03-100618 City of Federal Way
Community Development Services Electrical Permit #:03 - 100618 - 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 162, 163, 168 =-
Project Address: 2101 S 324TH $t Parcel Number: 162104 9037
Project Description: Replace meter pedestal for mobile homes,SPACES 162, 163,168
Owner Applicant Contractor
BELMOR HOLDINGS LTD SHEPPARD&NELSON ELECTRIC SHEPPARD&NELSON ELECTRIC
1571 BELLEVUE AVE W SUITE 210 PO BOX 3630 PO BOX 3630
VANCOUVER CN KENT WA 98032-0210 KENT WA 98032-0210
(206)878-7333
Electrical Fixtures
IA! 71;11AN
Service or Feeder-Manu./M.H.Park 3
PERMIT EXPIRES August 10,2003.
Permit issued on February 11,2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way. See or agent: See Application Date: '�-(tt( 03
d 3 F 1NAL (17(4,--,v s22 —
1 / 4 3
•
J )EFJEFfl_
RECEIVED CONSTRUCTION PE MIT APP ICION '+
APPLICATION NUMBER:
FEB 1 1211113 APPLICATION NUMBER:
APPLICATION NUMBER: _ _ - _
C'*YFI fi Y - - - - - - -
red information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
• (� �■ PROPERTY INFORMATION
SITE ADDRESS: C� 1 5 39. 6 `y
--./() ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
: : ■ PROTECT INFORMATION . .
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 2.e.p Let •,e_ /•77- _$
rr- Ate)btie t wL..e 475,ac.-r t 4° i! ?� 16
PROJECT NAME: 73.<1 /126 V- at"Ce
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
c vk w lL ca5)
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
';-/0( S, 3 aY ? 1.e ,tom 5'7-003
CONTRACTOR: NAME: �/�j�,, `, DAYTIME
PHONE:
MAILING cSTREE`1 R s cJ'Y -ems 1`. (?c )8,S -7333
EVENING PHONE:
CITY Of FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX
NUMBER:
2Q - 1018I6 - Qcac)61E32,E3 -7c902
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of cam required) a .t E .,e zy 6-5.5-.6 - 9 07 /3 / / 63
APPLICANT: NAME:
DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): (EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE):
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT ACONTRACTOR
■ 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:0 YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
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!
_. - ....,.. . r,r.�r,M ,., , .. ■.FIXTURES :.,�....... . ._.,,... .... ..:3.,;.I.:...., ,.. .}_..r, :;:,,
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,including 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 s • - ied to the city as a •art of this application.
NAME/TITLE: i . _ ..r — — - " DATE: I 1 —0 3
❑ PROPERTY OWNER 0 "PPLICANT 0 CONTRACTOR
.:•.R °F)~ICEI SEC.NL...4
'_i Y i 1 e € DA� RII :1 ;i y 11T' YL-MiNg wiPagA ';
• � tea.
1 LOA
71]313-3Z 37.ERIE
� .�.
r 'K x r"as. TMt
�_i TTEO OJ'? ; $ I® O, eP katirMi 01 s
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffederalway.com
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _ft of Thermostats(First-$43.00;add'n-$13.00ca)
(First 1300 ft2-$85.50;Each add'n 500 1t -$27.50) _Service and feeder $93.00 _ft of Low voltage fire or burglar alarms
Square Feet: First 2500(1'450.00;Each add'n 2500(L'-$13.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) 3 ft of service or feeders 'Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $57.00 (First service/feeder-$57.00;Add'n service/ _ft of Signs(First sign-543.00;add'n sign
(Inspected separately) feeder-537 each) - $20.00 each)
Swimming pool,hot tub,spa $85.50
Yard Pole meter loops $57.00
NEW MULTI-FAMILY COMMERCIAL/tNDUSTRIAI COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n _0 to 200 $ 93.00
_Up to 200 amp $ 93.00 $ 27.50 Feeder _201 -600 216.50
_201 -401)amp 115.50 57.00 _0 to 100 5 93.00 5, 57.00 _601 - 1000 326.50 !I
_401 600 amp 158.50 78.50 _101 -200 115.50 72.50 _over 1000 363.00
_601 -800 amp 202.50 108.50 _201 -400 216.50 85.50 _ft of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 (I-5 circuits-$72.50:Add'n circuits,$6 eat
ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 138.00
(When inspected separately from the services.) _801 -1000 399.00 166.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial
_0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _0-100 $ 57.00
_201 -600 amp 115.50 _Mast or meter repair 78.50 _101 -200 72.50
_over 600 amp 174.00 _201 -400 85.50
_Mast or meter repair 43.00 _401 -600 115.50
-n of circuits -over 600 125.00
(1-4 circuits-$57.00;Add'n circuits$6 ea)
I
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+572.50.Add'!plan review for other submissions is$85.50/hr.
Y
FIXTURE DESCRIPTION A I • •0 A: : US ' 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: $72.50+( 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-December 23, 2002