16-102535 ' • iFmity
'City FederalWay
Commuiy&Econ.Dev.Services Permit #: 16-102535-00-SF
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: BELMOR MOBILE HOME PARK LOT 85
Project Address: 2101 S 324TH ST Space 085 Parcel Number: 162104 9037
Project Description: NEW-Installation of a new 1620 square foot manufactured home in a park
Owner Applicant Contractor Lender
BELMOR HOLDINGS LTD METRO NORTHWEST LP AMERICAN HOME CENTER
1571 BELLEVUE AVE W SUITE 21( 3500 APOLLO BLVD AMERIHC978OC(9/3/17)
VANCOUVER BC RICHLAND WA 98357 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.) 0 0 0 0
Additional Permit Information
New/Additional Sq.Feet- 1st Floor 1620 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 0
New/Additional Sq.Feet-Total 1620 Occupancy#1 -Use Residence(1 or 2
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 Sunday, December 18, 2016
Permit Issued on Tuesday, June 21, 2016
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
a the City of Federal Way.
1, -,-2Owner or age -
,A-1 - i� ��:___...._. Dater •(.„
(-- NALE
c 04s 4 (
•
,,,„.„4. 4111116. • THIS CARD IS TO AIN ON-SITE , .
TM
" OF Construction In ' ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 16-102535-00-SF Address: 2101 S 324TH ST Space 085
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) 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) ❑ Final Erosion Control(4375) 1=ISkirting/Final(4250)
Approved Approved Approved
�--
By Date 1/LO 1/f, By Date By' Date's 74,
❑ Rough Electrical Final Electrical Right of Way
Approved Approved1=1 Approved
By Date By Date By Date
•- ►ED •
tr,
Ili MAY 215 2016 PERMIT "PPL A O
F=derai Way
CITY OF FEbERAL WAY
PERMIT NUMBER 7r — / F17-35 _ (C �3 / YJ
TA.RGE'DATE `
SITE ADDRESS t/G L ( `/` O�7 ' n .
/29 V',� /.46,41-40-... „,94..,E..74.. � sirr'r�/LntrT r
/1 U i S. 3 7-Y ,r riS )gam 4 (A/4 G ' : %�J.r j , /f(�
??.OJ ECT VpF,UATION ZONING f �° J `” Y
. .._.-: I� AS�r,SSO�'S T�/p�RL� � 0 � - G C/
TYPE OF PERMIT
I -- r—
f
D BUILDING ;❑ PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING ❑ IRE PREVENTION
NAME OP PROJECTi" -�
e L a'L ,1-i'aLO 6-5
/ PROJECTDESORIPTION ' c.-4: td - , )0� kU 1 pie.____, �- t m.4-
Detailed description.of work to AP ' • 'r7 :Is-
b.,included on this permit only
1.
li
PROPERTY OWNER /14/:: 771(--6 JP 1/ PRIMARY PRONE
eW
aviAnzNo
3- l%
REss
IE-MAIL�/o ?amu'
CI,T� STATE ZLo
NAME l.
F`n�T `172) tl PRONE
Mit°MING ADDRESS
CONTRACTOR !�a 3// 44,4i 4 t(9.I� /r E-MAIL / n
i4L (
i',^-Y 5'_ .4-A.-
/-4-^14-
s f L!LF��'I�SCs,�G'��5 !-ad//.f.G),�' ,
/ Gln ,r STATE �.,.. S' / FAX_
WA STATE CONTR4CTOR'S LICENSE_ 3 L3-� J `Y
A�1 2--, I+:1-._j I yXPIR.TION DATE I �EDERA_L WAY BUSINESS LICENSE"
c
9 r o� p ��j
NAME I _ / 3 / Tfi9 0-I 2-I V 4-v 0 2-C]CI AL_
PRIMARY PRONE
/
ila//_ 1r J r__ (
- .?6 cUMATT.n7G AT) E-MAIL
APPLICANT
S.2)0 ,/4 0 i I0 44-06
(TT? 1.FuL,f i�SVrJ Ci`� .l.�/J
STATE ZIP PAX
&.4,
• -
ITT?
/1( „ ,I. .i' )4 I f 1
NAME 9 25-7 � � v�� ,
r E PRIMARY PRONE
PROJECT CONTACT I (�44 r )I 'cg. __ 7 (}` ` {�
MAILING ADDRESS t • +�J v �'v J
The indiuidual to receive and )i / E-MAIL
respond to all correspondence f ; /,,7� I.
concerning this application) ciT,g
= •
tom-f G-^1 4f - /f c,
P 1.,. 4z:1-cif,� STATE ZIP
PAX i 4 9 ?7 3— .2J L- P-6S2 5,
NA_xIE
PROJECT FINANCING ND f1ki. -._ - - OWNER-_INA CED
Required value of$5,000 or more MAILING ADDRESS,CFTY,STATE,ZIP
1 PRONE —
I certify under penalty of pe
cry that I am the o e owner'orarithorized agent of the'pr-
e
o myPjl PP P S ocerti IC ertify t l c to the best'
f 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 ur_'th local, state, or federal laws regulating
construction or environmental laws.
Irther agree to hold harmless the City of Feder�.
fui Way as to any.claim(including costs, expenses, and/attorneys'fees incurred in
the investigation and defense of such claim), which;ray 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 apart of this app'ication.
ST.GNATU L. 1111.1; � 2-5' /(s9
.0.0.• �r ` i`D A TE
PRINT NAI\I • Al 411, Air G /.
a
Bulletin x100-January 1,2013 Page 1 of 3'
L • •
r. rALI VALUE OF MECY,ANICAL WORK
a I T ECIIANICPERMIT I
I
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existino fixtures to remain.
AIR HANDLING UNITS FANS I GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS lcomm.rci,,� )
BOILERS FURNACES HOT WATEP,TANKS rczsi
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS P4'ING WOODSTOVES
VALUE OF PLUIte NG T0.Rx
p __,T T'WITENG PERMIT 1
— y reac7i Lne or-Ixtltr to be`Ibti111ed"or relocated as pan orrhis project.:Do noc zzc7u�c e ex tng Izztu—resioTe;nAm=n7 -
T BATHTUBS(o:Tub/now-or Combo) LAVS iliand Simko) '2-- TOILETS WATER PIPING
• DISHWASHERS RAiNV_TER SYSTEMS URINALS' OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS / SINKS(simber,/utain;•) WATER HEATERS(elects,)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL IXTURES
I
GENERAL INFORMATION I
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR I SEWER PURVEYOR VALUE OF=STING TMIPROVEMIEN T S
EmSrING/p.REVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRr• ER SYSTEM? PROPOSED FIRE SUPPRESSI N SYSTEM?
I
/-���j�Z;46 "G 111( 1 ❑Yes No ❑Yes �/No
NEW
RESIDENTIAL - NEW OR ADDITION! .
AREA DESCRIPTION(in square feet) EXISTING I PROPOSED TOTAL FOR OFFICE USE
BASEMENT I
FIRST FLOOR(or Mobile Home)
-_--AAAA....--._.._._._._......_.._ ._.._..___._.-- — — - ...__-
•
SECONDFLOOP. —.___._..-----.__--•----.__._......._—.._._..__.___..___...___.._
-
COVEREDENTRY _...._.. __...__.____.._. ___-_._.--.__..._—...._.__.-._._....._..._._
i
__ _ _._... _AAAA_
DECK
GARAGE 0 CARPORT 0 i _._.—.._._.-__..............__..__
OTHER (describe) --_�_.—.._-----
! re✓6.6 S°1'�EG J ' NO ?COPOSSDTOTAL
.._.._._.._....-..-.___.....__-_._...._..._._.._.._—_ ._._._..___.__.__....__.._....._._-.-
j.
ESTIMATED SELLING PRICE$ 1 OF BEDROOMS
COMMERCIAL—NEW/ADDITION __ -— ..-.
AREA DESCRIPTION Area I cc n Group(s) Construction
I in Square . -et I Additional Information
Occupancy $ of
I
Y
.. ecu Rr�ir.nratr_ -: 1. ._ ._ - .:,.: t. ... _ _. -
1 �Fe Stories
AAAA
_ADDITION I -- -._
COMMERCIAL— ' MODEL/TENANT IMPROVEMTFNTS
Area I Construction a ofb
AREA DESC_ '_ION Occupancy Group(s)
Additional Square Feet Type Stories
TOTAL Bui w NG
TENANT AREA ONLY
PROJECT_'REA ONLY,. - `
Bulletin#100-January 1,2013 I Pagn 2 of -