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05-105890 • City of Federal Way , • • Community f Federal r Lvices Building - Single Family Permit #: 05-105890-00-SF P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050 " 1S Project Name: BELMOR PARK 306A Project Address: 2101 S 324TH ST Space 306A Parcel Number: 162104 9037 Project Description: NEW-Installation of 27' x 48' Golden West mobile home. Owner Applicant Contractor Lender NANCY EVANS NANCY EVANS SKYWAY CUSTOM TRANSPORT BELMOR MOBILE HOME PARK BELMOR MOBILE HOME PARK skywact960c1(2/13/06) 2101 S 324TH ST 2101 S 324TH ST PO BOX 506 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 RENTON WA 98057 Census Category: 112 - New manufactured/factory-built homes, IN PARKS Includes: #1 #2 #3 #4 Occupancy Class: R-3 Construction Type: Occupancy Load: Floor Area(sq. ft.) 0 0 0 0 Additional Permit Information New/Additional Sq.Feet- 1st Floor 1296 New/Additional Sq.Feet-2nd Floor 0 New/Additional Sq.Feet-Basement 0 New/Additional Sq.Feet-Deck 0 New/Additional Sq.Feet-Garage 0 Height of Structure 11 Occupancy#1 -Class R-3 New/Additional Sq.Feet-Other Total Building Sq.Feet 1296 New/Additional Sq.Feet-Total i 96 Zoning Designation RM 3600 No Fixtures Associated With This Permit !! i • CONDITIONS: 5111trit PERMIT EXPIRES Wednesday, December 5, 2007 Permit Issued on Monday, December 5, 2005 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:// *„ w [7 ��PJa��itP� Date: — IP ( cty of Federal Way • I 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 PARK 306A Permit #: 05-105890-00-SF Address: 2101 S 324TH ST Space306A Includes: #1 #2 #3 #4 Occupancy Class: R-3 Construction Type: Occupancy Load: Floor Area(sq. ft.) 0 0 0 0 NANCY EVANS Owner Name: NANCY EVANS Owner Name: SKYWAY CUSTOM TRANSPORT Owner Address: PO BOX 506 RENTON WA 98057 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. 414,„ THIS CARD IS TO MAIN ON-SITE � ,, CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05-105890-00-SF Owner: NANCY EVANS Address: 2101 S 324TH ST Space 306A 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 City of Federal Way ` Building - Single Family Permit #: 05-105890-00-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 PARK 306A Project Address: 2101 S 324TH ST Space 306A Parcel Number: 162104 9037 Project Description: NEW-Installation of 27' x 48' Golden West mobile home. Owner Applicant Contractor Lender NANCY EVANS NANCY EVANS SKYWAY CUSTOM TRANSPORT BELMOR MOBILE HOME PARK BELMOR MOBILE HOME PARK skywact960c1(2/13/06) 2101 S 324TH ST 2101 S 324TH ST PO BOX 506 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 RENTON WA 98057 J Census Category: 112 - New manufactured/factory-built homes, IN PARKS Includes: #1 #2 #3 #4 Occupancy Class: R-3 Construction Type: Occupancy Load: Floor Area(sq. ft.) 0 0 0 0 Additional Permit Information New/Additional Sq.Feet- 1st Floor 1296 New/Additional Sq.Feet-2nd Floor 0 New/Additional Sq.Feet-Basement 0 New/Additional Sq.Feet-Deck 0 New/Additional Sq.Feet-Garage 0 Height of Structure 11 Occupancy#1 -Class R-3 New/Additional Sq.Feet-Other 0 Total Building Sq.Feet 1296 New/Additional Sq.Feet-Total 1296 Zoning Designation RM 3600 No Fixtures Associated With This Permit!! CONDITIONS: PERMIT EXPIRES Wednesday, December 5, 2007 Permit Issued on Monday, December 5, 2005 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 AOand the it of Federal Way. Owner or agent: , ,o / d re) I " - Date: /— q— 0.....6.4f (- ,-.......a,- *, C7t —7-411, • r....„,,,,,,, yof Federal Way • 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 PARK 306A Permit#: 05-105890-00-SF Address: 2101 S 324TH ST Space306A Includes: #1 #2 #3 #4 Occupancy Class: R-3 Construction Type: Occupancy Load: Floor Area(sq. ft.) 0 0 0 0 Owner Name: NANCY EVANS NANCY EVANS Owner Name: SKYWAY CUSTOM TRANSPORT Owner Address: PO BOX 506 RENTON WA 98057 Building Official Date LThe 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 WAIN ON-SITE ' Inspection Record CITY OF .� ,4Oa, Community Development Federal Way IVR INSPECTION REQUEST.PHONE # (253) 835-3050 PERMIT #: 05-105890-00-SF Owner: NANCY EVANS Address: 2101 S 324TH ST Space 306A 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 munity DCity of FederalevelopmeWay ntServices Building — Single Family Permit #: 05-105890-00-SF Com 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 PARK 306A Project Address: 2101 324TH ST Space 306A SO VA, Parcel Number: 162104 9037 Project Description: NEW-Installation of 27' x 48' Golden West mobile home. Owner Applicant Contractor Lender NANCY EVANS NANCY EVANS SKYWAY CUSTOM TRANSPORT BELMOR MOBILE HOME PARK BELMOR MOBILE HOME PARK skywact960c1(2/13/06) 2101 S 324TH ST 2101 S 324TH ST PO BOX 506 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 RENTON WA 98057 2 Census Category: 112 -New manufactured/factory-built homes, IN PARKS Includes: #1 #2 #3 #4 Occupancy Class: R-3 Construction Type: Occupancy Load: Floor Area(sq. ft.) 0 0 0 0 Additional Permit Information New/Additional Sq.Feet- 1st Floor 1296 New/Additional Sq.Feet-2nd Floor 0 New/Additional Sq.Feet-Basement 0 New/Additional Sq.Feet-Deck 0 New/Additional Sq.Feet-Garage 0 Height of Structure 11 Occupancy#1 -Class R-3 New/Additional Sq.Feet-Other 0 Total Building Sq.Feet 1296 New/Additional Sq.Feet-Total 1296 Zoning Designation RM 3600 No Fixtures Associated With This Permit !! CONDITIONS: PERMIT EXPIRES Wednesday, December 5, 2007 Permit Issued on Monday, December 5, 2005 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: / .0v`4,l ,.Cr ?///1--/4/1r4(L;dat9 Date: 4V-5-7 -5 c of Federal Way : **V" Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code cegifying 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 PARK 306A Pe • • 05-105890-00-SF Address: 210 SW 324TH ST Space306A Includes: #1 #2 •3 #4 Occupancy Class: Construction Type: Occupancy Load: Floor Area(sq. ft.) 0 0 0 NANCY •A Owner Name: NAN EVANS Owner Name: SK ` AY CUSTO RANSPORT Owner Address: ,f(0 BOX 506 RENTON WA 98057 :uilding Official Date The priority focus in t - review and inspection made by the City prior to issuance of this Certific. e was on those matters which experience has sh• n most severly affect the health and safety of the general public. Although th_ City has made as complete a review and ins!-ction as is reasonably possible(within budgetary time and personnel limitations), th- ity neither guarantees nor warrant . e owner/occupant or to any other person that this Certificate evidences strict compliance 'th each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said struc re 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 " MAIN ON-SITE • CITY OF .. , � ommunity Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05-105890-00-SF Owner: NANCY EVANS Address: 2101 SW 324TH ST Space 306A 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. • 1 ❑ Temp.Erosion Control (4365) 0 Final- SWM (4375) 0 Skirting/Final(4250) To be done prior to breaking ground Approved Approved By Date By Date By /C/1 Date /i y/ I .2 l 0(_, L o�<<ry C I t evv,,,v s % �''_ l— p ^c • ` RECEI .. () F - '. 5 /� CI OF� � js( Federal Way (� PERMIT • COMMUNITY DEVELOPMENT SERVICES"OV 1 5 ZOl:'. F,MF CO ME EL PL DE EN FP 33325 8TM AVENUE SOUTH•NO BOX 9718 �'L I G A T I O N FEDERAL WAY,WA 98063-9778 253-835-2607•FAX 253-835-2609 OF FEDERAL'lttt/•l / www.cth"frederalwa,,con' BUILDING DEPT. // l J The ollowi • is re•uired in orntation-an Inco .lete a••licatlon will not be acce•ted. Please .rint le•ibi in in or .e. ■ PROPERTY INFORMATION SITE ADDRESS 72/L,Ii S ,Yay � F 'e a(.L1 , QJi7��60 SUITE/UNIT# © ASSESSOR'S TAX/PARCEL# ( 6 2 / 4 - `7 0�`/3 7 LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,rLot 11)� D '.3©'6 Si 132 D ,f �.Y ,tom- a c5-0 Q4. CY ..�/ ,p t. O 1�. �{{ �/ 1. b(Att..• se ofge or lengthyl-.aid..c poonf a /7� }- _Y" v ll /Y (.(� �G(L � �`�i S`� ��-f-.�rG f°i rs. ,. (A�(J� . - ■ PROJECT INFORIdATION TYPE OF PERMIT IR/BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) 7 X/1' ,-.)0(35'. lc1e ..GVe5 - L)i le- Gt nor ro itCe ivl. taitel x'frk tOPi98'eo3 PROJECT NAME(Name of Business or Owner Last Name) Cii,- -PP � - ,6-). / , . MI PEOPLE INFORMATION PROPERTY NAME /�,� �PRIIMARY PHONE � OWNER g ?lv�-l D k' ,,,wt.t_ Iv-4- b7‘.0) eFil eJ1 7 MAILING ADDRESS CITY,STATE,ZIP }1 CONTRACTOR CnMPANY NAME T -_ __-{--I APPLICANT NAME' S 1Lyc�1 e.io-eo jre,s er-t Cir- r. ►�-oi�cb L Y �"Yz3�2.t�i -�G�� MAIILIIt G_AADDRESS✓{�/"��I J/ /� /�/,p f y/•� , ,„ o.n.r,'LAY (,,j/(� .-A CELL PHONE _ vl.( 362 L WAY BUS[NE CENSE NUMB[()."P a � o3 ;TEXPIRA ON DATE 7)FrdX NUMBER - �44 CITY OF BED B 05-L 0 5 -_- B L / r / ' (;, ,s--), f �z.7f CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE APPLICANT COMPANY NAME AP LICANT NAME OFFICE PHONE F,4ty,e r NO i 1(e-tibvt J4J w vabt.S . ( 3 ) )23' -05 /7 MAILI ,ADDRESS CITY,STATWZIP 21�/�- ��V���� CELL PHONE Fly-ai y0703 U6'5 1 5/.0T-4M RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect o Tenant 0 Agent ,'Other(Describe) �1� it-4. u,j e`er 1.7_1) C33 .? -%Of$ CONTACT NAME PRIMARY PHONE E-MAILIADDRESS (�Q(� M--/./,-. ACV elt1-_, (-/.3 ) 3J - or-c./ 7 d elAta:^f 4,. LENDER : • NAME zea .h.#b ,. 44: , e a 0 �' /41�Q MAILING ADDRESS CITY,STATE,ZIP • . - ■ DETAILED BUILDING INFORMATION . • EXISTING USE TPI.rlt°— PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ --74P-2Z-,300 SPRINKLERED BUILDING? 0 YES isNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YESLI�iO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA a PRIVATE(WELL) 1 SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) 1 1 . . PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ,FT. SQ. FT. SQ.FT. BASEMENT vi_(a_ FIRST 6 yl_� 1-21ZZ SECOND THIRD FOURTH • ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) % 3 6 / 3 W GARAGE ❑ CARPORT 0 ETNO PROPOSED I M. . ,TOTit4 P.7Q" 'CQI. F OTAL PROPOSED 9P ��+ AI:_6tr "' NUMBER OF FLOORS ( pt liA :47..,i .„ " eh, **NEW HOMES ONLY** NUMBER OF BEDROOMS 3 ESTIMATED SELLING PRICE $5'G_/D 06),(::;0 FIXTURES. . Indicate number of each type offurture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL --- Value of Mechanical Work _ AIR HANDLING UNITS EVAPORAT COCA 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 rStamePco�.! SHOWERS 02... WATER CLOSETS Iro et(_ --- ISCM (Describe) DISHWASHERS - SINKS- 0 DRINKING ld[?PTAINS GAS PIPE OUTLETS SUMPS O ATER SYST I WASHING MACHINES URINALS l HOSE BIBBS -r `� .2_ LAVS(6attuopm-einhsj'- GUUM.BREAKERSS'� / 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. �y NAME/TITLE ,� Z-49,61-111,43.----/ _ ...e4 DATE 2// 69 J ���{p'�,�ignature) CGf7 /iC ' RELATIONSHIP TO RROJECT ❑ Owner Agent 0 Contractor 0 Architect 0 Other , " . A ' � `� , ® � "� �o „ , • - ®D�TO; u�R#I(Ns ';;-,7-?:*.,,:P ` � E , � N"L,`'Fk � �: ' ItsG * ® S e QOfi"Ei ` `ana ;• iv -?1„-.7,,,o,orta *E' m D y.S :•.,4:!,; ,,,,.P,„, D om... WeheORPA/ ,' .. ; .y. u .O! .:r ?410:010 d A,. ,..- ,,,.::-'(4'4';'':.4:r Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Permit Application v • If • ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE lit Single Family Square Feet /Z/t) Service or Feeder Each Add'n (First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50 ❑ Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00 (Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00 ❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50 (Inspected separately) $69.50 ❑ 601-800 amp 398.50 168.50 ❑ 801 - 1000 amp 486.50 203.50 NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00 Service Feeder ❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00 ❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00 ❑ 401 -600 amp 193.00 96.00 CI 601 800 amp 247.00 132.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ Over 800 amp 353.50 264.50 Service or Feeders ❑ 0 to 200 amp $113.50 ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50 LI601 - 1000 amp 398.50 Service or Feeder ❑ 0 to 200 amp $87,00 CI over 1000 amp 443.50 ❑ 201 -600 amp 141.00 ❑ #of circuits to be added/altered ❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea) ❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee ❑ Service- 1,000 amps or greater ❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility MOBILE HOMES U Service or feeder only $69.50 ❑ Service and feeder $113.50 TEMPORARY SERVICE MOBILE HOME/RV PARK Residential/Multi-Family $61.00 Li #of service or feeders (First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity ❑ 0- 100 amps _ $69.50 ❑ 101-200 amps 89.00 ❑ 201-400 amps 104.50 ❑ 401-600 amps 141.00 ❑ over 600 amps 152.50 MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats ❑ #of Signs (First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea) ❑ Low Voltage ❑ Swimming pool/hot tub $87.00 Square Feet to be served by system(s) (Includes additional circuit,if required) ❑ Fire Alarm System ❑ Yard Pole meter loops $104.50 ❑ Security Alarm System ❑ Additional Plan Review ❑ Voice Cabling $104.50/hour ❑ Data Cabling or modified submittals) ❑ Automation Fee on all Permits .. $5.00' (Per System(s) 1.'2500 ft2-$61.00; Each add'n 2500 ft2-16.00) •Per WAC 296-46-910(5)(6)(&ii) Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application