18-100097 f T s
Mechanical
City of Federal Way Permit #:18-100097-00-ME
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 4 F.' _._ Inspection Request Line: (253) 835-3050
Ph (253)835-2607 Fax (253)835-2609
Project Name: BELMOR MOBILE HOME PARK LOT 322
Project Address: 2101 S 324TH ST Parcel Number: 162104 9037
Project Description: Gas piping test for meter to manufactured home install
Owner Applicant Contractor
BELMOR HOLDINGS LTD MICHAEL ERICKSON MICHAEL ERICKSON
1571 BELLEVUE AVE W SUITE 210 26834 MILITARY RD S MICHAE*837JL(4/13/19)
VANCOUVER BC KENT WA 98032 26834 MILITARY RD S
CAN USA
KENT WA 98032
USA
Additional Permit Information
Mechanical Work Valuation? 100 Is this an Online or O.T.C.application? Yes
,.... � � its Fiatture
Gas Piping 1
PERMIT EXPIRES Sunday, 8 July,2018
Permit Issued on Tuesday,January 9,2018
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:
THIS CARD IS TO REMAIN ON-SITE
°� vo Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 18 100097 00 Address: 2101 S 324TH ST Space 322
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.
N
® Mechanical Rough-in(4165) ® Gas Piping(4125) 7." ® Final-Mechanical(4065)
Approved Approved to release test 15 .)- Approved
By Date ,By ► t.l Date 9 l i!( i V By Date t, I1z1 tc—
111 Rough Electrical111Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
PERMIT APPLICATION
CITY OF vi-
PERMIT CENTER+ 33325 8thAvenue South + Fe' ,i�03-6325
Federal Way 253-835-2607 + FAX 253-835-2609 +permitcentei cltyo e e way.com
10 1{ C
SAN 0 9 2018
PERMIT NUMBER 0 �_ O
TARGET DATE , CITY OF FEDERAL WAY
— — .,OMMUNtlY DitvELOPMENT'
SITE ADDRESS SUITE/UNIT#
'l S _2Li4VI ��1----
. -7�r�u I way ��vU3 3Z2-
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# —
$ ' -
/06-_,
ClCJ Ill / 0
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ® MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT �40r 11Qj fe-PETIT
1<_ 4r-,__. _e__
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAM PRIMARY PHONE
.. 1y14ov- ' il•I l/(* 2s e31; C.,_. 77
PROPERTY OWNER MAILING ADDRESSE-MAIL
2/6,/ s / 5/—
91-7 _ STATE ZIP
f eerY-Cr 4/ / 14'W- 2'�3 2
NAMEPHONE
/rl/c%-c/ L- 7 Cc s"c'1 . L _ 7(,0_72
MAILING ADDRESS E-MAIL
CONTRACTOR
__.66'3y /444 v� / p S
CITY STATE STATE ZIP FAX
fel"r-I4— wc, 9ev3Z
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/1// /7/4t-:--*- X 3777-- L( /1 3 /
NAME PRIMARY PHONE
Cil -r cry c-t.,-�.
APPLICANT- MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT -7GNr y5 ci4GvL
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING D OWNER-FINANCED
When value is$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 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: J �Y '� DATE -T"7 y`ZC-J L
PRINT NAME:V/G 17' / L-' .11---::::;-/C%/-t c� - -
Bulletin#100—January 29,2016 Page 1 of 2 k:AHandouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
$ /60
Indicate how many of each type off tore to be installed or relocated as part of this project.Do not include existing fixtures to remain.
MR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe).
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) '11'544i s ��+i 4 1
BOILERS FURNACES HOT WATER TANKS(Gas) ,
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING I GAS PIPING WOODSTOVES
WORK
' VALUE OF 1'LvtVi6t1VV VVV1lA f
PLUMBING PERMIT 1 $
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.
BATHTUBS(or Tub/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(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?
❑ Yes ❑ No ❑Yes ❑ No
I RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
't` y, c 'r..'.e, 1 rt' ,a .: Y i "` x a y
e
..51`,LV. -.N.'45:11-0: ;;:1:-1.:Su �'4v 'wRr t'r'..- .i.:.- 4 x ,t,,: :s. 1.,;4. .4:
FIRST FLOOR� (or Mobile Home)
14 -4%. XIS 4' '"'' e , . :* ">" " , 4.itiAh- '` 7-� a
., .. �. . .
COVERED ENTRY
1,-- qu 't ;.. n at'dy y -:'„47',.T,:47,
. x.4T Pq Vt4. �4,1 #C s fi
_
o � ,,,ff,t4- ra g 0. , # 1 41,01,-**:.,,,,,;,„
,�Y * . x' 41'V
, a ''''...;7,. ..-d ..,.r , rte. �.. �.
)
GARAGE 0 CARPORT 0
.„" '^ nG: ltRASSC S "arg :0°T-M,:::77. h te.:- 4�� l* l ve--.
e , aa' ", , „ ` I rS ^. k# � x , . ,A�s
J s ,' ..,I ', ,A .4 „,ats" ham.sd: m,, eo„ s w -..f.. i '`. ;_.,u.:t -x1X. , .—_""__.--------'—'—"----`--� ....
4.
EXISTING PROPOSED TOTAL
Area Totals
#.,r..,:-s:3,AV ;t ;ZiT`+��.�!E��ONXOTO� .+�.,-,�5...):Eri'ri`�A,"c,P:.:?1Ia, . ..-' .";':
ESTIMATED SELLING PRICE$ I #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
Area in tR f :: J 4 '.; r13 0. l F }„ l 3 Y : oI ;;tOn., .
- ';',•.,,'
1. , d af {x 1z} r fi s '' �k >r
'7 fi �. # t , f . 4 w,. y x --47 r.X h a a3., . ! m' ,ata. ry.ge ::.6.:i'; *,-:;:j '
S�f2. t,ti$..t.._.rJ�d`�"�� 3g: P tt y, £: yFF 'P �=; tsKr! "5 yk � .y � g„+a� �, � t q�
.. �_, . ;5� �.,. �_.::3` '� �= _ .. .. „ �,t..,n- .m°x�. .n ,�.I c ..+�xry, aa§ S'by_
'".i
ADDITION}+
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
Area in Construction # of
AREA DESCRIPTION Occupancy Group(s) Additional Information
S.uare FeetType Stories
tt y d_,:- ,:-:-54. 9e sxKd ,;¢ er ^t
r... e ,,,-:'1:-,;.•
* ;y ., a -.4';;.-:..::: :.,,,,,,,-,-s.„,„:5 )',.,..Cts '�X 'f ', ✓,as "'"`ro..i;, `�& a a :' ,.r.. 4 . m.,.2 '' Ei
,.aa°x 1 e' ..(.�. ,,:3Er.F.nv-, #�a .m s#`. iii, „'r#!_ .` � „ 6r` ';';,'=-.4'!"'. .".$;.V.:- r ^;s ,-'..':4':1-'.".,',14'.......-" �t^ '.i-"1 .
��'!k .� lea..A�".�6'oli. . ., . ,z$,
-- TEANT AREA ONLY
a eRN:1.CT1' �O
., ,' ' Y r • ,a_ ' i±J- c5 r „r' y�*T �'� 'f vt "it r'1747... :,,,-:
y�,
' '74T , i ..$c a * ,"r.-_b: ig ,: .�, '., 'ofte ; 1i .jrfi . i/ta$'„ sfl" . , a
,
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application