14-101748 1 wilding - Single Family
City of&FEcon.alD Way Permit #: 14-101748-00-SF
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,wA3 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)53)835-2609FLE � Q
Project Name: BELMOR PARK SPACE 3
Project Address: 2101 S 324TH ST Space 3 Parcel Number: 162104 9037
Project Description: NEW-Installation of 1023 square foot manufactured home with
Owner Applicant Contractor Lender
BELMOR HOLDINGS LTD AMERICAN HOME CENTER AMERICAN HOME CENTER
1571 BELLEVUE AVE W SUITE 21( 16311 MERIDIAN E AMERIHC9780C(9/3/15)
VANCOUVER BC PUYALLUP WA 98375 16311 MERIDIAN E
CAN 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.) 1,200 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 Occupancy#1-Area(Sq.Feet) 1200
New/Additional Sq.Feet-Basement 0 New/Additional Sq.Feet-Deck 32
New/Additional Sq.Feet-Garage 0 Occupancy#1-Class R-3
New/Additional Sq.Feet-Other 1023 New/Additional Sq.Feet-Total 1055
Occupancy#1-Use Residence(1 or 2 Zoning Designation RM 3600
family)
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, November 1, 2014
Permit Issued on Monday, May 5, 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 accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner . agen • ® AI Date: 3 �l
THIS CARD IS TO MAIN ON-SITE
c400
•
CITY OF Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-101748-00-SF Address: 2101 S 324TH ST Space 3
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 SWM Precon Site Mfg(4400) -❑ Initial Erosion Control(4365) ❑ Interim Erosion Control(4370)
Approved To be done prior to breaking ground Approved
By Date By Date By Date
o Blocking/Tie Downs(4015) ❑ Final Erosion Control(4375) ❑ Skirting/Final(4250)
Approved Approved Approved
By P Date �_,2 r% 4 By Date -s Date S
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
CIFtl OF
A. ill PEF.MITWPPLICATION
Federal Way RECEIVED
l
,.. r
_ _ L APR 16 2014 �/�
7,i it
PERMIT NUMBER 1 _ t 0 / _
cm,0,,....
SITE ADDRESS ' Nib D 61
S Le J 04.04.---- icJj & -_.------ ------CDS
[� SUITE/UNIT#
A,l O I -S , 3 2 cif# 5—,C.6 ,60 L 1,06 9 YD o3 �,�i-cd ...3'
PROJECT VALUATION ZONING ASSESSOR'S/NUE/PARCEL#
$ _i_ - -a y - __
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT .-..____._
PROJECT DESCRIPTION Pkic-x- Nx(A) p 1./nA Iii,„.g 447f. /j 4 0,1i%i , I
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER pJ,,v l ite4 T L, 2.n- Yl X.-o S7 7
MAILING ADDRESS E-MAIL
r3S" ,4' idall <3 8La0
CIT,1 Ga 44 O STATE WA ZIPS 63X
NAME PHONE_
4M*/�/C' J i),,/ � e141/7"/A. Z1-3- kms/ 3 <1�
MAILING ADDRESS E-MAIL
CONTRACTOR IL 3// 44/:Ai.O/..44 .. .
'1. i /(i4e A) ei--"ieldfai,
CITY nd y 4 L4-�� I`al,••V/�J STATE, ZIPY Si 7)
FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Adie,Z. tic 97K DC ''/ .3 /2atf 2°42.-1cSid v2- dah-
NAME PRIMARY PHONE
/'/24.) #)v f`4VT 3- SI//-j6 u�
APPLICANT MAILING ADDRESS E-MAIL
/6 3rr "SZ/•0/4/1) . ..-----
CITil
a �/ STAT ZIE,. (fir S,+ FAX �((�l�/
NAME�Y4 L.L.-(�{+ L r37f - !J 7 O °-d Y� g
NAME f PRIMARY PHONE
r,,,, PRO)ECT CONTACT J vVl4 r t L � -1� ZS
� � -.2,3c.)._ b i6 I'
(The individual to receive and MAILING ADDRESS E-MAIL /1.'
respond to all correspondence /‘ 3i, l oxe..4/-✓/si . £ ��,. tickf2f n,-✓ ,,y b ��?
concerning this application) C STATE ZIP FAX d
L1 L L c-1 �.til� /P 3'7J— i5 3- 0 J '23 0 .
NAME
PROJECT FINANCING Ji' D OWNER-FINANCED
Required value of$5,000 or more MAILING/ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095) ,. /v „I1
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in
the investigation and defense of such claim), which may be made by any person,including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: DATE 44,dy
1
PRINT NAME: /u _/i
-
Bulletin#100-January 1,2013 Page 1 of 3 k:\I-Iandouts\Permit Application
• •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Ga$
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING •ODSTOVES
VALUE OF PLUMBING WORK
PLUMPING PERMIT $
Indicate how many of each type offixture to be in talled o re.cated as part this project. Do not include existing fixtures to remain.
IBATHTUBS or Tub/Shower Combo) 1 LAVS(H d Sinks) IX.' TOILETS WATER PIPING
DISHWASHERS RAINWATER S TEMS URINALS OTHER(Describe)
DRAINS / SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS( en/utility) / WATER HEATERS(Electric)
HOSE BIBBS SUMP: WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTINPROVEMENTS
L Wl>
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKL SYSTEM? PRCPOSED FIRE SUPPRESSISION SYSTEM?
15 ❑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) r s2 2..'3
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe) * c �� �,�� .-. �;. : .. , _ ............._....._.... . ..................... .........................._..........................
EXISTING PROPOSEDTOTAL
Area Totals
**Jou HO rEs ora,r,*
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION
AreaConstructionGroup(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 FeetType Stories
TOTAL BUI2 DING
TENANT AREA ONLY
PROJECT AREAONLI° E
Bulletin#100—January 1,2013 Page 2 of 3 k:AHandouts\Permit Application