16-105676 4
Building - Single Family
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FILEPermit #:16-105676-00-S
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Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: BELMOR MOBILE HOME PARK LOT 244
Project Address: 2101 S 324TH ST Parcel Number: 162104 9037
Project Description: NEW-Installation of a new 1,461 square foot manufactured home in a park
Owner Applicant Contractor Lender
METRO NORTHWEST LP TOM FULKERSONAMERICAN AMERICAN HOME CENTER
3500 APOLLO BLVD HOME CENTER 406 S 108TH ST
RICHLAND WA 98357 406 S 108TH ST S TACOMA WA 98444
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 1461 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 1461 Occupancy#1-Use Residence(1 or 2
family)
Comprehensive Plan Designation SF-High-Density
Residential
Total Valuation:8,692.95
e a s
PERMIT EXPIRES Tuesday,18 July,2017
Permit Issued on Thursday,January 19,2017
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 o01,
_�� - / - _ Date: i/9/17
r; \t-a\
THIS CARD IS TO REMAIN ON-SITE
""�` Construction Inspection Record
F@C@I"d�NI/ay INSPECTION REQUESTS:(253)835-3050
PERMIT#: 16 105676 00 Address: 2101 S 324TH ST Space 244
Project: METRO NORTHWEST 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.
,� Blocking/Tie Downs(4015) I.
Skirting/Final(4250) ,
Approved Approved
By prijDate 3/CI 7 it. Date 1 114/,7
o Rough Electrical El Final Electrical El Right of Way
Approved Approved gApproved
By Date By Date By Date
RECEIVED
A.•._.., 1\103 0 2016 PERMIT IPPLICATION
Y,
CITOff
. Federal Way CITY OF FEDERAL WAY
CDS
t PERMIT NUMBER I (ta
_ I V S //ll / 6 - s /J
rrrr_ FF TARGET DATE 9
SITE ADDRESS f3/f /V7 /14 ()Al SUITE/UNIT#
A101 .5-. 32y./ Si 140.1/69L WA i4 5/4se t/y
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ / L 2- / o y - ? v 1_ .7
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION O Biu o� 19, Olt c,. Ne.-_-/AJ �I G 14 -Z
Detailed description of work to E---)Ai TA c. 14- 2,LI Y
be included on this permit only
NAME ,,J PRIMARY PHONE
PROPERTY OWNER 44 t�1 2(D f�/b�`71 it)If ^ L z ` P.?,,?-os/7
MAILING ADDRESS E-MAIL
3 S-4 p o 1Lo 44vo
CI7 STATE ZIP
ILLI e -J L ARID -w4 9 f3--YY
E
2TY141 c.,9-4) -)-J Od4 CMJ j,E2 E PA Sj-e-'c//J6CA
MAILING ADDRESS E-MAIL
CONTRACTOR W 6� .S, /a JYx t,Irt/('1CSu4OS'(�/tf,W.e
CI STAT ZIP FAX
IrMC-6444/4 t 9� 'Vic/ A -.-yam o�38---
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
A/14/(An--C.14 77s'cC- 7 / 3 //7 2o/1_ ra s/oo ;t-,cp-eD.dz
NAME PRIMARY PHONE
A,44,tF, l cd4 ) t--144A L GfAITZ2 253-,L/-36e,t.
APPLICANT MAILING ADDRESS �� E-MAIL
LI o 6 S, /065--TY S
CITY
Cc W Zid FAX
y y� 47°
NAME ," PRIMARY PHONE
PROJECT CONTACT ----fa/LI f"• 7 U /_ - S /1) 2S3-rL-O.6 2_6 8
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence the)G 3, l D cif --E T 'IA;L ki,, sunt 6S-e,4641.et ^
concerning this application) CITY STAT ZIPcFAX
�/9CD✓I?J� ( ! 5 gcIV 233-FVE-0S'3g'
NAME
PROJECT FINANCING / UNZ 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 7 9.27.095)
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.
SIGNATURE: /_f DATE I i JZ F//b
PRINT NAME: '(DA/1 f , L vas U a)
Bulletin#100—January 1,2013 Page 1 of 3 k.\Handouts\Permit Application
f . ..1, • •
MECh ANICAL PERMIT VALUE OF MECHANICAL WORK
$
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)
BOILERS FURNACES HOT WATER TANKS pas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES,
' VALUE OF PLUMBING WORK
PLUMBING PERMIT
$
Indicate how many of each type offixture 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/Utility) WATER HEATERS(Electric{
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIICTURES
•
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 0 No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL • FOR OFFICE USE
VAg-' ata
te.
FIRST FLOOR (or Mobile Home) �19 / `f P / / 7//
COVERED ENTRY
' .1'4,-.17.01,:'4°11,6i1,7,px� '' . i s r. - £-,,,,,,1:-.i.,!,,
GARAGE ❑ CARPORT 0
_ „ > "5.OTHEER desY , , .� �� « 04
, �w .-,,,,,,,,,..:4-4, .a r .,� x,r. 'k£ ..� . �„ '
d c',,,.,. .. A x r. .a,. ..
LRlS72 tG PROPOSED TOTAL TotciHs
. 1,t& E '` NEW H0111ESONLY*r . dW ,a,
ESTIMATED SELLING PRICE$ ' #OF BEDROOMS '
COMMERCIAL—NEW/ADDITION
Area Construction #of
AREA DESCRIPTION
in Square Feet Occupancy Group(s) nType Stories Additional Information
" ,'--:-
uEW EUUDING*51 ��k . rxZ �-` '-
• . t F;
, " .0,.. . a �.V-• _, ,,'.I.„ i ,;. rr .. � x ,lr: a. v ..m. ._ 4,;: ... ; yg , *-f *4
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION `reaConstruction #of
in Square Feet Occupancy Group(s) Type Stories Additional Information
5!AI BUILD � r It-61. aa&' � ,.w x ,gy m ¢, ,. ,,',.,..-.s*. `'"
"'-: ,,..,, ... ,.r4-, = ,.r ..fA"i4,.., g ': Y;,.:. !'f.i t:s s%,'-4 ', .4:14 ' ,x: '44, , ;' `8; �s�;;;A itit`
TENANT AREA ONLY
PROJECT ARE4'ONLY � �r i "'2' ,, _n ,.: c Atm 4 Z . e .iaik l se .
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application