15-100544 • •ilding - Single Family
City of&FederalWay Permit #: 15-100544-00-S F
CommunityEcon.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 215
Project Address: 2101 S 324TH ST Space 215 Parcel Number: 162104 9037
Project Description: NEW-Installation of 1344 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 0 New/Additional Sq.Feet-Total 1344
Occupancy#I -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
and the City of Federal Way.
/--, / 7�
Owner or.gena —_ - _ Date: 2 //�P.
THIS CARD IS TO MAIN ON-SITE
"TM OF 3 •• Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 15-100544-00-SF Address: 2101 S 324TH ST Space 215
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) ❑ Initial Erosion Control(4365) 0 Interim Erosion Control(4370)
Approved To be done prior to breaking ground Approved
By Date By Date By Date
El Blocking/Tie Downs(4015) ❑ Final Erosion Control (4375) ❑ Skirting/Final(4250)
Approved Approved Approved
By � a. Date ;j f(---t 5"" By Date By r Date "r -1 -1 S
Rough Electrical
111 Final Electrical III Right of Way
•
Approved Approved Approved
By Date By Date By Date
•
rY o . ``-- F .I . APPLICATION
Feder a[ �Wy
RECEIVED 1
PERIFiELATI i > 011 S 1 n o 4.f _ S T -r 2 /zs4s-
/
�'i� (�F FE �qj��I WAY
TARGE-..0 DATE
�S-—F.TJDIL. -, ' f:L/i�,% n �O Q;z-.4. 1�Y/�f s /04 A vc SUITE/UNr n r
A,10 ! S 53 23/To sr ifR.--,J, r(44. bit/g -53/.19Z-: 2-/3
PROJECT VALUATION ZONING I ASSE SOR:3S TAX./PA.RCEL€
l t� 'Z / c1 ' -.- ? C) 3 7
TYPE OF PERMIT
0 BUILDING ;0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT - 6 G,✓.. (14 a /./J , ' I
PROJECT DESCRIPTION `"�C I f>Lt1 '�f�'J dg. U.)r,21L 4i /��
Detailed description of work to )Ail 5?,6 2_--.0
be included on this permit only
NAME PRIMARY PHONE -
PROPERTY OWNERr �L P
/� yll� 40,4-c-7- L, J 3 -6r'3Y-OSf 7
MAILING ADpRESS
3.s" I. A.)il/O gi_d E-MAIL
ei, l' STATE Za.
g pca LA '01(3 fir_4 4 9 n-`i
NAME I
/� PHONE
MAILING ADDRESS
2 3- fir/` S6c?0
E-MAIL
1i�CONTRACTOR /6,3/f )44rzet✓f:9., .= LI ZSi,JI ey E. S,eij'
I7;;' STATE ZIP FAX
r 4 LL.(I)t� 0-14- r? 5'3 7.. A;-3-kr/Y-G' S'3
1 WA STATE CONTRACTOR'S LICENSE=' EXPIRATION DTE I FEDERAL WAY BUSINESS LICENSE
i<SE
T,
l�)i=2Ai+c �7 ' �L c/% 3 J-I-2,-V 04002-oQfSt___ I
NAME ! •
PRIMARY PRONE
477/1,42/C4.41 1 i.1 0,7111-;1- ( f1 a 3 -kSf/- .76c3O
APPLICANT MAILING ADDRESS E-MAIL
/L 3tl /. /✓91,%.,"1 ,E ,-
STATE ZIP FAX
NAME r
PROJECT CONTACT O 1 PRIMARY PHONE
044 // f� u 1-1 25 6/0 2j 3- v--6 Z 6 $-=
The individual to receive Find MAILING ADDRESS
--
_(The
..._ __.._. . __ I / E-MAIL
respond to all correspondence .3 t/` /J1 / %J,,5�v :,; — 0LIC: e rd,-11 OS ni154-4 .
concerning this application) CIF STATE ZIP FAX
II 1.:1..,cica I i4. 9 ? 7 _I- 25?:JV1'-6k.3 S-
NAME
PROJECT FINANCING r�c0l1)� OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP
iRCW I..s-.e?.Jj PHONE
I
- certify`—Iunder enol _. __ _ --
.._.
penalty of perjury that I am the property owner or authorizedagentof 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
aII 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 Iaws regulating
construction or environmental laws.
I further agree to hold harmless the City of Feder1zI Way as to any:claim(including costs, expenses, and attorneys'fees incurred in
the investigation and defense of such claim), which Tay 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 ci y as .part of this application.
S?CrNATU' ��� /' DATE Z- 1-.-/ 1
PRINT NAME: p d "�rr , G)
Bulletin#100-January 1,2'013 Page 1 013; k:\Handouts\PermitApplication
�, . • •
VALUE OF MECHANICAL WORK
MECHANICAL PERlIT
$
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 OUTLE OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Co.. ..ciei
BOILERS FURNACES HOT ER TANKS)ori
COMPRESSORS GAS LOG SETS '.- RIGERATION SYST
DUCTING GAS PdPING WOODSTOVES
VALUE OFPLUM:9ING WORK
PLUMBING PERMIT
$
—7n Icazow m¢rz o eac71 e o 1 —
y �'- - typ- f fLYttire to bei;. ed or-"relocated as part of this protect::l�o�irzc7ude exi;�ina 1u�ures'toTemAin:----'
i• BATHTUBS)or Tub/Shower combo) S (Hand Sinks) '2— TOILETS WATER PIPING
DISHWASHERS RAI LATER SYSTEMS URINALS- OTHER(Describe)
DRAINS SHOW RS VACUUM BREAKERS
DRINKING FOUNTAINS / SINKSIII(Iiitcbea/utairsv) WATER HEATERS(Elecaic{
-
HOSE BIBBS SUMPS WASHING MACHINES A TOTAL FIXTURES
—
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR I SEWER PURVEYOR VALUE OF EXISTING IDS OVEMENTS
NO LV-f> LL
$
r5'
EXISTING/P_REVI„¢US USE LOT SIZE(In Square Fee) =STING FIRE SPRIN).R SYSTEM? PROPOSED FIRE SUPPRESSI SYSTEM?
td 1 ❑Yes Ib'No ❑Yes VNo
_
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXITING PROPOSED TOTAL FOR OFFICE USE
lI BASEMENT I __. _._._---_.—_.._.._ _-----.............._....._.—._._..._._._.._._
FIRST FLOOR(or Mobile Home) I l-Ca
SECOND FLOOR
COVERED ENTRY
DECFi
GARAGE ❑ CARPORT 0
OTHER(describe)
(STING TOTALAr a Totals
ppC
*NEW HOMES ONO** ' 'z_.-.:< i
I
ESTIMATED SELLING PRICE$ I #OF BEDROOMS
L
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction a of
in Square Feet p y P( ) Type Stories Additional Information
NFW RTRTL.T Utr: i I ;
ADDITION
COMMERCIAL-REMODEL/TENANT IMFRO P I NTS
f1REA DESCRIPTION Area Construction a of-
in Square Feet 0 panty Group(s) Additional Information
, I Type Stories
TO"f:',L BUILDING
I �
TENANT AREA ONLY
PROJECT AREA ONLY, . ...•..
Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application