17-100928 r f_ l
Building - Single Family
City of Federal Way Permit #:17-100928-00-SF
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: BELMOR PARK SPACE 246
Project Address: 2101 S 324TH ST Parcel Number: 162104 9037
Project Description: NEW- Installation of 900 square foot manufactured home.
Owner Applicant Contractor Lender
BELMOR MOBILE HOME PARK LP AMERICAN HOME CENTER AMERICAN HOME CENTER
2101 S 324TH ST 406 S 108TH ST 406 S 108TH ST
FEDERAL WAY WA 98003 TACOMA WA 98444 TACOMA WA 98444
Census Category: 112-New Manufactured/Factory-Built Home,IN PARK
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 0.00
Additional Permit Information
New/Additional Sq.Feet-1st Floor 900 New/Additional Sq.Feet-2nd Floor 0
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Basic Plan? No Occupancy#1-Construction Type Type V-B
New/Additional Sq.Feet-Deck 0 New/Additional Sq.Feet-Garage 0
Mechanical to be Included? No Number of Stories 1
New/Additional Sq.Feet-Other 0 Is this an Online or O.T.C.application? No
Plumbing to be Included? No New/Additional Sq.Feet-Total 900
Occupancy#1-Use Residence(I or 2
family)
Total Valuation:5,355.00
" 6' ' r ERF€sC€��€ t �a
( ,fe.C7'
Ewh€.�
CONDITIONS:
Installation shall be in strict accordance with the manufact e s frt.:, .' on instructions or
professionally engineered installation design,which sh i i-site as required by Washington State
law.
PERMIT EXPIRES Tuesday,29 August,2017
Permit Issued on Thursday,March 2,2017
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
Washi •ton and the City of Federal Way.
Owner o MIR /gal, /' Date: 307.7
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Federal Way INSPECTION REQUE TS:(253)835-3050
PERMIT#: 17 100928 00 Address: 2101 S 324TH ST Space 246
Project: BELMOR MOBILE HOME PARK LP 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) ® Skirting/Final(4250)
Approved Approved
.By A c , Date t,.-(1 ByIMP, Date 4112--01 l'%
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
I
r •
.S V t• .
Page 1 of 1
I(ra.Zar1&Associateslnc. Field
Geotechnical Engineering•Environmental Engineering Report NO.:06616330DFR10242016MP
Construction Testing and Inspection
DATE: 10/24/2016 Set Count: CONTRACTOR: Belmor Park Golf Club
PROJECT#: 06616330 PERMIT#:
PROJECT: Belmor Park Lot 246,205A,and 86 INSPECTOR: Michael Peaslee
LOCATION: 2101 S 324th St,Federal Way,WA JURISDICTION: Federal Way
KA P.M.: Bill Throne WEATHER: Rainy TEMP:57°F
A Krazan field representative arrived on site to perform soil compaction testing on building pad subgrade.Upon arrival,the
field representative met with the contractor to discuss inspection locations.
The locations inspected were the building pad of lots 246 and 205A.Each building pad consisted of a crushed surface base
course.Samples of the base course were previously collected and identified in the lab as a 1 1/4"crushed surface base
course.The samples also received a proctor test to determine the optimum moisture content and maximum dry density.
We were requested to verify the compaction of the building pad subgrade material.
We performed 2 in-place density tests on the building pad subgrade,one test per lot.The tests were performed with a
nuclear density gage.The densities met the required compaction of 95%with respect to maximum densities(KA Lab No.
16L368& 16L369).
For test results and approximate locations please see compaction report 16330SCR102416-MP.
Reviewed By 1./Z.— ASTM Test#: Asset Number(s):
To the best of my knowledge,the above WAS performed in accordance with the approved plans,specifications and
regulatory requirements.
Superintendent/Representative: Technician:
Offices Serving the Western United States
Lynnwood(425)485-5519 •Poulsbo(360) 598-2126 •Puyallup(253)939-2500
The information pro.ided on this report is prepared for the exclusive use ofrhe client.This report may not be reproduced in any format without the written pemriasion of the dicot and Kramn&Associates This report
indicates our inspector..observation and seating results based on she conditions and contractor activities This information is subject to re iew prior to final submittal By signing this report,our inspector doer not accept
responsibility for validity of results.The same information baa beat provided by others on site
Y . ,
4 _ ; . .
COMPACTION TEST REPORT
137- I
I
132
8.2%. 128.3 pc i I
, 127
a
0.
N I
C
N
-o, 19.9%, '22.6 :
o
122
I
•
I
i
• - - ZAV for
117 I Sp.G. =
I 2.65
112
3 5 7 9 11 13 15
Water content, %
--*—-Rock Corrected O -Uncorrected
Test specification: ASTM D 1557-12 Method C Modified
ASTM D 4718-87 Oversize Corr.Applied to Each Test Point
Elev/ Classification Nat. %> %<
Depth USCS AASHTO Moist. Sp.G. LL Pi 3/4 In. No.200
- - - 2.65 NV NP 17.1 -
ROCK CORRECTED TEST RESULTS UNCORRECTED MATERIAL DESCRIPTION
Maximum dry density= 128.3 pcf 122.6 pcf 1 114"Recycled Concrete C.S.B.C.
Sampled by R.Hansen.
Optimum moisture=8.2% 9.9 %
Project No. 066-16330 Client: Belmor Park Golf&Country Club Remarks:
Project: Belmor Park Lot 246,205A&86 Sample ID:16L368
Sample Date:9-30-16
o Source of Sample:Lot 246 Sample Number: 16L368
OA I(S21Z )fl
14 Figure
Tested By: A.Joyce Checked By: M.Thomas-'� —�"-
y
•
cm CI` E
"PERMIT ItPPLICA'I'ION
Federal Way
FEB 27 2011
FERAL,We F.., c( ( C( / /--)
PERMIT NUMBER
_ - TARGET DATE
SITE ADDRESS 6/4._,U1 /64 ')Al SUITE/UNIT I
/ n ► S . 3zy Si j.2'j 6/ML 1-c/,9 i A/A 5,4c,E 2 q 6
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL I
$
-/— .L. Z / 0 Y - l v L7
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION 6 i--L/1,1o 144 1910 P C ill 4 J l G 14 ��Z
Detailed description of work to ZO iJ 5/J t 11- q
be included on this permit only
NAME ,p PRIMARY PHONE
PROPERTY OWNER 44 1 f 2CD /1/6/76 tOlfr. L / , i--3- P�,4>-CS'7
MAILING ADDRESS E-MAIL
35,9 la O cLt (4v4
NAME PHONE/A/O D STATE4 ZIP7 I.?�/
yvi)i c4'v id d�E Ce�1.1�E P,z SJ-tet//.-76C.)t
MAILING ADDRESS E-MAIL
CONTRACTOR fl 6 ( S' iU��fJ T 1 art/</s' 04 OS'�LJ,,('tL e- '
CSI l STAT ZIP FAX
Ac
WA STATE CONTRA OR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE I
iMf✓Z.JI4c 7 7.1r cc_ 7 i $ //7 O/z la Vo(.7 2•-CD-t.dZ
NAME
HONE
AO •4
I cA) t144AE Ghenfi I' 2.3YP
✓IjI-36d
APPLICANT MAILING ADDRESS _ E-MAIL
ti06 S. t06-'�ST
CITY
C t), W STATA Z1 d y V y FAX
NAME �, �, PRIMARY PHONE
PROJECT CONTACT *---1-6141f �'LJ Le4 sl)/ll 2S3-2-)d•6 2-6 S
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence the)C:3 -St l d s- —S r ,--f�11 LI<//,�G.Cury d. SE'AJ. Al
concerning this application) CITY STATE ZIP FAX
1 Ac--AmA 14All 5 57 tit/cf 233-FVC'--0kJs'
NAME
r
/V
PROJECT FINANCING UNZ 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 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 arty 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 'ty as .part of this application.
SIGNATU' c _ .!,�_ DATE 2/2.y/f7
PRINT NAME: 7x42 /: f d L jeru A /
Bulletin#100—January 1,2013 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,
PLUMBING PERMIT VALUE OF PLUMBING WORK
Indicate how many of each type of fcrture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
I BATHTUBS(or Tub/Shower Combo) _ LAVS(Hand sinks) l- TOILETS WATER PIPING
C DISHWASHERS RAINWATER SYSTEMS
DRAINS URINALS OTHER(Describe)
SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS / SINKS)Khchen/vulity) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
0 Yes❑ No o Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL ' FOR OFFICE USE
$ASE IV If k � —
FIRST FLOOR (or Mobile Home) C.3 • 11)`") [J U
S11G0)�iD FLC]I
COVERED ENTRY ,
„�` '” �" ,�.sr: '� :, , •r "ass ia ' ' �' ' "� ":
GARAGE ❑ CARPORT ❑
TFIi es
Area Totcils EXISTING PROPOSED TOTAL
�a � 4zIVELYHOMES,011Y '
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of
in Square Feet p y PO Type Stories Additional Information
NEWUILD;NG *� a Ee
•
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Group(s)
Additional Information
a Stories TENANT AREA ONLY
; y •
ONLY P, OJECT-AREA; s,#s,�
Bulletin#100—January 1,2013 Page 2 of 3 k\Handouts\Permit Application
{2114 J
Pam
I4rYAciu4L
�O'afS-+"uCII S
-,jd /llo Cs�SS
L L/Z&U7
91vZ 13bdS Mvd dOWI-�IA
-,9wO,,H ejigoV'J-A\GN
11GJIS LM76C S L 0 LZ
d S-00-2-Z600 L -L L
A644E
=di` G
:IDArodd
:SS9dC1G /
4 ilWNdd
2015 IRC R109.4 Approval Re uired
Work shall not be done beyond the point indicated in each
successive inspection without first obtaining the approval of
the building official. The building official upon notification
shall make the requested inspections and shall either indicate
the portion of the construction that is satisfactory as
completed, or shall notify the permit holder or an agent of the
permit holder wherein the same fails to comply ►vith this code.
Anv portions that do not comply shall be corrected and such
portion shall not be covered or concealed until authorized_ by
the building official.
tu) I -, 7- 11 r
10
- -X---- -..
Marriage line connects and end wall
connections shall be left exposed for the AHJ
to inspect those areas. Please have the install
manual on site for the inspector to verify that
connection methods meet the manufactures
installation requirements.
I I
z
SKIRTING SHALL NOT Bc
INSTALLED BEFORE BLOCKING s
AND TIE DOWN INSPECTION. ti
311�
RECEIVED)
3I ---- FEB 2 7 2017
CITY OF FEDFRAI-WAY.
CDs
0