97-104521 97_,i y5 2/
CITY OF FEDERAL. WAY PERMIT NO: B D9 -0731
33530 First Way South ::�::;I��,..,•,N :::8::: M,..,. ::It :IN,N 6,.,,,,, �,,,;� :v:::H N .:N.;. E /
,,,��' `'� .,,;;.ti i '��� '� � ISSUED: 12/30/97
Federal Way, WA 98003 Building Inspection Requests 2.53-661-4140 BY: FC
253-661-4000 EXPIRES: 06/28/98
ADDRESS: 2101 S 324TH ST Unit: 302
NO. : 162104--9037
PROJECT DESCRIPTION:MANUFACTURED HOME INSTALLATION, SPACE 8302
;-= OWNER -- ---- ----- -. r- CONTRACTOR Z LENDER
t BELMOR PARK LANCOR DEVELOPMENT INC
1 2101 S. 324TH #302 ' 1833 AUBURN WAY N SUITE #3 ! 1
s
I FEDERAL WAY WA 98003 AUBURN WA 98002
IV
1
833-7879
LANCODI144B7 # {
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% *u
1 BLD?:X MEC?:? PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN.........:B FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 1288:sf STORIES........: 0 REQUIRED PARKING..: 0 SPRINKLERS' . PLAN CHECK FEE $ 52.65
CENSUS CATEGORY •112 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS •' BUILDING PERMIT....* $ 81.00
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm ; SBCC SURCHARGE 1 $ 4.50
:? :? :? :? : OTHR: 0: 0:sf EXIST..$: 0 ¢ FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 5667 SIDE • 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: Q:sf REAR • O.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:12/17/97
0: 0: 0: 0: TOIL: 0: 1288:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS 0 BOILERS/COMPRESSORS WATER CLOSETS...,.,: 0 URINALS • 0 TOTAL FEES $ 138.15
111!16
'AS PIPING.: 0 ft HOOD 0 0-3 TON • 0 BATH TUBS 0 DRINKING FOUNT.: 0
FURN<100K,.: 0 DUCT WORK • 0 3-15 TON • 0 SHOWERS • 0 SUMPS • Q
GAS HWT • 0 WOOD STOVES...: 0 15-30 TON...: 0 ' LAVATORIES • 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0 SINKS • 0 DRAINS • 0
BBQ 0 MISE • 0 50+ TON • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 (:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0 1
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 ,
r _.---......____.. -_------_.-..___-- r. S_.._..._____.._..._..___. --------- - ---- -.
PERMITS EXPIRE 180 I:YS AFTER ISSUANCE IF ORK IS STARTED. ESIDENTIAL AND GRADING PERMITS EXPIRE ONE YE AFTER DATE OF ISSUANCE.
I CERTIFY THAT TH .: , RM•TION FURNISHED IS TRUE A�, U`lECT TO THE BEST OF MY KNOWLEDGE AND THE IT(1! RAL WAY REQUIREMENTS WILL BE MET.
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1 SETBACKS ............ ....................... .................
& FOOTINGS
Date By
2 FOUNDATI(1t :;lll AU.S :.:.
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3 PLUMBING GROUNDWORI le_ , [.., h �-- 4_//1o ¢' �/ /,'/-e,, S
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4 •LAB INSU• TLCN
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CD0193(Rev 4/97)
• • BUIIDINGDIVISION
j
_ 1 � 6�/ED33530 First Way South
EDEIZF�1_ ��y 5S Federal Way,WA 98003
(253)661-4000
AY'
17 1997 Fax(253)661-4129
CITY RUFD NG p
DEPT
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION # JL''' / - - y rI /
�• l
I 0 I 7T
<:�>: Addres s
Tenant(if known) Lot# ' n A Assessor's Tax#
Building Owner's Name Address ^ I Q I C S. q
City /_ �/ State / Zi v 1 J Phone
Nature of Work n ) t 11' a 1 u4c—o If ,� H(�
.. .................................. .................................................................................... .. ................... . ..
.
APPLICANT > immi «
Name (F,M,L) L61,
_\__:,
Ilv \ .
i-)....e
\/'lH ' eV a
Address ,---
D L (ii\ru v.\ v At2."(._)( \,( A
City \OV In State LAD A Zip
CD C
Contact PersonM
�� `L v.\ Day Phone 323-it/_ 3-it/ I Other Phone Fax-. )3S_(_0 -)q I
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B.110LN;' .:. ,::NTR CT. R€€€ >< >< <
Company Name
Address
City State Zip
Contact Person -/ //�� Phone Fax
Contractor's # (card must be presented) L/ NQ 6 7 Erpiroc1,73,ittq 7 Verified 0 Yes 0 No
In I
in
� dilCA,
'Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
Proposed Use ExistingUse s
Permit includes: uilding 0 Plumbing 0 Mechanical 0 Other
Type of Work: Residential `tiNew 0 Remodel ❑ Number of Units 0 Deck
❑ mmercial Addition 0 Garage 0 Shed 0 Other
—
Enter 1st Floor --6 sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability 0 Sewer Availability 0 On-Site Septic System Availability 0 Project Valuation $
Zoning I Lot Size Existing Bldg Valuation $
. .................... .. ........................ ...................... . .......................................................... . ... . . .
.ENDR> i _.< >: »:> < »: >?>»
Name ✓ 1F ---,UCW
Vi L /Mit Addre s'`J jC ,Dfp, $(.___E
_
City --.1 CC-, State (.,A jAill Zip
...................i:;i:i...................m:i:i...... ..............................
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ICALCONTRACTORMENE
o TOR
Contractor Name Address
City p\iIState Zip
Contact Phone Fax
License # ) Expiration Date Verified ❑ Yes ❑ No
........ ............................... ............................................
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1�yy.1.,�.�.yy,,.��1�A*.��.t.y�.�F..............�..y..i.(.�.�..... ............................................
lir"I•UI.V.I IRI•...`'C:V i7.:::_:;,;:r:TOR ilii:`a:z i> "````'.``
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes 0 No
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. ONO:: .. : .: > >'>'....>:>
Water Closets SinksUrinals Lawn Sprinklers
Bathtubs Dish Washe Drinking Fountains Other
Showers Electric Wa r eate s Sumps
Lavatories Washing Machine Drains Total Fixture Count
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'I Eel Al `ICA ;1NI CO N »<» >»': MECHANICAL EVALUATION ONLY $
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Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons •
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons llbtal Umt cddld.
DISCLAIMER: 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 authorized by the owner of
the above premises to perform the work for which permit application is made.I further agee to save harmless the City of Federal Way as to any claim(including costs,expenses,and
attorneys'fees incurred in investigation and defense of such claim),whi ay be made by any person,including the undersigned,and filed against the City of Federal Way,but only
where such claim arises ou • , - chance of the city,including its off d employees,u•on the accuracy of the information supplied to the city as a art of thi ap lication.
/ / r
Owne `J f Date: 1 /.7 r i
v .
BUILOIHG.APP .
BEv Seo 8/28/97
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