06-102414 •
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CommurC�t;of GeveiopmerdFederalWaServices Buildi> — Single Family Permits 06-102414-00-S
P.O.Box 9718
Federal Way,WA 98063-9718
1.11h:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: BELMOR PARK SPACE 273
Project Address: 2101 S 324TH ST Space 273 Parcel Number: 162104 9037
Project Description: NEW-Install of 879sqft mobile home in MH park**10/11 -Resubmittal to show deck
alterations**
Owner Applicant Contractor Lender
NANCY EVANS NANCY EVANS SKYWAY CUSTOM TRANSPORT
BELMOR MOBILE HOME PARK BELMOR MOBILE HOME PARK skywact960c1(2/13/08)
2101 S 324TH ST 2101 S 324TH ST PO BOX 506
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 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.) 879 0 0 0
Perin +gin
New/Additional Sq.Feet-1st Floor 879 New/Additional Sq.Feet-2nd Floor,..........
New/Additional Sq.Feet-Total 879 Occupancy#1 -Use Residence(1 or 2
family)
Zoning Designation RM 3600 New/Additional Sq.Feet-3rd Floor 0
Occupancy#1 -Area(Sq.Feet) 879 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
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Monday, July 7, 2008
Permit Issued on Friday, July 7, 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
ana City of Federal Way.
Owner or agent: Date: /O/77- 3/0C
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City of Federal Way
Certificate of Oc anc
p Y
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 273 Permit#: 06-102414-00-SF
Address: 2101 S 324TH ST Space273
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 879 0 0 0
Owner Name: NANCY EVANS
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 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.
,
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t City of Federal.Way R
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Community Development Services uil rig — Single Family Perm#: 06-102414-00-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: BELMOR PARK SPACE 273
Project Address: 2041 S 324TH ST .Space 273 Parcel Number: 162104 9037
Project Description: NEW-Install of 879sgft mobile home in MH park
Owner Applicant Contractor Lender
NANCY EVANS NANCY EVANS SKYWAY CUSTOM TRANSPORT
BELMOR MOBILE HOME PARK BELMOR MOBILE HOME PARK skywact960c1(2/13/06)
2101 S 324TH ST 2101 S 324TH ST PO BOX 506
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 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:
FIrArea(sq. ft.) 879 0 0 0
A itis nal Permit Information
New/Additi€snal Sq.Feet- 1st Floor r�879 New Additional Sq.Feet-2nd Fier ,tl
New/Additional Sq.Feet-Total 879 Occupancy#1 -Use Residence(1 or 2
family)
Zoning Designation RM 3600 New/Additional Sq.Feet-3rd Floor 0
Occupancy#1 -Area(Sq.Feet) 879 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
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Monday, July 7, 2008
Permit Issued on Friday, July 7, 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. 7
Owner or agent: a- ��- j't�''e/v'Go� , Date: .7/Tk
r.
'7 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 273 Permit#: 06-102414-00-SF
Address: 2041 S 324TH ST Space273
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 879 0 0 0
Owner Name: NANCY EVANS
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 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. f
l
.
ATHIS CARD IS TO MAIN ON-SITE
CITY OF ommunity p Inspection m nt Ins ection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-102414-00-SF
Owner: NANCY EVANS
Address: 2041 S 324TH ST Space 273
FEDERAL WAY, WA 98014-5915
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.
❑ Temp.Erosion Control(4365) ❑ Blocking/Tie Downs (4015) ❑ Final-SWM(4375)
To be done prior to breaking ground Approved Approved
By Date By frf Datef� By Date
❑ Skirting/Final (4250)
Approved
By /� �� Date I� 4a1
III 4
ar illa RECEIVED ED 9
Federal W a‘_ - _i__(1:zi6t1
PERMIT F MF CO ME EL PL DE EN FP
• `25 " DEVELOPMENT
LAY nh
3AVENUEIBOX
FEDERAL WAY,WA98063-9718APPLICATION
P P L I C AT I O N TD
253-8352607•FAX 2538 OF FEDERAL WAY / 3 0 / n.
, ,."tuolkdemtwnu. BUILDING DEPT. J
The ollowin• is re• ired information-an incomplete a••lication will not be acce.ted. Please •rint legibly n in or type.
■ PROPERTY INFORMATION
ao4l
SITE ADDRESS d�9 cJ 30e ` ---tc f�,, g - / // /� (� s�
� �'/ (�� �.I��fD SUITE/UNIT# !�-�-3
ASSESSOR'S TAX/PARCEL# / 6 c2. L Q 7 - 0 t, 7 ` LOT SIZE(sf) IS,33 0
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)$492- _
w ,..32,73 7 F5 di,4F4V4 94 O Gr/ a v
e..)./ 0 /. os_ 4/ fl 041A se., . ,_ for .h �,d oCF I,
a,PROJECT I74FOF.i1LITION
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)
'Pi,'X 64' Pi 616 rCeet worxi b t`(,.fie ot,e, -t o leitAstla iw. B ed vi ,--
t 1P- ff e wl.e- Park, 2,(o( S-, 3.2V -"5- .5.6-t .2 73 ce/y' � LPA 37
Ii�0 > pec.' f i
PROJECT NAME(Name of Business or Owner Last Name) IFV./VVLQI" t G ;Ir.`-k z Ti
• PEOPLE INFORMATION
PROPERTY NAME / PRIMARY PHONE
OWNER 6e'It.F3tr"/�(,p1i/P. I716v�t-e-P�Zl^E� .0 ) d3f -cfl7
MAILING ADDR S CITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME L OFFICE PHONE
sD �/Gs CLL( /raii,s e-t Gar Kl��4( 1 / (s �4 -4�eb
f
Ai AD
Pat 5 SRAL WAY BUSINESS(LPI/CE Oo m-'ER do f- EXPIRATION DATE FAX NUMBER
f -J7/
D 4 / 3( / o4. ( .26') -"'t.3
CONTRACTO 'S REGIST TION NUMBER loopy of card required with each application) EXPIRATION DATE
5 K? f C ri IQ v _1- 2 I,2di Ve o f
APPLICANT COMPANY NAME /�/�,� / y AAP/P CANT NAAME OFFICE PHONE �✓
g5 e4w,tb v / o b l` (e.do 4t mI "^ / r (nayZIP iv (07,--3)
j ) gy1! -U'" i 7
MAILING ADDRESS CITY,STATE,
d(o(� 3a� 4'5�', fe 6V ai4GG Z0a3 L 3) = ‘fol
RELATIONSHIP TO PROJECT ��tf 1 FAX NUMBER
CI Architect a Tenant a Agent Other(Describe) aiVol-OAC 01.1114 c'12_. ( ) j''/ -'h,vr "
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
1 i
izz n 5v zw . (4(3.) er3X - ofd'( 7 eirki)v-A�?�- h1pk�,eo;t
LENDER NAME GIoritiA(1-/Wr,1 0‘ $t,-37/1/;
MAILING ADDRESS CITY,ST 5, PHONE
( )
II;DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ •
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES a NO
WATER SERVICE PROVIDER a LAKEHAVEN CI HIGHLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN . a HIGHLINE a PRIVATE(SEPTIC)
4 11110
ellivelismor
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST p 7 9 7 q
SECOND 0
THIRD
FOURTH
.__--,
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
-,--�
sueT'BIo ntoPosso - TOLv. e.- .at. :.... ;oc�x,<S
NUMBER OF FLOORS 1 --
**NEWHOMES ONLY" NUMBER OF BEDROOMS .2-. ESTIMATED SELLING PRICE $ iiiii/ oaf; —
FIXTURES
Indicate number of each type of fixture to be installed or relocateddx.
as part of this project. Do not include existing fvcti{res to remain.
MECILI IICAL // d�I/'lUe ,�
Value of Mechanical Work $ /'t-(a- — a.G C (ot 71 to
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commereien WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES , MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING ill
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS creasy MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
• LAVS(Bathroom Sia) 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 authorised 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.
NAME/TITLE ,;3a ., ea-7,,,,, 444, DATE �4-/ 0b
Th
(Signature % Cnde)
RELATIONSHIP TO PROJECT ci Owner 0 Agent 0 Contractor 0 Architect i]Other
(.#,,,,nRJ sy;ar.4a*.•1a5, Ji'. ?3 ,,A," Jh;.,•\ d eJ� Jo.. 4f•
az x` 3A' 11�" , x+A,, -0l-' l , .., 34 ;', y'",. ' ,� L,. ,,,
1 D..ttsti«41 M T.......".1 9AA4 Parrs.")of A Ir\HAnAn11tq\PPrmit Annliratinn
• . ‘
ELECTRICAL PERMIT INFORMATION'
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICENEW COMMERCIAL/INDUSTRIAL SERVICE
❑ p Single Family Square Feet d 79 Service or Feeder Each Add'n
(First 1300 ft2-$107.50;Each add'n 500 ft2-$34.50) • 0 0 to 100 amp $117.00 $71.50
❑ Detached outbuilding or garage ❑ 101.-200 amp 145.00 91.50
(Inspected with service) $45.50 ❑ 201-400 amp 272.00 107.50
❑ Detached outbuilding or garage ❑ 401-600 amp 317.00 127.00
(Inspected separately) $71.50 ❑ 601-800 amp 410.00 173.50
O 801 - 1000.amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $34.50 ❑ Over 600 volts surcharge $91.50
❑ 201 -400 amp 145.00 71.50 0 Mast or meter repair $99.00
0 401 -600 amp 198.50 99.00
Q 601 -800 amp 254.00 136.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 364.00 272.00 Service or Feeders
❑ 0to200amp $117.00
ALTERED SINGLE/MULTI FAMILY ❑ 201 600 amp 272.00
Service or Feeder • ❑ 601 -.1000 amp 410.00
❑ 0 to 200 amp $89.50
CI over 1000 amp 456.50
❑ 201 -600 amp 145.00 ❑ #of circuits to be added/altered
❑ over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $71.50 -
0 Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK ResidentiaVMulti-Family $63.00
❑ #of service or feeders
(First service/feeder-$71.50;each add%-$46.50) Commercial(lndustriaZ Service or Feeder Ampacity
❑ 0-100 amps $71.50
❑ 101-200 amps 91.50
❑ 201-400 amps 107.50
❑ 401-600 amps 145.00
❑ over 600 amps 157.00
.
MISCELLANEOUS SERVICE/EQUIPMENT
Cl #of Thermostats • ❑ #of Signs
(First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign.$25.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $107.50
Square Feet to be'served by systems) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $71.50
❑ Security Alarm System
CI Additional Plan Review
El Voice Cabling $107.50/hour
Q Data Cabling
(for modified submittals)
0 CIAutomation Fee on all Permits .. $5.00
(Per Systems)la 2500 ft2-$63.00;
Each add%2500 ft2-16.50) •Per WAC 296-96-910(5)(b)(i&ii)
n„ii +,,It1AA_Te«on.,.1 bnAd D.,...'2...CA