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12-105623City of Federal Way Al2 licaf t Community 8 Econ. Dev. Services FILE 33325 8th Ave S AMERICAN HOME CENTER Federal Way, WA 98003 OWNER IS LENDER Ph: (253) 835 -2607 Fax: (253) 835 -2609 16311 MERIDIAN E Project Name: BELMOR MOBILE HOME PARK SPACE 117 Project Address: 2101 S 324TH ST Space 117 Ifuilding - Single - Family Permit #: 12- 105623 -00 -SF Inspection Request Line: (253) 835 -3050 Parcel Number: 162104 9037 Project Description: NEW - Installation of new 1404 sqft mobile home to replace existing. Owner Al2 licaf t Contractor LendeI 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. 1,404 0 1 0 1 0 Additional Permit Information New / Additional Sq. Feet - 1 st Floor ....................1404 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) v New / Additional Sq. Feet - 2nd Floor ...................0 Occupancy 41 - Area (Sq. Feet) .. ...........................1404 New / Additional Sq. Feet - Deck ..........................0 Occupancy # 1 - Class ................. ............................R -3 New / Additional Sq. Feet - Total .......................... 1404 Zoning Designation .................. .............................RM 3600 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, July 10, 2013 Permit Issued on Friday, January 11, 2013 1 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: 1" 1/ — z N1 - r�o 3/8113 CITY OF Federal Way PERMIT #: Project: THIS CARD IS TO REMAIN ON -SITE Construction I1 ection Record INSPECTION REQU TS: (253) 835 -3050 12- 105623 -00-SF Address: 2101 S 324TH ST Space 117 BELMOR HOLDINGS LTD FEDERAL WAY, WA 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 Blocking/Tie Downs (4015) Final Erosion Control (4375) Skirting/Final (4250) Approved Approved Approved By Date �� S' By Date (/5 Date -�/ SWM Precon Site Mtg (4400) Initial Erosion Control (4 65) Final Electrical Interim Erosion Control (437 ) Approved Right of Way -� To be done prior to breaking ground Approved By Date By Date By Date 0 Blocking/Tie Downs (4015) Final Erosion Control (4375) Skirting/Final (4250) Approved Approved Approved By Date �� S' By Date (/5 Date -�/ Rough Electrical Approved Final Electrical Right of Way -� Approved Approved By Date By Date By Date • RECEIVED PERMIT Federal 1�9tay"C 18 201 �+� T COMhNNIT3'DEVELOPMENT SERVICES YLP Ff L [ CATI O N 253 -835 -2607• FAX 253 - 835 -2609 ��`iiiii iii i edera`.,u 'I'Y OF FEDERAL WAY CDS SF F CO ME PL DE EN FP III-:, " 1 /(5 /[,�, SITE ADDRESS 131-4L1"&1<- y v �� SUITE/UNIT ## Z 101 3+' S JLC // 7 PROJECT VALUATION ZONING ASSESSOR'S TA% /PARCEL # 6 �U y� `� v O Y Z— TYPE OF PERMIT EktUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT (Tenant Name /HomeoumerLast Name) _ -,L-- PROJECT DESCRIPTION Detailed description of work to G,,t� be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER X- j W-0-4-17 MAILING ADDRESS �i , Z Y -Lo J J E-MAIL cI 9L. STATE Z �'ao L� -y�� v �r3 NAME ✓L/ rlJ PHONE zS3- hl -34 c/?) MAII. G ADDRESS E-MAIL CONTRACTOR 7 T7 "L DS "Y`.fl CITY � STAT �v n FAX -f 3 - 9l�?-0 r3 WA STAT19 CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # L 4 Z ff 0 G / O 1ZD/3 .ZO 4 4 -/0 Z 0 v Z -a - PHONE G ADDRESS 3 E APPLICANT CI STATE ZIP FAX u L,L - 7, 2 S- 3S' PROJECT CONTACT NAME % / L ld' PHONE - (The individual to receive and MAILING ADDRESS E -MAi respond to all correspondence concerning this application) 70!a STATE Z-VV ZIP S FAX 7 2� _3 ME- L ALTERNAT CONTACT PHONE E-MAIL PROJECT FINANCING T .� OWNER- FINANCED Required value of $5,000 or more 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 ojl eers and employees, upon the accuracy of the information supplied to the city as apart of this application. SIGNATURE: DATE PRINT NAME: Bulletin #100 - January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application X-V 44 9 fA r I 1 0 ftL MB T FrXWR:ES Indicate how many of each type offixture to be installed located as part of this project Do not include existing fixtures to remain. BATHTUBS (or Tub /Shower Combo) _� LAVS (Hand TOILETS WATER PIPING DISHWASHERS RAINW R SYSTEMS URINALS OTHER (Describe) DRAINS S RS VACUUM BREAKERS DRINKING FOUNTAINS INKS (Kitchen /UtUlty) WATER HEATERS (Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIKTURES VV'. 111�1` y' i1J.\ L1I'liJ.- '1.'�L'- 1`i7SiLl.i111 V,1 -1 AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information in Square Feet a Stories NEW BUILDING ADDITION Bulletin #100 - January 1, 2011 Page 2 of 3 k:\Handouts\Pemiit Application MECHANICAL FIXTURES VALUE of MECHANlr'nr. WORK $ (a copy of bid or estimate must be pro edl Indicate how many of each type of fixture to be installed or relocated as part of this project Do norinclude existing fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUT OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOenial) BOILERS FURNACES HTANKS iGa ) CO MPRESSORS GAS LOG SETS ION SYST DUCTING GAS PIPING � WOODSTOVES ftL MB T FrXWR:ES Indicate how many of each type offixture to be installed located as part of this project Do not include existing fixtures to remain. BATHTUBS (or Tub /Shower Combo) _� LAVS (Hand TOILETS WATER PIPING DISHWASHERS RAINW R SYSTEMS URINALS OTHER (Describe) DRAINS S RS VACUUM BREAKERS DRINKING FOUNTAINS INKS (Kitchen /UtUlty) WATER HEATERS (Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIKTURES VV'. 111�1` y' i1J.\ L1I'liJ.- '1.'�L'- 1`i7SiLl.i111 V,1 -1 AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information in Square Feet a Stories NEW BUILDING ADDITION Bulletin #100 - January 1, 2011 Page 2 of 3 k:\Handouts\Pemiit Application