07-102411 City f:vedalWay Burin — Sinle FamilyPernik #: 07-102411 -00-SF Development Seances
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project : BMRK, A
Project Address 2101ELS OR 324THPAST UnitSPCE 302302 V'5431 Parcel Number: 162104 9037
Project Description: Install new 948 sq ft 2007 Fleetwood mobile home with front and rear porches
Owner Applicant Contractor Lender
BELMOR MOBILE HOME PARK BELMOR MOBILE HOME PARK SKYWAY CUSTOM TRANSPORT
2101 S 324TH CT 2101 S 324TH CT skywact960c1(2/13/08)
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 PO BOX 506
RENTON WA 98057
.
Census Category: 112 -New Manufactured/Factory-Built Home, IN PARK
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 948 0 0 0
Additional Permit Information
New/Additional Sq.Feet- 1st Floor 948 New/Additional Sq.Feet-2nd Floor 0
New/Additional Sq.Feet-`3rd Floor 0 Occupancy#1 -Area(Sq.Feet) 948
New/Additional Sq.Feet-Basement 0 New/Additional Sq.Feet-Deck 40
New/Additional Sq.Feet-Garage 0 Occupancy#1 -Class R-3
New/Additional Sq.Feet-Other 0 New/Additional Sq.Feet-Total 988
Occupancy#1 -Use Residence(1 or 2 Zoning Designation RM 3600
family)
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Saturday, May 30, 2009
Permit Issued on Wednesday, May 30, 2007
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
d the City of Federal Way.
Owner or agent: 610, �� �,,ri�se4 �� Date0-/---6707
City of 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, SPACE 302 Permit #: 07-102411-00-SF
Address: 2101 S 324TH ST Unit302
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 948 0 0 0
Owner Name: BELMOR MOBILE HOME PARK
Owner Address: 2101 S 324TH CT
FEDERAL WAY WA 98003
AL, erV 4e5 C37
OP' Buil•in:�fficial 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.
I
� r
14411. ...,, THIS CARD IS TO FMAIN ONSITE
CITY OF • "ommunity Developmt t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-102411-00-SF
Owner: BELMOR MOBILE HOME PARK
Address: 2101 S 324TH ST Unit 302
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 Preconstruction Site Mtg ❑ Initial Erosion Control(4365) 0 Blocking/Tie Downs (4015)
Ap(4490) To be done prior to breaking ground Approved
By Date By Date By Date `74 e"--g
_ 0 Final Erosion Control (4375) ❑ Skirting/Final (4250)
Approved Approved
By Date By G Date e_ a_ 07
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
•
4 • , A R`v WD
CITY Of
"76Federal Way Ay 0 2 2007 PERMIT - L .2q. - 1 1
COMMm,AV DEVELOPMENT• BOX ES
MF CO ME EL PL D E EN FP
333258ERALWESOU7H•Po 9718, APPLI CATI O N
FEDERAL WAY,WA 98063-9718 OF FEDE;
253-835-2607.FAX 253-835-1609 UII.DING r TD
5" I SO 109--
The ollowin. is re.uired in orntation-an{acorn.{etc a..lication will not be acce.ted. Please •rint le.ibi in in or •e.
■ PROPERTY INFORMATION • . •
SITE ADDRESS l Cr L h' /;
ASSESSOR'S TAX PARCEL# // / SUITE%UNII
/ ( lD j C) £ _ f 0 3 _Z. LOT SIZE(s./) C2L0
LEGAL DESCRIPTION e04: .g�lcme Estates Lot 1 J a; 5(/ elAf
/V t% po nits' 'd
Ar,,. for
k 6�cl 4.. legal'. .P' / /" axe— J'
. is PROJECT INFORMATION
TYPE OF PERMIT ,BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION cc(��Pr,�o�vide detailed description of work included on this perm_t only(
/4V ,4PIv,. f/I 4v rf_a:-&.2/0/ST,_
PROJECT NAME(Name of Business or Owner Last Name) /
. . • PEOPLE'INFORMATION ,
PROPERTY NAME •
OWNER t
PRIMARY PHONE
il .b, l� v-k l
IL N.ArDDRESS �/ CITY,STATE,ZIP DI/
CONTRACTQR COMPANY NAME V
,(' /f APPLICANT NAME
� !�" (//'� � � OFFICE(� PHONE
y'��
5:
MAI 0 ADD[ • Ai
iS i e T "ATI'
A y { �' (/� HONE a 3 Gam'
i,./
`c7` I I �s CITX.ST ZIP (CELL PHONE//
Iikiii\c‘j
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER , A 4AX NU R
/I4\\
�_ /)- PIRATION DATE FAX NUMBER
V `7 (/ Z �`C_" - $ L C>//�Z() loJ ( J 7
CONTRACTOR'S REGIST TION NUMBER(copy /- ,'v -z-f d
�. o!card required with each appllcaHon�
�, C;-�i `•�� / / EXPIRATION DATE
G� C' 0.1\ /2-,W )67,
APPLICANT 44 PANY NAME
APPLICANT NAME
Icy. O� / . D � /i' L OFFICE PHO�N}E
MAIL NO ADDRESS �t/ (Ye. /yy�� A. F T I, ,1-1;;;7_, 6 , ,, PHONE op- ®f"
�� � � I' �� Com,STATE IP CELL PHONE f/Y (J
RELATIONSHIP TO PROJECT 11 �r_ T` "(C4'&Fv3
� 7oArchitect ❑ Tenant ❑Agent L Other(Describe ' d ` FAX NUMBER
-/,.< e X31 7-3/'" -
CONTACT NAME
PRIMARY PHO E
L` 1(-/ti ` '. _dam E-MAIL ADD
LENDER w_ ,
a ,Z.1 f IRA,�Y' 77(X Ll7 i
• ',/-:ai:,r.t ,-6,e-17 le6�,Ca4xfaV�A4) � NAME
r E 0,- g I•.•int-,t .t s;. t(3t-ri$ 1,14e) _
MAILING ADDRESS AT
CITY, ATE ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE _
PROPOSED USEycj_i--,(4,01/c/ fKA 20t
EXISTING ASSESSED/APPRAISED VALUE $` / 00 1.) 0 v -Y' f`
/
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS ` •
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST h(c .0E_.. ',lit_
VAI Yi— €.,
SECOND
ci
THIRD �. f ` ,F f ` �(
•
FOURTH l
ADDITIONAL FLOORS(DESCRIBE)
DECK(CC7VF•RE-£4,11._
ti
GARAGE 0 CARPORT 0 :2_4f
EXISTING PROPOSED ED Sr r OTAI r -TOAL d. k+ ••..jyT TAI ROPOS ,NUMBER OF FLOORS
1.
"NEW HOMES ONLY** NUMBER OF BEDROOMS ---- ESTIMATED SELLING PRICE $ -r7 i C (c, t-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
Value of Mechanical Work $ t,:' C� ( I it
p 0-0-e-- (,<;k _.,(4.__- d`e"' Y v
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
B BQ S FANS HOODS(commercial) W OO D STO V ES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
. BATHTUBS(orTnb/Shower comb.) SHOWERS WATER CLOSETS(roue) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinkar 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 applicationX,..4111
'?";g
_ '� 11..f/ J DATE .a: /NAME TITLE ��� �� ��� /nature) , (Title)
RELATIONSHIP TO.PRCT 4 Owner ❑ Agent ❑ Contractor o Architect 0 Other
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. -t, .. e ® S�,Yf'"�s } 6!nR ''�j � f 3 ` {tet ti YL��cr.. .c,� .s+:v�
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1.( C' S 'a ��' + ' a ��i t' ki: "�'F %'
d p } 'a r°v+, u' �dV1 � $ vis a a •: 0 t
�.. 1 ,, y. 0 . / 4„..t.,.4,-,,+,,,aW1:401-0y;,-,,4f „;;r.a,,, ;: ''t '^,`7,"'717,':'',P14:1,1!
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application