03-100623 City of Federal Way
Community Development Services Electrical Permit #:03 - 100623 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253 661 4000 Fax 253.661.4129Inspection request line: 253.835.3050
Project Name: BELMOR MOBILE HOME PAR SPACES 298&299 - -
Project Address: 2101 S 324TH Si" Parcel Number: 162104 9037
Project Description: Replace meter pedestal for mobile homes,SPACES 298&299
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
:om
Service or Feeder-Manu./M.H.Park 2
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.
Owner or agent: see Application Date: ��1(°3
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RMIT APPLICATION , ,,
uV �iL EB APPLICATION NUMBER: - LQ� _ t�
APPLICATION NUMBER:
CITY OF FEDERAL WAY _ APPLICATION NUMBER: -
**The
DEPT — — — — — ._ — — ,
• e ollowing is required information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
j'■ PROPERTY INFORMATION
SITE ADDRESS: D40 1 S 39 i " ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
` - ' ■ PROJECT INFORMATION . .
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
X ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): a p Let G-2 r77-..e..-14-,e-r-- L -G
v-- 4 rv6
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PROJECT NAME: T3.<1ryf�)`- 1:::"Av,ie ,
■ PEOPLE INFORMATION -
PROPERTY OWNER: NAME: DAYTIME PHONE:
►�`�frI1 r. t w 4 (a53) _
MAIUNGADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
F-e�
a-1 O( S t 3 aY 11 rte- FDo3
CONTRACTOR:
NAME: DAYTIME PHONE:
lLCA -eco` (?)S,
S -7333
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EVENING PHONE:
(
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER::
20 - .1018 2 - c? a 7s. -7G907
CONTRACTOR'S REGISTRATION NUMBER: s EXPIRATION DATE:
(copy of required) 5 a 6E P N- C-. 5-5-.6X §> 07 131 103
APPUCANT: NAME: DAYTIME PHONE:
MAIUNG 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 APPUCANT 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: 0 LAKEIIAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEV( •
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:
,....:..._ ._ .. ,_;• ....>.. �>. y .� :./.FIXTURES t� :, ,<,E.... r ,..�.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 claim),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.
NAME/TITLE: i _ i - _ r / DATE: , — 11 " 0-3
❑ PROPERTY OWNER 0 /PPLICANT 0 CONTRACTOR
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ODMMUNTTY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtyoffedcralway.com
A
• ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _#of Thermostats(First-$43.00;add'n-S 13.00ca)
(First 1300 ft1-$85.50;Each add'n 500 112-$27.50) _Service and feeder $93.00 N of Low voltage fire or burglar alarms
Square Feet: First 2500 ft'-$50.00:Each add'n 2500 f1'-$13.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) �.M of service or feeders 'Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $57.00 (First service/feeder-557.00;Add'n service/ _II of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-$37 each) - $20.00 each)
Swimming pool,hot tub,spa $85.50
p �,r1 Yard Pole meter loops $57.00
IfJ 11,
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units of more) Altered Service or Feeders
Service Feeder Amps Service or Add'n 0 to 200 5 93.100
it _Up to 200 amp $ 93.00 5 27.50 Feeder 201 -600 . 216.50
201 -400 amp 115.50 57.00 _0 to 100 5 93.00 5 57.00 601 -1000 326.50
-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 #of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.06 (I-5 circuits-572.50:Add'n circuits,$6 ear
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 I 15.50
-
#of circuits _over 600 125.00
(1-4 circuits-$57.00;Add'n circuits$6 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+572.50.Add'I plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
I �
`
I �
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) 11
SBCC Surcharge: (19) (21) (23) •
TotaI (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-December 23, 2002