09-102214 it City of Federal Way • Ifyli'ding - Single Family
Community Development Services Permit #: 09-102214-00-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: PARKER
Project Address: 2101 S 324TH ST SPACE 320 Parcel Number: 162104 9037
Project Description: Installation of new 14 x 40 liberty mobile home
Owner Applicant Contractor Lender
BELMOR MOBILE HOME PARK GRETCHEN REYNOLDS MODERN LIVING LTD
2101 S 324TH CT 3058 S 200TH ST MODERLL972DO(4/14/11)
FEDERAL WAY WA 98003 SEATAC WA 6119 PACIFIC HWY E
FIFE WA 98424
Census Category: 112 -New Manufactured/Factory-Built Home, IN PARK
Includes: #1 #2 #3 #4
Occupancy Class:
Construc`on Type:
Occupancy Load:
Floor Area(sq. It) 0 0 0 0
• � .. `' :,� ,;. 'y.,.„ eA a it e �"u.: '41),: -'; r ' t
New/Additional Sq.Feet-1st Floor— 560 New/Additional Sq.Feet-2nd Floor..... _,,,.....0
New/Additional Sq.Feet-3rd Floor-...... 4 New/Additional Sq.Feet-Baseent.......,.,,.....0
New/Additional Sq.Feet Deck 0
- New/Additional Sq.Feet-Garage 0
New/Additional Sq.Feet-Other 0 New/Additional Sq.Feet-Total 560 '
44 i• Bl ixt esAssociatedWith i Pett!' --,-*0-
CONDITIONS:
Installation shall be in strict accordance with the manufacturer's installation instructions or professionally
engineered installation design,which shall remain on-site as required by Washington State law.
PERMIT EXPIRES Saturday, December 12, 2009
Permit Issued on Monday, June 15, 2009
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and t se w' be in accordance with the laws, rules and regulations of the State of Washington
a d the City of Federal Way.
Owner or agi t• 4 1 Date: (0(1 lc?
- l'/31 /c7c/
THIS CARD IS TO REMAIN ON-SI'TE •
41114010
CITY OF ommunity Developnent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-102214-00-SF
Owner: BELMOR MOBILE HOME PARK
Address: 2101 S 324TH ST SPACE 320
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.
❑ 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 GGe3 Date-)•2.0- 0 9 By Date By O ` A Date r
•
•
•
For inspector reference only
Rough Electrical . 0 FINAL-Electrical
Approved Approved
By Date By e.` ...! Date R_-1%_p 41
` "'°'A 02 - / O A . / `7/
• PERMIT 60. F CO ME EL PL DE EN FP
' Federal Way
COALVUM7Y DEVELOPMENT SERVICES APPLICATION / /
253-8352607•FAX 253-835-2609
www.dhaffederaiway.com
SITE ADDRESS
2- 0 1 S )UCtK, w 4.-N- a-- bpa-c-e--+ 344,-4; .
SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL#
.^z--C)1 Cr -
NAME or PROJECT,Lt .� f.
(Tenant or Homeowner Name)
N BUILDING 0 PLUMBING 0 MECHANICAL !S �i d
TYPE OF PERMIT 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION -7)...,
0 ' ntuD 14 ' i [_ - -
PROJECT DESCRIPTION
Detailed description of work to a - -31' R - II r %8 • '�L gaol (�
be included on this permit only
, a� r3,C ri"`" ,
Wim.,,�r,.°
NAME ^ PRIMARY PHONE
PROPERTY OWNER i _-e , 5 a ---'r 'oar kl L( 3e 01 ( S5 4 0 (944.
MAILING ADD- :. - , E-MAIL
2 �1 .10 . 1...:aw� MR. TS
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT r PROJECT CONTACT 6/711
PHONE
�/Ti't • .1r s-1 i Ll ✓1
NAME ,� ; ,�,
CONTRACTOR MAMIE•ADDRESSkT TE,ZIP
,
eas-f- RCe iiiirniiiiallii
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DA FEDERAL WAY BUSINESS LICENSE 0
; moCc 2 L.L. 9`7 a&L it //4 'i1
NAME PRIMARY PHONE
MEE
��_ •(d s , ,, . 5 - / c
10513 cD i400 a -•1 WA-
WW1=
PROJECT CONTACT c, PRIMARY PHONE
(The individual to receive a . —Aram( ° , AlI ✓ S a-r g
respond to all corresponde .- MAILING ADDRESS,CITY,STATE,ZIP
concerning this application) or (90 qi- I lAX el 3
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
- t in#p'f Kf1/75 7101 dive ' •CCP
PROJECT FINANCING NAIrs
t OWNER-FINANCED
Required for projects with
value of$5,000 or more NAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095)
I certify under penalty of per fury that I am the property owner or authorised agent of the property owner.I certify that to the
best of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree .. hold harmless the City , Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred
in the investigation •idefense of such c • .'�which may be made by any person, including the undersigned, and filed against the
city,but only when claim arises he reli. ,. a of the city, including its officers and employees,upon the accuracy of the
information Supp. � �1- as a •• his app ati n. fp
•SIGNA i �/ � �.��i� (gi � DATE
1 qt5/1
PRINT NAME: & .( .I i '/ S
_a.___________
Bulletin#100—4/17/2009 Page 1 of 4 k:\Handouts\Pernut Application
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
o P
ak
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
I BATHTUBS(orTub/Shower Combo) I LAVS(Head Sinks) t TOILETS I WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS I SINKS(Kitchen/Utility) I WATER HEATERS(Eiectric)
HOSE BIBBS SUMPS I WASHING MACHINESTE ASF "URES
GENERAL INFORMATION
PR :•VALUATION .,. WATER PURVEYOR SEWER PURVEYOR... __........ VALUE OF EXISTING IMPROVEMENTS
VIVA c35i6L/
V6444.071 7,600edD La/4ha- -r) Leda_ha.v r-. $ 10,CSL ,
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
t*p r i . `z(90 0 ❑Yes 7kNo ❑Yes X,No
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
giti#GEMEN
" ntaghigeligi
FIRST FLOOR(or Mobile Homy 5000 5�
SECQNi:)!.�QQR V
intaggibiltainiCOVERED ENTRY
DECKS ..
GARAGE ❑ CARPORTalOrtiSIt ❑
{yi Y
33
'py PROPOSED TOTAL
Area Totals MQ 5400 (ail 0
ESTIMATED SELLING PRICE$ #OF BEDROOMS
t, $ iz S ,swage qu
..i' , c,a ?< , , .. ,, ., .:. y Ham„ .n a.,
ARM
AREA DESCRIPTION Area Occupancy Groups) Construction #of Additional Information
Square Feet
Type
7Jy .�� .�. d } 3
d A } a
iE <: , ^ ggiligg2tagg , _ t9 „ iiiIMIXIF.
NEEMEINtinglitliggt
ADDITION
VA a q .w. •'-***Ci.
......:a� �
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
3 33
TENANT AREA ONLY
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�FNCI' �ONL7C 3 ( a
3 4 P
Bulletin#100—4/17/2009 Page 2 of 4 k:\Handouts\Permit Application