14-100644 City of Federal Way • •uilding - Single Family
��jj
Community&Econ.Dev.Services Permit II: 14-100644-00-SF
33325 8th Ave S FILE
Federal Way,WA 98003 q
Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: BELMOR PARK LOT 76
Project Address: 2101 S 324TH ST Space 76 Parcel Number: 162104 9037
Project Description: NEW-Installation of 1,199 square foot manufactured home.
Owner Applicant Contractor Lender
BELMOR MOBILE HOME PARK AMERICAN HOME CENTER AMERICAN HOME CENTER
2101 S 324TH CT 16311 MERIDIAN E AMERIHC978OC(9/3/15)
FEDERAL WAY WA 98003 PUYALLUP WA 98375 16311 MERIDIAN E
` 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.) 0 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 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 1199
New/Additional Sq.Feet-Total 1199 Occupancy#1 -Use Residence(1 or 2
family)
Zoning Designation. RM 3600
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 Saturday, September 6, 2014
Permit Issued on Monday, March 10, 2014
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 a7,cordance with the laws, rules and regulations of the State of Washington
nd 91--City of Federal Way.
Owner o ag n _ / ,de - Date: 3/70 CIL
FINALFO
• THIS CARD IS TO MAIN ON-SITE
• Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-100644-00-SF Address: 2101 S 324TH ST Space 76
Project: 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.
0 SWM Precon Site Mfg(4400) El 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) E Skirting/Final(4250)
Approved Approved Approved
By �sioi., Date .1'�tLk • By Date By N1a Date l{ I
2.4 f r
0 Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF • PERMPIDAPP'1ICATION
Federal Way
FEB - 02014
/ CITY OF FEDERAL WAY
PERMIT NUMBER / i / 0 0 (, _ - S TARG .ET DATE / y
SITE ADDRESS 8 15Z-141a M Q c ,L' 1oM� SUITE/UNIT#
,fi t n i S. 3 2-ti/fl sr f,r 10/ �1/� L r,+��9 to )'11c5/4 7(,
PROJECT VALUATION ZONING A SSOR'S TAX/PARCEL#
Z / U / -
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING ❑ MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT /3 0;2 /311) ./J
PROJECT DESCRIPTION `s /�.a' /Y/�
Detailed description of work to ft) ,S i/l c1 3
LS—
be included on this permit only
. _ NAME // PRIMARY PRONE�
PROPERTY OWNER f�� jJ � RIZc r h L AS 3 -ej3 "-QS./7
MAILING
"AORv i/ o epLJ sJ -EMAIL -
CIri.c kill
! .1'7
N1G/AME• "VY l�AEy ZIP
9
PHONE
An4/5/2)c4eJ z 1 ?- kg/- 36a
MAILING ADDRESS E-MAIL
CONTRACTOR /6 3 1/ -714;C.k,EMS6,4) 441
CI STA E ZIP FAX
,4Lc.i.)(� lJ4 S'37r AS. -kir-aP35�
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
AMf/Z - c 97roc. C1/ 3 /i20IS20 7--20` 02-0uA
NAME . PRIMARY PRONE
A/14//21 CAA) 2 r 3 -kV/- 3 6 c3o
APPLICANT MAILING ADDRESS
C,1 3 / M fes!,2 4 ) "'rig)LAX/Ci On) o) dad C,
CI
/� /ST�A��TaE ZIP Q� -7 FAX
NAMEo /7 1-4-0/0 t 4 9 �✓ l J 2.� J- O T a -0 Jl 2 I
/ '� PRIMARY PRONE
PROJECT CONTACT 1 /Z'1 f: 6.0 21?-2-3c)-6 2
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence I6 fit/ ,97-7isv
concerning this application) Cl/5 // STATE ZIP
/ !/j C�CC/,O FAx
l� g�T?7 s- Z-7-hey-6i3NAME
.L
PROJECT FINANCING f 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.09.5)
-- 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 officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATU' ' . y //
DATE ,2- -
PRINT NAME: !B L jj,f U,�
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
•
• VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated aspart of this project. Do not include 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 GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
"7n icaiteltow r arty of each type-of fix2urelo bei Stalled or relocated as part of this project Do rioTinc1ude existing reB toremain:-= --
BATHTUBS(or Tub/Shower Combo) S LAVS(Hand Sinks) Z TOILETSWATER 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
BASEMENT'
FIRST FLOOR(or Mobile Home) 1-1-614
SECOND FLOOR -; : . '
COVERED ENTRY
DELI£ � '' .__.-----...._.._.__.____._._.__._-._........._..-__.__._.._...._....�.....
GARAGE D CARPORT ❑
36 "tl"x�, 5��+13f/r ,�' � ,5�» y IgD 1 E _ .....�-..-.._____.._.._..�_....._...........__.._....._......-__.._..-...�..._.._...-...___.._.._.._-..
EXISTING PROPOSED TOTAL
Area Totals
*n utHO O * ::: ..
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
E . ... ,. , 6� . 3€, se s e" _r ��E x1,8,.a.«4�R«E ,.. _s� �`"'�. ��, .« � .E, .�.
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Stories
TOTAL BUILDING E
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Pernut Application