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12-104366I ' Building - Single Family City of Federal Way Community & Econ. Dev. ServicesPerm><t Lender #: 12 -104366 -00 -SF AMERICAN HOME CENTER AMERICAN HOME CENTER OWNER IS LENDER 33325 8th Ave S 16311 MERIDIAN E AMERIHC9780C (9/3/13) Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 VANCOUVER CN Inspection Request Line: 253 835-3050 i� eQ 16311 MERIDIAN E Project Name: BELMOR MOBILE HOME PARK SPACE 166 Project Address: 2101 S 324TH ST Space 166 Parcel Number: 162104 9037 Project Description: NEW - Installation of new 1276 sgft mobile home to replace existing. Owner A i� Contractor Lender BELMOR HOLDINGS LTD AMERICAN HOME CENTER AMERICAN HOME CENTER OWNER IS LENDER 1571 BELLEVUE AVE W SUITE 21( 16311 MERIDIAN E AMERIHC9780C (9/3/13) VANCOUVER CN PUYALLUP WA 98375 16311 MERIDIAN E PUYALLUP WA 98375 Census Category: 112 - New Manufactured/Factory-Bu"ome, I Includes: #1 #2 #4 Occupancy Class: R-3 IL Construction Type: Occupancy Load 94P Floor Areas . ft. 0 1 0 New / Additional Sq. Feet - 1 st Floor....................1276 New / Additional Sq. Feet - 3rd Floor....................0 New / Additional Sq. Feet - Basement ................... 4W New / Additional Sq. Feet - Garage ...................... New / Additional Sq. Feet - Other ............... Occupancy #I - Use.................................t. Bence (1 N LJ NOW9ditional Sq. Feet - 2nd Floor...................0 Occ4fficy # 1 - Area (Sq. Feet).............................0 New / Additional Sq. Feet - Deck . ......................... 0 Occupancy #I - Class.............................................R-3 New / Additional Sq. Feet - Total .......................... 1276 Zoning Designation...............................................RM 3600 With This Permit 11 .�• CONDITIONS: 1. InstallationVw ict rdance with the manufacturer's installation instructions or professionally engineered inn, shall remain on-site as required by Washington State law. I. -.1i PERMIT EXPIRES Wednesday, March 27, 2013 Permit Issued on Friday, September 28, 2012 I hereb ertify that the above information is correct and that the construction on the above described property and the o upancy and the use will be in accordance with the laws, rules and regulations of the State of Washington [1A and the City^ of�Federal Way. O er or agent: '+'V, Date: THIS CARD IS TO REMAIN ON-SITE �,rr of THIS Inspection Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 12 -104366 -00 -SF Address: 2101 S 324TH ST Space 166 Project: BELMOR HOLDINGS LTD 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) Electrical Approved Interim Erosion Control (4370) Approved Skirting/Final (4250) To be done prior to breaking ground Approved Approved By Date By Date By Date Blocking/Tie Downs (4015) Final Erosion Control (4375) Electrical Approved Right of Way Approved Skirting/Final (4250) Date Approved By Approved By Approved By /C_409'—' Date le -2 3 /Z By Date By Date Rough Electrical Approved FJFinal Electrical Approved Right of Way Approved By Date By Date By Date +' Federal W.EIVED PERMIT COMMUNITY DEVELOPMENT�C� 5 2012 APPLICATION 253-835-2607• FAX 253- 9 wmw. d! uoffrtiem,U-aux-mf CITY OF FEDERAL WAY © MF CO ME PL DE EN FP SITE ADDRE,S$ j 0 1 � SUITE/UNIT # PROJECT VALUATION $ ZONING ASSESSOR'S TAX/PARCEL # aka t -a -- 4�0 3 3 TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT (Tenant Name/Homeowner Last Name) 2v iv PROJECT DESCRIPTION Detailed description of work to Z Z be included on this permit only PROPERTY OWNER NAM PRIMARY PHONE M�Ii, `I ORESS �Uqtm S�— S' E-MAIL CITTr— t STAT$ Y I (.I �6 ZIP NAMEAm vi .a /i N k I- 71 - ?1-// J Y' ®O E-MAILL vl 6"hkj5&'r CONTRACTOR - 1 WA- 1�/ 7 � PAR Y V( ST TS EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # NTRATOR�Lj G oYUI/� NAME c PHONE MAILING ADDRESS E-MAIL APPLICANT CITY STATE ZIP FAX PROJECT CONTACT (The individual to receive and respond to all correspondence nM L `s�) p Y G MAILINGR is / E-MAIL concerning this application) 1 Y kI/CJI CITY STATE ZIP FAX ALTERNATE CONTACT NAME:ONE � 0 -3�a#NadfPo E-MAIL 0 PROJECT FINANCING NAME OWNER -FINANCED Required value of $5,000 or more (RCW 19.27.095/ MAILING ADDRESS, CITY, STATE, ZIP PHONE 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. 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 a art of this application. (RIOWas 9—?SIGNATURE: DATE PRINT NAME: Bulletin #100 — January 1, 2011 Pagel of 3 k:\Handouts\Permit Application Cove 4 VALUE OFMECHAMCAL WORK $ (a copy of bid or estimate m be provided) Indicate how many of each type of fixture to be installed or relocated as part of this proj Do not include existing fbaures to remain. AIR HANDLING UNITS FANS GAS OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTSODS (commereiat) BOILERS FURNACES HOT WATER TANKS (cas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES Indicate how many of each type of fixture to be ins ed or relocated as part of this project. Do not include existing fixtures to remain. BATHTUBS (or Tub/ Sho—Cotnbo) LAV (Hand Sinks) TOILETS WATER PIPING DISHWASHERS NWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS (Kitchen/utitiry) WATER HEATERS (Electric) HOSE BIBBS SUMPS WASHING MACHINES " . '., i,,66V, CRITICAL AREAS ON PROPERTY? WATER PURVEYOR LLD EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS LL)p $ EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSI N SYSTEM? C3 Yes 10 []Yes No AREA DESCRIPTIONArea I in Square Feet I Occupancy Groups) ADDITION AREA DESCRIPTION in Sq�re Feet I 1-0ea -CCU Groups)) TENANT AREA ONLY # of Additional Information Stories ConstructionI # of I Additional Information Tvne Stories Bulletin #100 -January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application