14-102524 • wilding - Si> gle-Family
City of Federal Community&Econ.Devv.Services Permit : 14-102524-00-S F
ay
33325 8th Ave S
Federal way,WA 98003 Ins ection Re quest Line: (253)
Ph.(253)835-2607 Fax.(253)835-2609 p Q 835-3050
Project Name: BELMOR PARK SPACE 103
Project Address: 2101 S 324TH ST Space 103 Parcel Number: 162104 9037
Project Description: NEW-Installation of 1620 square foot manufactured home within a manufactured home
park
Owner Applicant Contractor Lender
BELMOR HOLDINGS LTD AMERICAN HOME CENTER AMERICAN HOME CENTER
1571 BELLEVUE AVE W SUITE 21( 16311 MERIDIAN E AMERIHC978OC(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.) 1,620 0 0 0
Additional Permit Information
New/Additional Sq.Feet-1st Floor0 New/Additional Sq.Feet-2nd Floor- 0
New/Additional Sq.Feet-3rd Floor 0 Occupancy#1-Area(Sq.Feet) 1620
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 1620 New/Additional Sq.Feet-Total 1652
Occupancy#1-Use Residence(1 or 2
family)
Na 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, December 6, 2014
Permit Issued on Monday, June 9, 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 o ag-nt: aioN1111111 Ala _ _ Date: 6(?,//,-/
\ A c,o,5 ? ( NALED
1(,..e._. ( .,(r_____
THIS CARD IS TO REMAIN ON-SITE
CITY OF
Construction In ection Record
Federal Way • INSPECTION RE TS: (253)
Q 835-3050
PERMIT#: 14-102524-00-SF Address: 2101 S 324TH ST Space 103
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.
❑ SWM Precon Site Mtg(4400) El Initial Erosion Control(4365) ElInterim Erosion Control(4370)
Approved To be done prior to breaking ground Approved
By Date By Date
By Date
❑ Blocking/Tie Downs(4015) Final Erosion Control 4375
Approved ❑ ( ) ❑ Skirting/FinalAppred (4250)
Approved Approved
By Date 9_ l k„,1 By Date BS Date(2/- X...._,
•
❑ Rough Electrical El Final Electrical '❑ Right of Way
Approved Approved
Approved
By Date By Date By Date
RECEIVED •
JUN 0 2 2014cm,OF PERMIT
FeC�e�'3� to SF MF CO ME PL DE EN FP
�OEF FEDER LIC TION
COMMUNITY DEVELOPMENT SERVICES ®J
(1
203-830-2607•FA%203-535-2609 J . 7-71 /
u:u.w.ciron%iF�>8eraiu;au.COM
� `�-�\�
SITE ADDRESS !9n 66, /i9� jISUITE/UNIT€ �j
l CS+ I S, 2,Y Y /'�,', ._�ae4/4L. i4A,4 3—P4cz- /v.3
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
j6 -z- t U - 9 3
TYPE OF PERMIT - BUII.DING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION , C�� ,/'�A; 1,a1 ` v Ja J•e. Ui r.c,< °/z /`
/41 '6; / s�/Yl, '
Detailed description of work to i Al S' ,4 C4 /00.31
be included on this permit only
NAME PRIMARY PRIMARY PHONE
PROPERTY OWNER / f�,1_,44 v,/. riAJ 3- 31.c 377
MAILING ADDRESS E-MAIL
2Io / S' S Z S1
CITY STATE. ZIP
✓�,� I-- ,, _L & _ Y e}o
NAME 4, 4/ (7?/1" ,JQ,7( " O 2J, - 74 az
MAILING ADDRESS 1 E-MAIL
CONTRACTOR /
M,i .r�` A.�J11 ✓y- /• d../ P a",110
CITY4 STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/144 !L. --l4(:- c7;') CC / 03 /213, ltd-! 1--/OYcv 2-c<J-6L
NAME PHONE
44ix)Wi £ 3 cko
APPLICANT MAILING ADDRESS E-MAIL
G.3 /7 / / A // I-1,1)
CITY STATE ZIP FAX
T 1.41 4<,c.,L d Lf/ - S'.
PROJECT CONTACT NAME • rr , PHONE
7
(The individual to receive and 0- (L L &j j V , �5>—!i d: 2'(
respond to all correspondence MAILING ADDRESS/ �1 n i
concerning this application) /6 3// !'v! f /jf f A ✓tic- VSvio-E-1— //° -(tt3,
crr, STATE ZIP FAX
ti 4
ALTERNAT CONTALCT�-NA1C�: PHONE9 ?7J
PROJECT FINANCING NAME
/ /
Required value of$5,000 or more
0 A t ❑ OWNER-FINANCED
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 •• of his application.
SIGNATURE• _ � . 4 DATE Z 7//�
p .ter, J
PRINT N• I : .at•
Bulletin#100-January 1,2011 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 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(Gas)
COMPRESSORS 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 include existing fixtures to remain.
BATHTUBS(or Tub/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
A' 3Ipid 'U J zoicc_ /1�.2AJ $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
i 4/ �J y ye. .5(j= 4'P7
CI Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
L ASEMENT
FIRST FLOOR(or Mobile Home)
*'"FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(%espribe)
EXISTING PROPOSED TOTAL
Area Totals
>.**NEcvHOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Construction #of
Occupancy Group(s) Additional Information
in Square Feet Type Stories
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction #of
Occupancy Group(s) Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
• PROJECT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application