02-100242 • • MER/PL
City of Federal Way
Community Development Services Building - Commercial Permit #:02 - 100242 - 00 - CO
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
Project Address: 2101 S 324TH ST Parcel Number: 162104 9037
Project Description: PL/MECH-Plumbing for swimming pool and spa equipment
Owner Applicant Contractor Lender
STEPHEN HYNES BELMOR MOBILE HOME PARK HYDRO TEK STEPHEN HYNES
1571 BELLEVUE AVE#210 2101 S 324TH ST HYDROT*021 LO 6/4/02 1571 BELLEVUE AVE#210
W.VANCOUVER BC V7V 1A6 FEDERAL WAY WA 98003 1950 S 299TH PL W.VANCOUVER BC V7V 1A6
FEDERAL WAY WA 98003
Includes:
Census category: 434-Reside #1 #2 #3 #4
Occupancy Group: _
Construction Type:
Occupancy Load:
Floor Area(Sq.Ft.): 4______
Census Category 434-Residential alt/add-no. Mechanical Yes
Number of Stories 1 Permit for Building Shell Only No
Plumbing Yes
Plumbing Fixtures
L Description Quantity Description —'Quantity , DesOption Quantity
LGas Pipe Outlets 4 Sumps2 Water Heaters 2
Mechanical Fixtures
Description Quantity Description -Quantity Description Quantity
Fans _ 1
PERMIT EXPIRES July 16,2002,IF NO WORK IS STARTED.
Permit issued on January 17,2002
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: i57 i 1_ Date: _ _
7-4--- --
D I u t.vl • F,. v� G.- t 0 Cc. -7 - Z - c Z G 0...jt 5
• • itekt/p±
dFnErz _ CONST C;I ION PERMIT APPLICATION
Ay APPLICATION NUMBER: 0 2,- 1 Q 0, 2.C 0-0
APPLICATION NUMBER: -
APPLICATION NUMBER: - __
**The following is required information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application,
_ a PROPERTY INFORMATION - ,
SITE ADDRESS: Q10 I S . DV-Y.- ST- ASSESSOR'S TAX/PARCEL #: / lQ Z L D i — I 0 3 7
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
. '' . A'-':-..,■:PROTECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING PLUMBING SMECHANICAL ❑ DEMOLITION
❑ ELECTRICAL I LI ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): �„ - I fir , ,.A.
-5r.4
,z471.hrHall.--
PROJECT NAME: lel.mTObie i owte �xt(
11 `PEOPLE INFORMATION' _ - -
PROPERTY OWNER: NAME: DAYTIME PHONE:
3w�or µnode Rowe_ Paik ( )5-3) 5-3 - 517
MAILING ADDRESS(STREET ADDRESS;QTY,STATE,ZIP):
11O 1 S 3,q �-�l St
CONTRACTOR: NAME:
/1 DAYTIME PHONE:
L r (Za, f)u1 -7z�7.r-�
MAILING
DDS (STREETDRESS; ,STATA /
9/ EVENING PHONE:
1 r14.1
QTY OF FE ERALWA BUSINESS LI�SE MBER: • re- Pr-P-AL 4� ` F
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
ODIN of card required) / /
APPLICANT: NAME- 17AZ-2 l 47 DAYTIME PHONE:
I /��� 1 i
MAILI G ADDRESS(STREET AD RES ;QTY �1pT-E ZIP): EVE�HONE:
I RELA NSHIP TO PROJECT: 1 I FAX NUMBER:
ARCHITECT ❑ TENA T ❑ OTHER(DESCRIBE): -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER , APPLICANT ❑ CONTRACTOR
;.DETAILED BUILDING INFORMATION _
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ Z1f --
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
*ANEW RESIDENTIAL CONSTRUCTION Oar. -**
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:
: I :FIXTURES
Indicate n ber of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) 1FAN(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: ❑ ELECTRIC )GAS
PLUMBING
BATHTUB(S) _ LAVATORY(S) URINAL(S) Z. WATE HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S)
CI ,"GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET L
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
1:1:=OISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury th.1,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 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 of
Federal Way,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 a part of this application.
NAME/TITLE: Mr.. • !I rt 2-a f 4 011V- V 7 4)
❑ PROPERTY OWNER P.! APPLIC• T ❑ CONTRAf OR
FOR OFFICE USE ONLY:
NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR - El TENANT IMPROVEMENT
CENSUS CODE: °, LOT SIZE:
ZONING'DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES IA NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES IA NO
PLATTED'LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO E30X 9718•FEDERAL WAY,WA 98063 9718-253 661-4000•FAX 2S3-666111129