08-104031 4110 City of Federal Way R
Community Development Services
But mg - Single FamilyPermit #: -
P.O.Box 9718 08-104031 00 SF
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: BELMOR MOBILE HOME PARK SPACE 187
Project Address: 2101 S 324TH ST Space 187 Parcel Number: 162104 9037
Project Description: NEW-Installation of 1248 sqft manufactured home into existing park space
Owner Applicant Contractor Lender
NANCY EVANS SKYWAY CUSTOM TRANSPORT SKYWAY CUSTOM TRANSPORT NANCY EVANS
BELMOR MOBILE HOME PARK PO BOX 506 SKYWACT960CL(3/3/10) BELMOR MOBILE HOME PARK
2101 S 324TH ST RENTON WA 98057 PO BOX 506 2101 S 324TH ST
FEDERAL WAY WA 98003 RENTON WA 98057 FEDERAL WAY WA 98003
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
Additional Permit Information
New/Additional Sq.Feet- 1st Floor 1248 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 1248
No Fixtures Associated With This Permit !!
CONDITIONS:
Subject to field inspection without plans. ***MANUFACTURER'S INSTALLATION MANUAL MUST BE
ON SITE AT INSPECTION***
PERMIT EXPIRES Sunday, February 22, 2009
Permit Issued on Tuesday, August 26, 2008
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
�.. , nd the City of Federal Way.
Owner or agent: J. , / Date:
IC 4
‘ ick 0 t•0
1/4„,
City of Federal Way 11 •
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International 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: BELMOR MOBILE HOME PARK SPACE 187 Permit#: 08-104031-00-SF
Address: 2101 S 324TH ST Space187
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
NANCY EVANS
Owner Name: NANCY EVANS
Owner Name: BELMOR MOBILE HOME PARK
Owner Address: 2101 S 324TH ST
FEDERAL WAY WA 98003
Building Official Date
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 severly 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.
THIS CARD IS TO AIN ON-SITE
CITY OF ' '`-vl Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 .
PERMIT#: 08-104031-00-SF
Owner: NANCY EVANS
Address: 2101 S 324TH ST Space 187
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 SWM Precon Site Mtg(4400) ❑ Initial Erosion Control(4365) ❑ Interim Erosion Control (4370)
Approved To be done prior to breaking ground Approved
By Date By Date By Date
— 0 Blocking/Tie Downs(4015) ❑ Final Erosion Control (4375) ❑ Skirting/Final(4250)
Approved Approved �` 12/Approved /
By Q ej Date 70.1 ,� By Date By Date 1
For inspector reference only •
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
4 REC ! III
F
Federal way
CITY OF O [> ..- b. ' T Q /
1,U G 2 6 20 PERMIT
COMMUNITY DEVELOPMENT MF CO ME EL PL DE EN FP
33325 8111AVENUESOUTH• BOXY APPLICATION
FEDERAL WAY,we 9806363.9ti /OF FEDER
253-835-2607•FAX 253835-2609 CDS OT ---I
The o llowi • is re uired in ormation-an incom•lete a.•lication will not be acce•ted. Please •rint le.ibi in in or •e.
/ / !� •'�■ PROPERTY INFORMATION
SITE ADDRESS dl/e! c,X02 T c� U .� �de r7�/ t /a,v al / f V3 SUITE/UNIT# /17
ASSESSOR'S TAX/PARCEL# / 6 2 / t% 9- 7 ja'� (3 7 Ol/v LOT SIZE(sf) VI O
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) Ira A P. (O/ o cP SE A,}( S'WW yf/ -pt s 64 7 1 4 o_cfic, 3
.4 -whoryao a• _, ( dr, . a .Se Pfd i oe t 0
1 1Tif
• IN PROJECT INFORMATION `f
TYPE OF PERMIT l "BUILDING 0 PLUMBING 0 MECHANICAL
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
2K stall )4'4ve2oci F% enuiort.ei C 4;/ _
,5t, 5-p /erz Fe-darn/ G)i/, /'7ito 3
•
PROJECT NAME(Name of Business or Owner Last Name) Heil/KO y' Pa-('E / 8 ..` ` `" •1 PEOPLE INFORMATION
PROPERTY NAME
OWNER 23e/owl,- /vf PRIMARY PHONE
MAILING ADDRESS t 4t/ e-p c. `( o user ( /7.
CITY,STATE,ZIP
0210/ S. 3e2' 5t.. Federa/ G(>a , Gtiil fia
CONTRACTOR COMPAN//Y NAME /APPL,IC�AN/T NAME
�� f OFFICE PHONE
SkIA(}ADDRE 0 u s td 01 TraktS f Det GT[7Y Ilovt_ 1 o iti l b t (/2j1.2,4 O oV eo
MAIL
CITY,STATE,ZIP CELL PHONE
op
PO 80/ roh KQJW i itif9po, ' -4z04 czo4,1 f/f -?7y‘
ciri CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER b a EXPIRATION CATE FAX NUMBER p
20-4 S'-L O S" Y 7 B' L /2 / i( lad (/.Z61J.ZO .24f5.
CONTRACTOR'S REQISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
�' w CTt 60CL .21027 I,,2ooy
APPLICANT COMPANY NAME APPLICANT NAME
f'r/ h 101 1/ // / OFFICE )1,
MAILI ADDRE S `/ �/'IZ LG b` ilia?l 1� L (/G�l�S �VL PH Q -�S 2 7
.2(4( 5 3-ZS�_ _ �' ITY,STATZ(�IPJ/ - CELLPHONE -
RELATIONSHIPTOPROJECT
���-( ���j� �3 ��
`, FAX NUMBER
a Architect 0 Tenant a Agent VOther(Describe) y,Q4"(/G� afko ,fel L20---5 ) p3 /y - a�J d
CONTACT NAME PRIMARY PHWE D D !o
I / 1 )) ?J' _ O�Y LE-MAIL ADDRESS / )
LENDER ij d E
I \,C d / 1F7�Y�KDY",- b 9s r l o,
'' .1i4 4-1 NAME
MAILING ADDRESS
CITY,STALE,ZIP
• ' • • . .• . ■ DETAILED BUILDING INFORMATION
EXISTING USE //6PROPOSED USE JE ,D,6r(e &14-fp, Pwe/i"ite"
EXISTING ASSESSED/APPRAISED VALUE $J , &O(5 rO ` ,...,-11'
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE 0 TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
- 4 PROJECT FLOOR AREAS `j'
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ.FT. SQ.FT.
BASEMENT
14,(FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS masuxo ertoeosco taro oT nv�a.r �Tnc PROPOSED sr § :I, .%.yr a+ ,t
r;u�s
*•NEW HOMES ONLY** NUMBER OF BEDROOMS _' ESTIMATED SELLING PRICE $_14.3 0 CO �o.
FIXTURES. • ,
Indicate number of each type of future to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL , 1.
Value of Mechanical Work $ �� I d lA1 yI et2 V►t.0 i C�e �Y ,%civ -d
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(ro teq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
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 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. �7
NAME/TITLE S/Z ,4.1 ��p DATE O aZ Z O�
r/( ignature) r Title / A
REL L /% ( )
ATIONSHIP TO PROJECT ❑ti?Owner ❑ Agent o Contractor 0 Architect ❑ Other
® t 3 '. $ 1 � .vim� � ....3 %�'�� °" `
ms
® 0 0 + ¢p gp,i 1' ` vw.: � 'r d' 4r -, 1 S'#S' '� _
a .., x,¢O� 4 ' �s k. �.p -'b, .,m �(�+ �,n�,, y� & ®�
a 0�1 0 r shy � � v+ y''','�.�i �''' lc- , ,,,—, �, ., :T7'J s .1� �''
., ®..''-'' . .11i �5 , •�Ap '10:"`-' ''''a'.t � Sdk. .. N� 1.1..Q s41 ,„,,,-,,,g, �z",-v �y
Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\I'ermit Application