17-104747 Building - Single Family
City of Federal WayPermit #••17-104747-00-SF
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Community Development Dept
33325 8th Ave S E
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: BELMOR PARK SPACE 113
Project Address: 2101 S 324TH ST Parcel Number: 162104 9037
Project Description: NEW- Installation of 980 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 Basic Plan? No
Occupancy#1-Construction Type Type V-B Mechanical to be Included? No
Number of Stories 1 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(1 or 2 Comprehensive Plan Designation SF-High-Density
family) Residential
Zoning Designation RM 3600
Total Valuation:5,355.00
No Fixtures Associated With This Permit
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,2 April,2018
Permit Issued on Wednesday, October 4,2017
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:!/" :1';1�..
:1';1 • Date: �_ "
THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 104747 00 Address: 2101 S 324TH ST Space 113
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.
0 SWM Precon Site Mtg(4400) EJ Initial Erosion Control(4365) l Interim Erosion Control(4370)
Approved To be done PRIOR to breaking ground Approved
By Date By Date By Date
e® Blocking/Tie Downs(4015) 1 0 Final Erosion Control(4375) ® Skirting/Final(4250)
Approved Approved Approved
By /9,A) Date J CV 5 J J '7 By Date By i-l Date /j(QK
e "CI
Rough Electrical LJ Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
OCT 0 4 2017 PERMIT APPLICATION
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Federal Way CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT r r b 1 UU S eixiiireil rE:b n S /S
r O4-?-'1- -- SF- L v
PERMIT NUMBER �_ _
— — — — TARGET DATE
er-
SITE ADDRESS i
6 Nd tSUITE/UNIT•
Lvyjof. J
Al (.9 I S 3 z y 1.E. S-7' Yi4? 44/ Gc-/,3/ 5,4 c,' /1 g
PROJECT VALUATION ZONING ASSESSOR'S TAX/ ARCEL I
$ -i-- _a -_ - _i e _ 9
TYPE OF PERMIT D BUILDING 0 PLUMBING 0 MECHANICAL ❑DEMOLMON ❑ ENGINEERING ❑FIRE PREVENTION
NAME OF PROJECT Ail,C{/120,2 / if p
PROJECT DESCRIPTION 7 l
Detailed description of work to /Jt, /V/t,t) 714fe, Ly Q'e l9jJ S/24C7 If S
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER m ET'/c Al U7-//y/fj<-s J"• f! 2.31 --- 1-'3 S'-C) 3 17
MAILING ADDRESS EMAIL
Telto (( 5. .32'-/P C7-
el?
STATEZIP
S '.
_.. ._.. _ .NAME PHONE
,Ia✓J1 ill C i nl FI:3-' / 04,f -< 2 3_ kyl- 36 d 0
lt10 ADDRESS E-MAIL
CONTRACTOR L/(1 S. iC eVt/ S-r 1 it LI !'XJuiJ O frial,C.0.44
CITY STATE ZIP FAX
.T/LA.44A _(A474 YhKY :ZS's- 'c' acark
--.......-. ..WA-STATE CONTRAC'TOR'S-110EESE.t".-- —_ EXPIRATIONDATg..... FEDEI1ALWAY BIUSINESSLICENSE•
NAME /1 PRIMARY PHONE
MAILING ADDRESS E-
APPLICANT
CITY I STATE ZIP PAX
NAME PRIMARY PHONE
PROJECT CONTACT 77)A1 /--r ti)
// ejJo AJ 2.,3• `2-3 v'IO 2...6 47
MAILING ADDRESS E-MAIL
(The individual to receive and Li
a /� S (O t��v s- r�� Jo4/Q S�4U.tI.r;41947respond to all correspondence `! C d FAX
concerning this application) CITY STATE
.-i A(444 iit/A . 9 k S/Y}° L s-"?-d-✓.Y-e.)X?y
NAM OWNER-FINANCEDPROJECT FINANCING I 0(0 L
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIPPHONE
(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: (//I/4'`'' - 441 ,....,
DATE (Y 7 'T
PRINT NAME: fie I 1...:La ii (10 e_ 4,-
'in
#100—January 1,2013
Page 1 of 3 k:Uiandouts\Permit Application
•
MECHANICAL PERMIT VALUEOFMECHAtJ)GILWORK
$
Indicate how many of each type of fixture to be installed or relocated as part of this project Do not include existingfixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER
FIREPLACE INSERTS HOODS Ic.mm.sd.q
BOILERS FURNACES HOT WATER TANKS(0.4
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMITi---
VALUE OFPLUMBING WORK
$
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 for Tub/shower combo) LAVS(Hand sinks) TOILETS WATER PIPING
. DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS pat.n.D/utet,) WATER HEATERS(Ele<s.ty
HOSE HIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CF ITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
E7�.ISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
o Yes 0 No D Yes 0 No
RESIDENTIAL - NEW OR.ADDITION -
ARE .....-... .
-U C1 iIQN(in_square feet) _EXISTING PROPOSED--TOTAL— FOR-OFFICE USE
B IdI'I, . �`'*rift
FIE ST FLOOR(or Mobile Home) r^ C/J 9�c
r L-� 7 d
t 43#0�ND I*LOOI2 —
r� . r
('C)'VEREI)ENTRY
1]i%.CK
GARAGE ❑ CARPORT Q
`� j-ER(describe)..
EASTLRD YX(�Pp5tD
Ar-eat Totals TDrv.
EST'1MATED SELLING PRICE$ #OF BEDROOMS
C®MMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of
y in Square FeetType Stories Additional Information
ns
: �` NEWBUILDING. • -; -:;.....;17';',..0.1i1,1,--
a? F;Y s'' •
ADDITION
CC>IVI ERCIAL--REMODEL/TENANT IMPROVEMENTS
Ar _ _Construction it of DESCRIPTION Occupancy Group(.)
Additional'Information
rmatioais Square Feet TYPe Stories
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� € s` 1 i µ
TENANT AREA ONLY
PROJECT AREA ONLY, _ , j ;< a
Bullet in ti 100–January 1,2013 Page 2 of 3 k:\HandoutsWennit Application