22-101766C 3
I=
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: BELMOR MHP SPACE 158
Project Address: 2101 S 324TH ST
Project Description: BLUEBEAM - Installation of a manufactured home.
Building - Single Family .
Permit #:22-101766-00-SF
Inspection Request Line: (253) 835-3050
Parcel Number: 162104 9037
Owner
Applicant
Contractor
Lender
BELMOR HOLDINGS LTD
TOM FULKERSONAMERICAN
AMERICAN HOME CENTER
571 BELLEVUE AVE W SUITE 21,
HOME CENTER
406 S 108TH ST
VANCOUVER BC
406 S 108TH ST S
TACOMA WA 98444
CAN
TACOMA WA 98444
Census Category: 112 - New Manufactured/Factory-Built Home, IN PARK
Includes:
# 1
#2
#3
44
Occupancy Class:
R-3
Construction Type:
Occupancy Load:
Floor Area (sq. ft.)
Additional Permit Information
New / Additional Sq. Feet - 1st Floor ..................... 944
New / Additional Sq. Feet - 3rd Floor ..................... 0
New / Additional Sq. Feet - Deck ........................... 0
Plumbing Work Valuation? ..................................... 0
Is this an Online or O.T.C. application? .................. No
Occupancy #1 -Use ................................................ Residence (1 or 2
family)
Zoning Designation ................................................. RM 3600
Total Valuation: 5,616.80
New / Additional Sq. Feet - 2nd Floor .................... 0
New / Additional Sq. Feet - Basement .................... 0
New / Additional Sq. Feet - Garage ........................ 0
New / Additional Sq. Feet - Other ........................... 0
New / Additional Sq. Feet - Total ........................... 944
Comprehensive Plan Designation ........................... Multifamily
No Fixtures Associated WIth This Permit 11
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 Monday, 31 October, 2022
Permit Issued on Wednesday, May 4, 2022
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 and the City of Federal Way.
Owner or agent: ` 11 '
A THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
CITY
Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 22 101766 00 Address: 2101 S 324TH ST Space 158
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 anv of the inspections or the inspection seauence. On -going inspections are logged on the back of this card.
El Blocking/Tie Downs (4015) 0 Skirting/Final (4250)
Approved Approved
By 41� Date `�" � � By ��; Date � WL
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
` Federal Way
ADDRESS:
Building Division
33325 Eighth Avenue South,
Federal Way, WA 98003-6325r
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
IF YOU HAVE QUESTIONS CALL
PERMIT#: 22 — /4 1 7b b
0
(253) 835-
,i; -- __I
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
7j- a-u
14) -
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page . of
Page 1 of 1
& A s s o c i a t e s, I n C. Field
Geotechnical Engineering . Environmental Engineering Report NO.: 06622198DFR632022AT
Construction Testing and Inspection
DATE: 6/3/2022 Set Count: CONTRACTOR: Belmore Park CC
PROJECT #: 06622198 PERMIT #: 2210176600
PROJECT: Behnore Park LOT 158 INSPECTOR: Anders Tvedt
LOCATION: 2101 S 324s' St JURISDICTION: City of Federal Way
KA P.M.: WBT WEATHER: Overcast TEMP: 58' F
The Krazan representative arrived onsite to perform a proof roll on the recycled concrete base for LOT 158. The representative
met with the contractor to discuss the scope of work A Large single drum roller was used to perform the proof roll. The roller
made multiple passes over the lot area without vibrating. During the proof roll no deflections or pumping was observed after
multiple passes were performed on the lot area. It is in our opinion, that the recycled concrete base is firm and unyielding and
follow onsite specifications.
Reviewed By: ASTM Test #`� Asset Number(s):
To the best of my knowledge, the above WAS performed in accordance with the approved plans, specifications and
regulatory requirements.
Superintendent/Representative: I Technician:
Offices Serving the Western United States
Lynnwood (425) 485-5519 • Poulsbo (360) 598-2126 • Tacoma (253) 939-2500
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mdlcaxs our inspcxlars Ohservatioa and Iwing eenulta hued on rice onnd.Cens and ennlrutor rstivitiea. Th[$ Wformation is aubjW to renrkw prior co rfrsn aUtlmillal. By signing this ocpm, our iasportor tim not accept
Rspona-hility for validity of results lie same inf abon h. been provided by oih— on sits. The aw resul6 apply Only 10 the Wd le Ipgtivns, and ilema ins cd or tgl-i