16-100046City of Federal Way
Community & Econ: Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: BELMOR MOBILE HOME PARK LOT 119
Project Address: 2101 S 324TH ST Space 119
Ouilding - Singh -w ily
Permit #: 16 -100046 -00 -SF
Inspection Request Line: (253) 835-3050
Project Description: NEW - Installation of a new 1296 square foot manufactured home
Parcel Number: 162104 9037
Owner
li n
Contractor
Lender
BELMOR HOLDINGS LTD
METRO NORTHWEST LP
METRO NORTHWEST LP
1571 BELLEVUE AVE W SUITE 21(
210-1571 BELLEVUE AVE W
210-1571 BELLEVUE AVE W
VANCOUVER BC
VANCOUVER, B.C.
VANCOUVER, B.C.
CAN
CANADA V7V1A6
CANADA V7V1A6
Census Category: 112 - New Manufactured/Factory-Built Home, IN PARK
Includes: # 1 #2 #3 #4
Occupancy Class: R-3
Construction Type:
Occupancy Load
Floor Areas . ft. 0 0 0 0
Additional Permit Information
New / Additional Sq. Feet -1 st Floor....................1104 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 .......................... 1104 Occupancy # I - Use ............................................... Residence (1 or 2
family)
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Tuesday, August 2, 2016
Permit Issued on Thursday, February 4, 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 acc r ance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
r'
Owner or agent: Date: Zl�
I
CITY OF
Federal Way
PERMIT #:
Project:
• THIS CARD IS TOIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
16 -100046 -00 -SF Address: 2101 S 324TH ST Space 119
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.
Blocking/Tie Downs (4015) Final Erosion Control (4375) Skirting/F' al (4250)
Approved Approved pproved
By V* Date -7 b I, By Date y Date
* ?w PIfiH Q�GvI ckgvc ILetve4
SWM Precon Site Mtg (4400)
❑
Initial Erosion Control (4365)
Final Electrical
Approved
Interim Erosion Control (4370)
Approved
By
To be done prior to breaking ground
Approved
By
Date
By
Date
By
Date
Blocking/Tie Downs (4015) Final Erosion Control (4375) Skirting/F' al (4250)
Approved Approved pproved
By V* Date -7 b I, By Date y Date
* ?w PIfiH Q�GvI ckgvc ILetve4
Rough Electrical
Approved
Final Electrical
Approved
Right of Way —�
Approved
By
Date
By
Date
By
Date
ttTV OF PERMI APPLICATION
Federal Way PERMIT CENTER + 33325 81h Avenue South �-fi—WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcente cltro ederalway.com
APR 2 012016 "-
PERMIT NUMBER I o 0 _ `S_ TARGET DATg:rTY OF FEDERAL WAY
SITE ADDRESS
SUITE/UNIT #
Divi 5. S�
11�
PROJECT VALUATION
$ opo
ZONING
51�, 19- I
ASSESSOR'S TAX/PARCEL #
1 _�?: Jv -
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
I�. I bvh,O_ LLL k Lu .-'
PROJECT DESCRIPTION
ia,�v��%�t.3t�2'w�e
Detailed description of work to
be included on this permit only
NAME
LTD
P MARY ONE
oft 3 -70 PA-)
PROPERTY OWNER
MAILING ADDRESS I
NtUIr �VZ st',
E L
-vr 0,-.
CITY / �
STATE
BC
ZIP
LR�i1�l.Il�
NAME
%fic�fc �orOW e L
PHON
s�q 375- 3��N
MAILING ADDRESS "J
35 ul�o EjvcC
E-MAIL I
f 1�e EJ 1^ 041v%J. Cow\
CONTRACTOR
G�.tzMa 5�c�-sem
UY3/31/17
CITY
S'L'ATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
�h,Lr TS
FEDERAL WAY BUSINESS LICENSE tl
NAME 0')
__ 11''
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
af� i� 3a`�f`' S .
EMAIL
)5
CITY 1'i( � � `-^' 3l TATE ZIP
& 00
JPHO"
PROJECT CONTACT
NAME
I I C
PRIMARY
05-3 38 --()I
MAILING �� i 5 3d� S �.
i
E 5 �, n Ie h he
(The individual to receive and(`
respond to all correspondence
n
aTA'�'EV
ZIP !,�` f
FAX
concerning this application)QTY
PROJECT FINANCING
NAME L
ff OWNER -FINANCED
When value is $5, 000 or more
IRCW 19.17.095,
MAILING ADDRESS, CITY, STATE, ZIP r
I_�I�tij0�gJ35`/�-di ��Nl
PHONE
7Wv )
I certify under penalty of perjury that I am the property owner or authorized 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 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 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 art of this application.
SIGNATURE: � � DATE
PRINT NAME:
Bulletin #100—January 29, 2016 Page 1 of 2 k:AHandouts\Permit Application
Q
n
�J
MECHANICAL PERMIT
Indicate how man o each t o
AIR HANDLING UNITS
AIR CONDITIONER
BOILERS
COMPRESSORS
DUCTING
PLUMBING PERMIT
Indicate how many of each twe o
BATHTUBS )or Tub/shm-r combo)
DISHWASHERS
DRAINS
DRINKING FOUNTAI
HOSE BIBBS
to be installed or relocated
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
GAS PIPING
"e installed or relocated
LAVS )Hind Sys)
RAINWATER SYSTEMS
SHOWERS
SINKS )wtohm/uabry)
SUMPS
•
GAS PIPE OUT
HOODS m,rcisq
HO ATER TANKS (Gen)
EFRIGERATION SYST
WOODSTOVES
TOILETS
URINALS
VACUUM BREAKERS
WATER HEATERS (Eje uia)
WASHING MACHINES
VALUE OF MECHANICAL WORK
dude existing fixtures to remain.
OTHER (Describe)
VALUE OF PLUMBING WORK
Jude existing fixtures to remain.
WATER PIPING
OTHER (Describe)
TOTAL FIRTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING MPROVEMENT6
FOR OFFICE USE
Lakes �Uen
Lq1<� �-�av e✓1
$
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
3 0
ElYes
El Yes� No
RESIDENTIAL -NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
---------------------•---..........----..---------..... --- -- -
FIRST FLOOR (or Mobile Home)
5 a
---------- ---------- -----
SECOND FLOOR
AREA DESCRIPTION
Area in
Square Feet
Oc n Group(s)
cy PI+1
--------__..-------•-----
COVERED ENTRY
Additional Information
TOTAL BUILDING
DECK
TENANT APPA ONLY
GARAGE ❑ CARPORT ❑--
PROJECT AREA ON
OTHER (describe)
— ^-
Area Totals
EXISTING
PROPOSED
TOTAL
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE $
1 # OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s) Construction
# of
tories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVE TS
AREA DESCRIPTION
Area in
Square Feet
Oc n Group(s)
cy PI+1
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
TENANT APPA ONLY
PROJECT AREA ON
v i
Bulletin #100 - January 29, 2016
Page 2 of 2
k:\Handouts\Permit Application
'40 Building - Single. Family
City of Federal Way
Community & Econ. Dev. Services Permit #: 16 -100046 -00 -SF
33325 8th Ave S
Federal Way, WA 98003SITE
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: BELMOR MOBILE HOME PARK LOT 236
Project Address: 2101 S 324TH ST Space 236 Parcel Number: 162104 9037
Project Description: NEW - Installation of a new 1296 square foot manufactured home
Owner
Applicant
Contractor
Lender
BELMOR HOLDINGS LTD
AMERICAN HOME CENTER
AMERICAN HOME CENTER
1571 BELLEVUE AVE W SUITE 21(
16311 MERIDIAN E
AMERIHC9780C (9/3/17)
VANCOUVER BC
PUYALLUP WA 98375
16311 MERIDIAN E
CAN
PUYALLUP WA 98375
Census Category: 112 - New Manufactured/Factory-Built Home, IN PARK
Includes: # 1 42 #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 - 1 st Floor....................1104
New / Additional Sq. Feet - 3rd Floor....................0
New / Additional Sq. Feet - Deck .......................... 0
Occupancy #I -Class .............................................R-3
New / Additional Sq. Feet - Total .......................... 1104
New / Additional Sq. Feet - 2nd Floor...................0
New / Additional Sq. Feet - Basement...................0
New / Additional Sq. Feet - Garage.......................0
New / Additional Sq. Feet - Other ..........................0
Occupancy # I - Use ............................................... Residence (1 or 2
family)
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Tuesday, August 2, 2016
Permit Issued on Thursday, February 4, 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 agehl, t �L=1 Dat r
J* We w;\\ 0 1111. a36 +a tof 11`t. Yl�'.S i.��a\tci�,on
Iv: "k be C(Y�te )rPd by rneA-ro NurAv).ps+ o� Av,,errcon ibn, e CO-N-Wr-