17-100926 2.
f i
El FILE Building - Single Family
City of Federal Way Permit #:17-100926-00-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 112
Project Address: 2101 S 324TH ST Parcel Number: 162104 9037
Project Description: NEW- Installation of 1,231 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 1231 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 L. Is this an Online or O.T.C.application? No
Plumbing to be Included? No New/Additional Sq.Feet-Total 1231
Occupancy#1-Use Residence(1 or 2
family) /
Total Valuation:7,324.45
,,,,,,,,,k,---,:,,:,,?tr,,,,i.,.i,.,,,,n, , ,
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,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
Washington and the City of Federal Way.
Owner or agent: * R //Nr* Date: 770 //
THIS CARD IS TO REMAIN ON-SITE
`""°� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 100926 00 Address: 2101 S 324TH ST Space 112
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
sBy n.N Date 1)t )17 ..B1 Date 1 — `17
•
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
1111
CITY PER hLI ATI
N
Federal Way
02 F FB 27 Z01?
9PERMIT NUMBERc del! _ ( \ N
If -7
— — - — —
CD—. (�f
SITE ADDRESS !.�L U r/ 'J/2 SUITE/UNIT#
A 1 c ► s-, 3 zy sT 1LD1I4L i/A y bt/A sp j
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 2- / 0 V ? d 3 -7
TYPE OF PERMIT [7J BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION El ENGINEERING ❑FIRE PREVENTION
NAME OF PROJECT /� v 441-3 /00
l3
PROJECT DESCRIPTION Biu o� `44 14 P ��C f ft)�l c�F G /4 a�,z
Detailed description of work to 1D/U TA 4- f
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER M. 1 2c /lIb/`.IBJ L()157- L i° ,p-OS'/7
MAILING ADDRESS E-MAIL
3S-Apo 6L1.4
NC l� i LA, -141 ZIP
3 -
;TEM I c-.9-‘v 6,44E CeA TT. PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR W6 e 'S' /�� �1 11',trL/C u1�/O.Se/L1,,4J•e4r-i
CI',� STAT ZIP FAX
AC6.04/4 d' i z sJ-.8'Yf O g%:?�
WA STATE CONTRACT/ u4 QOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
44 c 77ec C ? / 3 /17 Z0/1_ b 00 -eD4Z
NAME PRIMARY PHONE
AA4F2l c-4/1) E 23.3-(s-v(-3600
APPLICANT MAILING ADDRESS E-MAIL
6 S, /oc '=�ST
CICO WO' 21FAX
5 V SI 47.°
NAME PRIMARY PHONE
PROJECT CONTACT - 1E i7 f- t-1.) L. ,SC-/ll 2-.S3—2D 0-
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence D 6 5, l O k z T j¢ L on,(33— /U•t/
concerning this application) A ZIP FAX
NAME
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 Iaws.
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: II
/ DATE 2—Y47PRINT NAME: / u LI2JG�(./
Bulletin#100-January I,2013 Page I of 3 k:\Handouts\Permit Application
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. •
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 howmany of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
' BA'THTUBS(or Tub/Shower Combo) LAVS)Hans sinks) TOILETS
WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS / SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS / SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR 'SEWER PURVEYORVALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
• ❑Yes❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION •
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL ' FOR OFFICE USE
♦+' r '*4t . ami`°',. .r' ^1,'.,. v,f4 ry..44 * - ,i" _
FIRST FLOOR (or Mobile Home) /23 ! /L3 /
SEC @ l FWCM. ;44'. 1 i� r , ;
COVERED ENTRY
GARAGE ❑ CARPORT D
ciescrihV
EXISTING PROPOSED TOTAL Totczls
",,W.14' „ :Wthe 47,441 ,,..44W1EWHO111ES:;0111,r-,77,"77A,777:-` ,ri y §,
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION
Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
x ,
";v
r � "� r,= t EW EU]LD]NG ^n J
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Groups) Type Stories Additional Information
¢ 'r ,
;s ® .BDILITING,,4 47- a u
TENANT-AREA ONLY
7.4RO ECL AREAOL a
Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application
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PERi�iIT #: 17-100926-00-SF
ADDRESS: 2101 S 324th Street
PROJECT: New Mobile Home
BELMOR PARK SPACE 112
DATE: 2127117
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