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08-102731
City of Federal Way • • • . • CommunityDevelopmentfFFederal Services Building - Single Family Permit #: 08-102731 -00-SF P.O.Box 9718 , Ph:(253)Federal 835-26Way07WA Fax98063-9718(253)835-2609 Inspection Request Line: (253) 835-3050 Project Name: BELMOR MOBILE HOME PARK SPACE 213 Project Address: 2101 S 324TH ST Space 213 I Parc- Number: 162104 9037 Project Description: NEW-Installation of 1498 sqft manufactured i• to exist par, pace Owner ApplicantOP •r Lender NANCY EVANS SITE SERVICES LL TE ' RVI 7 L NANCY EVANS BELMOR MOBILE HOME PARK 1500 E COLLE WAY -28' S ES' 945C.` • 10) BELMOR MOBILE HOME PARK 2101 S 324TH ST MOUNT V 0 W• 9827 1500 CI LEGE WAY A-289 2101 S 324TH ST FEDERAL WAY WA 98003 MO T VERNON W 98273 FEDERAL WAY WA 98003 J Census Categf : 112 - •w Man act /Fac r ' Home, IN PARK Includes: #1 # #4 Occupancy Class: jib — Construction Type: Occupancy Load: Floor Area(sq. ft.) 0 0 0 0 Additional Permit Information New/Additional Sq.Feet- 1st Floor 1498 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 1498 No Fixtures Associated With This Permit!! CONDITIONS: Subject to field inspection without plans. ***MANUFACTURER'S INSTALLATION MANUAL MUST BE ON SITE AT INSPECTION*** P PERMIT EXPIRES Monday, December 1, 2008 Permit Issued on Wednesday, June 4, 2008 I hereby certify that the above information is correct and that the construction on the abov: I: .cribe. o the occupancy and the use will be in accordance with the laws, rules and regulations of .i - .tat- . , . n he Citylof Federal Way. Owner or agent: ,t-tsas� 2-��—•_—•--�--. Date: © �' fs • 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 MOBILE HOME PARK SPACE 213 Permit#: 08-102731-00-SF Address: 2101 S 324TH ST Space213 Includes: #1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load: Floor Area(sq. ft.) 0 0 0 0 NANCY EVANS Owner Name: NANCY EVANS Owner Name: BELMOR MOBILE HOME PARK Owner Address: 2101 S 324TH ST FEDERAL WAY WA 98003 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;imitations), 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. 5S . 1,4 , 4t 44* • 6 411/4,4‘....„ TiIIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 08-102731-00-SF Owner: NANCY EVANS Address: 2101 S 324TH ST Space 213 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 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 0 Blocking/Tie Downs(4015) ❑ Final Erosion Control(4375) ❑ Skirting/Final(4250) Approved Approved Approved By � cJ Date* -r8,C e, , By Date By Date • For inspector reference only __ __ _ ----------- ❑ Rough Electrical 0 FINAL-Electrical Approved Approved By Date By Date CITY OF 1111.1REVEI Y p'3 ,� h O — I 02 7.3 j .. Federal Way PERMIT _ /// COMMDNITYDEVELOPMENT SERVICEJUN 3 2008 SF FCO ME EL PL DE EN FP 116 33325 8TH AVENUE SOUTH•PO BOX 9718 FEDERAL WAY,WA 98063-9718 A 253-835-2607•Eaty6O F FE D E'P I ATI O N / / ©g www.rltuoffe r m The following is required tion-an incomplete application will not be accepted. Please print legibly(in ink)or type. III PROPERTY INFORMATION SITE ADDRESS I aks S 3 (4.1 Sr S Y , c e A 1 3 SUITE/UNIT# 13 ASSESSOR'S TAX/PARCEL# l /r y - q 6(( 3 7/ LOT SIZE(4) LEGAL DESCRIPTION(e.g.Acme Estates,Lot I) gG )140)2. illi.bC 1�� /Ic T3 RK (Attach separate page for lengthy legal description) • 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 only) I I Ace trio-O 1\4,414ac FAcruaerA de 147e Al TO Exisrntf P412k S4-co , PROJECT NAME(Name of Business or Owner Last Name) G 1(.( I r ( rr e PEOPLE INFORMATION PROPERTYNAME V► Wadi ; PRIMARY PHONE OWNER g I lo� c, S LTD ( ) - MAILING ADDRESS ✓ CITY,STATE,ZIP Ne 7 v I/(p E-MAIL ADDRESS 157/ Belle up Ave * a 1 b W. ilAHcouve zI6C01014a4- CONTRACTOR 101a- CONTRACT OR COMPANY NAME APPLICANT NAME OFFICE PHONE Sire Seat/ Ices LLC_ (31,,o)6--ya - ssci MAILING ADDRESS CITY.STATE,ZIP CELL PHONE KOo E Coll eye k)I pl 02 S R IN oak,r Uek aloe( W A 482 73 (as3) a 7Q - 72 S a CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER O$— /o&7ZO (2s3) qy7 -`37(89 CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS S ) re SSL 4y5C -z a1- 9- I o ,j;wA6t)siTesetytces1lc. S APPLICANT COMPANY NAME 1,4/1.,e APPLICANT NAME OFFICE PHONE 5)Sr ( ) MAILING ADDRESSCITY,STATE,ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect 0 Tenant 0 Agent X Other £Ob1 724-Cr-c 2 ( ) - PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT .Slwi Skit iVIlAet (253 ) x74 - 7�8o jlS,re5. uICEsIIc . LAS LENDER NAME i, / Per RCW 19.27.095: l y J� Lender information is required if project value exceeds$5,000 MAILING ADD CITY,STATE,ZIP PHONE DETAILED BUILDING INFORMATION EXISTING USE S I 11/l' FA-tt(1/Y f`PS • PROPOSED USE S, l�I7CP_ F 141,p9 4es EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ (-1/ t OGi IQ C^) SPRINKLERED BUILDING? o YES XNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES )NO WATER SERVICE PROVIDER leLAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER XLAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC) 1. 4 III • PROJECT FLOOR AREAS k AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST 1 ;2C-=C SLI CIS 1 Lig 8 SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(❑COVERED OR ❑UNCOVERED?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS EXITING PRO ED TOTAL TOTALEXISTfNG SF TOTAL PROPOSED SF TOTAL 1 IdCC) 1‘l9S iLi 6 **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ • FIXTURES Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work$ (A COPY OF BID OR :" MATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORA Y' COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC(Describe) BOILERS • • PLACE INSERTS HOODS(commercial) COMPRESSORS FURNACES RANGES DUCIb GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS(or Tub: Deer combo) LAVS(Bathroom Sinks) URINALS 'MISC(Describe) DISHWASH •.. RAINWATER SYST VACUUM BREAKERS DRINK'I FOUNTAINS SHOWERS WATER CLOSET,(Totto E RIC WATER HEATERS SINKS WASHING MACHINES OSE BIBBS SUMPS 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 ppf this application. G� / // n Q SIGNATURE: �'rL2P/© .'a-2i{i,-C-�G2tt7 eir GDATE [�% t - L t� Property Owner and/or Authorized Agent v FOR OFFICE USE ONLY u NEW ❑ADDITION r,ALTERATION c REPAIR u TENANT IMPROVEMENT BUILDING SHELL ONLY? n YES r NO BASIC PLAN? ❑YES o NO ZONING DESIGNATION CHANGE OF USE? a YES n NO NEW ADDRESS REQUIRED? u YES ❑NO UP/SEPA/SU? u YES o NO PLATTED LOT? ❑YES n NO DEMO PERMIT REQUIRED? ❑YES n NO Bulletin#100-January I,2008 Page 2 of 4 k\Handouts\Permit Application