98-101052 CITY OF FEDERAL WAY w. PERMIT NO: BLD98-0173
33530 First Way South . ,GN�...,N .,.N.. N..... .:��.I. N��N i,.;,a Nu,,;N E.H.N'w''N .,,II ,.N... ISSUED: 04/03/98
Federal Way, WA 98003 Building Inspection Requests 253-661-4140 BY: EC
253-661-4000 EXPIRES: 09/30/98
ADDRESS:210:L S 324TH ST Unit: CLUB
NO. : 162104-9037
PROJECT DESCRIPTION:TI - NEW CEILINGS AT KITCHEN AND HALLWAYS
BELMORE MOBILE HOME CLUBHOUSE
f= OWNER - -= {- CONTRACTOR ----- -- ^---_--^- -- --- LENDER --__ .
BELMORE GOLF & COUNTRY CLUB OWNER IS CONTRACTOR
1 2101 S 324TH ST, CLUBHOUSE
EDERAL WAY WA 98003
838-0517
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.6% ***
I BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 i COMP PLAN .1 1 FEES:
TYPE OF WORK:TEN USE:COM 1ST.: 7800: O:sf STORIES • 0 : REQUIRED PARKING..; 0 SPRINKLERS.) •9 PLAN CHECK FEE $ 20.80
CENSUS CATEGORY •437 2ND.: 0: O:sf HEIGHT • 0.00 ft 1 HAZARD CLASS •? BUILDING PERMIT....* $ 32.00
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION 1 REQUIRED SETBACKS FIRE FLOW • 0 gpm PLCK-FIR comml only* $ 1.60 .
:A3 ;? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 1000 SIDE • 0.00 ft WATER SERVICE..:?
:5N ;? :? :? DECK: 0: O:sf i
1 REAR • 0.O0:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:03/31/98
0: 0: TOIL: 7800: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
0: 0:
101 JEL TYPES.:? ? FANS • 0 BOIIERSJCOMPRESSORS WATER CLOSETS • .0 URINALS 0 TOTAL FEES $ 58.90
GAS PIPING.: 0 ft HOOD Q 0 3 TON 0 BATH TUBS 0 DRINKING FOUNT.: 0
# FURN<100K..: 0 DUCT WORK • 0 3-15 TON . 0 1 SHOWERS • 0 SUMPS • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 TON...: 0 1LAVATORIES • 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0 SINKS • 0 DRAINS • 0
BBQ • 0 MISC • 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 I LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
t_ --- _: ._.:__: - - - _: --._ _1 ____.__ .._... _ - -- __. --_
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
• OWtfER tiR AGENT 1;77 f1TITTI .-__,_ DATE ___i/y1._ ____
_
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3 PLUMBING GROUNDWORK
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6 UNDERFECIUR::E#[1A1KA1Ft ..........
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7 SH1=AR IVAI- S ..
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8 PLUMBING, ROUGH IN
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12 INSULATION.
Date Bycf
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13 GWB - 1ST LAYER • � T — U GG hG��L4J Iii eve �a ��� X14
Date ,i fit=t"t6-'r r
14 13WB -2ND.Il.A 4�( /D4--7
Date By /- 7-
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15 SUSPENDED CEILING
Date By
16 PLANNINi FINAL
Date By
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�::�INAS....................................................... ......
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19 BUILDING FINAL :
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Date 5 _t_ 9t, By ji/ti(--G
CD0193(Rev 4/97)
• 4.. .
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MYCr City of Federal Way
w ,FI ''-H .:: .• 1A, APPLICATION FOR BUILDING PERMIT
PLEASE PR/NT
APPLICATION #: 1971, f'1 —.0 11- '
(.: ; :LtdCATI:oN:: :iiiii::> : :>;::::: :>::::><::<:::::>:::<:id Address Zo I v( 67, Z,--f 441
Tenant (if known) Lot #
•
IA's[s�essofr's�Tax#
Building Owner Name , 1 *" t`—
fl477
'
Address
127.-i F"-jn .4741~vr 4 Lp)-1NL.Lut z.(vi <7, '
City �Ci rjey.,4 �P, ]State ,��A Zip l� Phone
Nature of Work N��� ,G.iIL(t-1 , v
rt
APPLICANx . ........
N •
ame (F,M,L) t7. , ) O�,L/�.t�}� 1 p •
`+' �� I / ' ' `✓ f'�� !�-4'i t-14.-1" wry +' ' : .
Address
it r,40 17« ZA1 t41 17f, . . . . .., . • •.—. - -- .. . •
City State 4�� Zip alb,'
Contact P rl� son ���A ��� '°` l
y_ IC7 i Day Phone /xi( � �; Other Phone Fax
i.J]3UILD]NG CONTRACTOR
Company Nemo
Address " , -•,"
City i State
Zip
. Contact Person . Phone
.l Fax
• Contractor's # (card must be presented) /
Expiration Date Verified 0 Yes 0 No
•
I ARCHITECT ::
• Name "...7 ., ..., ArrL12_,A,HT-
Address
City
State Zip
•
Contact Person
Phone Fax
LEGAL DESCRIPTION
•
Please Complete Reverse Side
C00402(Rev 4/991
STRUCTURE .Sting Use 4.1.., ,}4u�j� proposed Use 41....Litic;p1I.c-.r_
Permit includes: U Building 0 Plumbing ❑ Mechanical 0 Other s. •
Typo of Work: 0 Residential 0 Now R Remodel 0 Number of Units 0 Deck •
• Commercial 0 Addition 0 Garage 0 Shed 0 Other s
Enter 1st Floor sq ft '2nd Floor sq ft 3rd Floor sq ft Existing Floor Area. sq ft
Area Basement sq ft Docks sq ft Garage sq ft Proposed Total Area "y sq ft ' .
,.... �`'.. ` ; <<Water Availability0 Sewer Availability0 On-Sita Septic System Availability 0 . 1pf4jQQtV.A.0aflp.t..:. � • . . f � ? ; ..:.
Zoning pill '44=4, ILot Size [oZ.2�j ' j .fx >n:e aXauation S
�.T421 ;: <:
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Name . Address
City •
State Zip
•
MLCHANT'CAL CONTR ACTe ::>'< >> . .
Contractor Name Address ,:'."...., ..: , . • ..''t'
,
City State• Zip . '
Contact PhoneFax •
License # • Expiration Date Verified 0 Yes 0 No
• PLDMBIN.G CONTRACTOR < �'< '< '<>'
Contractor Name Address ,; ;
City State Zip
Contact Phone Fax '
• ,
• License # Expiration Date Verified" .0 Yes 0 No
•
PLUA TNG `IXTURE COUNT . _.
Water Closets ' Sinks Urinals Lawn Sprinklers
•
Bathtubs • Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
• tOli_i litre>Cot.g.Mi ;iMai
' Levator;os Washing Machina Drains To:t I,F'x
MECHANICAL UNIT COUNT< ;>::
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
15 Tons %fo al Urlt,:
Bee's Wood Stoves 3 t. � u:n ><;<>> <>�i: ;<<i<>:.
DISCLAIMER: I certify under penalty of perjury that the Information furnished by mo Is true and correct to the bast of my knowledge and further that I am authorized by the owner
of the above promises to perform the work for which permit application is made.I further agree 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),which may bo made by any person,Including the undersigned,and filed against the City of Federal Way,
but only whore 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. '
r �///
'arum./Agont' .,„...--"*.-.1,.. ,,I..., ,.4 I?jt / Date: 7/ 1/°:1?