07-105900a
City of Federal Way
Cogimunity Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Mechanical Permit #: 07 -105900.00 -ME
q
--+ Inspection Request Line: (253) 835050
Project Name: BELMOR GOLF CLUB & MOBILE HOME PARK - BUILDING
Project Address: 2101 S 324TH Parcel
Project Description: Install (2) 2-1/2 ton A/C units in accordance with 07 -102231 -UP (Ap
behind Space #11).
Owner Applicant Co acto
BELMOR MOBILE HOME PARK PRECISION AIR SERVICES INC P SERVI C
2101 S 324TH CT 17319 SE 264TH ST P 992LH (11/1
FEDERAL WAY WA 98003 COVINGTON WA 98042 1 SE 264T
CO ON
Addition
will
Over
................ .....Yes
9037
lu October 4
a , OWoo
cn the above des�ed property, and
Oth thea rulations of the State of Washington
City of F I Y.
," Date: - t D 1
s ATHIS CARD IS TO REMAIN ON-SITECITY OF Community Development Inspection Record.
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -105900 -00 -ME
Owner: BELMOR MOBILE HOME PARK
Address: 2101 S 324TH
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved Approved to release test Approved
By Date Y �K -a t By Date By Cq.0 Date 2-1
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
of TQFA .
-3��
F-14P
C0MW rm ofM0Pe�xl,&WVj R PERMIT SF MF O VE E PL DE EN PP
J99?SfWWWA ,Wmi•FOBox9701 CT APPLI CATI O N
FBDBRAL WAY, WA 9•069.97/A 2.4 2
25U35 -2607 -,FAX 2S3 -83S-260
e oilo is F FEDERALWAY
Th
f udn9 �L�iXA I� an incomplete application will not be acre Please print.k8ibiy (in ink) or type.
SITE ADDRESS i2(L 1 S SUITE/uNIT #
ASSESSOR'S TAX/PARCEL # LOT SIZE (so
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
fmwh sw— pwf- hNfhy had dnawwq .
PROJECT•• •
TYPE OF PERMIT o BUILDING O PLUMBING $MECHANICAL
0 DEMOLITION o ELECTRICAL O ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide deta fled description of work included on this permit onlu)
:. 1 � � •1c�v�
PROJECT- NAME (Name offt or Owner Last Name)
PEOPLE• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
,DRESS
PRIMARY PHONE
OFFICE PHONE
MAILING ADDRESS
MAILING Ab
Crl Y, STATE, ZIP
MAIL A DRESS
Lt� �•
o Architect o Tenant o Agent o Other
( _
COMPANY NAME
A PLICANT NAME
OFFICE PHONE
MAILING ADDRESS
PTY, STAT ZIP
CELL PHONE
MAILING ADDRESS
Lt� �•
o Architect o Tenant o Agent o Other
( _
CITY OF FE RAL WA�SINZSSU MBER
EX RATION DA E
FAX NUMBER
_
CONTRACTOR'S REGISTRATION ND R
T N DATE
8 -MAIL ADDRESS
<�� 1
CO ?ANY S
AFFLICAIWLKAME
nc� r
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
o Architect o Tenant o Agent o Other
( _
NAME PRIMARY PHONE E-MAILADDRESS
3r - 9&(.
NAME
Per RCW 19.27.095:
Lender b1formation is required ijproject value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED/APPRAISED VALUE
SPRINKLERED BUILDING? o YES NO FIRE SUPPI
WATER SERVICE PROVIDER AKEHAVEN o HIGHLINE
SEWER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE
USE
VALUE OF PROPOSED WORK $
PROPOSED/REQUIRED? o YES O NO
o TACOMA --M-�ATE (WELL)
0 PRIVATE (SEPTIC)
PROJECT •••
AREA DESCRIPTION
BASEMENT
AREAS
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SO. FT.
FIRST
WATER HEATERS -_ M13C (Describe)
BOILERS
FIREPLACE INSERTS
SECOND
COMPRESSORS
FURNACES
RANGES
THIRD .
GAS LOG SETS
REFRIG. SYSTEMS*
o YES o NO
ADDITIONAL FLOORS (DESCRIBE)
o YES
o NO
PLATTED LOT?
DECK (O COVERED OR D UNCOVERED?)
DEMO PERMIT REQUIRED?
o YES
o NO.
GARAGE -0 CARPORT O
NUMBER OF FLOORS
mO
•sO=D
rO7"r
rorecsmrnwar
rorecrsarossosr
roamer
**NEWHOMES ONLY".. NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to
cu vvwh �g
Value of Mechanical Work $. .12 yt9t� (A COPY O ID OR
as pM %F"roject. Do not inaNde existing fixtures to remain.
INCLUDED WITHAPPLICATIONJ
AIR HANDLING UNITS
EVAPORATIVE COOLERS
OAS PIPE OUTLETS WOODSTOVES
BBQS
FANSGAS
WATER HEATERS -_ M13C (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (co--rci q
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS*
BATHTUBS (wTub/shwwComea( LAVS pght emswc.( URINALS MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS (ros.q
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
! certify under penalty of perjury that I am the property owner or authorised agent of the property owner. J cert(& that to the best of my
knowledge, the irrormation submitted in support of this permit application is true and correct. 1 cartj& that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorised by the issuance q f a permit. I understand that the Issuance of this permit
does not remove the ounees responsibility for compliance with loca>, state, or federal laws regulating construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, &Von*", 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, but only
where suchclaim arises out of the reliance of the city, including its officers and employees, upon -the accuracy of the information supplied to
the city as apart of this application. �1
SIGNATURE:
o NEW o ADDITION
a ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES, o NO
BASIC PLAN?
a YES
o NO
ZONING DESIGNATION
CHANIGE OF USE?
a YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP/SEPA/SU?
o YES
o NO
PLATTED LOT?
o YES a NO
DEMO PERMIT REQUIRED?
o YES
o NO.
Bulletin #100 _ August 16, 2007 Page 2 of 4 . 1dHandouts\Permit Application