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19-103924 11101.11111P"' r 1 Building - Single Family City of Federal Way Permit #:19-103924-00-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 185 Project Address: 2101 S 324TH ST Parcel Number: 162104 9037 Project Description: NEW-Installation of 1231 square foot manufactured home. Owner Applicant Contractor Lender BELMOR HOLDINGS LTD TOM FULKERSONAMERICAN AMERICAN HOME CENTER OWNER IS LENDER 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: Construction Type: Occupancy Load: Floor Area(sq.ft.) Additional Permit Information New/Additional Sq.Feet-1st Floor 1231 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.application9 No New/Additional Sq.Feet-Total 1231 Total Valuation:7,324.45 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,23 February,2020 Permit Issued on Tuesday,August 27,2019 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 ashin. •• and the City of Federal Way. Owner or -gent: .. _ 4+ _ Date: d' Thi 0;4 THIS CARD IS TO REMAIN ON-SITE Federal Way Construction Inspection Record INSPECTION REQUESTS:(253)835-3050 PERMIT#: 19 103924 00 Address: 2101 S 324TH ST Space 185 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) 0 Interim Erosion Control(4370) Approved To be done PRIOR to breaking ground Approved By Date J By Date By Date ® Blocking/Tie Downs(4015) I ® Final Erosion Control(4375) '® Skirting/Final(4250) , Approved Approved Approved By (,J Date 23 - ! By Date `By G(,ll� Date/D�� p • • El Rough Electrical ❑ Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date • • • RECEIVED ,......_A. f, CITY OF AUG 1 4 '7019 PERMIT APPLICATION Federal Way PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325 COMMUNITY DEVELOPMENT 253-835-2607+FAX 253-835-2609+permitcenten@cityoffederalway.com PERMIT NUMBER LI _ 5 E 4\e 9 1 -.I a,✓✓✓ !! 2 tTARGET DATE SITE ADDRESS A I 6 I g-. .y�"17:0 j SUITE/UNIT# 64(LA4e) . 144 I4V )/4 4L '4' / i.Yek.) 7 • 3/4c, I Y_r PROJECT VALUATION ZONING AS ESSOR'S TAX/PARCEL# TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT _i.0 i ll /J 9 PROJECT DESCRIPTION • :r A ✓"4 L L JU ZIA.) /?/1/6 G'{e..aZ 5/ /j' Detailed description of work to be included oh this permit only . ' NAME �t ' •d ,s PRIMARY PHONE PROPERTY OWNER IUD AI� J/ .61 > 1-3 ' 3S-" 0377 MAILING ADDRESS E-MAIL • 2s d ®-t Si J- `r T1 s-I • - CTY STATE ZIP • f il51/Ji if'04 l_ W A ; _W4 }? 0 (Q akAl r e/ Al- NAMEl�4L 'edit i I!` PHONE MAILING ADDRESS _ _Sr -MAIL' CONTRACTOR A S. 1(1 YIP � 1 t-0 ecroAla S- mc,C'014 "-I-7-4t CITY STATE ZIP FAX "-I-7-4 , tC WA STATE CONTRA6TOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# Ac -e- -icA J780�" / / NAME . ,/ / ,Q '` " PRIMARYf �TPHONE -p . /,i c' i4It ii €C.jC�.A 4(• I.�.6 CC.. c/\. ✓°.�..35`r��3f�••Yj 2-ai�✓) APPLICANT. MAILING ADDRESS E-MAIL cb C /©gz s`!S'- x,ucc..U' 04) bs-fr/is,o,c,,,,p! CITY STATE ZIP FAX •-779e.:04,4,4✓_,4 231-kV Y''' e3 P. NAME F. f Y;,, PRIMARY PHONE PROJECT CONTACT '1"-.O,1.i . o LfC AL. O'el,,) . . . __.VJ-2-.7.6... 6 Z,6(a MAILING ADDRESS (The individual to receive and ..tt �, E-MAIL respond to all correspondence `f:O i S, I 0 " - "" � pp p/)�" ��,�� y J`( C61}', { I ��V f'�e.�,�c''.�'M are 6Lf d.��P'�.".'.•'�l concerning this application) CITY STATE ZIP� FAX • ' c, 4 1-40 %,cO.3 2-r?-S4/2(--0-"o P3 V • NAME PROJECT FINANCING ir‘I ❑ OWNER-FINANCED When value is$5,00d or more 'MAILING DRESS,CITY,STATE,ZIP =PHONE • (Reg,19.2E095) . Y. .. 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 wilt 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: 4 � -_ - DATE ,i7,<-3 �/ PRINT NAME: �� L - L 6 4 • Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application VALUE OF MECHANICAL WORK MECHANICAL PERMIT Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.• AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe). AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial) BOILERSFURNACES HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING , GAS PIPING, WOODSTOVES . VALUE OF PLUMBING WORK PLUMBING PERMIT . $ Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain. BATHTUBS(or Tub/Shower combo) LAVS(Hand sinks) TOILETS - WATER PIPING • DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(Kitchen/utflity) WATER HEATERS(Eiecnic) • - HOSE BIBBS - SUMPS. WASHING MACHINES' TOTAL F BTU ES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR • SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS. •EXISTING/PREVIOUS USE : - LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM?'' PROPOSED FIRE SUPPRESSION SYSTEM? ❑Yes❑ No ❑Yes ❑ No RESIDENTIAL - NEW OR ADDITION - -. -AREA DESCRIPTION(in`Square feet) EXISTING ` PROPOSED" TOTAL" _ 'FOR OFFICE USE '' ' -...me a-•JY i,av:\...+'^... +..:. a4 =S.—ti,... -.' •..t ..:.-....-t v.....r--�, :...:._.. _._.,... ..» ...r v 4� BASEMENT . _ FIRST FLOOR(or Mobile Home) _...... " -. . ._ . - .:12.4( . Z3( . �— SECOND FLOOR • COVERED ENTRY DECK _. GARAGE ❑ CARPORT ❑ • ,•., -- MOTHER(describe) Area Totals ;,;. EXISTING PROPOSED' TOTAL _ 1 Z3 :i. - 1 - - - ** WHb s ONLY"°' • _ ESTIMATED SELLING PRICE .,. ,#;OF BEDROOMS l/ - •C011Il1'IERCIAL.- EWIADDITION ;x; :. - ea.In_ . Coss . cti n #of AREA DESCRIPTION : Occupancy Grolip(S) :_ :-• , Tape I Storses Addrtlonal.- • -• atioa Square Feet .�.-o ,...yo..�.ri...czw.w.r..n.w++•+nu�'iw uw-s...:.+e.v+ry -.v+.r...n.v...rau..-w'v...w. .1„c.w-a,.e iu...sa +.......v.., NEW BUILDING+ • - ...•r. ADDITION C® 1` RCIAL-REMODEL/TENANT IMPROVEMENTS . Area in Construction #oI ' " Oceu anc Group(s) Additional Information AREi DESCRIPTION' P 9 Pl 1 . Square Feet. Type Stories i TOTAL BUILDING TENANT AREA ONLY - .b PROJECT AREA ONLY `, Rn1lpf n 41 On=:Tril aril=29_'2016 Page 2 of 2 c!''' • k:\Handoi ts\P`eimit Aiinlication . � � t , � �3c��► oh ��� P � i o i So 3 2y?y c� Lo? r85' r�9�� L ��y +,� qs a�3 s c� i" : �.o , � PA�-� r�z�� � 9� 3� �� A�� � � � � `��' rN o,�s- � r�t �� .�o Ly vN✓�,�it t�l�,N�` S,E� P�4 y� �12 v,c�s zyx6o = �y�v .�lf � Ut'�TS f� X/b = �a� sy. �'.s��i��, � �A �T�A < ��rr��S ��A 6�:rs�.:���� �o p� � ✓L+��, lft�iv'ri N S �O S�f' �. 2 2 �/ENTf � S��,DA'� !1� ` � � y ° ��1TANc� r/Lv✓H �t•J .-z 6�/l.�-� v S 9 � y� \ � -�'� 6�Lvvn�� lz'' SE� �AF,E �S� n � � � � �.��sr,N 9 � —r' _ r�� ��"�� � � � ���J� Cit of Federal W M � � • Y ay Lo,� � ��' l� S� �j B�ilding Division t� � � APPROVED CON TRUCTtON a z 3 9 �Y�-- � �a `c���v' � 7Gre: �-��- �a I`� � �j� Q �� v��� Q 1 � � •� -- �.�V� ��j� � -�'��G� � �ECEIVED �� ��� - �.�5�� l o t,� :�z� auG t 4 2o�s .���o— c� ,�'/�y ���� � ��! ,f C!TY OF FEDEP.AL WAY �va CO�if�iUNfTY DEVEI,Q?�9EP<'� ���w��.� U� `,�,���✓� r � ! � �� � � �' � l .�1/, � � � � �I �e t/I 1� I I � � �� , __� J ,