02-105604 City ofFederal Way Electrical Permit #:02 - 105604 - 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 MOBILE HOME PARK SPACES 186& 187
Project Address: 2101 S 324TH Parcel Number: 162104 9037
Project Description: Replace meter pedestal for mobile homes,SPACES 186& 187
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
F I fitir . :ate 1 .0 Own*
Service or Feeder-Manu./M.H.Parka 2
PERMIT EXPIRES June 15,2003,IF NO WORK IS STARTED.
Permit issued on December 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: See Application Date: iz((l(a2
pp tiun
Ditch cover inspection:
Date
Rough-in inspection:
Date
Service inspection:
Date
FINAL inspection: ytli A,P — eS'D3
Date
r
C.;°' RECEIVED CONSTRUC I ION PERMIT APPLICATION
ns' APPLICATION NUMBER: as- 10 6.10g4, let-
uv �' DEC 17 2002
APPLICATION NUMBER: -
CITY OF FEDERAL WAY APPLICATION NUMBER: - -
BUII DING DEPT.
** he ollowing Is required information-Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.=
Zo. : : . •;:1:`PROPERTY INFORMATION - -. ..
SITE ADDRESS: 2/ O I .;00".7)-)._ 3-241}i 57 ASSESSOR'S TAX/PARCEL #: .& 2. 412_ y - 0 . 2
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
'; • ■ PROTECT INFORMATION - ,
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING Cl MECHANICAL ❑ DEMOLITION
Ul ELECTRICAL ❑ ENGINEfERING❑ FIRE PREEVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): (J/� 'A/-c� e ,gl e c .) j C4 G. .5�A isicto s
47 20 AlekAy he,", ie ,5 ) 4or.5 ,
qc _ • — S
26,57} .- 210515 J 2 'J-8- 2y9, 2-.6.?)-- 2.. I I 2-s(- a,5-' _, Z'7/- 2.).5%,
PROJECT NAME: Ole c-tial'L _.6e4 t't e'e U 4. 7 de s
-■ PEOPLE INFORMATION-
PROPERTY OWNER: NAME: DAYTIME PHONE:
13e/A,y x) liold,,,c s L.T-1J ( ) -
MAILING ADDR 5S(STREET ADDRESS;CITY,STATE, P):
1,5-71 B‘ellevve 4,, , w,1 St.,/Tr 2-141 1)Aiveoc,v la.e1 Gil
CONTRACTOR: NAME:
1/., "�A ��// /lI/A /1 DAYYT,I�M/E PHONE: J� Z
MS 1GA ( iM-e CX Ale �(/n/ ,E G tit/C-- ( a. ) CJ 2e, - /1 .L3
ITY ODrpR/ (STREET ADDRESS; �E,ZIP):�� ��7 1 �D�� (/1EVENI )4� )4-2
C OF FEDERAL WAY BUSINES LICENSE NUMBEIJ 1 FAX NUMBER:
- - (204 ) gv - M7
CONTRACTOR'S REGISTRATION NUMBER: t /� EXPIRATION DATE:
(copy of card required) 4 tfe E J ,�E -L5 4 a / /
APPLICANT: NAME: DAYTIME PHONE: .
Sif-Aq,e As 4 bav ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) - f j
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT cit CONTRACTOR I
._ _ "1"DETAILED BUILDING INFORMATION . _ - . . _ -
EXISTING USE: /Abil a'/te v,b EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? El YES El NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:El YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: El LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
r
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
- ::.-V. "- ;w4 . .. =PROTECT FLOOR AREAS .. . .:
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
1...:!..:._ - ° '7•:;,-...-:'<--1•.'..:: .,-i - '.a.:FDCTURES - _ . .
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: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ 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)
'-i',-;-.1-----:,="7. . ..I -a--I;-Y:::-.2-.:7'.4-:•1-::.-1-1:-DISCLAIMER/SIGNATURE BLOCK . . -- -:_._ • 1•:.:::.-_-!---.. •-••,-•-.---';--1- _-
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 employees,upon the accuracy
of the information supplied to the ity as a part of this application.
�Q ,D 9
p1AME/TITLE: DATE: f 2- - 17 n 2-
0
❑ PROPERTY OWNER ❑ APPLICANT 01 CONTRACTOR
FOR OFFICE USE ONLY:
0 NEW ❑ ADDITION 0 ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
_CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES 0 NO
COMP PLAN DESIGNATION BASIC PLAN? 0 YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES 0 NO
PLATTED LOT? ❑ YES ❑ NO _ CHANGE OF USE? ❑ YES ❑ NO
___. �.... .... ........,.e ----.... ,...v u.• none,nIIQ-1G1 CC, Annn.CAV.,C,cni_e170
h
• • • ELECTRICAL • •
TABLE B
•
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or fcedcr only $44.25 _H of Thermostats(First-$33.50;add'n-S I0.50ca)
(First 1300 fr-567.00;Each add'n 500 ft'
-$21.50) _Service and fcedcr $72.25 _H of Low voltage fire or burglar alarms
Square Feet: First 2500 112438.75;Each add'n 2500 ft'-510.50
_Each outhuildingorgarage $28.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with scrvicc) 20 H of service or feeders `Pcr WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $44.25 (First scrvicc/fcedcr-$44.25;Add'n service/ _P of Signs(First sign-$33.50;add'n sign
(Inspected separately) fccdcr-$28 each) $16.00 each) ..
_Progress inspection per'/z hr $33.50
_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 $72.25
_Up to 200 amp $72.25 S 21.50 Feeder _201-600 169.00
_201-400 amp 89.75 44.25 _0 to 100 $72.25 $44.25 _601-1000 254.50
_401-600 amp 123.25 61.50 _101-200 89.75 56.25 _over 1000 282.75
_601-800 amp 158.00 84.25 _201-400 169.00 67.00 _Hof circuits
_Ovcr 800 amp 225.25 169.00 _401-600 197.00 78.75 (1-5 circuits-$56.25;Add'n circuits.$5 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 $38.75
_0 to 200 amp $61.50 _Over 600 volts surcharge 56.25 _61-100 44.25
_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
-H of circuits _over 600 97.75
(1-4 circuits-$44.25;Add'n circuits$5 ea)
- If service is greater than 200 amp,a plan review is rcq'd.Fee is 35%of permit fee+556.25.Add'I plan review for other submissions is$67.00/hr.
FIXTURE DESCRIPTIONSA) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
-
TOTAL COLUMN(D):
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 : •
II
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-January 3,2001