03-100409 City of Federal Way Electrical Permit #:03 - 100409 - 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 3& 4 =
Project Address: 2101 S 324TH rjt Parcel Number: 162104 9037
Project Description: Replace meter pedestal for mobile home,SPACES 3&4
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
Utz t '.. =
Service or Feeder-Manu./M.H.Park 2
PERMIT EXPIRES July 29,2003,IF NO WORK IS STARTED.
Permit issued on January 30,2003
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. See Application 2
Owner or agent: ►J 1 Date: �J .5
2 —D3 F11�
t fer �+: iRECEIVED
• , : CONSTRUCTION PERMIT APPLICATION
` x 7 � AN 2 7003 PPLICATION NUMBER:44
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�` ' 'x'It s ' �, .PPLICATION NUMBER:
`:�` `As d �' : CITY OF FEDERAL WAX.._'.
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• k'a BUILDING DEPT.' . ,.' ;PPLICATION NUMBER ,.- — - _ _ _
•
� a4.r , **The following is required Information Please print(in ink)or type**
N` • #,� ' Please note: Electrical,Fire Prevention Systems dnd engineering permits may require a separate application.
1
-.),.1444,P. ■ PROPERTY INFORMATION
g r f ^ SITE A DRESS: ''^^ S 3(9-1 + e'< `
s4rV , ASSESSOR'S TAX/PARCEL#:
1 rtt'�LEGAL:DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
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, ?; ■ PROJECT INFORMATION .
1,4';''''',:, TYPE OF PROJECT(This application): , PLUM
, pplitation : 0BUILDING • � PLUMBING ❑ MECHANICAL ❑ DEMOLITION
t ~ X ELECTRICALS � ENGINEERING❑ FIRE PREVENTION SYSTEM
PRO3eC1'bESCRIPTION(Provide detailed description). ���- c ! ,d, �V--
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,#'' ' o PROJECT NAME t'_"47..� o I, �ast CL. ,
N PEOPLE INFORMATION
"4' •
'R PROPERTY OWNER: NAME: 5e4 :::_liiii,Llai,aDAYTIME PHONE:
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t sl ; J LING ADDRESS STREET ADD ,CITY ATE.ZIP) .
" � 3 aY ry" , Y,e� - 577.003
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CONTRACTOR: �E: DAYTIME PHONE:
h, "� T- -c Z sc ;, `-ec. ( -7333
i4 .. )SSS -
e t °' � INET ADDRESS)CITY STATE.LIP),1 „sal... r EVENING PHONE:
:,--, { 1?I . s; a CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: .i;4,4111'1g c { FAX NUMB:
$ r •,4� nom. ,t� � ���?' C Q a (o�6aS,8 -? 2
' cONTRACTDRs REGISTRATION NUMBER: I' s w < t .+-
<�, t 3 <.^ EXPIRATI07ON DATE:
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*APPLICANT: NAME:
)DAYTIME PHONE:
"a:;$ d'. .• �' MAILING ADDRESS(STREET ADDRESS;CITY STATE.ZIP): 4.., EVENING PHONE:
RELATIONSHIP TO PROJECT:
FAX NUMBER
0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): (
EMAIL ADDRESS:
1,..'''",,,'CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER ,4❑APPLICANT )CONTRACTOR
:i.' ■ DETAILED BUILDING INFORMATION
r ° 0.+T1 tk Yrot tR '� ';s , t L� P � Mr }yynt`: - ( *J•-A,A0-as8 •
EXISTING USE: 74; =EXISTING B ILb NG ESSED/APPRAISED VALUATION $
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PROPoseo usE� , � t
E : '' PROPOsEb, ALUA1'ION FOR IMPROVEMENTS:
S• PRINKLERED BUILDING? r _ 0 YES ❑,,NO i a,. FIR fU�PRESSIONSYSTEM PROPOSED/REQUIRED:0 YES 0 NO
' WATER'SERVICE :- � .
PROVIDER: C1 LAKEHAVEN 0 HIGHLINE ❑TACOMA 0 PRIVATE(WELL)
•
S• EWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 1,. ,0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF.BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO3ECT 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) 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) SHOWERS) 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 • - ied to the dty as a •art of this application. g
NAME/TITLE: Ado. � .i_ �� DATE: a S ^ 03
❑ PROPERTY OWNER 0 (PPLICANT 0 CONTRACTOR
i OR;OFJICE USEIONLY'
F CY Ci,YM!•'. .CI k .i SC k
1 , rd ` f D • • i• DiAL'TERATI d� ._1 �c� PgOVEMENTr
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[['�•1 \C •,�e7J, n�.1P��.t. .� .;#$,...z I �} �� �',E1:�. '.T et-,f•�,°.°F+• "� i r O,y $ e'`�ga�.r.�*�
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1•TTED. OT?. :.' VeS:k ti VO rima ' n".i,a 'O"Y,i=5 t i ! 4 '.t� �at
COMMUNITY DEVELOPMENT SERVICES..33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063.9718•253-661-4000•FAX:253-661-4129
www.dtvoffederalway.00m
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■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50.00 _#of Thermostats(First-$37.50;add'n-$l 1.50ea)
(First 1300 ft2-$75.00;Each add'n 500 ft2-$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-$37.50;add'n sign
(Inspected separately) feeder-$32 each) $17.50 each)
_Swimming pool,hot tub,spa $75.00
8a _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 _ (1
201-400 189.00 75.00 _#of circuits
Over 800 amp 252.50 189.00 _401-600 220.50 88.50 -5 circuits-$63.50;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.
,FIXTURE FEE FROM ,:TABLE B(B) ,. .a;NUMBER:OP UNITS(C) .' ;; ;TOTAL(D); .,.' .., . g
FIXTURE;DESCRIPTION(A)..._., , ,`,
rTOTAL COLUMN(D):
Total Column(0)
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
4.
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