19-103185 ,
Building - Single'Family
City of Federal way Permit #:19-103185-00-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 304
Project Address: 2101 S 324TH ST Parcel Number: 162104 9037
Project Description: NEW-Installation of 900 square foot manufactured home.
Owner Applicant Contractor Lender
BELMOR HOLDINGS LTD TOM FULKERSONAMERICAN AMERICAN HOME CENTER OWNER IS LENDER
571 BELLEVUE AVE W SUITE 2D 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 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
Total Valuation:5,355.00
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€ 4� 1i
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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 Sunday, 19 January,2020
Permit Issued on Tuesday,July 23,2019
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: Date:
FILE
Ay(
406,
THIS CARD IS TO REMAIN ON-SITE '
•
OTT
OConstruction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 103185 00 Address: 2101 S 324TH ST Space 304
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) Q Initial Erosion Control(4365) ., ,
® Interim Erosion Control(4370)
0
Approved To be done PRIOR to breaking ground Approved
By Date By Date By Date
•
I .. „ •
'
Blocking/fie Downs(4015) ; El Final Erosion Control(4375) ® Skirting/Final(4250)
®
Approved Approved Approved
By Cf�s Date 117//// By Date BY(A2) Date ///y/,
Rough Electrical 0 Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
• 30'4
,,,,,,,,,,„,,,_ _A. PERMIT. APPLICATION
CITY of
Federal Wayry#D
PERMIT CENTER+33325 8thAvenue S Eelr�l A 98003-6325
253-835-2607 + FAX 253-835-2609+permitcente ityoffederalway.com
JUL 022019
PERMIT NUMBERJJJ _ / 0 3 1 UU ES _ OF FEDERAL WAY
�tjNiTY DEVELOPMENT
SITE ADDRESS SUITE/UNIT#
6L`1-ivy , ,/wil� (//),k-444, ,,,AA 774)02 - ��uh 5-to 3�4
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ .- ---/- 63 7' - g O L 7
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 1, ,fit , 44 ii
A
PROJECT DESCRIPTION • '-- ,..N V''9 t( t)g Lc) r IV X cdJ/1.-1 iM f r' 14c.)//,‘ 19 S/ 70(1
Detailed description of work to
be included on this permit only
' NAJME� / PRIMARY PHONE
PROPERTY OWNER ° - i t ,uo itgiJ/S f Z 3 j ? S-... 0,S7
o`�s 7
MAILING ADDRESS E-MAIL
• I C?-l --c, 3-221 7-YSi- .
CITY STATE ZIP
tii 12 /4 L u.1 A `., ti). Ts 0 0.
NAME i - - PHONE
MAILING ADDRESS EE--MAIL)
CONTRACTOR tjb, AS. lo5 7f 3r I t u 441,60 e 3��iosii, 0
CI Y STATE ZIP FAX.
C OI2'1I b1404 tel'52 `eY 2 5--,7 FYPa-ars'3s,
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
,u:,ri c 978 0c." / /
NAME PRIMARY PHONE
eg,/0kr lC►A) MevL✓,,' C', t ricA- 92,S34-%Z 30. , z()Y
APPLICANT MAILING ADDRESS E-MAIL
40 c /0 ET--0 Sr ST' —IA.)LW-4)04 aY 'aifit),C 4.1
' CITY STATE ZIP FAX
..-174C: ./i4,4 2.13-kV ,•`. e 3 P.
• NAME ' „ - PRIMARY PHONE �r'
PROJECT CONTACT °'7-/did .f . l' U j ti 'CI43. . . 2S -2..i'6., 6 Z.6(t
(The individual to receive and MAILING ADDRESS •
E-MAIL
respond to all correspondence ` C 6, S c /O =''t a B i i J iU.bil,c -t-(
concerning this application) CITY STATE ZIP FAX
—1--Acis 4a1 1.4,A 91T)0.3 S-e rg'C S'34.'
NAME
PROJECT FINANCING AJI 0 OWNER-FINANCED
When value is$5,006 or more ' MAILING DRESS,CITY,STATE,ZIP =PHONE
(RCW 19.27:095) • _.
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 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.
SIGNAT - D. _ _, 111111W- r / _ - DATE (/2£/'9
PRINT NAME: ,i - /a S ON
•
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
p(NE
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 r"emain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe).
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES 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/Slower Combo) LAVS(Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS •
DRINKING FOUNTAINS SINKS(Kitchen/utlityi WATER HEATERS(Electric)
HOSE BIBBS SUMPS" WASHING MACHINES TOTAL FIXTURES
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•
BASEMENT
FIRST FLOOR(or Mobile Home) . _,, 6-- ._.1 d 4.>)/‘ l poo Sb/ — -- _._...._...__._....___..._.....__ —_—...._
SECOND FLOOR `
COVERED ENTRY
DECK
GARAGE 0 CARPORT ❑
1 OTHER(describe)
EXISTING PROPOSED' TOTAL
Area Totals Suo s/f%
**NEW Honsgs oivr,Y* -
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL , NEW/ADDITION
ea in . Construction #of
RI
AREA DESCPTION Occupancy Groups) -•- , Additional,Information
Square Feet Type t.Stories: -
NEW BUILDING
ADDITION
CO l-' RCIAL--REMN
ODEL/TENAT IMPROVEMENTS
AREA DESCRArea in
IPTION' Occupancy Group(s) Construction #of
Additional Information
Square FeetType Stories
TOTAL BUILDING
TENANT AREA ONLY •
•
.�,.• ,r..„ ..._... _-..,...,.,�.�,�.:w...,.-..Y:„��., «. w.M.n,�-.�. .�4 �•.. ;.. .
PROJECT AREA ONLY
Bulletin#100-January°29;'2016 Page 2 612 ,,'' 0I-Iandoiits\Permit-A it li"cation