06-103085 t
City of Federal Way Builn - Sin le FamilyPerm • ~
Community Development Services g g #: 06-103085-00-S F
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 289
Project Address: 2101 S 324TH ST Space 289 Parcel Number: 162104 9037
Project Description: NEW-install new 2007 fleetwood mobile home 52'x23'4"
Owner Applicant Contractor Lender -�
BELMOR MOBILE HOME PARK NANCY EVANS SKYWAY CUSTOM TRANSPORT
2101 S 324TH ST BELMOR MOBILE HOME PARK skywact960c1(2/13/06)
FEDERAL WAY WA 98003 2101 S 324TH ST PO BOX 506
FEDERAL WAY WA 98003 RENTON WA 98057
Census Category: 112 -New Manufactured/Factory-Built Home,IN PARK
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
AdditionalPermit info o 4.
New/Additional Sq.Feet-1st Floor........ ......_..1248 New/Additional Sq.Foot-2nd Floor. ,..r..0
New/Additional Sq.Feet-Total 1248 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
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
nd the City of Federal Way.
Owner or agent: XL/14. ("40 � Date: 7/ 77/al
9 f �
Ci of Federal Way Y
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 289 Permit#: 06-103085-00-SF
Address: 2101 S 324TH ST Space289
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
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.
THIS CARD IS TO MAIN ON-SITE
�,�,of ommunity Developnffitt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-103085-00-SF
Owner: BELMOR MOBILE HOME PARK
Address: 2101 S 324TH ST Space 289
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) ❑ Blocking/Tie Downs (4015) ❑ Final-SWM(4375)
To be done prior to breaking ground Approved Approved
By Date By f/a- Date ,� d1/40By Date
❑ Skirting/Final (4250)
Approved ']
By Date F-
• i
PaRECEIVED G - o `,
Federal Way PERMIT - - - g
• COMMUNITY DEVELOPMENT S.R 2 1 2006 �F CO ME EL PL DE EN FP
333Q5DAVENUE,WA9•PO PLICATION
FEDERAL WAY,WA 98-2"-° 8 ,
X53.835.2607•FAX -2"-°6
www.d:uolfede �bF FEDERAL R
Pli / 0 / • 'i
BUILDING DEPT. l
The ollowin• is required in ormation-an Inco 'late a••lication will not be acce•ted. Please 'tint legibly in in or ty•
r■ PROPERTY INFORMATION
6l(�
SITE ADDRESS Vr, 3-z-7 sU` 'f ora" 4, fir f?o G3 SUITE/UNIT# 7
ASSESSOR'S TAX/PARCEL# / (6e a( 7054 - 7` 45 ,...) -7 LOT SIZE(s� < 3
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)✓;1 ••' ►jf o T')L l d; V ,,4�O J LN ,, y
fr c IN PROJECT INFO / . 656- .! i' : est,►J' -r,%
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 rk included on this emit on(
�Kfita/t n. erp ,� c 0k,1,0, ami cs"►t-`
4' /y'
--,5 pZ ' 1 -# / ,moi 'V� f/�9®J
PROJECT NAME(Name of Business or Owner Last Name) g /14.0V ,V‘
II PEOPLE INFORMATION 666���
PROPERTY NAME ,�t
OWNER j `j r e- V ? PRIMARY)HfQN�E J 7
�e/l�V'frt��`C//f� / KSS 3 �J� Y/`� 6 7
CONTRACTOR COMPANY NAME
9> APPLICANT NAME �%_ j OFFICE PHONE
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J4NO AD 61 td , �-2'ile f Y&GO VIC6� 7� i t (G"" "22 ;J W(,
D i7� _f��S � CELL PHONE -
(. JC Ite4Ct) ai,hiffe o c.24 ) J71'6
CITY OF FEDERAL 3IAAY BUSINESS LICENSE NUMBER {
— f' Jr% a o
,g- EXPIRATION DATE FAX NUMBER
® _ .Lo ' Z7__BL 12 ' 3i l4( (Y. 22, ys
CONTRACTORS REOIST "TION NUMBER(copy of card requirewith each application)d EXPIRATION DATE
ci 4 fel : ..�� . e, CI- ,Z l ii 1,2
APPLICANT C MP NY NAME LICANT NAME OFFICE PHONE '
itr WOrl'odt'le-7/o 4 �..t�vg ( ) P. 1- d57 7
MAI NO ADDRESS CELL PHONE
lig/ ,3.?Y - ZIP ( j l t (� j Toy
RELATIONSHIP TO PROJECTif"� L"' YL ) (%
FAX NUMBS
❑Architect ❑`Tenant ci Agent XOther(Describe)/ ,tev ////
CONTACTE PRIM • PHO E ADDR
.4 -05' ley L y 1
4► ks'
am
LENDER
x NAME
MAILING ADDRESS CITY,i=,ATE,ZIP PHONE
( )
' ■ ,DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE �f M�j i'le_ 10 �w6� kr-4?
EXISTING ASSESSED/APPRAISED VALUE $54 - VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 101O FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES XNO
WATER SERVICE PROVIDER A LAKEHAVEN a HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDERAKEHAVEN . 0 HIGHLINE 0 PRIVATE(SEPTIC)
III S i
PROJECT FLOOR AREAS
DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT k / _ 'I /. fid tom.
FIRST 12 L P {,). / �,
SECOND it
�-(- -
G„t yi/E� )4 --
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
EXISTING PROPOSED TOTAL
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS 3 ESTIMATED SELLING PRICE $ 7 e'o ,
FIXTURES
Indicate number of each type e o re to be installed ._ .
f fixture ailed or relocated as part of this project. Do not include existing fixtures to remain.
MEPC �— l /k ? W Ykk-, o Gam-c�ev .. '-
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tib/Shower Combo) SHOWERS WATER CLOSETS tra7et) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
certify
premisesury thaperjurymy 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.
gesture)
NAME/TITLE l ems' . , L...f r of • -�' F� DATE
6'711/047F' t ride)
RELATIONSHIP TO ' r•JECT )(
Owner 0 Agent o Contractor 0 Architect 0 Other
?IiM 0.i.
yea 7i
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