19-101801 ,, ' Building - Single Family
City of Federal Way Permit #:19-101801-00-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 HOME PARK SPACE 98
Project Address: 2101 S 324TH ST Parcel Number: 162104 9037
Project Description: NEW-Installation of 900 square foot manufactupd home.
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.)
Additional Permit Information
New/Additional Sq.Feet-1st Floor 900 New/Additional Sq.Feet-2nd Floor 0
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement. 0
New/Additional Sq.Feet-Deck. 0 New/Additional Sq.Feet-Garage 0
New/Additional Sq.Feet-Other 0 Is this an Online or O.T.C.application? No
New/Additional Sq.Feet-Total 900 Occupancy#1-Use Residence(1 or 2
family)
Total Valuation:5,355.00
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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 Wednesday,30 October,2019
Permit Issued on Friday,May 3,2019
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: a..., .g Date: 6-73—r'
4 , , - • _ r .
r THIS CARD IS TO REMAIN ON-SITE '
� ' 1A
Construction .
Federal WayInspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19101801 00 Address: 2101 S 324TH ST Space 098
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.
0 Blocking/Tie Downs(4015) 0 Skirting/Final(4250)
Approved Approved
By Date 5-1/ By&,/ Date
0 Rough Electrical D Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF BEcE�JEa PERMIT APPLICATION
Federal Way
APR 16 2019
1D ` FEDERE�` Pt Y
PERMIT NUMBER i - 1 P - S t
TARGET DATE 5
SITE ADDRESS Ar_„ I _aA. N ti to SUITE/UNIT i
A./ c.0 / S S -z y 712 S-'- Preo,ez l . p�/ U SA.ccx! q"
PROJECT VALUATION ZONING ASSESSOR'S TAB/PARCEL i •
$ .1._. .6_ _z_ C_ _4 — —i e 2
TYPE OF PERMIT
0 BUILDING 0 PLUMBING ❑MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PR$VENTION
NAME OF PROJECT Ad(.4 404, do Li ...0 {I
PFr
PROJECT DESCRIPTION
Detailed description of work to ('L, Ai i i,t,) 714 f-G 11.cwi 4.J 5 fi4 C f U
be included on this permit only `
NAME -- — — PRIMARY PHONE
PROPERTY OWNER /t 1 1tc ,iJe 1q Pa./ ..--.S 7- 6, 2.5-3-P3 S--p S.(7
MAILING ADDRESS E-MAIL
ZL o ( 5. .37L/ c1
CITY STATE I ZIP
,diet �.(/4 u14 l uv 3
_ •
PHONE
/1?AltC4el) 0,g,14: 0 �.4:.‹. 2r3 .dry/- [6-coo
BeAMENG E-MALL
CONTRACTOR C. V s� f G1 -- 11 ,.
CITY STATE ZIP FAX
—1---4C6,44A 1,144 W Y Y 2S'5- S'c'a'- a e r k
WA STATE CONTRACTOR'S LICENSE I EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE I
/
PRIMARY PHONE
:Pi. /21C0910 /ids Ctij� .ZS 2-236.42, 6 P
MAILINGADDRESS
APPLICANT
'id 6 S, /0 e Z"ST I..aow aAilkitemdil.c4if
ITY STATE ZIP
. �VC-0�1�4 • ,Nd 9 kV VA, 2.f.1 t5/cr-c,Cg-
NAME
PHONE
PROJECT CONTACT -17141 t-- I-ti �(14J0 2...)--3.. 23 u.(o 4 P
(The individual to receive and MAILUio ADDRESS E-MAIL
respond to all correspondence J6( S lQ kr S I O ,l.i 1
concerning this application) CITY STATE ZIP `` +`
.1-7))co,q LA/4 9k y YY 2.1-7-4-1/1"--<),P_I,
NAME
PROJECT FINANCING
1,7 AK Q OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP
(RCW 1927.0951 PHONE 1
I certify under penalty of perjury that I am the properly owner or authorized agent of the property owner.I certify that tobest
of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comp' with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand tht 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 tha city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy f the
information supplied to the city as a partlof this application. q
SIGNA Mr willr1
.- DATE /-_l�
PRINT N /.4i '. J O
Tlnllelin it l ff-Urinary 1 9Al2 PACO.1 of R
lr•1Nanelnutelpprm;t Annl;rat;n..
f -4,!
MECHANICAL PERMIT VALUE OFMscxeNICAL WORK
$
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing
AIR HANDLING UNITS FANS4s to remain
AIR CONDITIONER GAS PIPE OUTLETS OTHER(Describe)
FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES
COMPRESSORS HOT WATER TANKS pa.)
GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING
WOODSTOVES
PLUMBING PERMIT I VALUE OFPLUMBING WORK
Indicate how many of each type offixture to be installed or relocated asII(
BATHTUBS(or Tab/Shower Combo) LAYS part of this project. Do not include existing fixtures to remain.
R sm TOILETS
DISHWASHERS RAINWATER SYSTEMS WATER PIPINGDRAINS URINALS
VACUUM BREAKERS
OTHER(Describe)
SHOWERS
DRINKING FOUNTAINS qunvdj WATER HEATERS(et ;<I
HOSE BIBBS SINKS pc;:�,m
SUMPS WASHING MACHINES
TOTAL FIXTURES
GENER A T.INFORMATION —
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR
SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
E7�3STING/PREVIOIIS USE
LOT SIZE(In Square Feet) EXISTING FIRE SPRINICLER SYSTEM?
PROPOSED FIRE SIIPPRE33ION SYSTEM?
o Yes❑ No ❑Yes ❑ No
RaSIDENTIAL - NEW OR ADDITION
FIRST FLOOR(or Mobile Home) - — -- - -- ---
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G VERED
f - ENTRY -7-77,77:7
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C
GARAGE Q CARPORT 0 _ __L
Aroma Totals --
aUSTCfG Y PROPo$
ISD
-______._ 11:11_,0,,,,./moi' --r-----
ESTIMATED SELLING PRICE$
#OF BEDROOMS_ _
•
CC3NEVIERCIAL—NEW/ADDMON
TION - Occupancy
d�F a DESCRIPTION .
r—,-_-_ - CRIP Groups) #of
E. i;,,:iTt._,a `_ _ �` F*"k. :.--; .-T-•-;;F.
NEM
' Ti Additional Information
ADDITION — minimm •
C(31YIl►IERCIAI,—REMODEL/TEN .
'IMPROVEMENTS
AMEA DESCRIPTION PNEM
T<. Occupancy Group(sj Construction #of
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