12-103668louilding - inglt Faiftily
city .1 Federal Way -, Permit #: 12- 103668 -00 -SF
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 � �, . F p Q
Project Name: BELMOR MOBILE HOME PARK SPACE 123
Project Address: 2101 S 324TH ST SPACE 123 Parcel Number: 162104 9037
Project Description: NEW - Installation of new 1280 sqft mobile home to replace existing.
Census Category: 112 - New Manufactured/Factory -Built Home, IN PARK
Includes:
Owner
A Inn icant
Contractor
Lends
Occupancy Class:
BELMOR MOBILE HOME PARK
AMERICAN HOME CENTER
AMERICAN HOME CENTER
Construction Type:
2101 S 324TH CT
16311 MERIDIAN E
AMERIHC9780C (9/3/13)
Occupancy Load
FEDERAL WAY WA 98003
PUYALLUP WA 98375
16311 MERIDIAN E
Floor Areas . ft.
1,280
0
PUYALLUP WA 98375
0
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.
1,280
0
1 0
0
Additional .Permit Information
New / Additional Sq. Feet - 1 st Floor ....................1280
New / Additional Sq. Feet - 3rd Floor ....................0
New / Additional Sq. Feet - Basement ...................0
New / Additional Sq. Feet - Garage .......................6
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) .. ...........................1280
New / Additional Sq. Feet - Deck ..........................0
Occupancy # 1 - Class ................. ............................R -3
New / Additional Sq. Feet - Total .......................... 1280
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.
PERMIT EXPIRES Wednesday, February 20, 2013
Permit Issued on Friday, August.24, 2012
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 age Date: P Z V Z
F10 S//?,
CITY 0
Federal Way
PERMIT #:
Project:
THIS CARD IS TO ON -SITE
Construction In rTS: on Record IL
INSPECTION REQUE 3) 835-3050
12- 103668 -00-SF Address: 2101 S 324TH ST SPACE 123
BELMOR MOBILE HOME PARK 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.
Blocking/Tie Downs (4015) Final Erosion Control (4375) Skirting/Final (4250)
Approved Approved Approved
By(� Date _ By Date By Date
F1
SWM Precon Site Mtg (4400)
Initial Erosion Control (4365)
Final Electrical
Approved
Interim Erosion Control (4370)
Approved
By
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 _ By Date By Date
F1
Rough Electrical
Approved
El
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
y RECEIVE
09 201
c'TToF - OF FEDERAL WAY PERMIT
Federal 1
CDS
COMMUNTYDEVELOPMENT SERVICES
253 -635 -2609• FAX 253 - 835 -2609 APPLICATION
u, wrc. cinrnfiederalmnu. rorr:
#F CO ME PL DE EN FP
SITE ADDRESS ,
v I 2
SUITE /UNIT
PROJECT VALUATION
ZONING
ASSESSOR'S TAX /PAR EL
$ 6 z,1 g `�'
--t I.- z -/ - a
TYPE OF PERMIT
ABUMDING ❑ PLUMBING 7 MECHANICAL
❑ DEMOLITION ❑ ENGINEERING a FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
(1.t
be included on this permit only
PROPERTY OWNER
NAME y ,Q
T/
PRIMARY PHONE
— y Y- 0 1% 7
MAILING ADDRESS
E-MAIL J
CI
L�
STATE
ZIP
3
NAME
Z--213 NE - a
MAILING ADDRESS _ I
�' ��� !v
E-MAIL
CONTRACTOR
CI
STATE
2
FAX
WA STATE CONTRACT R'S LICENSE # t-
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
-i3
i 3 iii
NAME
4�41 f 4", .c /.r'
PHONE
ZS - 6 av
MAILING ADDRESS
E-MAIL
APPLICANT
CITY
4�c
STATE
ZIP
FAX
2 y Z- P2 Y- a S' d'
PROJECT CONTACT
(The individual to receive and
NAME / 14
% /24
PHONE
—a
MAILING ADDRESS /
vt/1 / o�' /�
E -MAD.
T JAI
respond to all correspondence
Concerning this application)
c
STATE
w
ZIP
y -7 7
FAX
_y �d
ALTERATECO TA NAME:
PHONE
E-MAIL
PROJECT FINANCING
Required ualue of $5,000 or more
NAME
04 r 61
OWNER - FINANCED
MArLING ADDRESS, CITY, STATE, ZIP
PHONE
(RC4V 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert fy 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 apart of this application.
p
SIGNATURE DATE 7 L--
PRINT NAME: F ,:
Bulletin #100 - January 1, 2011 Page 1 of 3 k:\HandoutsTermit Application
M
V
` • •
'COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
In Square Feet Stones
NEw BUn,DING
ADDITION
CommERCIAL - REmoDELITENA NIT IMPRO -N'EM ENTS 1
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet a Stories
TOTAL BUILDING
TENANT AREA ONLY
L " PROJECT AREA ONLY
Bulletin #100 - January 1, 2011 Page 2 of 3 UHandoutsTermit Application
MECHA' NicAL F'IATUREs
VALUE OF MECHANICAL WORK $
(a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this Droiect. Do not include existing fixtures to remain.
AIR HANDLING UNITS
FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS HOODS tc.m —lap
BOILERS
FURNACES HOT WATER TANKS tcasl
COMPRESSORS
GAS LOG SETS REFRIGERATION SYST
DUCTING
GAS PIPING WOODSTOVES
'COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
In Square Feet Stones
NEw BUn,DING
ADDITION
CommERCIAL - REmoDELITENA NIT IMPRO -N'EM ENTS 1
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet a Stories
TOTAL BUILDING
TENANT AREA ONLY
L " PROJECT AREA ONLY
Bulletin #100 - January 1, 2011 Page 2 of 3 UHandoutsTermit Application
PLUMBING FIXTURES
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existingfixtures to remain.
BATHTUBS )or Rib /Shower Combo) LAVS (Hand s nks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS IKttcb- /vttuq) WATER HEATERS (Elea w
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
IV43 /L)Z-
WATER PURVEYOR
LA Ke PI A ota WA6 op
SEWER PURVEYOR
t1j- v ogw
VALUE OF EXISTING I11IPROVEMENTS
S
EXISTING /PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
❑ Yes ;�, No
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes -k-No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
. _ ..... ................. ...
FIRST FLOOR (or Mobile Home)
St U
!/
C>
d
SECOND FLOOR
COVERED ENTRY
DECK
.. _ _ ......... _.. .. _. _. ......... _._ ... _ ............... _...
GARAGE El CARPORT F1
......... . _
OTHER (describe)
— _ _ _ _ _._._..._
Area Totals
PROPOSED
TOTAL
Z Ff cv
"NEW HOMES ONLY"`"
ESTIMATED SELLING PRICES
I # OF BEDROOMS 3
'COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
In Square Feet Stones
NEw BUn,DING
ADDITION
CommERCIAL - REmoDELITENA NIT IMPRO -N'EM ENTS 1
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet a Stories
TOTAL BUILDING
TENANT AREA ONLY
L " PROJECT AREA ONLY
Bulletin #100 - January 1, 2011 Page 2 of 3 UHandoutsTermit Application