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17-104921 Building - Single Family City aFederal Way Permit #:17-104921-00-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 MOBILE PARK LOT 87 Project Address: 2101 S 324TH ST Parcel Number: 162104 9037 Project Description: NEW-Installation of a new 1,458 square foot manufactured home in a park Owner Applicant Contractor Lender BELMOR HOLDINGS LTD TOM FULKERSONAMERICAN AMERICAN HOME CENTER 571 BELLEVUE AVE W SUITE 211 HOME CENTER 406 S 108TH ST VANCOUVER BC 406 S 108TH ST S TACOMA WA 98444 CAN TACOMA WA 98444 Census Category: 112-New Manufactured/Factory-Built Home,IN PARK Includes: #1 #2 #3 #4 Occupancy Class: R-3 Construction Type: Occupancy Load: Floor Area(sq.ft.) 0.00 0.00 Additional Permit Information New/Additional Sq.Feet-1st Floor 1458 New/Additional Sq.Feet-2nd Floor 0 New/Additional Sq.Feet-3rd Floor 0 Occupancy#1-Area(Sq.Feet) 0 New/Additional Sq.Feet-Basement 0 New/Additional Sq.Feet-Deck. 0 New/Additional Sq.Feet-Garage 0 Plumbing Work Valuation? 0 New/Additional Sq.Feet-Other 0 Is this an Online or O.T.C.application No New/Additional Sq.Feet-Total 1458 Occupancy#1-Use Residence(1 or 2 family) Comprehensive Plan Designation SF-High-Density Zoning Designation 0 Residential Total Valuation:8,675.10 PERMIT EXPIRES Tuesday, 17 April,2018 Permit Issued on Thursday,October 19,2017 I hereby certify that the above information is correct and that the construction on the abov ri erty and the occupancy and the use will be in accordance with the laws,rules and reflit ate of Washington and the City of Federal Way. Owner or agent: FIL.E Date: X155 • THIS CARD IS TO REMAIN ON-SITE �°� THIS n Inspection ���l V1/2i o s�lection Record y INSPECTION REQUESTS:(253)835-3050 PERMIT#: 17 104921 00 Address: 2101 S 324TH ST Space 087 Project: METRO NORTHWEST 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 aboutof the inspectionsor the inspectionare logged on the back of this card. any On-going inspections SWM Preeon Site Mtg(4400) El Initial Erosion Control(4365) 0 Interim Erosion Control(4370) Approved To be done PRIOR to breaking ground Approved By Date By Date By Date ® Blockingffie Downs(4015) ® Final Erosion Control(4375) © Skirting/Final(4250) Approved Approved By Date By Date Date(<4.---(0/42) 0 Rough Electrical 0 Final Electrical Right of Way Approved Approved Approved By Date By Date By Date . A. RECEIVED 11.Federal Way OCT 12 201 PERMIT APPLICATION COMMUNITY DEV OMEM. PERMIT NUMBER 1 '7 -/ 0 1 ( 2 / _ �� / 71 (17 f — — — TARGET DATE SITE ADDRESS 8„,„ o n N J Pa SUITE/UNIT# Al cO l S 3 2 (01! S7- i-1F / . mi4 (y� S ce , PROJECT VALUATION �/ n 7 ZONING ASSESSOR'S TAX/PARCEL# 0 $ _4 _h_ _ii _ay - pez_. 2 1 TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT 1�a tat440,/C Ad J i la PROJECT DESCRIPTION n Detailed description of work to t- A.)f c.c.) M >I� �y 0-49/C (1�J S .4c4e be included on this permit only 1 NAME / -� , PRIMARY PHONE /2[ fAid PROPERTY OWNER 2C. AJ(}'�.-1/0J/=/S T e /p 2i.?- P3 S'-C S (7 MAILING ADDRESS E-MAIL. ,Zt o t` 5. .72I71' C7- CITY STATE ZIP . c.' /4,i( LA/4 TVA ?t4,(J3 NA1vIE — � A`n' �j / / PHONE ,G/,4i C�ni f c..1.--#1 i4__ Cr"�'11X.< 2 r 3 .-ill• 3( d o M: )� / E-MAILADLRESS CONTRACTOR L C, c. in XV S r cu C.kk J(f)) 64/s.i/ Cao CITY 1 STATEFAX 'T`4c. 4A L444 iXYY) 25-5- eN agrs' WA STATE CONTRACTOR'S LICENSE d EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE C / ��qq ,, �1 r �-�� PRIMARY PHONE APPLICANT ✓/I,aCi d 141041‘ C., 4,(CIS- >177-23e.;--(O2-G J MAILING ADDRESS V06 (Ci 1-7:-ft ST S toll/Q(040-reitsiLCt l CITY ZIP FAX ��ca��4 • 14TB 91-V / , S'?- cr—e)8-8' NAME PROJECT CONTACT F / 2_,Y 3 PHONE Q 2.6 GP The individual to receive andE-MAIL MAILING ADDRESS respond to all correspondence 4O 6 5. fO kid ST" -Zed -t,)et/4 3--60/11/.coij concerning this application) CITY STATE ZIP FAX -7-4 com/A 9kyyy 2i-7 4P—cc)X NAME PROJECT FINANCING - �l7,1)14 Cl OWNER-FINANCED Required value of$5,000 or more MAILLNG 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. e SIGNATURE:je.......„, ri ..,, _.„.___________DATE APAV 7 PRINT NAME:-r,4,7 fru 4:XCG..)N Bulletin#100-January I,2013 Page 1 of 3 MECHANICAL PERMIT VALUE OF MECHANICAL WORK $ Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existi AIR HANDLING UNITS FANS ng fixtures to remain. GAS PIPE OUTLETS OTHER(Describe) - AIR CONDITIONER FIREPLACE INSERTS FURNACES HOODS(Commeiciinl) BOILERS HOT WATER TANKS Ick - COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES PLUMBING PERMIT VALUE OF PLUMBING WORK $ Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing BATHTUBS(or Tub/SbomaCombo) LAVS s - DISHWASHERS DRAINS - urestoremain ILETS WATER PIPING RAINWATER SYSTEMS URINALS OTHER(Describe) SHOWERS VACUUM BREAKERS - DRINKING FOUNTAINS TO SINKS eatchmtuw;ry� WATER HEATERS HOSE BIBBS (Electric)SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS $ EMISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑Yes❑ No 0Yes 0 No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in stp�are fit --------_ ? EBISTI PROPOSE OR-OVPIC:E USE -y, FIRST FLOOR(or Mobile Home) 4/ rp riffej 9..,A.f a.r h. COVERED ENTRY • ash'«. a * ez y � fa, '#'. , GAFRAGE 0 CARPORT ❑ ke: .i .: .--.... q .,,,,, 4,V,,,,,_ ' 4 Area Totalsf6 � raw ESTIMATED SELLING PRICE$ I #OF BEDROOMS CCMMERC1AL—NEW/ADDITION AREA DESCRIPTION Area Occupancy construction #of In Square Feet P Y Group(s) tri Additionalm Type Stories g T :4-, I ¢ >r aInformation >r` 74.'.:0-!'"I_-_--- .1:_r '1 ',7"'-.."•,,‘$4;.; .. � 6 ,`t 'y. ey , '"t r e '4 G ADDITION r s CC>JVE ERCIAL—REMODEL/TENANT IMPROVEMENTS . } Area Construction #ofAREA DESCRIPTION Occupancy Group(s) Additional Information natiOnin Square FeetType Storiesa s xU ` , : , # -,1,,--,,,,,,,,,,z-;.-•--e,: a '-+ . '• 0�,: ..' I8 � _ mak ¢ ' ',*"';2,1):',..WI''.- TENANT AREA ONLY 11111 � . � � k� ... i . ... � wr ,�'& F SAS .>. .- - ��'. �:� _v MAIC x ��. Bulletin#100—January 1,2013 Pave 1 nf7