06-102415 ♦.
Ci ofFedepralway Buil n - Single FamilyPermt#: 06-102415-00-SF
Communi Develo ment 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 SPAC 212
Project Address:J2041'S 324TH ST Space 212 .110 l Parcel Number: 162104 9037
Project Description: NEW-Installation of 1248sqft 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:
Floor,-Area(sq. ft.) 1,248 0 0 0
Additional lrmit Information _ ez
New/Additions Sq.Feet- 1st Floor.«: 1248 New/Additional Sq.Feet-2nd Fl r....... .........0
New/Additional Sq.Feet Total 1248 Occupancy#1 -Use Residence(1 or 2
family)
Zoning Designation RM 3600 New/Additional Sq.Feet-3rd Floor 0
Occupancy#1 -Area(Sq.Feet) 1248 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.
',I(
Owner or agent: / rc(- e170, ,ed . /'- , Date: 7 77o,
THIS CARD IS TO MAIN ON-SITE
CITY OF kommunitY p Develo t Inspection. Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-102415-00-SF
Owner: NANCY EVANS
Address: 2041 S 324TH ST Space 212
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.
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 Date g 06 By � ce/ Date
❑ Skirting/Final(4250)
Approved
By Date
40 Ii
urror' RECEIVED ��
F'ederar way 1l,\' 0.(a- - _LL _q_ _t__
PERMITP2581WNU'SOU 2006 MF CO ME EL PL DE EN FP
9JJa5 d�AVENUE SOUTH•PO BOX 9218
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5BIIBa9saso7•3ALWAY,WAPAx2 9��it)FFEIJEt�A(, �, ,P P LI C ATI O N
as
usgedireffkmkrafaUILDIN3 DEPT. /
The o llou�tn• is re•wired i ormatlon-an incom.late a,•lication will no 1 r -
t be ecce•ted. Please •rint la•i6l n in or
g ■ PROPERTY INFORMATION//' '
SITE ADDRE83 /'•'/j '/, 3..2{--1/ _
.-/ T ev'e( (Ni Or
7, 1I SUITE/UNIT# .. .i,..2.... .i,..2..ASSESSOR'S TAX/PARCEL# ( j g_ Jo y- Ci D
-�" —• LOT SIZE(s.f) 3,i 2
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) i l [ a
A +mak 0 ria 07/ �'�` � d S _ / 4
N; �, 1
Y PROJECT INFORMATION < , t;7 eyS i �.
TYPE OF PERbIIT
KBUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this aerm' .+++n)
au) Dr ��2 rt
• tdtJ ai noa Ohc r t / ��,� e"4
/. c/-,r. . 4) : - ,DO(�_ y
PROJECT NAME(Name of Business or Owner Last Name) e / '
N PEOPLE INFORMATION
PROPERTY NAME
OWNER i
a 4 G PRIMARY PHONE
, a / / w 0 P.
AIL NO ADDRESS �� _'.
9 1, CITY,STATE,ZIP
1C l/ 1-
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• :. /^ GtJ ' i �'�/
CONTRACTOR COMPANY NAME
h APPLICANT NAME
' / �/ OFFICELJLPHONE
M NO AI.RESg !> / ,y ') i-ep.r
`Q �) ."8,11/6)C
.� CITY,STATE,ZIP CELL PHONE
e V 0 �O .`t7/ -0 /i (�
CITY OF FEDERAL WAY B SINESS LICENSE MBER "• Olj C/6
-7 EXPIRATION DATE FAX NUMBER
6- . 7. Z-B L • /. _ /J/ / d , (tz ),1.2,1 -, '9
CONTRACTOR'S REGISTRATION NUMBER loopy of card required with.doh application) `
S`[' (/(�// I /' T / /J EXPIRATION DATE
�e fQ (i— �l.�� /.200-
APPLICANT COMPANY NAME
' OFFICE PHONE
A. Gl / i / a..-ir/ I..,,
i
MAIL! G ADDR" L • - PH +� / -
et/Q /S 4 e- STATE
v �►•- CELL PHONE..
RELATIONSHIP TO PROJECT f"'a i.t%� �y O ,./0>.
0 Architect Tenant ❑Agent 1' (Other ascribe FAX NUMBS:
❑
CONTACT � ,Gi�w� o� • j) 2 , - �,
,i PRIMARY�rPH•NE
I /i [ �/ f -I7r ' O /7 MAIL ADDRESS
LEND - ,
/
MAILING ADDRESS
/PHONF
l
■?DETAILED BUILDING INFORMATION
EXISTING USE
PROPOSED USE ArAi. ii D J / - dt
EXISTING ASSESSED/APPRAISED VALUE $ 1(Q,
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? d YES sr NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES
WATER SERVICE PROVIDER *LAKEHAVEN 0 HIGHLINE00SEWER SERVICE PROVIDER LAT T?nAViP „ vr,,,,,,,,,- _ 0TACOMA ❑ PRIVATE(WELL)
1 0
PROJECT, REAS
AREA DESCRIPTION EXISTING • .
BASEMENT kt/a- ki./a_ h(d,
FIRST • "
SECOND it i 1177 K(a,
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0 '
1 ZICUITING I nowsso I Tot,
NUMBER OF FLOORS
**NEWHOMES ONLY** NUMBER OF BEDROOMS ATED SELLING PRICE
Indicate number of each type of fixture to be installed or reioca + part of thisproject. Do not inchide existing fixtures to remain.
MECHANICALe( i M. p(AA) e.44_ .Wl . e— i,v-
Value of Mechanical Work $
EVAPORATIVE COOL E; GAS LOGS REFRIG.SYSTEMS
AIR HANDLING UNITS HOODS(c.mm.rct.q WOODSTOVES
BBQS FANS
BOILERS
FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
•
PLUMBING WATER CLOSETS cram MISC(Describe)
BATHTVBS I.,nn/snoaar combo) SHOWERS
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPSRAINWATER SYST
WASHING MACHINES URINALSHOSE BIBBS
LAVS ••m
VACUUM BREAKS: ELECTRIC WATER HEATERS
DISCLAIMS RE BLOCK
I certify under penalty of perjury that the information furnish . is true and correct to the best of my knowledge,and further,that
hold
am authorised by the owner of the above premises to perform th. . ,r which the permit appliicaHis
n made.
he investigationr and d4f *e hold
harmless the City of Federal Way as to any claim(including costs, s,nfiled and
� therneys' Cityes incurredf Federal Way,but onlygati where such claimeof
such claim), the may be made iy any person,includings the e - ,on the accuracyofthe i ormation supplied to the city as a part of
arises out of the reliance of the city,including its officers and emE,• �
this application. c NAME/TITLE /
+ 4:):-/-( DATE 6// ZDt
2flJI1/ �L
/ gnacure) (Thiel
TO OJECT. q Owner 0 Agent 0 Coll 0 Architect O Other •
0 l nye 4.9`.•
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