18-104339Mechanical
OtyofFedudWay
DTL Permit #:18 -104339 -00 -ME
33325 8th Ave S
Federal Way, WA 98003 - Inspection Request Line: (253) 835-3050
Ph: (263) 8352607 Fax (253) 835-2609
Project Name: BELMOR PARK SPACE 197
Project Address: 2101 S 324TH ST Parcel Number: 162104 9037
Project Description: Add a heat pump to the home
Owner
Applicant
Contractor
BELMOR MOBILE HOME PARK LP
MICHAEL L ERICKSON
MICHAEL L ERICKSON
2101 S 324TH ST
26834 MILITARY RD S
MCHAE" 837JL (4/13/19)
FEDERAL WAY WA 98003
KENT WA 98032
26834 MILITARY RD S
KENT WA 98032
Additional Permitlnformation
Mechanical Work Valuation? .................................. 3000 Is oris an Online or O.T.C. Wlication? ................. Yes
3
Compressors / Heat Pumps 1
PERMIT EXPIRES Saturday, 16 March, 2019
Permit Issued on Monday, September 17, 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: -Z-- Date:1-7 5-r14 J— / P,
TIPS CARD IS TO REMAIN ON-SITE a
cmr OF
Federal Way Construction Inspection Record
y INSPECTION REQUESTS: (253) 835-3050 .
PERAM #: 18104339 00 Address: 2101 S 324TH ST Space 197
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.
In Mechanical Rough -in (4165) Gas Piping (4125) Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By Date �S Date
E]
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
41k
CITY OF
Federal Way
PERanT NumBER I �? _
RECEIVED PERMIT APPLICATION
SEP 17 2018 PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
UTY OF FEDERAL WAY
COMMUN
Vy DEbEL
3 A//q-
TARGET DATE _�
SITE ADDRESS `
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL @
$ �vav --
/& 2 / o y- g 0 3 7-
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME )
PRIMARY PHONE
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PROPERTY OWNER
MAH.ING ADDRESS y/
E-MAIL
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CONTRACTOR
CITY
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STATE
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ZIP
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FAX
WA STATE CONTRACTOR'S LICENSE N
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE 9
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NAME/
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PRIMARY PHONE
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MAILING ADDRESS
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APPLICANT-
CITY
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STATE
w�
ZIP
FAX
--I-/--
NAME
PRIMARY PHONE
PROJECT CONTACTS
MAILHVG ADDRESS
EMAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW I9.2R095)
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-`—� DATE
PRINT NAME i�l�lC�%G/ c L L Yic //ls C y
Bulletin #100 — January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application
re",
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
$oma
Indicate how many of each type offixture to be installed or relocated as part of this proirct. Do not include wdsting ftxtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe),
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS (Ges)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT
VALUE OF PLUMBING WORK
Indicate how M=y of each type offixture
to be installed or relocated as
part of this project, Do not include eAdstingfatures
to remain.
BATHTUBS (or Tub/Shower combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
❑ Yes ❑ No
DRINKING FOUNTAINS
SINKS gatchen/uta"
WATER HEATERS (>;lectric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FtKTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PIIRVEYOR
VALUE OF EXISTING IDpROVEMENTS
EXISTING/PREVIOUS USE
LOT SIZE (In Sgnere Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information
ware Feet Stories
Nz w Bowe
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information
Square Feet Stories
To rAL $iJZi wm
TENANT AREA ONLY
Bulletin #100 —January 29, 2016 Page 2 of 2 k:\iandouts\Permit Application