12-105624Project Name: BELMOR MOBILE HOME PARK SPACE 33
Project Address: 2101 S 324TH ST Space 33
wilding - Single amily
Permit #: 12- 105624.,00 -SF
Inspection Request Line: (253) 835 -3050
Parcel Number: 162104 9037
Project Description: NEW - Installation of new 891sgft mobile home to replace existing.
Owner
ADgllcant
City of Federal way
Lender
Community 8 Econ. Dev. Services
FILE
33325 8th Ave S
OWNER IS LENDER
Federal Way, WA 98003
16311 MERIDIAN E
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: BELMOR MOBILE HOME PARK SPACE 33
Project Address: 2101 S 324TH ST Space 33
wilding - Single amily
Permit #: 12- 105624.,00 -SF
Inspection Request Line: (253) 835 -3050
Parcel Number: 162104 9037
Project Description: NEW - Installation of new 891sgft mobile home to replace existing.
Owner
ADgllcant
Contractor
Lender
BELMOR HOLDINGS LTD
AMERICAN HOME CENTER
AMERICAN HOME CENTER
OWNER IS LENDER
1571 BELLEVUE AVE W SUITE 21(
16311 MERIDIAN E
AMERIHC9780C (9/3/13)
VANCOUVER CN
PUYALLUP WA 98375
16311 MERIDIAN E
Occupancy Load
PUYALLUP WA 98375
Census Category: 112 - New Manufactured/Factory -Built Home, IN PARK
Includes.
#1
#2
#3
#4
Occupancy Class:
R-3
Construction Type:
Occupancy Load
Floor Areas . ft.
0
0
0
0
.Additional Permit Information
New / Additional Sq. Feet -1 st Floor .................... 891
New / Additional Sq. Feet - 3rd Floor ....................0
New / Additional Sq. Feet - Basement ...................0
New / Additional Sq. Feet - Garage .......................0
New / Additional Sq. Feet - Other ..........................0
Occupancy # 1 - Use ................ ............................... Residence (1 or 2
family)
New / Additional Sq. Feet - 2nd Floor ...................0
Occupancy # 1 - Area (Sq. Feet ) .............................0
New / Additional Sq. Feet - Deck .......................... 0
Occupancy #I - Class ................. ............................R -3
New / Additional Sq, Feet - Total .......................... 891
Zoning Designation. ............................................... RM 3600
'No°Fixtures Associated With This Permit 11
CONDITIONS:
1. 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.
V1,
I hereby certify that the b
the occupancy and the
Owner or
PERMIT EXPIRES Wednesday, July 10, 2013
Permit Issued on Friday, January 11, 2013
e information is correct and that the construction on the above described property and
will be in accordance with the laws, rules and regulations of the State of Washington
I /° and the City of Federal Way.
Date:
T'
FIR'1-7-0 'f/8/13
THIS CARD IS TO MAIN ON -SITE r
Federal Way Constr UCtion I ection Record
CTION REQU T
INSPE S: (253) 835 -3050
PERMIT #: 12- 105624 -00 -SF Address: 2101 S 324TH ST Space 33
Project: BELMOR HOLDINGS LTD FEDERAL WAY, WA 98003
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.
U
a W ivi rrecon Me Mtg (44UU)
Approved
1:1
Initial Erosion Control (4365)
[3
Interim Erosion C
Right of Way
To be done prior to breaking ground
Approved
By
Date
By
Date
By
Date
Blocking/Tie Downs (4015) Final Erosion Control (4375) Skirting/Final (4250)
Approved Approved
Approved
By Date -�-- �3 By Date Date
Rough Electrical
Approved
Final Electrical
Right of Way
Approved
Approved
By
Date
By
Date
By
Date
R,ECEIV16
C" OF PERMIT
Federal Way DEC 18 2012
COMMU ITYDE LO ME SERVICES
83 �
OF FEDE A LICATION
rrt wwwchioederalwuuc
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(DMF CO ME PL DE EN FP
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SITE ADDRESS ` D !� M ./> t L 1/401;
SUITE /UNIT #
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3
PROJECT VALUATION
ZONING
ASSESSOR'S TAR /P EL #
TYPE OF PERNIIT
.Q9"BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeoumer Last Name)
PROJECT DESCRIPTION
3 3
Detailed description of work to
,Q
be included on this permit only
NAMi%
PRIMARY PHONE
PROPERTY OWNER
r6 16 LIU v/(- nA 14 v4
ZT 3,',o r/7
MAILING ADDRESS
fiat S' 3 2 lysl-
EMAIL
'
CITY
STA E
ZIP
NAME
PHONE
MAILING ADDRESS
E'
CONTRACTOR
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STATE
ZIP
9k3-7S-
FAX
�.r3- kvPo�3Y
WA STATf CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
6
S- 2 UE 0 C-
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ZI I-- 10 v z-0 0
/ `/ ) /�`�
NAME I r A.� � �!G /V /� .�
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MAILING ADDRESS
16 t! 124 : ,J /`�
EMAIL
APPLICANT
CITY ( //1
STATE
ZIP C�
FAX
0
PROJECT CONTACT
7 v
PHONE
I Qj ti40
(tile individual to receive and
MAILING ADDRESS
E
respond to all correspondence
concerning this application)
16
C STATE
ZIP
FAX
k_ t0 rX P
ALTE T CONTACT N
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER - FINANCED
Required value of $5,000 or more
IV Q
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized 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 authorized 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 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,
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.
SIGNATURE: DATE
PRINT NAME: Td ,41)
Bulletin #100 —January 1, 2011 Page 1 of 3 k:\Handouts\Pernvt Application
".4f
kg &4.. 1
• i
VALUE OF MECHANICAL WORK $
BATHTUBS (or fhb /shower Combo)
(a copy of bid or estimate must be provided)
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing f xtures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (Comer cn a )
BOILERS
FURNACES
HOT WATER TANKS )Gas)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
Indicate how many of each type of f(xture to be installed or relocated as part of this project. Do not include existing fixhlres to remain.
BATHTUBS (or fhb /shower Combo)
LAVS (Hand Sinks)
SEWER PURVEYOR
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
LOT SIZE (In Square Feet)
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Mtchen /Utihty
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
El Yes �No
WASHING MACHINES TOTAL FIXTURES
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING OVEMENTS
NFU
U�>
NIA
EXISTING/PREVI US USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRES3SI SYSTEM?
El Yes �No
❑ Yes No
AREA DESCRIPTION I . - Area
ADDITION
AREA DESCRIPTION Area
in Square Feet
TENANT AREA ONLY
Occupancy Group(s) I Construction I # of I Additional Information
love Stories
Occupancy Group(s) Construction I # of I Additional Information
Tvve Stories
Bulletin #100 -January 1, 2011 Page 2 of 3 k:\Handouts\Pelnlit Application