16-103491 •
Building - Single Family
City of Federal Way r
Permit #: 16-103491-00-SF
Community&Econ.Dev.Services `" •
33325 8th Ave S
Federal h
Ph:(253)835-2607 WayFax (53)835-2609 98003 t mama Inspection Request Line: (253)835-3050
Project Name: BELMOR PARK SPACE 204
Project Address: 2101 S 324TH ST Space 204 Parcel Number: 162104 9037
Project Description: NEW- Installation of 1,461 square foot manufactured home.
Owner Applicant Contractor Lender
BELMOR MOBILE HOME PARK AMERICAN HOME CENTER AMERICAN HOME CENTER
LP 16311 MERIDIAN E AMERIHC978OC(9/3/17)
2101 S 324TH ST PUYALLUP WA 98375 16311 MERIDIAN E
FEDERAL WAY WA 98003 PUYALLUP WA 98375
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 1461 New/Additional Sq.Feet-2nd Floor 0
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Calculated Structure Valuation 8692.95 New/Additional Sq.Feet-Deck 0
New/Additional Sq.Feet-Garage 0 New/Additional Sq.Feet-Other 0
New/Additional Sq.Feet-Total 1461
No Fixtures Associated With This Permit I!
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 Monday, January 30, 2017
Permit Issued on Wednesday, August 3, 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: / a't �2-V51.,64.�9'.. Date: q/ /b
Cvt /4/
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THIS CARD IS TO REMAIN ON-SITE
CITY OF16".....41115%.- -
Federal Way Construction Inspection Record
INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-103491-00-SF Address: 2101 S 324TH ST Space 204
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) ❑ 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 Ctrol
Approved ❑ on (4375) '❑ Skirting/Final(4250)
Approved Approved
By Date - By Date
C S Date 1 -- iv— (\---i
❑ Rough Electrical Final Electrical1 1E1 Right of Way
Approved Approved
Approved
By Date By Date
BY Date
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RECEIVD'-- , _ Pm t',7E MIT ! FO
NT
Fr,--demi Way JUL 2 0 P16
CITY OF FED RAL WAY
PERMIT 1�TUMS EP. /6 / 3 9 L _ �F .
.A_RC DATE �� /6,
I 71. L F,,` i cap r
Sr. ADDRESS 13
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PROJECT VALUATIONZCLv lLvG I f �'/� '
.. .._....: I, AS��SSOP.'S T>/pARC3y= _
TYPE OF PERMIT
II;
0 BUILDING I;❑PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
fV AJ4iE OF PROJECT
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p�QJ �T DESCRIPTION
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Detailed description,of work to /l1 .Si'..s�? 2 t1
be included on this permit only /
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PROPERTY OWNER il
'vl j C p /` PRIMARY PHO V� 1
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+ =yP`C TION D_ ! ^=D Qi'L'?DUSIN�$v LICENSE
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fl STATE ZIP
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PROJECT CONTACT j 014 ,, `f- ! Lt , rte _ _ p�
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respond to all correspondence G is- I /J' �/t/I /,11,1,r ,
concerning this application) cIT�� I STATE ZIP L` �� �'1 G 1 ��f� )'
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PROJCT FLhANCINC y�f` I ❑
owNER-_1xANcED
Required value.. of$5,000 or more MATLIG ADDRESS,thy,STATE,ZIP
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PrT ra-r.. j____
I certify=rider pena[ty of perfury that I am the prioperty owner'hr!authori e.d a e-nt o-the .- _ _
of my knowledge, the information'submitted in upport of this per it application is true and correct I certcfy that Ll will nw ye 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 owners responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
/further agree to hold harmless the City of Feder�.l 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 citu, including its officers and enealoyees, upon the accuracy of the
—— information supplied to the city as a part of this application-
6' YATUPJ� t
' --- - -T. DATE ,i0 <s
PRINT RTAh!
Bulletin#100-January 1;2013 Page 1 of 3.
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MIF r l�i F ice-,5;. . I i �VALVE OF MEC^?1+_NIC,4i.WORK
Indicate how marry of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. I
AIR HANDLING ING UNITS FANS f GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FI_REP(ACE INSERTS HOODS Ico �es�;
BOILERS FURNACES HOT WATER TANKS ie..)
I COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING
t`vOODSTOVES
VATUR OFPLUi!2r 1'G WORK
PLUMBING PERMIT j
$
JKEtRate now marry oI each tope of jociw-e to be e stalled or relocated as part otitis prorject:-
I �O92(L LRC ri e e�Etna z�r"es to remrzn: .v�-
F�- BATHTUBS,o:Tebish,...coo i LAVS`Hod se =) .2- TOILETS WATER PIPING
DISHWASHERS RAiNO ATER SYSTEMS URINALS
I OTHEP.(Describe)
DRAINS / SHOR•ERS VACUUM BREAKERS
I
DRINKING FOUNTAINS
HOSE BIBBS / SINKS(Kitehe../uoiryi WATER HEATERS(E eee)
SUMPS
) WASHING MACHINES TOTAL FvTuR`
s
GENERAL INFORMATION
CRITICAL.AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VA.LLE.OF EMSTING LPROVEME
ISIS
EY.TSTING/?R=V?OUS USE LOT SIZE(In Sq7.3.2x.1, 4) EXISTING FIRE,SPRINKLER SYSTEM? PROPOSED FIRE SU-PRESS?ON SYSTEM?
❑Yes o No ❑Yes D No •
1
( RES1DENTL�•L = NEW OR DD TION
L_
AREA DESCRIPTION(in square feet) EXISTING PROPOSED 1 TOTAL
FOR OFFICE USE
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BASEM=ENT ___._._—_._..._._.._.__...._._.
I
FIRST FLOOR(or Mobile Home) 4 I /`�`P/ I!•`�ij4
0 7 �
SECOND FLOOR I I- I_: I _._._— — —_._....._......_..__..-. ._............. ... —
COVERED ENTRY I I _...._...._._.....__.—._....._..__.....__._.._.__._..._.__...__._......,_.
'DECK
GARAGE0 CARPORT 0 i —_____..._......__....____._.._.................___.__..__...:__.__._..._._.____....___-.
I
OTHER(descr.be) - --
EIOSTINGPROPOSED TOTAL. .._...._............___.__....__._..__.__....__._....._..._..__.._._..._..._.._.._.__..__...._......_._._.-__._
Area Totals
. xx>EWFlO1tS ON 11 :-'. 7!::!.:-.L7'"
ESTIMATED SELLING PRICE$ I I #OF BEDROOMS
) -
'O 'iZ. __E'RCI .—NEW/ADDTTION I -- ----
Area Construction DESCRIPTION !Occupancy Group(s)
o, Additional_nfo-mationuZ S.ware Fees Ty?e Stories
ADDITION I I - --
I
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS -
Are RA DNSCRT�ITOIF
Area I., Construction
In Square Feet cupancy-Group(s) of
T-yge Stories I Additional
I ,... ,...._ _.�• Information
I
f
T6TALBuLTDING
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.
.
TENANT AREA ONLY -
: PROJECT AREA.ON.LY. . - ...: = ..
Bulletin#l00-.January 1,2013 I Paget 7 r , ,..