17-103769a
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835.2607 Fax (253) 835-2609
Project Name: BELMOR MOBILE HOME PARK SPACE 56
Project Address: 2101 S 324TH ST
Building - Single Family
Permit #:17 -103769 -00 -SF
Inspection Request Line: (253) 835-3050
Project Description: NEW - Installation of 1620 square foot manufactured home.
Parcel Number: 162104 9037
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 ..................... 1620 New / Additional Sq. Feet - 2nd Floor ................... 0
New / Additional Sq. Feet - 3rd Floor ..................... 0 New / Additional Sq. Feet - Basement.................... 0
BasicPlan?........................................................... No
New / Additional Sq. Feet - Deck ........................... 0
Mechanical to be Included? ..................................... No
New / Additional Sq. Feet - Other ........................... u
Plumbing to be Included? ........................................ No
Occupancy #1 - Use ................................................ Residence (1 or 2
family)
Zoning Designation ................................................. RM 3600
Total Valuation: 9,639.00
Occupancy #1 - Construction Type ......................... Type V - B
New / Additional Sq. Feet - Garage ........................ 0
Number of Stories ................................................... I
Is this an Online or O.T.C. application? .................. No
New / Additional Sq. Feet - Total ........................... 1620
Comprehensive Plan Designation ........................... SF - High -Density
Residential
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.
Owner or g n • Date:
#0 ,
t TRIS CARD IS TO REMAIN ON-SITE
C" OF - Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 17103769 00 Address: 2101 S 324TH ST Space 056
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
Blocking/Tie Downs (4015)
®
Skirting/Final (4250)
Final Electrical
Approved
Approved
By
Date k....-
By
Q,,j Date �lllf`d
Rough Electrical
E]
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
c
CITY OF
PERMBPLICA'TION
Federal Way
AUG 0 l 2017 /S-/1
10 5� CITY OF FEDERAL WAY
PERMIT NvMBER l -
COMMUNTNQTIQUENT
SITE ADDRESS /ICL O/Z- Er v' 1�
SUITE/UNIT E
1®I 3 Z-(/ -'9/ Sj- AL• -Q,6V L- W,9
1W,4SE S(
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL 8
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
tj , -j �
!
LM
PROJECT DESCRIPTION
1
Detailed description of work to
L� c-
be included on this permit only
PROPERTY OWNER
NAME �O
11 1 ep b � G% �T� L- /
PRIMARY PHONE
�?,-0 `
MAILING ADDRESS
3s o t 11, 6!�V'j
E-MAn
71
%
q T 3-Yy
e--14 LAnd i
PHONE
MMLING ADDRESS
id
E-MAIL
CONTRACTOR
STAT
ZIP
FAX
�lca
9-cp v y
WA ST TE CONTRA R'S LICENSE 9
AMk?-' C 77A --C—
EXPIRATION DATE
'(1,3 //7
FEDERAL WAY BUSINESS LICENSE $
20 /i Ib Vov 2--0-0AlZ
NAME
AMOX 1
PRIMARY PHONE
S --!j- 36d,D
MAILING ADDRESS r-
cE o 6
E-MAII
APPLICANT
CITY
�
FAX
PROJECT CONTACT•
NAME �, '' /
I L[Cf' v
PRIMARY PHONE
2-s3 -2-D 0 .6 Z6
MAILING ADDRESS
V� G S. I n S' --5
EMAIL _
1 A L lv��f i -N 6 S ,tit( v
(The individual to receive and
respond to all correspondence
CITYSTAT
Aco A
W
Zn'
S' ��
FAX
2,-.3-FVg70 kJ,k'
concerning this application)
PROJECT FINANCING
NAM^Er
/V U—AIIQ
❑ OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 79.27.095)
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 Iaws regulating
construction or environmental Iaws.
1 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 apart of this application.
SIGNAT DATE C"/ i
PRINT NAME: f
Bulletin #100 — January 1, 2013 Page] of 3 k.\Handouts\Permit Application
MECHANICAL PERMIT LVALUE OF MECHANICAWORK
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existin res to remain_
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Descn'be)
AIR CONDITIONER FIREPLACE INSERTS HOODS (co =iag
BOILERS FURNACES HOT WATER TANKS (c—.q
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES,
PLUMBING PERMIT
CRITICAL ARF -AS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WoxK
VALUE OF EXISTING IMPROVEMENTS
TOTAL
FOR OFFICE IISE
$
Indicate how man of each e o
re to be installed or reloiated as
part o this project. Do not include e)istin res to remain.
BATHTUBS (or Tub/s1ww r c=bo)
LAVS )Hand Sailcs)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
COVERED ENTRY
DRIIMNG FOUNTAINS
SINKS (Bitcben/utwty)
WATER HEATERS (Ej. r )
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL ARF -AS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR'
VALUE OF EXISTING IMPROVEMENTS
TOTAL
FOR OFFICE IISE
ASEIvIENT
W
EMSTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
z 0
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE IISE
ASEIvIENT
- -- — -
i
FIRST FLOOR (or Mobile Home).,
_—
z 0
2� 0
--"d
ECtlii) b IR
-
-
-
f
COVERED ENTRY
Two
7 7
GARAGE ❑ CARPORT ❑
-
• t�Ti�E12 (descriej - - -
--
Area Totczls
EXISTING -
PROPOSED -
i5iAL ...
ESTIMATED SELLING PRICE $
# OF BEDROOMS
Bulletin #100 — January 1, 2013 Page 2 of 3 k: 14andoutsTermit Application