15-102436 • ilding - Single Family
City &Federal Way Permit #: 15-102436-00-S F
CommunityEcon.Dev.Services
33325 8th Ave S FILE
Federal Way,WA 98003 ec
Ins tion Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: BELMOR MOBILE HOME PARK LOT 69
Project Address: 2101 S 324TH ST Space 069 Parcel Number: 162104 9037
Project Description: NEW-Installation of a new 990 square foot manufactured home onto existing lot 69.
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.) 0 0 0 0
Additional Permit Information
New/Additional Sq.Feet- 1st Floor 990 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 990 Occupancy#1 -Use Residence(1 or 2
family)
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Wednesday, November 25, 2015
Permit Issued on Friday, May 29, 2015
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
nd the City of Federal Way.
Owner ag nt (1� ifiZie------ Date: S 7//1—
'
lf
0 THIS CARD IS TO MAIN ON-SITE
Construction In ction Record _
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-102436-00-SF Address: 2101 S 324TH ST Space 069
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 Mtg(4400) 0 Initial Erosion Control(4365) El 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) El Skirting/Final(4250)
Approved Approved Approved
By _____94.,,,..:. Date ays By Date By Date
j Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
-- MAY 2 0 201 PERMITAPPLICATION
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P -RT2IT NUMBER CV/'� ) _ 1
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SITE P✓DRESS f3 i.:.-.-/J41,/z.... (f,on ..
I SUITE/LNIT
?ROJ_'.CT VA�UATIO.' ZONINGi; ASS SSJt' 2'S TA[j/PARCEL
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TYPE OF Pi-ram-IT r T-
❑BUILDING I;❑PLUMBING 0 MECHANICAL 0 DEMOLITION ❑ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT4 /14 v�
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PROJECT DESCRIPTION
P(..-f: 'rd .. i.' ' _�ii'V��r— (CI 1,0 j. 41� AL3 "/___4-
Detailed description of work to 4 ) 'r7 - - _Q
be included on this permit only I "�•+-a--,
NAME
PROPERTY OWTiER /
PRIMARY PHONE
fi4/.:- I. ;k :,4... L,til I J 3 -6C'3,'-oS/7
M.amuve AD RESS I:
3s- A/ 4/0 6LL)o I E-M.-p�,
INAME I
! r'I/12) 6. Ai PHONE
M_A.ILING ADDRESS
I�iiL
CONTRACTOR 7� z 1( i �f .corn
or':' I : i
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FAX
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IWA STATE CONTRACTOR'S LICENSE_ _ �� �'" -0 P.7I FfIRATION DATE I FEDERAL WAY BUSINESS LICENSE.=
NAME
_ 3 / 1.4.17-6-1-•-i-1-•-i 0 7£Z �-
G7 Cit; /SI
b'7(�'/,FI21� ('f ./jJ I` r `
PRIMARY PHONE / _?6(30
APPLICANT
MAILING ADDRESS
1 - ^Gn4,-1-/zr E-MAIL
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CIT
STATE Mr' -.%"/U C.,��/C..6 0 td. GI I✓�. I. -
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NAME vl0 `1 ?�.� )T�-D F D '�d ,
PROJECT CONTACT ` PRINLA YPHONE
1 0/vt " , L1 L/e(1.:g 6/0
The tndiuidual to receive MAILING ADDRESS
ve and • T� Z�r1 2 6---�-----•---------•-----.. _ ______.
respond to all correspondence �I ,q7� MATT
3�t1-%1 ;r �,, �� ----__
concerning this application) iV�i ii•J CJ �cx?c J .
STATE ZIP
FAX S' NAME
C ,
PROJECT FINANCING ��
EI OWNER-FINANCED
Required value of$5,000 Or More NLAILING ADDRESS,CITY,STATE,ZIP
P
-- -----I certify urcder of .. � - ...-... _ C
penalty' perfrz that I am the p,-operty owner orauthorized agent of the pro --'% ' .._ ._.. -
of my knowledge, the information'submitted in support of this permit application is true and corre� ertify thatLI will comply
au applicable City of Federal Way regulations ertainin J?i treat to the best'--- -
rith
au
orized by
issuance of this permit does not remove the owner's responsibility for compliance hwith local, sate or- g l wing
ofe issuance permit I understand that the
construction or environmental laws. , federal laws regulating
I further agree to hold harmless the City of,�ederfl 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 em_Ioyees, upon the accuracy of the
- information supplied to the — .art of this application
STf NA?U —
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PRINT NAME: ----
Bulletin#100-January 1,2.013 Page 1 ora . •--
f
I
MECHANICALPERMIT I
' VALUE OF MECHANICAL WORK
Indicate how many of each type of fixture to be iivstalled or relocated as part of this itroject. Do not in ;- existinofixtures to remain.
AIR HANDLING UNITS FANS I
GAS PIPE OUTLET OTHER
AIP.CONDITIONER FIREPLACE INSERTS HOODS o (Describe)
BOILERS FURNACES ,� _ TANKS
HOT
COMPRESSORS GAS LDG SETS �e?,p T SYST
DUCTING GAS PIPING /� e o TOVES
For
Ir I
I _� j . ptT I VALUE OPPLU I ING WORK
Indicate Fiozii many ofedch type orrvaliPe,ne-list%i -or relocated as oar of This projecr::JJo no otic tc a exiainq IzVtures-ro7e;ridin: -
BATHTUBS for Tub/Shower combo a . LAYS!Rana Sin;esl TOILETS
DISHWASHERSOTHER PIPING
_ RAiN�JATER SYSTEMS URINALS '
DRAINS I OTHEP,(Describe)e SHOWERSVACUUM BREAKERS
DRINKING FOU "• NS / SINKS((i tcb n/Un7 cyq
WATER HEATERS(pemio�
HOSE BI.- SUMPS WASHING MACHINES
TOTAL FLXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR 1 SEWER PURVEYOR
VALUE OF EMSTING LT�SPROVENLE.I7T5
Y'6:5
WI° ..i
E ST_rNG/?_REQ•?OUSIZE(Fn Square r^eS USE LOT �t
/��rl� �) =STING FIRE SPPSh ti-iER SYSTEHI? PROPOSED SIRE SUP SSION SYSTEM?
`i/11�1 I U Yes r of o Yes .Rio .
I
RESIDENTIAL - NEW OR ADDITION j
IAREA DESCRIPTION(in square feet) EXISTING I PROPOSED TOTAL
FOR OFFICE USE •
(7BASEMENT
FIRST FLOOR(or Mobile Home)
1 ft Ze CO X /5-- ....... ... _• i
SECOND FLOOR I f
COVERED ENTRY ..._..__._...._..._._......._..._.__.___.._.._. ._ --.---.._._.._
GARAGE 0 CARPORT 0
____._......._._
OTh�R(describe) —..__—.._._
...... EXISTING PROPOSED ._._._._._.._._.._._....._._....._..._._.,.._._-_'-_—_____...._.__._.___—_._.._..__.._--
Area Totals
I TOTAL
. ... kx NEW.HOMES OlYL ..
ESTIMATED SELLING PRICE$ I #OF BEDROOMS
I
COMMERCIAL—NEWS/ADDITION I . . .---- .
A
AREA DESCRIPTION
Area Consrtrructio
In S uare Feet (OccupancyGroup(s)
= of
Additional Information
Stories
ItI 1
ADDITION i
COMM ERCIAL—REMODEL/TENANT IMPR 11MENTS
ARRA DESCRIPTIONAsea i Co - ion
In Square Feet cupancy Group(s) of
Additional Information
it cam.
Tyne
Stories
TOTAL BUILDING
TENANT AREA ONLY I I
I - ..
PROJECT AR EA ONLY..- -
Bulletin#100—January 1,2013 I Page 2 of 3
FILE
11
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WAY
PERMIT #: 15-102436-00-SF
ADDRESS: 2101 S 324th Street, #f69
� PROJECT: New Manufactured Home
�. Lh BELMOR MHP 069
--. r DATE: 5/20/ 15
1 w WEaMTED7
APPROVE $Y
ANY CODE SECTION NOT MENTIONED IN THIS REVIEW DOES NOT WAIVE OR
IMPLY THAT A CODE SECTION IS NOT REQUIRED
THERE 5HALL BE NO DEVIATIONS FROM THESE APPROVED PLANS
Separate electrical permit re uired
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MAY202015
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