04-103446 • Q
[City
cotes unity Development Services Of Federal Way Building - Single Family Permit #: 04 - 103446 - 01 - SF
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
•
Project Name: CANTRELL
Project Address: 2101 S 324TH ST Space34 Parcel Number: 162104 9037
Project Description: NEW-Install 1,855 sqft manufactured home w/a 40 sqft egress deck on the east side,a 24 sqft egress
deck on the west side. Does not include garage. REVISION:Add to the egress deck on the west side of
the home and construct a new 372 sqft deck to the
Owner Applicant Contractor Lender
BELMOR MOBILE HOME PARK MODERN LIVING LTD*TOM FULI' MODERN LIVING LTD*TOM FUL13 NONE
2101 S 324TH ST 6119 PACIFIC HWY E MODERLL972DO(3/20/05)
FEDERAL WAY WA 98003 FIFE WA 98424 6119 PACIFIC HWY E
FIFE WA 98424 NONE
Includes:
Census category: 112-New tr #1 #2 #3 #4
Occupancy Group: R-3
i Construction Type:
Occupancy Load: , F
LF1oor Area(Sq.Ft.): —F
1st Floor Proposed Sq.Feet 1855 Census Category 112-New manufactured/fact(
Deck Proposed Sq.Feet 436 Occupancy Group#1 R-3
Total Proposed Sq.Feet 1855
PERMIT EXPIRES June 19,2005.
Permit issued on December 21,2004
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 accord. ce with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner 6, agent:, 1 AO, ; .� _ Date: /�-
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.3 of the Uniform Building Code certifying that at
the time of issuance,this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: CANTRELL Permit number: 04- 103446-01
Address: 2101 S 324TH Space34
#1 #2 #3 #4
Occupancy Group: R-3 L
Construction Type:
Occupancy Load:
Floor Area(Sq.Ft.): H ,
Owner BELMOR MOBILE HOME PARK
Name: 2101 S 324TH ST
Address: FEDERAL WAY WA 98003
1 It
1 MK. Ykaa" , CBD cA 4__kij_____IL
iOr
Building Official e
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severely
affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible(within budgetary time
and personnel limitations),the City neither guarantees nor warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance
with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which it is
situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
r - • � .. S'
City Federal
'op
Community
u y Development Services Building - Single Family Permit #:04 - 103446 00 - SF
35530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: CANTRELL-BELMOR MH PARK,SPACE 34
Project Address: 2101 S 324TH ST Space34 Parcel Number: 162104 9037
Project Description: Install 1,855 square foot manufactured home w/a 40 square foot deck and a 24 square foot deck. Does
not include garage.
Owner Applicant Contractor Lender
BELMOR MOBILE HOME PARK MODERN LIVING LTD*TOM FULk MODERN LIVING LTD*TOM FULk NONE
2101 S 324TH ST 6119 PACIFIC HWY E MODERLL972DO(3/20/05)
FEDERAL WAY WA 98003 FIFE WA 98424 6119 PACIFIC HWY E
FIFE WA 98424 NONE
Includes:
Census category: 112-New rr #1 H #2 c J1-- #3 i #4
I Occupancy Group R-3
[-Construction Type:
Occupancy LoadH — - Jl —
j Floor Area(Sq Ft)
1st Floor Proposed Sq.Feet 1855 Census Category 112-New manufactured/fact(
Deck Proposed Sq.Feet 64 Occupancy Group#1 R-3
Total Proposed Sq.Feet 1855
PERMIT EXPIRES March 13,2005.
Permit issued on September 14,2004
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 accordanc:with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner o agetr` 4 ` r Date: 710 V
THIS CARD IS TO REMAIN (IN-SITE
ACITY OF 4 !Iommunity Developm nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835--3050
PERMIT #: 04-103446-00-SF
Owner: BELMOR MOBILE HOME PARK
Address: 2101 S 324TH ST Space 34
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.
0 Temp.Erosion Control (4365) ❑ Final- SWM (4375) 0 Skirting/Final(4250)
To be done prior to breaking ground Approved Approved
By Date By Date By Date
THIS CARD IS TO .MAIN ON-SITE •
-- ommunityDevelonm nt Inspection Record
CITY OF r
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103446-01-SF
Owner: BELMOR MOBILE HOME PARK
Address: 2101 S 324TH ST Space 34
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.
❑ Temp.Erosion Control(4365) ❑ Final-SWM (4375) Skirting/Final(4250)
To be done prior to breaking ground Approved Approved
By Date By Date By Date Li( 4o(Q
Federal Way 1ECE1V - _z_. -Q - c (/ 7
COMMUNITY DEVELOPMENT SERVICES !PERM SF FCO ME EL PL DE EN FP
33325 FEDERAL
UE AY,WA i•PO 98063 9718
APPLICATIONzoos
FEDERAL WAY,FAX
98063-260 0 D / /
253 835-2607.607•FAX 2wati c-2609 1
wont,dtgotj"ederahuay.rom I
Orr(nF FFfFRAI
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
. -. • PROPERTY INFORMATION -,
SITE ADDRESS 2 1 0 3L. -'. SUITE/UNIT# bPaC'e. 3 q
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) ��
(Attach separate page for lengthy legal descnptiort)
. . ,. - IN..PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJEC,„.ri
CRIPTION(Provide detailed description of work inc uded on this permit onl
---_(-e- cA, - uk a_c+ . L
40,
S I.. 4 ,
#
PROJECT NAME(Name of Business or Owner Last Name) "Bei on.Dy --- C,D4�t V '_L I
!' -`` • PEOPLE INFORMATION
PROPERTY NAME
.� PRIMARY PHONE
OWNER (uY f1 (2s3 38 30p
0 1 7_
MAILING 10ADDRESS S 32_4 3-.CITY,[ STATE,ZIP S)DO 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Mod evvk L1'i/ L4d. 7-0-mk Rl Kev50,, (ZS3 ) ,'Z 4, -(�kt 5SJ/�� M/AII,LING ADDRESSCITTE,ZIP �[ CELL PHONE
(.vO/ 5 I I CTYIF/ ERA/���NESLICENSE 9T1.1.2- () ) 3o- t Z(0?
/'� ` '�� NUMBER EXPIRATION DATE FAX NUMBER
V � ' J — - B L / / ( ) -
CONTRACTOR'S REGISTRATION UMBER(copy of cart5oquired with each application) EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
1 u-w& ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT - FAX NUMBER
❑ Architect o Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME _,_•,...--- PRIMARY PHONE E-MAIL ADDRESS
--a- ( ) -
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000 S Po-) 1\-)T0.07-0 C 4Q � 11
MAILING ADDRESS i CITY,STATE,ZIP i
3? -o 1 1 5T J S ]1I ..Q JV'I ., Lt.; , UJ A 9?'cO3
. . - ,- ■ DETAILED BUILDING INFORMATION -
EXISTING USE �/ PROPOSED USE 5f-
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ -( )/ 7 7.
SPRINKLERED BUILDING? 0 YES ❑ NO IRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
.
. • PROJECT FLOOR AREAS / -
AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ.FT. TOTAL
•
BASEMENT ``
FIRST I, O✓5 i-
,--...
SECOND
THIRD SKIRTING SHALL •T BE
_ INSTALLE,D BEFO'E BLOCKING
FOURTH I I , L k . -
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
TOTAL EXISTING TOTAL.PROPOSED TOTAL EXISTING AND PROPOSED
HOW MANY FLOORS? G
"NEW HOMES ONLY" NUMBER OF BEDROOMS 3 ESTIMATED SELLING PRICE $ I ,,�z rte- ,- --e - .•.-r. _. _
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
EV• •ORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
AIR HANDLING UNITS HOOD ...,===..1) WOODSTOVES
BBQS FANS
FIREPLA - NSERTS ES MISC(Describe)
COMPRESSORSPRS FURNACES
COGAS WATER HEATERS
DUCTS GAS PIPE OUTL
PLUMBING WATER CLOSE15 po�<q MISC(Describe)
BATHTUBS(or Tub/Shower Combo) SHOW '
DISHWASHERS S • 'S DRINKING FOUNTAINS
SUMPS •• NWATER SYST
GAS PIPE OUTLETS He, BIBBS
WASHING MACHINES URINALS
LAVS(Bathroom Si.,ts) VACUUM BREAKERS _ ELECTRIC WATER HEATERS
.. g num - z >-F F DISCI.A�R/SI
. GNATIIREBLO
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 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. '
DATE 3��
NAME/TITL _ — ��� Titte
i (Sig -
)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect ❑ Other
i
F
FOR OFFICE USE ONLY
a NEW o ADDITION o ALTERATION o REPAIR (3'TENANT IMPROVEMENT
•
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES ❑NO
t ZONING DESIGNATION CHANGE OF USE? to YES a NO
t NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? a YES o NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES o NO
•
SKIRTING SHALL NOT BE
INSTALLED BEFORE BLOCKING
AND TIF DoWN INSPECTION.
Bulletin#100 March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application