05-106205 City of Federal Way
Community
City
ofDevelopmentFederal
Se vices Building - Single Family Permit #: 05-106205-00-SF
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: PARKER
Project Address: 2101 S 324TH ST Space 257 Parcel Number: 162104 9037
Project Description: Install single wide manufactured home.
Owner Applicant Contractor Lender
JAMES PARKER SHAWN AMES SUPERIOR HOMES
2101 S 324TH ST SPACE 257 SHAWN'S PERMIT SERVICE,INC. 6119 PACIFIC HWY E
FEDERAL WAY WA P.O.BOX 93 FIFE WA 98424
PUYALLUP WA 98371
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.) 770 0 0 0
Additional Permit Information
New/Additional Sq.Feet- 1st Floor 770 New/Additional Sq.Feet-2nd Floor 0
New/Additional Sq.Feet-3rd Floor 0 Occupancy#1-Area(Sq.Feet) 770
New/Additional Sq.Feet-Basement 0 New Additional Sq.Feet-Deck 0
New/Additional Sq.Feet-Garage 0 Occupancy#1 -Class R-3
New/Additional Sq.Feet-Other 0 New/Additional Sq.Feet-Total 770
Occupancy#1 -Use Residence(.1 or 2 Zoning Designation RM 3600
family)
No Fixtures Associated With This Permit!!
CONDITIONS:
PERMIT EXPIRES Thursday, January 3, 2008
Permit Issued on Tuesday, January 3, 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
d the City of Federal Way.
Owner or agent: ►, 4)4- h Date: / / )/Oç2
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: PARKER Permit #: 05-106205-00-SF
Address: 2101 S 324TH ST Space257
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 770 0 0 0
SHAWN AMES
Owner Name: JAMES PARKER
Owner Name: SUPERIOR HOMES
Owner Address: 6119 PACIFIC HWY E
FIFE WA 98424
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 - Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-106205-00-SF
Owner: BELMOR MOBILE HOME PARK
Address: 2101 S 324TH ST Space 257
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) [ Skirting/Final (4250)
To be done prior to breaking ground Approved Approved
By Date By Date By qi„..1
Date 4)(p
6
t•- 4) 1.0-k J2
A
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PITY OF p - i h o �_
Federal Way ERMIT
COMMU VENUE OUTH•TSERVICES SF CO ME EL PL DE EN FP
333258TMAVENUESO(lTff.Po�X97,8 APPLICATION
FEDERAL WAY,WA 98063-9718 p
253www.607•FAX 253-835-7603,, ir ' ' /d 7--ww
w.citUol(ederalway.00gri l Y UFFEDERAL WAk� /05-
BUILDING DE�Pp
The ollowi • is , fired in ormatiion'-an incom.lete a..lication will not be acce•ted. Please •rint le,ibi in in or
•IN PROPERTY INFORMATION '
SITE ADDRESS (Di Cs I 'S. 3:::)--q - -{" SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 1 (l> - 1
{— 0 9 9 0 ,S --4 LOT SIZE(s�
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) �A Ce � c) r & a Z.)Y•E. l ), 1 1 . F1
Attach separate page for lengthy legal description)
IN PROJECT INFORMATION
TYPE OF PERMIT ❑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 onll")
tp JcLc oi, 0 A/ 1-1 Lit-1 ,}._ '1.(e' ZSR
PROJECT NAME(Name of Business or Owner Last Name) A--L f..-r•— L
� PEOPLE INFORMATION .
PROPERTY NAME ,
OWNER �. ti 1`�1GC ir '/ PRIMARY PHONE
Y ``v T�� '� eI I
)
MAILING ADDRESS n' STATE ZIP
U{ � 1 1SCI '��a ti/ + )03
CONTRACTOR COMPANY NAME
IG/ (-1 o, C APPLICANT NAME (F )ONE
9,-,_ - Oqs-c
MAILING ADDRESS CITY.NATE,Aft.
�~ 1 / 1 \ CELL PHONE
// c'. cit' IC, 1-1L.R�� E� 1 -kms VA- - . ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER E//�(
EXPIRATION DATE FAX NUMBER
�5 B L
wat / / ( ) -
CONTRACTOR'S REGISTRATION
` NUMBS lcopy oto with e plication' " '
S EXP � DAZE
•••••-•-•,-..,.------- /� Iy� U7Vv� CGS � 7/3
-7-
APPLICANT
COMPANY NAME 1APPLICANT NAME OFFICE PHONE
I'LS t ,fie rVi c.f ,SI tA..U (1 /1 r��e.S. (2S_3): 0 - �3( 2
O AD S `l TY,STATE,ZIP -' , CELL PHONE
RELATIONSHIP TO PROJECT �_ L / ` l I up '/I``I '�P ` ) 5,4
0 Architect ❑ Tenant q Agent ❑ Other(Describe) FAX NUMBER
(/ 70
CONTACT NAME
PRIMARY PHONE
< �t ita' C C A \ e ) (L y_ (4 �7A---t.,
jAIMyLADD�RESS
LENDER I ' --)./a rine (i%nisi
Z, �y
. 09 'er n�orinatto s' NAME
MAILING ADDRESS
CITY,STATE,ZIP
. ■ DETAILED BUILDING INFORMATION •
EXISTING USE t y A-1, f u_irk. PROPOSED USE - c,
EXISTING ASSESSED/APPRAISED VALUE 4/5 96. ` O
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES D,NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
Now
.
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST ' r(V) l; � �LI ^'� �%�
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
EXISTING PROPOSED TOTAL ` �'Lxi a r,� 't taro.rnoroscn fir,. r ,
NUMBER OF FLOORS -..• f. <,.
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate m
nuber 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 $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS Icoo�«daq WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/ShoCombo)
SHOWERS WATER CLOSETS irony MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom s nk:) 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 ofFederal 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.
j n I\ .v/i‘ 4NAME/TITLEk.--4,r
(Title)(Signature) DATE
/�_ 1.0 _LS
RELATIONSHIP TO PROJECT 0 Owner I/Agent 0 Contractor 0 Architect 0 Other
L . ,°j._ s• ,ce .
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application