17-103770 Building - Single Family
o
City of Federal Way a. Lexwa
Community Development Dept. t Permit #••1"��/-103770-��-SF
/
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 MOBILE HOME PARK SPACE 54
Project Address: 2101 S 324TH ST Parcel Number: 162104 9037
Project Description: NEW- Installation of 1620 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
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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 1620 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.applications No
Plumbing to be Included? No New/Additional Sq.Feet-Total 1620
Occupancy#1-Use Residence(1 or 2 Comprehensive Plan Designation SF-High-Density
family) Residential
Zoning Designation RM 3600
Total Valuation:9,639.00
4311,1A-44111,44 ;3''
r �ri3 3 3 3
} 3, j• 1,11--t�11,iscsc�ated:$ ....Mals 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 Sunday,25 February,2018
Permit Issued on Tuesday,August 29,2017
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. ,moi
Owner o agen _-W 1 _ - Date: d' �-F' n
• DATE INSPECTOR AREA AND TYPE OF INSPECTION
"131 J i 443 0 rc agp . 1 f we.. o Ulf-X-C& a-k -++,.t e •
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 103770 00 Address: 2101 S 324TH ST Space 054
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.
® SWM Precon Site Mtg(4400) ® Initial Erosion Control(4365) ® Interim Erosion Control(4370)
Approved To be done PRIOR to breaking ground Approved
By Date By Date By Date
El Blocking/Tie Downs(4015) ® Final Erosion Control(4375) ® Skirting/Final(4250)
Approved Approved Approved
.By Date By —. Date By Date
•
Rough ElectricalCI Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
Pr
N
CITY OF041
A. PERMIl $LICATION
Federal Way
AUG 0 7 2017
Y OF FEDERAL WAY
c=t ts—/I -7-
!1 A
PERMIT NUMBER ( — l _ �� COMMCITvi
E FtQPMEIYT
SITE ADDRESS Lj/fL j/u/L )14 (J/U SUITE/UNIT#
A / o I .s. 32y11'1 SJ ILDi764L £k/A / P%4 - ,4SE S'
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ / L. Z / O y - p v 3
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING D MECHANICAL 0 DEMOLITION� El ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT �j t)ow._ H N" P 5MO
-f
PROJECT DESCRIPTION OA 6��1.)74E4419, Oi c f 4-I I G /9
Detailed description of work to J TA c,4 � ( (02 0
be included on this permit only
NAMEPRIMARY PHONE
PROPERTY OWNER 44 6..'y (c /1/07/1 u)4T cr- L i'
2,37- (FT,'-0S/7
MAILING ADDRESS E-MAIL
3SA la 0Lt_1_, /L110
c t€._14 LA/' D STATE`� ZIP7 I .7-5-y
72704 I CON 'i`i O•44E CAJ : -( PHONEE 2,5-.7-,F-y/J6oU
MAILING
/ADDRESS E-MAIL
CONTRACTOR b S, /C)J1 J -• /t1rG/c °N OS'&W.4&'ea/T-7
CI STAT ZIP FAX
Acav44. 9 / 7�`/W -T-rc/g-o.3e-'
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
A/14/.../4.,---n4C `37cr mac- of / 2 //7 2a/z Its S/oi ;z-io- tat.
NAME PRIMARY PHONE
A✓402 I c4, t1
J L Gte.411. 'A 25.3.11--1(-36d
APPLICANT MAILING ADDRESS E-MAIL
ti D L' 5, /Ce/=J.S J
CLCD trSTAa ZP- 7V V yFAR
NAME /, ,, / PRIMARY PHONE PROJECT CONTACT ''fit )'• fi-t) Lk./LeSVA) 2S3-2..)o .6 2_6 8
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence W -S. I Cr)ki--S T ---FA,L k�,/X S con'd,`p,,yfjtl•L'fe?...,_
concerning this application) CITY STATE ZIP FAX
1 Aco,AgA Wv9 9 7 titiy 233-FVE--0k3g'
NAM^E
PROJECT FINANCING /Vr DA/Z.
Ei 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 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 p•rt of this application. `
SIGNATURE:, _ _ �r_- Z DATE 77
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.�r
PRINT NAME: h < e --WS C
Bulletin#100—January 1,2013 Page 1 of 3 101-landouts\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 Co )) mmercial
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES,
VLUS OF PLUMBING WORK
PLUMBING PERMIT
Indicate how many of each type of fikture 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(Ritchen/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 0 No 0 Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
r.-
BASEMENT -- —
FIRST FLOOR (or Mobile Home), a
SECOND FLOOR
COVERED ENTRY
DECK ----- --- — ---
GARAGE ❑ CARPORT ❑
OTHER(describe)
Area TotCZ ZS EHIS�G PROPOSED TOTAL
Lbz ,
*'NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Construction # of
in Square Feet Occupancy Groups) Type Stories Additional Information
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
Area AREA DESCZ2IPTIONof
in Square Feet Occupancy Group(s) Type Stories Additional Information
TOTAL BUILDING
:..
TENANT AREA ONLY
PROJECT' AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\I-Iandouts\Permit Application