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06-106070 • City of Federal Way Mechanical Permi #• 06-106070-00-ME Community Development Services P.O.Box 9718 , Ph:(253)Federal 835-26Way07WA Fax98063-9718(253)835-2609 Inspection Request Line: (253) 835-3050 Project Name: BELMOR PARK SPACE 298 Project Address: 2101 S 324TH ST Space 298 Parcel Number: 162104 9037 Project Description: Connect new gas meter to mobile home . Owner Applicant Contractor BELMOR MOBILE HOME PARK RESCUE ROOTER RESCUE ROOTER 2101 S 324TH CT 8001 S 222ND ST RESCUR*007Q7(01/01/2008) FEDERAL WAY WA 98003 WA 8001 S 222ND ST WA Additional Permit Information Mechanical Valuation 1419.51 Over the Counter Permit? Yes Mechanical Fixtures Gas Pipe Outlets 1 PERMIT EXPIRES Saturday, November 29, 2008 Permit Issued on Wednesday, November 29, 2006 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. ka Owner or agent: Date: //- THIS CARD IS TO MAIN ON-SITE CITY OF tommunity Deveio m nt Inspectio n Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06-106070-00-ME Owner: BELMOR MOBILE HOME PARK Address: 2101 S 324TH ST Space 298 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 Mechanical Rough-in (4165) ❑ Gas Piping(4125) 0 Final - Mechanical (4065) Approved Approved to release test Approved By Date By Date/2-to, O co By Q��j Date/2.. c- o cem RECEIVED CITY OF fdrila Federal Way - PERMIT C 12 &v-? cam COMMUNITY DEVELOPMENT SERVICES NOV OV 2 9 SF MF CO 40 L PL DE EN FP 33325 8TH AVENUE SOUTH•PO BOX 9718 FEDE253-835-2607•RAL WAYFAX25,LVA 58063.9718 3-835-264ITYof FEDE, ,R L I G A T I O N TD - , p� www.tittloffedera(wau.com BUILDING DEPS. The following is required information-an incomplete application will not be accepted. Plea-se-pi lease print legibly(in ink)or type. a PROPERTY INFORMATION y`, SITE ADDRESS t2./b I •�, 3:29 1. t' 9 p U 3 SUITE/UNIT# 98 ASSESSOR'S TAX/PARCEL# OT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates, Lot 1) '-tet/ / Avevg/ 4jj,,,c.P0,L. (;/nli-`- d./8 (Attach separate page for lengthy legal description) ■ PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING $MECHANICAL ❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of/wo/rk included on this permit only) /- \ ea,J tvCc�- q as 41,e/cr ^/tW Il 4, bi h- � x;S • f9/0/,, �✓SW L4,4/ ) PROJECT NAME(Name of Business or Owner Last Name) ,&/Yto/' 4A b k..{4„>~l 114 dir. ,-r.r: . • PEOPLE INFORMATION PROPERTY NAME I • PRIMARY PHONE OWNER , \Ilk--.If•r' U'li4 CC, 6)14W4.- 14--- ( ) MAILING A�RESS C TE,ZIP E-MAIL ADDRESS Z.\ \ S • 3 L • 4' 5t— '- - Cr r . CONTRACTOR COMPANY NAME p APPLICANT NAME OFFICE PHONE kit 5C6;.e (00 7/c,��Aihkr: 4S)).Svyt Sfr' let 42Tfn/02 2•7 (glad ) 8'69 -Oro )}/NO ADDRESS CITY,'STATE,ZIP CELL PHONE . C.4S/ 7/9 /✓�/ 4 9g ('.1s3 )'6e -9°31 ... CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER SCI -9cl - 10 &70 —c>0 - eg1. II-3i-c& ( ) - CONTRACTOR'S REGISTRATION NUMBER n^ �f �-7 (r� EXPIRATION DATE E-MAIL ADDRESS COPY of cardrequired . - •Ith ae appUcatlon ' L `c V` i2 OO,/ U( � I')— 01 &.ue,2-rYlA-RrtnleATT.,)et` APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE • . A cI. ell'D v Q-. ( MAILING ADDRESS CITY,STATE,ZIP CELL PHONE RELATIONSHIP TO PROJECT • FAX NUMBER ❑Architect ❑ Tenant 0 Agent 0 Other ( _ PROJECT NAME /11 PRIMARY PHONE E-MAIL ADDRESS CONTACT Y1 f - C � .. ( ) - • LENDER NAME Per RCW 19.27.095: ' Lender information is required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP PHONE ( ) _ IN DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ . SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE.SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER a LAKEHAVEN . 6 HIGHLINE 0 PRIVATE(SEPTIC) • Rge) 70) /5.5- ■ PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PRO.OSED TOTAL SQ. FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD _ ADDITIONAL FLOORS(DESCRIBE) DECK(0 COVERED OR 0 UNCOVERED?) GARAGE 0 CARPORT 0 EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED sr TOTAL SF NUMBER OF FLOORS **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ • 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 $ , , 'S1 (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) • AIR HANDLING UNITS EVAPORATIVE COOLERS ( GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSERTS HOODS(commercial) 647?s P;P7,43 COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS(or Tub/shower combo) LAVS(Bathroom sinks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS roue) ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS • SIGNATURE 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. /n� ��✓ . I'I NAME/TITLE / �� v , Al Ti,Je2DATE /�O✓zof© (� (Signature) (Title) RELATIONSHIP TO PROJECT 0 Owner 0 Agent 5K Contractor 0 Architect 0 Othet • CI NEW ❑ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES a NO BASIC PLAN? • ❑YES ❑NO ZONING DESIGNATION CHANGE OF USE? o YES a NO NEW ADDRESS REQUIRED?. ❑YES o NO UP/SEPA/SU? a YES o NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application