13-101008 a
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Mechanical
City of Federal Way Permit #: 13-101008-00-ME
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way, 98003 Request Line: 835-3050
Ph:(253)835-2607 Fax
Inspectionues253:(253)835-2609 q � �
Project Name: BELMOR MOBILE HOME PARK SPACE 227
Project Address: 2101 S 324TH ST Space 227 Parcel Number: 162104 9037
Project Description: Extend 30' gas line from exterior of home
Owner Applicant Contractor
BELMOR HOLDINGS LTD PARAMOUNT BUILDERS INC PARAMOUNT BUILDERS INC
1571 BELLEVUE AVE W SUITE 210 PO BOX 2143 PARAMBIOOIJE(3/25/14)
VANCOUVER CN YELM WA 98597 PO BOX 2143
YELM WA 98597
Additional Permit information
Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Gas Piping 1
PERMIT EXPIRES Sunday, September 1, 2013
Permit Issued on Tuesday, March 5, 2013
I hereby certify that the above information is correct -•. -= •e construction on the above described property and
the occupancy and th- - will be in acco •.• e with the laws, rules and regulations of the State of Washington
4011A•a y the City of Federal Way.
Owner or agent: Date:4--?/)
THIIS CARD IS TO REMAIN ON-SITE r
Federal Way Construction INSPECTIONREInjection: ( 3) Record
Q ( 53)835-3050
PERMIT#: 13-101008-00-ME Address: 2101 S 324TH ST Space 227
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 Mechanical Rough-in(4165) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date . ,By / Date 3 _43B Da `J ��1/47-7
❑ Rough Electrical ❑ Final Electrical Right of Way
Approved Approved IDRight
By Date I By Date
By Date
CITY OF PER MIT SPPLI A
C TION
Federal Way RECEIVED
(� MAR 0 5 2013
1 (� 0
PERMIT NUMBER ( _ \/ 0 _ `� O TARGET DATE CITY OF FFl]FFZAI WAY
SITE ADDRESS CDS
1 * SUITE/UNIT#
01 1 e' t
PROJECT VALUATION ZONING I ASSESSOR'S`SESSOR'S TAX/PARCEL# 201
_
TYPE OF PERMIT 0 BUILDING 0 PLUMBING XMECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 13W-1'O 11,14
I
PROJECT DESCRIPTION "/4:7r'1) 643- A)).45. 04e T�/�& �i o oh '
Detailed description of work to / -,),.1 y12�
be included on this permit only
m
N PRIMARY PHONE
PROPERTY OWNER (-t(J y ta",1-,e,-/-,- / Z 7-3 Z+a C-? 3 L 3
MAILING ADDRESS E-MAIL
10/ So *' 3z�731' ST- Sp,rre"IFg
?-
CITY , STATE ZIP
r- ,9- ,9-( �1, -7 '7- 5, e,v
PHONE . .. __
/49-0647-41 r 'I3 k1. . '‘-i - LC -az,, j /3
MAIWG ADDRESS E-MAIL
•
CONTRACTOR 42 0x- 2.- /VP dC Ke..., Mitr ,,�:�.c). �'s7
CITY STATE FAX d I�zT
WA STATE CONTRACTOR'S LICENSE 8 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
/1'44��t'1A4, �Oc'JJ— /
N PRIMARY PHONE
4/Z /3 Iii " �'+�4-& �z s 253 6.d 7 3/3
APPLICANT ADDRESS E-MAIL
� �� �,. �,, / 4i/t.%
CITYI ,J22/- 1' 1-STATEFAX
� 3( 2 �,r WilARY
r
PROJECT CONTACT /6,itit 2-- 6- i"," PRIM 3 PHONE
� s;3 e"oeo 73i3
(The individual to receive and IN DRESSE-MAIL
respond to all correspondence ' t' l� G�-
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING /rte El OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CH°Y,g'f/rj�E,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 oche city, including its officers and employees, upon the accuracy of the
information supplied to th city as a part of this • ••
lirdri
SIGNATURE: / -A. cam?" I DATE g2 -/K3
PRINT NAME: /e.. 'C4.- 5 ,791°
Bulletin#100—January 1,2013 Page 1 of 3 k:UHandouts\Permit Application
• •
VALUE OF MECHANICAL JVARK
MECHANICAL PERMIT 400
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not indude existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS I GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not indude existing fixtures to remain.
BATHTUBS(or rub/shower combo) LAVS(Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
_ v
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
GARAGE ❑ CARPORT ❑
.. 7 �; �� ,.,z• �,ro"- �s �' v �� �' ,$:.. ".z�.y� Y � 'rte .�� .fig�s�7 � .
va��.. �t, o
EASTIWO PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ I #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TENANT AREA ONLY
Plc , a ry '
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Pertnit Application