15-100542 • iwilding - Single Family
Ciof&FederalWay Permit #: 15-100542-00-S F
CommunityEcon.n.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: BELMOR PARK SPACE 214
Project Address: 2101 S 324TH ST Space 214 Parcel Number: 162104 9037
Project Description: NEW-Installation of 990 square foot manufactured home within a manufactured home
park
Owner Applicant Contractor Lender
BELMOR HOLDINGS LTD AMERICAN HOME CENTER AMERICAN HOME CENTER
1571 BELLEVUE AVE W SUITE 21( 16311 MERIDIAN E AMERIHC978OC(9/3/15)
VANCOUVER BC PUYALLUP WA 98375 16311 MERIDIAN E
CAN 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 Area(sq.ft.) 900 0 0 0
Additional Permit Information
New/Additional Sq.Feet- 1st Floor 0 New/Additional Sq.Feet-2nd Floor 0
New/Additional Sq.Feet-3rd Floor 0 Occupancy#1 -Area(Sq.Feet) 900
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 New/Additional Sq.Feet-Total 0
Occupancy#1 -Use Residence(1 or 2
family)
No Fixtures Associated With This Permit !!
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 Wednesday, August 26, 2015
Permit Issued on Friday, February 27, 2015
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
-nd the City of Federal Way.
Owner o agen - Date:
,r lAlk,L— • THIS CARD IS T MAIN ON-SITE
CITY OF Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 15-100542-00-SF Address: 2101 S 324TH ST Space 214
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.
0 SWM Precon Site Mtg(4400) 0 Initial Erosion Control(4365) .0 Interim Erosion Control(4370)
Approved To be done prior to breaking ground Approved
By Date By Date By Date
0 Blocking/Tie Downs(4015) 0 Final Erosion Control(4375) ❑ Skirting/Final(4250)
Approved Approved Approved
By p„, Date fy 1 I_ k y- By Date By Date
❑ Rough Electrical111 Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
• •
•
, PERMIT APPLICATION
r fI 1
FEB 04 2015
PERMIT NUMBER dI — — _ TARGET DATE Z/Z`S r�
SITE ADDR�"S (3!:LILY! 2m o Cl i 4,4 1,....6,41„,
J 4'tl tng lc SU_*TS/UNIT i
‘ .10 ! S. 3 7-Y Sr 1,6J,470 4, 1,449
-5-A9 2fy
PROJECT VALUATION ZONING �.. AS sz..ssonss TAS:/PARCEL r
$
1
TYPE OF PEiRMIT ❑BUILDING ;0 PLUMBING 0 MECHANICAL 0 DEMOLITION ❑ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT • ox.. 114 a P -
PROJECT DESCRIPTION � � t` �� 1�
Detailed cieseription o�'work to C'}/ -51v,,c / LI
9 v/i1111 0 i4
be included on this permit only —
NShIE • _, PPRIMARYPHONE
PROPERTY OWNER 7t�f':(77/e-6 ,4 0-L771/ i;e4'!s-J 4-, , AS 3 "O 7 ,0S/7
,J Aj1:l0 6Z— . Emen
CUT • I, STATE ZLD
C GCb1 LA,t.)i' 4 4 9 ? -3,J-L-7
NAME I.
PHONE i
MAILING ADDRESS
` E-MAIL
CONTRACTOR /�31/ e�14 __'— l r?r �r .r— �k�fSu;I e )
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CIAIY 4 (/n STP_TQ ZIP FAXi
WA STATE CONTRACTOR'S LICENSE C EXPIRATION DATE I FEDERAL WAY BUSINESS LICENSE
A11ir_"2—, i+Cr- 97rpc_ ci / 3 / I2o-t'Z--v0go02-6
c
NAME I •
PRIMARY PRONE
4m,42104 /4C/ "if: ( r j€ Z - /- .'6c3
APPLICANT MAILING ADDRESS
C( (Y1 �/r9//�n) JtuL1. /CSuej61.)-A4/lltjCu.0
CITY STATE ZIP FAX
Irl O L—CAv10 14.44- c1 R37J 25-. - -?-U mss'
NAME I .0. {.,
PRIMARY PHONE
PROJECT CONTACT r---7-6.4,1 f` k u Li ,<, 6 i Z --Z3c} _6 Z(D P
The individual to receive___and MAILING ADDRESS
respond to all correspondence ..377-1)77.?- -J .v r ���l�fv-I/ ��
concerning this application) CIT, STATE ZIP
dr ZIP ��5�
f L,) Lt 41:1"11,' I (/'u-1 9 S}7 ..1-- FAX
NAME
PROJECT FINANCING c3l1)1� 1 _ _ 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP
IPHONE
•• • _ —
-
I certify render penalty of perjury that I am the p,-Ioperty 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 Feder-pi l 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 reliarice of the city, including its officers and employees, upon the accuracy of the
—— information supplied to the city as •part of this application.
FTGNATU' _ -- -/ DATE L -/.J
PRINT NAME: 1 23/tl- / - p 1(.1.c-ft-4 U Ai —
Bulletin#100-January 1,2013 Page 1 of 3i k:\HandoutsiPermit Application
r • . i
VALUE OF_MECHANICAL WORK
MECHANICAL PERMIT
indicate how marry of each type of fixture to be installed or relocated as part of this project. Do • include existing fixtures to remain.
AIR HANDLING UNITS FANS j GAS PIPE OUT " S OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS( ......-.ai)
BOILERS FUR(ACES x HOATER TANKS cosi
COMPRESSORS GAS LOG SETS . FRIGERATIOA'SYST
DUCTING GAS PIPING WOODSTOVES
1
PERMIT 1 � VALUE OFPLUMBING WORK
PLUMBING
I
7n—Zc icaitelioli=many of eabrh type of fixture to be ikSt -d-or relocated as part arthis project.Do nog irtc1ude eTdai g es'io re—m- irr:=--
-4i BATHTUBS;orTub/Shower Combo; S LAV r'and Sinks) '2 TOILETS
WATER PIPING
DISHWASHERS r.-INIIATER SYSTEMS URINALS- OTHER(Describe)
DRAINS / SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS / SINKS iiatcheu/utaitr.) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES /1 TOTAL FIXTURES
I -
GENERAL INFO' ATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR I SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
NCS LU U
525
$
EXISTING/PREVIOUS USE LOT SIZE(In Sqn e Feet) =STING FIRE SPRIN- SYSTEM? PROPOSED FIRE SUPPRESS N SYSTEM?
aanVl 1
D Yes No o Yes No
i
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home) 190
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT 0
OTHER(describe)
(STING CT p1 TOTAL .._.___....._._..___....._...._...._.._r.._._._.__.—
Area Totals CTI
�`/) _— _._...- ._._._....
**NELVHOMES ONLY' `
ESTIMATED SELLING PRICE$ .#OF BEDROOMS
COMMERCIAL-NEW/ADDITION
Area Construction # ofAREA DESCRIPTION Occupancy Group(s)
Additional Informationin Square Feet
Type Stories
THEW Rirrr.ITVr_
ADDITION
COMMERCIAL-REMODEL/TENANTP .0 NT
AREA DESCRIPTION Area Construction # of
ccupana •us .
in Square Feet i up(s) Type Stories Additional Information
To i.m, BUILDING -, - - ._.. .. ,.. _.._..
TENANT AREA ONLY
PROJECT.AREA ONLY:.- - -'
Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application