14-100642 Building - Single Family
City of Federal Way F I LE
Community& 14-100642-00-SF Econ.Dev.Services Permit At:
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p Q
Project Name: BELMOR PARK LOT 67
Project Address: 2101 S 324TH ST Space 67 Parcel Number: 162104 9037
Project Description: NEW-Installation of 944 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.) 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 0
New/Additional Sq.Feet-Garage 0 Occupancy#1 -Class R-3
New/Additional Sq.Feet Other 944 New/Additional Sq.Feet-Total 944
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, 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 a ordance with the laws, rules and regulations of the State of Washington
and he City of Federal Way.
Owner • agent: - Date: ,'//O/)y.
Y THIS CARD IS TO REMAIN ON-SITE ,
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 14-100642-00-SF Address: 2101 S 324TH ST Space 67
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.
El SWM Precon Site Mtg(4400) 0 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) 0 Skirting/Final(4250)
Approved Approved Approved
B Date S_ m---__( By Date By Date
0 Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
•
4114L CITY OF Building Division
I �a Eighth Avenue South
va' alow- Fede a Federal Way,Fax
98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS:
L � 1- PERMIT#: - t aO —�
I l �
Tify—r,rS'-ec.J
Z *
)-9--\f-- c <� w� e c ' $ o v iM � 2 c�—�v v-2_
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/ P v01 (9.c0 -eG U) ;( a— VA-0-€*
t c< 69 7P p_e
IF YOU HAVE QUESTIONS CALL o S2 S k (253) 835- D
V
WHEN CORRECTIONS HAVE BEEN MADE, CALL(253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
DATE/ = INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
CITY DF '."n • PERMFORPI3tICATION
Federal Way
• FF8 1 0 2014
` / CO
cm.'c° F ED RA4WAS'
PERMIT NUMBER / �y / 0 0 C (I '° - c p TAR DATE 3 3 / y
SITE ADDRESS e - �a e/�� ,„0 0,�41,, t1„M� �,�/C SUITE/UNIT ii
,,, 1 VALUATION, 3tf//I S r F ZONijG L A5S:SOR'S TAX/PARCEL 1 1 5 r�7 c 6
-�$
Z _L r, V - ? 3
TYPE OF PERMIT ❑ BUILDING '0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT /3 OA. 44 ii . ' ,�,,r
PROJECT DESCRIPTION vy r' s f _ed.',.,.2.,c. /21.�- 4`i ���
Detailed description of work to a A) ,S I,4e. 3 S-
be included on this permit only
NAME -y' PRIMARY PHONE�j
!v!
PROPERTY OWNER j 7_/f-2� Xi�.�'j,, � u1 s - , AS 3 -O 3Y-05/7
MAILING 3 5- A!yawl V 'L_d iJ E-MAIL
CI STATE ZIP -'
tcv4 L4 fti,e3
/40 9 7 35-17
NAME PHONE _.
414/5/2tc4/13 42/74_,,X GZA-rit , 2 c 7- kg/- 3v v
MAILING ADDRESS E-MAIL
16 3l/ 44Z.4/.40."7. 6 �'
CONTRACTOR c sTA E ZLP F�0 L�2'st1°t)03 F�,i/s�,L'+'!
v y,4 LL.v� �- �/ s'3 7s- ,xs3-sxf Y-v S13 S%
-
WA STATE CONTRACTOR'S LICENSE k EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
# n0)2- 'tic 97roc_ _`}i 3 azoic-,20az-2/,o 9,0 o2.-0u AL
NAME PRIMARY PHONE
AM1521c4A ill C'6n 12_ 2r 3 -k /--.:4_6 6v
APPLICANT MAILING ADDRESS ESL
U. 3t/ 13'ii 1.9i/aiJ f�(kee- 1) 'u/IAL,
CI STATE ZIP FAX
ft L-0vP t4i4 9 0 37J� 3- S441'-o k3 k
NAME / ', PRIMARY PHONE /
PROJECT CONTACT " 1-75/1/1 / ) t 1-14., gC6.4.) 3-z3c) -6 Z 6 ,I-'(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence ,C
concerning this application) CI STATE ZIP Fr ��/fJ I / ,e-..44
AX
/ , I.4�C.u, 044 9 A'?7 s— ,2—I$0,-683 L
NAME
PROJECT FINANCING A)0 -- - - ❑ OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(PCW19.27.025) --
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- ' /f DATE - ir-/V
PRINT NAME: J v/VI h t _ LQ/!'f ii Ai
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Per lit Application
• • VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
• Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS
AIR CONDITIONER
BOILERS
COMPRESSORS
FANS GAS PIPE OUTLETS OTHER(Describe)
FIREPLACE INSERTS HOODS(comme c e)
FURNACES HOT WATER TANKS(cad
GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
:Ihniete7ioui marry ore-oaf-type offzzttireltrbeinstalled orrelocated as parr ort his project-Don include existing- 'u fires-to remain:-
BATHTUBS(or Tub/Shower Combo) LAVS(Haudsinks) Z TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS f SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(t itched/utr7iryl 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(Ia 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) 744
SECOND:FLOOR-
COVERED ENTRY
DE
GARAGE ❑ CARPORT ❑
Area Totals EXISTING PROPOSED TOTAL
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
� Y
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Groups) Construction #of Additional Information
in Square Feet TYpe Stories
TOTAL BUILDING
TENANT AREA ONLY
ROJECT AREA ONLY,:
F- t
Bulletin#100 January 1,2013 Page 2 of 3 k:\I-Iandouts\Permit Application