16-105673 Building - Single Family
City Federal Way F' LE Permit #:16-105673-00-SF
Community y 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 LOT 205
Project Address: 2101 S 324TH ST Parcel Number: 162104 9037
Project Description: NEW-Installation of a new 1342 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 1342 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 1342 Occupancy#1-Use Residence(1 or 2
family)
Total Valuation:7,984.90
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
Wa hington and the City of Federal Way. /
Owner or - r � : , ,_ Date: / / 9//7
/7
r 4
THIS CARD IS TO REMAIN ON-SITE
CITY Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 16 105673 00 Address: 2101 S 324TH ST Space 205
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) 0 Skirting/Final(4250)
Approved Approved
By 144 Date V I b 11 By Jam, Date sty.-24— l�
IE 'n 'W i vvC4yt UI f Cwes'a Vitt ( fCC.N.v1. 0WKfr ASS tAIsves
Rough Electrical El Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
ECEIVED
� � E Nov 3 0 2016 PERMIT PPLICATION
FederatWay
CITY OF FEDERAL WAY
(07CDSPERMIT NUMBER (0 I0 $ s �f `/3 - TARGET DATE /
SITE ADDRESS e eL U/Z. /r, I i/9 SUITE/UNIT#
Aloe .S: 3zy s1 f& i ui4LL,4y wA -5/4sE
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL ❑ DEMOLITION ❑ENGINEERING ❑FIRE PREVENTION
NAME OF PROJECT !
PROJECT DESCRIPTION 6�M b/ E / I4, Ql�c ,-1J1J vJ )F G / C7'ji
Detailed description of work to 1/U S'A 11-
be included on this permit only
NAME �-;�G) PRIMARY PHONE
6.- 1
PROPERTY OWNER 44 (O / 0,:i I..(r- L- 1 - F'8-O 7 7
MAILING ADDRESS E-MAIL
3 S,9a o 1-1---6 14i 0
CI STAT ZIP
Lam 4 9 f > v
I C.,9-‘1) �i 6.44‘ 0-k60j�2 PHONE 5-7'S-1/1-386t>
MAILING ADDRESS E-MAIL
CONTRACTOR 04 OS'•it/, e.
STAT ZIP FAX
Co 4 4 A qJV -Fr o0'1
WA ST TE CONTRA OR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
AM1-A;1.)4C `T 7e-c_ ? / 3 //7 0/1_ 7'6 Vat.)
NAME PRIMARY PHONE
A A40.2 Ic.9A) t1C44L e.,LeAriZ2 2.53 s-c/l-3600
APPLICANT MAILING ADDRESS E-MAIL
0 S, /03-71--6 ,s'T
C" ( ) 0.41/ WO- v d y y FAX
'
NAME /' PRIMARY PHONE
PROJECT CONTACT t- fi v L( *So/P 2.s3-2?c .(, Z6 g
(The individual to receive and MAILING ADDRESS E- L
respond to all correspondence the s, (D.S- --5 r --TA;L/4f ()AI OS-
concerning this application) CITY STAT ZIP FAX
1 ACOIAIA 9 s' C/(/y
NAME n �
PROJECT FINANCING /V V /Z 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW]9.270951
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.
1
SIGNATURE: Cry
- DATE ///2 /(
PRINT NAME: --I-D/ U 4
Bulletin#100-January 1,2013 Page 1 of 3 k_\ landouts\Permit Application
r •
i MECAL NICAL PERMIT ��V..� OFMEc rrJC WORK
I Indicate how many of each type off fixture to be installed or relocated as part of this project. Do not includepexisting fixtures to remain. _
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,
PLUIYIBIlVG PERMIT VALUE OFPLU1lMBINGWORK
$
Indicate howmany 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)Nanasras) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER
DRE3IN3 (Describe)
SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS)Kitchen/Uta;ty) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR' _ VALUE OF EXISTING IMPROVEMENTS
$
ERISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
EXISTING/PREVIDUS USE LOT SIZE(In Square Feet)
❑Yes 0 No 0 Yes 0 No
RESIDENTIAL - NEW OR ADDITION •
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
s go o 4,i� , zASEME "
FIRST FLOOR (or Mobile Home) ., �� ,,,
0,74'7a&-i';'44; R , �` 44, Yv da46. � '`
�t ,,mac,. ,,
COVERED ENTRY
x;� g ma�t .
GARAGE ❑ CARPORT 0
z `"a ,
. x..v-i9R(de v # ° 3 : �1s :. F�a� »E 2`ax, _ ,
—..,.. ..4.1...'=!'A--...7.71.;4.-. 04.4..,,,,,9...?" .- .. _ro: 7e�srmc rxoeosn
TOTAL Totcils
=, - ' : *ANEW SOMF�S:jONLYs1-1 :4 ,', ,.rt a s '' a'
ESTIMATED SELLING PRICE$ '` #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Construction #of
In Square Feet Occupancy Group(s) Additional Information
rx „r.:, L. IPT I°N . ., F„
.;;.,,,,,,,V.,,,4,1,-,'""• 00, ,�q w -ax I)C Stories
EW UILDING •r ' `, #" a .« :
.,a kr._,`, a a- ` - `. "-`.'' i3zlazy Fara; " .: `:
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
A
AREA DESCRIPTION
Area Construction #of
Occupancy Group(s) Additional Information
TyStories
in Square Feet
®A l °'aBUIISDING- °5 1 5a s y Pkx rg 'r r pe 4' a
TENANT AREA ONLY
;g5" # t
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Perrnit Application