06-105637 Ilk
'City of Federal Way Buil Ing — Single Family Permit #: 06-105637-00-5 F
Community Development W 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 SPACE 271
Project Address: 2101 S 324TH ST Space 271 Parcel Number: 162104 9037
Project Description: Installation of a new 23'4" x 52' mobile home plus porches(34sq/ft).
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
I
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.) 1,248 0 0 0
Addit1Q�hermit InfO� tion
New/Additional Sq.Feet-1st Floor........ .. ,...1213 �� ` New/Additional Sq.Feet-2nd Floor',....; ... 0
New/Additional Sq,Feet- Total 1253 Occupancy#1-Use...,,,.; l side ce(1 or 2
family)
Zoning Designation N/A New/Additional Sq.Feet-3rd Floor 0
Occupancy#1 -Area(Sq.Feet) 1248 New/Additional Sq.Feet-Basement 0
New/Additional Sq.Feet-Deck 34 New/Additional Sq.Feet-Garage 0
Occupancy#1 -Class R-3 New/Additional Sq.Feet-Other 0
No Fixtures Associated With This Permit!!;
PERMIT EXPIRES Monday, January 26, 2009
PermitIssued on Friday, January 26, 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
and the City of Federal Way.
Owner or agent: Date: ( / 7�� �-
- l •'%
City of Federal Way Elf
` • 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 271 Permit#: 06-105637-00-SF
Address: 2101 S 324TH ST Space271
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 1,248 0 0 0
Owner Name: BELMOR MOBILE HOME PARK
Owner Address: 2101 S 324TH CT
FEDERAL WAY WA 98003
9/ 41LZ____
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 MAIN ON-SITE
CITY OF w . Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-105637-00-SF
Owner: BELMOR MOBILE HOME PARK
Address: 2101 S 324TH ST Space 271
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.
O Temp.Erosion Control (4365) ❑ Blocking/Tie Downs (4015) ❑ Final-SWM(4375)
To be done prior to breaking ground Approved Approved
By Date By ;to 9 By Date
❑ Skirting/Final(4250)
Approved
By Of Date ; 7
410
REQS tED . A
a Of
deraiway NOVv _PERMIT -`
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- COMMUNITY DEVELOPMEATSERVICES
2®06 MF CO ME EL PL DE EN FP
33325 10w AVENUE SOUTH•PO BOX X9+718
253 835-2607•FAX 253d35.2609� 4 L I C AT I O N
FEDERAL WAY,WA 98063.9718 IT ,OF FED e
wwwsit}p/lederdway.eom BUILDING DEPT.
The o llowi • is re.uired in ormation-an into •lete a••licatton will not be acce•ted. Please •rint le.ibi in in or •e.
• / '` . IN PROPERTY INFORMATION
SITE ADDRESS (0! 45, 3,2V SUITE/UNIT# 7/
ASSESSOR'S TAX/PARCEL# / t ,2 / U , - a 3 7 LOT SIZE(si 7l7
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) S, cF YE .%' Of/1/ki, doxi4tes oJ5`4 O J
i f ei;�(•.tg5, OcF t .. a,. f k"e�t d 6 r ' leas`- of-dkkeer5)627-6 57-
, M 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)
,Mho
iteL,r1/. ul 24073/4e
. i iv. rs .r ,e- d 6 :f , , l'u zlo ; /
PROJECT NAME(Name of Business or Owner Last Name) J e 411,r. 6 j/Lo,. q1Q 7y1,,e ! '
. N PEOPLE INFORMATION
PROPERTY NAME
OWNER PRIMARY PHONE
(A371)MAILING ADDRESS CITY,STATE,ZIP 7
CONTRACTOR COMPANY NAME APPLICANT NAME
�lC 5 tb1& .�-ra /� T L / OF�F/IyCEPHON/El/ �i/
(LINO ADDRESS C�L)r�E,ZIP LLt/J l CELL PHONE
I�/ p t/ v
dOe � 6 :6CITYcl'l9670/z-a:4b V6g ) /� -Y�.ti
CITY OF EgERAL�{(AY BUSINESS LICENSE NUMBER- Q Q EXPIRATION DATE FAX NUMBER
7 -J - 1 g 2 7 B L 4 /31 10A ($Z141--f -02ycc
CONTRALTO 'S ST/j TION NUMB(cop of card required with each application
L/ � EXPIRATION DATE
APPLICANT COMPANY NAME l f I. .As j)� APP CAN•NAME OFFICE PHONE
/ /
MAILING ADDRESS CITY,STATE,ZIP i i ( �) �f ✓`�''
RE/�/� �/J t � y��.s����77 (CE�/LL�PHON(E,� 4071/�j
LA(TIONSHITO PROJECT � f w� `a(CJ 3) (�(�- (� J
❑ Architect ❑Tenant a Agent Other(Describe4,, 6 Y,a� (FAxNUMBER �n
CONTACT N M ) ��� •� �, ��� "`��
i V k[/ I (�(33)H EI v6( 7 Ib � �/ CSE/`
LENDER 417 14144/i 4.4.1'`1011 ,e::., &,17,)fef hrtr•. t?r p NAME
MAIUNO ADDRESS CITY', ATE,ZIP
• ' • II DETAILED BUILDING INFORMATION .
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE i$ �� 060
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES WNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES /t)(110
WATER SERVICE PROVIDERLAKEHAVEN a HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
S .
- . . PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENTn�� f„ / (a-
FIRST /d Z o ill 64 _ l.2c(f
SECOND
THIRD
FOURTH .
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) • • , 2 J?
.
,_= .rte r" - "-. ,%c .��il_ IJ� 7/riR
GARAGE 0 CARPORT 0 /
EXISTING PROPOSED TOTAL ..A0.. ..17 '4...,.'7.1.-:—. ROROSLD, F 1i :I 14 AL STs ...'::
NUMBER OF FLOORS ._
F,.,1., _.. . _.,1.. 'c'''''1';''"!,4 ,�.;t /"'...� § It
.. ,.;:
**NEW HOMES ONLY" NUMBER OF BEDROOMS .3 ESTIMATED SELLING PRICE $ 1 cf' 0°0—
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 Cl (i V�YP�P(
Value of Mechanical Work $ 4c( /it p( 'e K
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(common.W WOOD STOVES
BOILERS •.. FIREPLACE INSERTS RANGES ' MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS torTub/Shower Combo) SHOWERS WATER CLOSETS lroset) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(B.uwom sink.) 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
ant 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. !7Q/ Qr 0 is j� �j
NAME/TITLE7(4446 „ trK4'�d��1 i'7 DATE /f/f��6
Sign”ature ( //j (Title) f
RELATIONSHIP TO PROJECT j„Owner 0 Agent ❑ Contractor 0 Architect 0 Other
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application