104596 of City unity Development Services FederalWay CormnuElectrical Permit #:02 - 104596 - 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 122,123&124 Project Address: 2101 S 324TH Parcel Number: 162104 9037 Project Description: ELE-Replace meter pedestal for mobile homes-SPACES 122,123 & 124. Owner Applicant Contractor BELMOR HOLDINGS LTD SHEPPARD&NELSON ELECTRIC SHEPPARD&NELSON ELECTRIC t 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 �M�} � �' +.�A Service or Feeder-Manu./M.H.Park 3 PERMIT EXPIRES April 15,2003,IF NO WORK IS STARTED. Permit issued on October 17,2002 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: �r' Application Date:_1_0 r 710 Z� I � — � 1/14/ fii5ra , tv5. tb orf 2 - / -4) ' aor CONSTRUCTION PERMIT APPLICATION � _ L RECEIVED APPLICATION NUMBER: Q Z- (O9,G_ - a_ OCT 1 7 2002 APPLICATION NUMBER: - - ?formation APPLICATION NUMBER: - - **The rolYriT F DurEgii rormation—Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. • PROPERTY INFORMATION SITE ADDRESS: Z.I O I -60 , &Z-5 I717 ASSESSOR'S TAX/PARCEL#: 1 _622_ 10y - Y Q ,. L LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • PROJECT INFORMATION ' TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL ❑ DEMOLITION • J ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): Ei'f //F G c/ M Y 7relt. '.CI i'A �c /b d2,'L ' -7Q/Vtt'i- � Sp 4'- /6Gr4, 7 - c ' /(Q8 �-if5 Atc-e • -, S ., c,� 2 ► / S i-CV 8L. f' 8Z 5 i 9/ �r1 ! pt XV PROJECT NAME: We w /`/,e7--e, J e[ AgY-2(t 14 • PEOPLE INFORMATION • PROPERTY OWNER: NAME: DAYTIME PHONE: &-IAA,,e laid/P,A5 Lr_D , ( ) - MAIUNG ADDRESS STREET ADD ESS;CITY,ST ZIP): /-5-7/ /levee 4 ve, GUI 1 5 v ih, 2)/2 Ilk meeoW k, CV CONTRACTOR: NAME: DAYTIME PHONE: S I .e 4-Tei i AA,1 be 4/ ,E"),e c,7/ t`4_ (24G) 878 - 7 313 M NG ADD ES ( ET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: /0, IV ax a.G 3a // ! \"21 -7 (/f/`4 , 9.80 Z (FAX NUMB) '` CITY OF FEDERAL WAY BUSINESS UCENSE NbMBER - 1 - c4 Q L2 L5?'_W=00's - (7 ) 878- 7907 CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: Siff- PPA 4_-nT ' '7 / J. 1 / 03 APPLICANT: / � OGl /9- 4:577a DAYTIME PHONE:Nb/ L - MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING HONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: 0 ARCHITECT ❑ TENANT 0 OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT CONTRACTOR • 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:❑ 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** V 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: ■ FIXTURES 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) RANGES) MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ 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 supp'ed to the ci as a part of this application. NAME/TITLE: C 0,../.4<-4 41-0-1 DATE: /a ` /2-O f • ❑ PROPERTY OWNER ❑ APPLICANT Ig,CONTRACTOR -EOR"OFFICE'USE ONLY: I VEW ❑ADDITION :_ 0 ALTERATION q=- ,REPAIR- -❑TENANT4MPROVEMENT-- -- 'CENSUS CODE: _ - ___ _ _ - - LOTSIZE: - tOQYNG E5IGN'ATION:==-`= _ _ _ UILDNG SHELL"ONLY?,.CI YES -•_© NO, COMP,PLAN'bESIGNATION . -- -_- _"_ ASIC.PIAN? ❑ YES '❑ NO_., ECTION;r_ TOWNSHIP RANGE =t -1 ►DDRESS REQUIRED? - YES D NO . " SLATTED LOT2 ❑YES ❑NO - =R ;CHANGE OF USE? -.❑YES .❑ Pl0 COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063.9718.253-661-4000•FAX:253-661-4129