15-106282 zdz
► •ilding - Single !amity
CCommutynity
o&EFcon.D Way Permit #: 15-106282-00-SF
&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609F ILE
p q
Project Name: BELMOR PARK SPACE 11.
Project Address: 2101 S 324TH ST Space 11 Parcel Number: 162104 9037
Project Description: NEW-Installation of 1836 square foot manufactured home and 31 square foot deck within
• - a manufactured home park
Owner " Applicant Contractor Lender
BELMOR HOLDINGS LTD INDIGO ENTERPRISES LLC INDIGO ENTERPRISES LLC
1571 BELLEVUE AVE W SUITE 21( 26828 MAPLE VALLEY HWY SUM INDIGEL975LW(6/17/17)
VANCOUVER BC MAPLE VALLEY WA 98038 26828 MAPLE VALLEY HWY SUIT
CAN MAPLE VALLEY WA 98038
Census Category: 112 -New Manufactured/Factory-Built Home,IN PARK
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 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 New/Additional Sq.Feet-Basement. 0
New/Additional Sq.Feet-Deck 0 New/Additional Sq.Feet-Garage 0
New/Additional Sq.Feet-Other 0 New/Additional Sq.Feet-Total 1836
No Fixtures Associated With This Permit!!
` } vim_-c D
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 Tuesday, July 12, 2016
Permit Issued on Thursday, January 14, 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
and the City of Federal Way.
Owner or agent: Date: /AI //
. _ .,
. 0 THIS CARD IS TOOMAIN.ON-SITE
CITY of '
Federal Wa Construction Inspection Record
y INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-106282-00-SF Address: 2101 S 324TH ST Space 11
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) Skirting/Final(4250)
Approved � Approved Approved
Bj� Datee/_ 2'Z---//�/ By Date By Date - 1 - 141_,
Rough ElectricalEl
Final Electrical •
CI
Right of Way
Approved Approved Approved
By Date By Date By Date
1110�,�� ►tit PER11� PPLICATIt3N
Federal WayED
DEC 112015 l g I
PERMIT NUMBER t#o (02_8 _� CITY O F VtefiratAktlaw
SITE ADDRESS � SUITE/UNIT e
/a! S 3(2.1-res - 7'�DCeRC. /y G✓.Q 9 8003 of i
aft,'oeE
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL S
$ 1i/ ova .?z 8 3 q, 4 - (p a 't
TYPE OF PERMIT X BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT �a pG < v� �( g o H F)
PROJECT DESCRIPTION �s�'g�c /VGA-✓ 1. /-I. 5.p, '#//
Detailed description of u.ork to / � _P1a Pio a/LGC
be included on this permit only
NAME iZGL�.j1O0- rYfQs/LLC /Io r �iq. PRIMARY PHONE
(✓G 253-658--d5/7 1
PROPERTY OWNER MAILING ADDRESS 7/�" E-MAIL bee_pr)Q ri'" r t�
Z/Ol 5. 5,2.4! r. hyries ne'' Cori
13C(°(-111CITY � J !A'�. ZIP 3
NAME PHONE
L�v/,/&se �vTr¢/�'S .106-.5-0/—-SO/— X0379
MAILING ADDRESS E-MAIL/Ndi ci' it e/"Pf/SES
CONTRACTOR
.286,1•C? P dM-1 Y //Lt)Y• 5`u/TE ,3Q 8 40 a .414 cx •c. t o#•
CITY STATE ZIP FAX
s+-1.� Y�«y w,a. q003 4 .c-'t2.7-8687
WA STATE CONTRACTOR'S LICENSE S EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE•
sND (,EL '-rst-W 6 / /7 / cz
NAME PRIMARY PHONE
"a,/ �,E/�!'7Zr/ZP�5 45,5-
MAILING
�S dab SO/-6379
APPLICANT
MAILING ADDRESS E-MAIL/pd/ BM'1 (prise,.
268a9"vo he%cy /4dy Sv:Ttr.3a8 de'' t_. Ler'
CITY STATE ZIP FAX
s-P7mo�e ✓4e4c--y wa, ?9o39 •�zc-4.z7--p 97
NAME PRIMARY PHONE
PROJECT CONTACT �d to-•50" (0 319
(The individual to receive and MAILING ADDRESS E-MAIL /..7disy p B &i S e1
respond to all correspondence X663.7 Plor Pee Ofitex dy. 51/175.3elf
concerning this application) CITY
,41,/o pLE ✓H Ey Lt ,0 9 ea 3 8 STATE ZIPF �zs'4A7-
.. NAME. .. _ _ .. .. .. . ._ ..
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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.
SIGNATURE: ---'`f (— DATE tz-!C
PRINT :::Pg Tee–. ) � E Zb<ev-
Bulletin#100-October 26,2015 Page 1 of 3 k:\Handouts\Permit Application
• •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
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 OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how many of each type offbcture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(orTLb/shower combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS •
DRINKING FOUNTAINS SINKS(kitchen/Utility) WATER HEATERS(Eicchic)
HOSE BIBBS SUMPS WASHING MACHINES l TOTAL FIXTURES
GENERAL INFORMATION
CRITICALj/LVRE7,11 ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
L4{c( fl N L Kef vEN W
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
P Ii �p
/261 ❑Yes No ❑Yes A( No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or obile Home), /836
SECOND FLOOR
COVERED ENTRY
DECK ; 3/
GARAGE ❑ CARPORT
OTHER(describe] CONcito—r L
DAC+,vEtomy,, lPRT,
Area Totals EXIWDEO PROPOSED
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-October 26,2015 Page 2 of 3 k:\Handouts\Permit Application