15-100539 f
• lkilding - Single(Family
City of FederalWay Permit #: 15-100539-00-S F
Community Econ.& Dev.Services
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 SPACE 5
Project Address: 2101 S 324TH ST Space 005 Parcel Number: 162104 9037
Project Description: NEW-Installation of 900 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.) 900 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) 900
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 900 New/Additional Sq.Feet-Total 900
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 Wednesday, August 26, 2015
Permit Issued on Friday, February 27, 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
Owner or‘ and the City of Federal Way.
n - n � � - l Date: <�' Z 7 /J
'' THIS CARD IS TO MAIN ON-SITE
CITY OF `' - Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 15-100539-00-SF Address: 2101 S 324TH ST Space 005
Project: BELMOR HOLDINGS LTD FEDERAL WAY, WA
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) 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) ❑ Skirting/Final(4250)
Approved Approved Approved
By 1,` .,,., Date i,-.- (.1 r-- By Date By Date
❑ Rough Electrical Final Electrical 111 Right of Way
Approved Approved Approved
By Date By Date By Date
„„, • . _
CITY OF
PERMIT' P LI TEO
F=deraf Way
RKEIVED
FEB (u�4 20155.!3°/ _ SF 2/2���
•
,f E§T 1V UMBER I 5 110 0
CITY OF FEDERAL W/AT - - — — - -- TARGET DATE
SITE ASr f3S f.�/.-.- _,y1..,2 m o a,L /46,74 "AA 1(. SUITE/UNIT f
) 0 i S. 3 2(f'.A,S; c 0/ 4 t,+l,9 s i CZ j,5
PROJECT VALUATION ZONING � ASSESSOR'S SSOR'S TAX/PARCEL#
$
f.; (4 2- / 0 T - ! CJ 7
TYPE OF PERMIT ❑BUILDING ;0 PLUMBING ❑ MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT ' i LjOj4 m/j j-
PROJECT DESCRIPTION P L-4-c I'rd1-(.0 , 'Pcifil- A/ i/_ /7111.g 4 -zi
Detailed description of work to 0n) Sfp C./ - W cS� aC
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER !v!/(j e-o !0-(414 23 3 .6S--3Y.OSf 7
MAILING AD KESS F E-MAIL
3.� � Po c0 6L 9
STATE Z
cip iC1fLAA)k32E'144 9 -3S-7
NAME IPHONE
fqrvtr2)c,9Ali l-lp -y).e 2 y:3- k4./- S6c:10 I
MAILING ADDRESS
E-MAIL i
CONTRACTOR I6. 3 11 efi4l-,4 t✓.1 f !� ` 'JIi
_I;iy I - J`z. Lkr_'f�Scs;I E,//4 r/!”
STA ZIP FAX
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WA STATE CONTRACTOR'S LICENSE C EXPIRATION DSTE I FEDERAL WAY BUSINESS LICENSE
NAME I - PRIMARY PHONE
4714,42./C410 14.1C.V71 ( ti11� 2i-3 -kg1- 36C30
APPLICANT MAILING ADDRESS E-MAIL
H. 311 (Yt �J d i A."J .0 —t-u /c s v Ai c,_)--Fara-d,C
CITY STATE ZIP FAXs.
_14 z-C.UA 1,,a,4- 9 S' 371 2 7- W?--6 ki l'
NAME r
PRIMARY PHONE
PROJECT CONTACT '10/24 f jr-u i-14.,-Cs U,.y,, 2J ?--Z3‹} _6 2 6 J-'
The individual to receive and_ MAILING ADDRESS
--
(The _ , E-MAIL
respond to all correspondence L '� l`� y: .t/ -a j'-0(:_,C, -, ei--1 St(`''d e.
concerning this application) ciT,.aY STATE ZIP
fiL) 1. 4 LC--'‘Ji/ FAx
vii% 9�?7s— .25-3, 5/y-6S S-J
NAME
PROJECT FINANCING CJS ' OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP
fRCIi'1��.Y-.C?JJ I _ PHON'E
--- -----I certify under penalty of perjury that I am the pra or!authorized agentof` p �owner 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 Iocal, state, or federaZ laws regulating
construction or environmental Iaws.
I further agree to hold harmless the City of FederFl 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 a part of this appjication.
S GNATU r,1 —- /�• _ / /. _ DATE ;�— Z „ /j
PRINT NAME: I/ /71.-c)4-L� JCJ AJ —
I .
•
Bulletin#100-January 1,2013 Page 1 of 3_ 10F3andouts1Permit Application
r • •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type of fixture to be installed or relocated as of this project. Do no .riclude existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUT S OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS
BOILERS
FURNACES \/ HO MATER TANKS(Gast
COMPRESSORS
GAS LOG SETS„`� FRIGERATION SYST
DUCTING GAS PSPINC, ,n� \ WOODSTOVES
i 1/
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
I
---n
•-In Icate oui many of'edc7i type off"fLYtlii•e tb be" Called"o"r relocated asDarto�'�this pro7ect::1�o riot Include ex2sting lzxtures2o-remtzln:-=-"
3i BATHTUBS for Tub/Shower Combo) w'VS jxand sinks) 2. TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS- OTHER(Describe)
DRAINS / SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS / SINKS1(Kitchen/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES A7 TOTAL FIXTURES
GENERAL INFORMATION
INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
t�� LU L u_ $
EXISTING/P_RE�VIOUSS USE
j� LOT SIZE(In Square Feed) EXISTING FIRE SPRINKLERLESYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
+' �✓tp€ 1 lA ❑Yes 9AV0 o Yes t'No
I
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home) CIO°
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT 0
OTHER(describe) � --___....__—._.__..__.___ .-----•--__-.--
AreaTotals TOTAL
l
**NEW HOMES ONLY}* _
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area !Occupancy Group(s) Construction a of • , 1tional Information
in Square FeetType Stories
NEW R!IILDT'dr'
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENT
AREA DESCRIPTION Area Construction # of
In Square Feet (Occupancy •up(s) Additional Information
Type Stories
TOTAL, BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY, .. ..-
Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application