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02-104005 , City of Federal Way Community Development Services Electrical Permit #:02 - 104005 - 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 Project Address: 2101 S 324TH Parcel Number: 162104 9037 Project Description: ELE-Replace meter pedestal for mobile home spaces#109-110 and 127 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 Description=. :, '7477, Quanti ,. y-.Descriptionxx% uan Service or Feeder-Manu./M.H.Park 3 PERMIT EXPIRES March 16,2003,IF NO WORK IS STARTED. Permit issued on September 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. Q Owner or agent: C ati Date: L f .•7,x..,4,-,4,-,..,,- - • ,. ED at_ NSTRUCTION PERMIT APPLICATION i.•4 E.JrZE:11-. , APPLICATION NUMBER: al.: 164.005 -EL-, SEP 177.rpg APPLICATION NUMBER: '-:,,..,_EI:: , .! '.•.' , 1 ' h.: APPLICATION NUMBER:ft _ - _ _ -..... ,..._,,.._ .... _ ,, ,, - -,I • ,A **The following Is required information-Please print(in ink)or type** 'i,,,c'Sa-c.:4' i...•4:4, ,. . Please note: Electrical,Fire Prevention Systems anc!...Engineering permits may require a separate application. 1 . o•10••,,,, • PROPERTY INFORMATION ''; ,,,v4,'•!trz:Nr-rr ' ' ' * '1 SITE ADDRESS: D.40 1 5 '3(9-Le 1:5 . ASSESSORS TAX/PARCEL#: %::,-,,, • • ' :',"-,-,'•• •'•LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): •1",o'o•tA, 1. - 'o,t,i,'W, ,• • . 7;;o:-„ooi:;•„,..iilf44' 4«, o•'•.n-, . ..- -- . , _ . . - . . ' ' • PROJECT INFORMATION . ...-. • ' — ' ,:f... .40,,:--t-.1• -1..i. ::IYPE Of PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION . PI ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM ,Itt4,:;.i•. '••:, ,,i-o,'Ioi•• ,4'4,' • ,.-i-4) .•i I:• 1 „,,:,*•":.:',.pRO3,..., . . .. ,ECT DESCRIPTION(Provide detailed description): /C41..l'i) L'-et C.-e. . rn-e--$4-e-g- t?.e.4 •i574ezi-- if''4:'",-:'• '''''•,...__ _2.. ...__ L.*&klf, t, A4 .1-e arr -- /O q - iioi I ;. 2 ;.;'' 4, .• i''',,,A,Y 4. ,,,, t t.-c.,....,,•'•I'vr....,".,4'',•:,,tVi rgp3cy NAME:. 73..el ,!4.,f - •• , • PEOPLE INFORMATION , . --.. o" .' PRdPERTY OWNER: NAME: 5et DAYTIME PHONE: r:liliiii-A 2F.}.i.•.-.,! 1A1C2rDREsgi SA,.,12 _2, _,,, .•_' (?63) _ 'r' ,.•,:,, ;`,T.,:::, ,,,J,, : i MAILING ADDRESS(STREET AD •COATE.,rV)„, ,,i, ',1_:.--- -,..ii,'-1,.."-:••i 4 Ot S t 3PY F-e-d-e-a Evo-,/. /1- 97oa 3 .. CONTRACTOR: NAME:i DAYTIME PHONE: 5itoesscbt-go-Ct ri-i-cLiscrt(-'_; 44..r: (6704.) ,,,,l :;.‘,2, % ,-, MAILING (STREET ADDRESS;ar4 STATE.UT i ,-,,Si:''r',/,.:''':' ' EVENING PHONE ior : ( ) _ qt:441144',,-...-k-oy.1"..,i ' ., ,4 CITY OF FEDEFtAL WAY BUSINESS UCENSE NUMBER: ,,,,t,..-_,•b-t,t 1-1 . ,, • FAX NUMBER: liZ'f''''''i-'4 4i:44 • ' ' ''- ' - '' ' . ' t''t'' q"O'411.i"t4 O.1 1 E - o a cPc6g3AS -7g07 cogrNAcroNs REGISTRATION NUMBER: '` 4 ^Cct'''.•, t, : '-' I;' - ,*; EXPIRATION DATE: '. e ;;11,1't'''''' '';'''' (copy ci card required) '9:"V•ilirHe E'''.8;;A° e 5.5-.4 a- .6) 07 /3/ / 63 ...,Artt,..,.,, .,.• .. APPLICANT: NAME: DAYTIME PHONE: . , ( , -7,'1 ' ' MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): . EVENING PHONE: ( ) r.- - RELATIONSHIP TO PROJECT: FAX NUMBER ',`•,'', 0 ARCHITECT El TENANT 0 OTHER(DESCRIBE): ( ) E-MAIL ADDRESS: ; S9N1ACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER z„0 APPLICANT , CONTRACTOR Pri • DETAILED BUILDING INFORMATION I*:-or 4.0-oo-,••••,,-ot ro,--,-..-9iiii,..,- ,. .ou, -.., 0 • -':' EXISTING USEilf ''' '..' ' '' .' ' . ' ',.EXISTING01.ttrailialieVAPPRA-ISED VALUATION $ PROPOSED USE:. ' '' -PROPOSED VALUATION FOR IMPROVEMENTS: $ :" - - ,r,..,• 0,...-...:.-, . . • p., SPRINKLERED BUILDING?- 0 YES 0 NO - •' ;11,:-..';'-:FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO .•• ' . o • I" , ' . j!,.:WATE!‘SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE '0 TACOMA 0 PRIVATE(WELL) i -), SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE:' '.0 PRIVATE(SEPTIC) C-, A' **NEW RESIDENTIAL CONSTRUCTION ONLY** ' NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • PROJECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL _ BASEMENT • FIRST SECOND 1 THIRD FOURTH OTHER FLOORS(DESCRIBE) _ DECK GARAGE HOW MANY FLOORS? TOTAL: .,,... ..... - ,_ __.. ... ... . .,+t• .n.« �..t.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) 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,induding the undersigned,and filed against the City of Federal Way,but only where such daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy of the information s • • Ted to the dty as a •art of this application. NAME/TITLE: i _ ,� /- 1 DATE: . — 9— C) )— ❑ PROPERTY OWNER 0 liPPLICANT 0 CONTRACTOR 11 • •lOECE SE„• •i:y., �;� r . .0 .y x • .0 '.�-{?' - ,.. yG (a ' _ = []•i; � !p s ''"r ( "_ lib} _ r� �_' '.4�,'-RPA! G ,C•• 1 �-'- ._-_-_. F f - Ir� �"...L_..:'C7 v F[ ice-�• �,, ,, _}- _w � .'�:.�. --••,,._ -ra - .{ t�� r� „,4•,.. ,i,r.n.R�,.,ryrr�,'f. iF " -4 e '� e 865 _ '17;i17.77-77`."r i, � 1 i 1k;a,`tkit�• tri t� 1 D r 1`O I i; F:-4 ;- . m i- • I x=3;! 'i, VYYI'�SflI = „' -. ,k•:r,4' 'Zit- T(im •: • -61'12i, M_ • © I 07 0 O' ri. • i _`; )-`r ; �D COMMUNITY DEVELOPMENT SERVICES•33S30 FIRST WAY SOUTH•PO BOX 971E•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 �, www.cftvoifesferalway.com • • ELECTRICAL TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only $50.00 _#of Thermostats(First-$37.50;add'n-$11.50ea) (First 1300 ft2-$75.00;Each add'n 500 112-$24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alarms Square Feet: First 2500 ft2-$43.50;Each add'n 2500 ft2-$11.50 Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet: (Inspected with service) 4,#of service or feeders, - *Per WAC 296-46-910(5)(b)(i&ii) _Each outbuilding or garage $50.00 (First service/feeder-$50.00;Add'n service/ #of Signs(First sign-537.50;add'n sign (Inspected separately) feeder-$32 each) $17.50 each) (i,210, JC'Q w ")47-' .� =Swimming pool,hot tub,spa $75.00 ��C,)d �A�//�'� Yard Pole meter loops $50.00 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 $ 81.00 Up to 200 amp $ 81.00 $ 24.00 Feeder _201-600 189.00 _201-400 amp 101.00 50.00 _0 to 100 $ 81.00 $ 50.00 _601-1000 284.50 _401-600 amp 138.00 68.50 _101-200 101.00 63.50 _over 1000 317.00 _601-800 amp 176.50 94.50 _201-400 189.00 75.00 _#of circuits _Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (1-5 circuits-563.50;Add'n circuits,$5 ea) ALTERED SINGLE/MULTI FAMILY _601-800 284.50 120.50 (When inspected separately from the services.) _801-1000 348.00 145.50 TEMPORARY SERVICE Service or Feeder _Over 1000 379.00 202.50 Residential/Multi-Family/Commercial/Industrial _0 to 200 amp $ 68.50 _Over 600 volts surcharge 63.50 _0-100 $ 50.00 _201-600 amp 101.00 _Mast or meter repair 68.50 _101-200 63.50 _over 600 amp 151.50 _201-400 75.00 _Mast or meter repair 37.50 _401-600 101.00 _#of circuits _over 600 109.00 (1-4 circuits-$50.00;Add'n circuits$5 ea) If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps,a plan review is required.Fee is 35%of . permit fee+$63.50.Add'l plan review for other submissions is$75.00/hr. . JFTXtURE`DESCR1PTION,(A)::m: ',FIXTURE FEE FROM;�TABLE B(B) . NUMBER,OF•UNIfS(C) :;.,.; ',.; ::.:-',;;TOTAL.(D) 1 I <,. TOTAL COLUMN(D):• Total Column(D) Estimated Permit Fee: (12) Estimated Permit Fee from line 12 Estimated Plan Review Fee: $63.50+( 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 (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24) Bulletin#100-February 19, 2002