08-101275 City of Federal Way Build* — Single Family Permit: 08-101275-00-SF
Community Development Services
P.O.Box 9718
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 262
Project Address: 2101 S 324TH ST Space 262 Parcel Number: 162104 9037
Project Description: NEW-Installation of 2008 Fleetwood mobile home w/landings as required.
Owner Applicant Contractor Lender
NANCY EVANS NANCY EVANS SKYWAY CUSTOM TRANSPORT
BELMOR MOBILE HOME PARK BELMOR MOBILE HOME PARK SKYWACT960CL(3/3/10)
2101 S 324TH ST 2101 S 324TH ST PO BOX 506
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 RENTON WA 98057
Census Category: 434 - Residential alt/add - no change in number of units
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 1440 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 1440
No Fixtures Associated With This Permit !!
CONDITIONS:
Subject to field inspection with plans.
**MANUFACTURER'S INSTALLATION MANUAL MUST BE ON SITE AT INSPECTION**
PERMIT EXPIRES Wednesday, March 17, 2010
Permit Issued on Monday, March 17, 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
a.; the City of Federal Way.
Owner or agent. dr A _ALA r ig si Date: /7 Q/
Nar
I.
THIS CARD IS TO WAIN ON-SITE ' _
...4.16.,
CITY OF -- Pommunity Developm uit Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-101275-00-SF
Owner: NANCY EVANS
Address: 2101 S 324TH ST Space 262
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.
O 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
❑ Blocking/Tie Downs(4015) ❑ Final Erosion Control(4375) •❑ Skirting/Final(4250)
Approved Approved Approved
By C,.c�.) Date -. 4'"` BY Date By G GJ Date :1 —G
.
For inspector reference only __._ .
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
• CITY OF 'n",-! L■ (L V D V — 1
Federal WIC v il�ll� PERM /
COMMUNITY DEVELOPMENT SERVICE IT SF F CO ME EL PL DE EN FP
33325 8rn AVENUE FEDERAL WAY,WA 98063-97OUTH•PO 71897 AR 17 200APPLICATION, Ti, T
253-835-2607.FAX 253-835-2609
u;ycu,ctgn eun�m^trvw.'v
The following OF FEDERAL W
f g is required iufmytion-an incomplete application will not be accepte Please print legibly(in ink)or type.
IN PROPERTY INFORMATION
SITE ADDRESS o (O( 5. 3-2.`(-6-3 St,, Fe ey-L/ Way,, �il �(Pd o J SUITE/UNIT# 0.2 2 t b
(
ASSESSOR'S TAX/PARCEL# /(f 2 ( o I 'oJ7 l f ,I,O 'SIZE(sf) 7 #ZQO
�,ot Z-(0 iK. Bo.0440 - P&rJ(: ) c V odk'NWYy awd rtie 3�ef Si/), dcY..1V _ %v a,wd ��k-3
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) n4 MW/1/ p J Sg %y 1 y, iy q Wes t" o -� 1;41.-tigr,S'-rZ ur
(Attach separate page for Lengthy legal description/ �'1
MI PROJECT INFORMATION
TYPE OF PERMIT ['BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only) t'16.e.-15-14-1) acid
1. - •: L A. .2o 0: _ . . i a o , ' I * I. ' el• 0 1 . ,Vr(, ' ' R 3'Y" 60 '
at- ,2(0( S. 3 d 4-- St,j,Sp ale c_ .2 4, F-oler- J W&yi eA if D B 3 7/w S
Ste pS 2i.td rear po e' k,_
PROJECT NAME(Name of Business or Owner Last Name) 5 ci( f jy/jam p/I r-k
• PEOPLE INFORMATION
PROPERTY NAME L �j PRIMARY PHONE
OWNER �.Pi(W1 4
t A'✓" I U I 1,e- ii4 P_+ l-`N ( ) -
MAILIG Z��l *-57 ESS,..7,2e----4c.5.61-
��� CITY,STATE,ZIP E-MAIL ADDRESS
fe ill, 64?orbeJ 10e(wt.owit(,t47b1pk.coin.
CONTRACTOR COMPANY NAME 7, APPLICANT NAME OFFICE PHONE
� , /
�`uc /rawSPo�-� Gl0rti 7v'9nJley 0.751) oW -poi°
LING AD RESS CITY,STATE,ZIP / CELL PHONE
_� d�G �� ( ) _
CITY OF FE ERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
Reecook 0A1 fJ' c=1, 7_os'oz. ( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
CANT NAME
ERTYNAM
OFFICE PHONE/ (e / / 4'Rp ✓ / APtL ✓ 1/1....sS (L7 /z) l3 f - 'J
%1
MAILI G ADDRESS P LPH
E
01/Of S. 32'/ JFedg4-21,( 0 0Pfc�.3 (/r )4od-6/a7
RELATIONSHIP TO PROJECT �j ,t, //. FAX NUMBER
❑ Architect 0 Tenant 0 Agent A Other(/fvk4-,- 0;ANo44.( , 1,76,3 ) (r3/ -WA5--
PROJECT N E PRIMARY PHONE ES
CONTACT _ d E-MAIL ADDRESS �i
y ;vai4-.S (.20 ) r3/ -0 /7 hi!Kt..or C(,41
LENDER NAME l Per RCW 19.27.095;
-y(� Lender information is required if project value exceeds$5,000
MRI NGI DRESS i_ CITY,STATE,ZIP PHONE
;UN5 3zf l 5.6 °M _ CMe,Pa(&4, (,/f7 (7fs.3 ) /3, -sur/7
• DETAILED BUILDING INFORMATION
EXISTING USE 141 'l1 PROPOSED USE '.4/e
EXISTING ASSESSED/APPRAISED VALUE$ - , - VALUE OF PROPOSED WORK $ Sc.'?j,910
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES yNO
WATER SERVICE PROVIDER gLAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER x LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
•
• PROJECT FLOOR AREAS
•
•
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST (41 kV
SECOND
I.. 1/1/7_
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS EXISTING PROPoSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTA{.
OF
**NEW HOMES ONLY** NUMBER OF BEDROOMS3 ESTIMATED SELLING PRICE $ 600(1' fT,(T//
• FIXTURES
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 .Vt. �p 111.E w i'L€ Vt. -Wtob I /A— d I, v��Y-�{
Value of Mechanical Work$ A' (A CC PY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITSEVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(corn eraap
COMPRESSORS -, FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAYS(Bathroom s;oko) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
r„ SIGNATURE
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 a part of this application.
SIGNATURE: __YZ_/ �,/ DATE
Prop rty weer and/or Authorized Agent
FOR OFFICE USE ONLY
❑NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application