10-102025 • T wilding - Single himily,.
City of Federal Way
Community Development Services Permit #: 10-102025-00-SF
P.O.Box 9718
Federal Way,wa3-9718 Inspection Request Line: (253) 835-3050
(25
Ph:(253)835-2607 Fax (253)835-2609 Ill Loa
Project Name: BELMOR PARK SPACE 253
Project Address: 2101 S 324TH ST SPACE 253 Parcel Number: 162104 9037
Project Description: NEW-Installation of manufactured home in accordance with manufacturer's installation
requirements.
Owner Applicant Contractor Lender
BELMOR MOBILE HOME PARK BELMOR MOBILE HOME PARK GENERAL CONTRACTING&
2101 S 324TH CT 2101 S 324TH CT MAINTENANCE LLC
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 GENFRCM907CP(2/17/12)
35 APOLLO BLVD
RICHLAND WA 99354
Census Category: 112 - New Manufactured/Factory-Built Home, IN PARK
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
1 !1
,.��'7 � '2•,. ,.., � ✓x,44- ,:: � � � :.k � � � PYA
New/Additional Sq.Feet- 1st Floor 1294 New/Additional Sq.Feet-2nd Floor 0
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
New/Additional Sq.Feet-Deck 0 New/Additional Sq.Feet-Garage 0
New/Additional Sq.Feet-Other 0 New/Additional Sq.Feet-Total 1294
y �sFii� s*la '1tdMismit " � �or
PERMIT EXPIRES Wednesday, November 10, 2010
Permit Issued on Friday, May 14, 2010
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:j 2 / � yGl� � , 4,—i' Date: 3/7/
FINAW b q/2P//O
THIS CARD IS TO AIN ON-SITE
CITY OF Construction°` • Construction In .,ction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 10-102025-00-SF Address: 2101 S 324TH ST SPACE 253
Owner: BELMOR MOBILE HOME PARK FEDERAL WAY, WA 98003
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.
o SWM Precon Site Mtg(4400) ❑ Initial Erosion Control(4365) El Interim Erosion Control(4370)
Approved To be done prior to breaking ground Approved
By Date By Date By Date
❑ Blocking/Tie Downs(4015) ❑ Final Erosion Control(4375) 0 Skirting/Final(4250)
Approved ApprovedApproved
By fc G,1 Date 9 3//4)
/4) By Date By 07 / Date 0,1,
Rough Electrical Final Electrical Right of Way
I=1Approved 111Final
❑ Approved
By Date By Date By Date
O - z_ o a e dam- S'
`-,..:_` '! PERMIT
Federal Way F CO ME PL DE EN FP
COW!,7,TrDEVEW ENT 3\IED APPLICATION
2.53-83.5-26$17•FAX 2
;ru ui::ilt:c;e7sr s; r e:s 11
SITE ADDRESS ^At “
fOeM` SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# grolD
$ / (, / a 441 - 90 37
TYPE OF PERMIT „12-16.ILDING ElPLUMBING CIMECHANICAL 41)0
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
A , 2-"(-) r3U/0 ' d- U /J -fl -- ..
PROJECT DESCRIPTION �� i � ,
Detailed description of work to de )( j f p�,qf/e)/ ' 3* � j -
be included on this permit only et 58 i— eh�`� /1 t r,�.i 9 C/d.3
PROPERTY OWNER NA/ 'i+ r, , /7/046' PRIMARY PHONE r4"
MAILING ADDRESSE-MAIL
..;•. /.0,1
/a/ ; '-'37,1"4"."71A #Tea"
cI i- .;/_,t941 / sze7, Z�i/,1�`".�
NAME
'' _ ;1,; . ; a'll`e, Lam..P77°-3 - 6q J
MAILING ADDRES f/ ? E-MAIL
CONTRACTOR 3 J -PO1 r i) 1 I d
cI
d i Aet =� Zen Q P5"5q-g75 (- 569
WA STATE COIIITRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
C�2 ,' i r' C i',', ' 1- Of' :_ // / /
NAME //' PHONE
' 1 // / / • ,. .0 ^'S`.. 0 V
MAILING ADDRESS
APPLICANT w5 f C // tri .?Z// r� E-MAIL
CITY, -- ".'p (� '
STATE ZIP f .f2114.41.
��
PROJECT CONTACT NADAV PHONE
(The individual to receive and ` � . ""''� ' y rf✓ F/ .J 3 (F3Cr"" t.) --/' 7
respond to all correspondence MAILING ADDRESS /
_
concerning this application) '!`C_. � :''.e I � L ' r• .2ebfoic:/
Cp W . Z7 3 55-?-e,.3 '', e As----
A7/1.714TE CONTACT Ni PHONE E-MAIL
PROJECT FINANCING NAME
J ,0' OWNER-FINANCED
Required value of$5,000 or more !V 1
(RCW 19.27.095) MAILING DRESS,CITY,STATE,ZIP PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, 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, 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,
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 city as apart of th' application.
r
SIGNATURE: / ', �C DATE v
0 AWIPIIP PI
PRINT NAME: NJ, / S IQ'J"j1
Bulletin#100—April 14,2010 Page 1 ora k:AHandouts\Permit Application
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VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercul)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
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Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(orThb/shower combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERSRAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS)xitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES
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CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
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AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE l T
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FIRST FLOOR(or Mobile Home) �< ' j.
COVERED ENTRY
f
GARAGE 0 CARPORT 0 _____________________
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.. ..................................................................................................::::EXISTING PROPOSED TOTAL ..
Area Totals
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ESTIMATED SELLING PRICE$ # OF BEDROOMS
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Construction
#of
AREA DESCRIPTION
Area Occupancy Group(s) Additional Information
In Square Feet TypeStories:-i:•::•:;
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ADDITION
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Construction #of Additional Information
AREA DESCRIPTION Area Occupancy Group(s)
In Square Feet Type Stories
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TENANT AREA ONLY
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Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application