16-106050 Building - Single Family
City of Federal Way Permit #:16-106050-00-SF
Community Development Dept.
33325 8th Ave S FILE
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 101
Project Address: 2101 S 324TH ST Parcel Number: 162104 9037
Project Description: NEW-Installation of a new 1,231 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.) 0.00 0.00
Additional Permit Information
New/Additional Sq.Feet-1st Floor 1231 New/Additional Sq.Feet-2nd Floor 0
New/Additional Sq.Feet-3rd Floor 0 Occupancy#1-Area(Sq.Feet) 0
New/Additional Sq.Feet-Basement 0 New/Additional Sq.Feet-Deck 0
New/Additional Sq.Feet-Garage 0 Plumbing Work Valuation? 0
New/Additional Sq.Feet-Other 0 Is this an Online or O.T.C.application? No
New/Additional Sq.Feet-Total 1231 Occupancy#1-Use Residence(1 or 2
family)
Comprehensive Plan Designation SF-High-Density Zoning Designation 0
Residential
Total Valuation:7,324.45
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 a en Date: /7/,/i 7
9 \ � .� , / _
• THIS CARD IS TO REMAIN ON-SITE
Federal Way Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 16 106050 00 Address: 2101 S 324TH ST Space 101
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.
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El Blocking/Tie Downs(4015) ID Skirting/Final(4250)
Approved Approved
.By 4,,,..1 Date yl 21111 :.By ► Date 1I"''1-1``r-1
Rough Electrical El Final ElectricalElRight of Way
Approved Approved
Approved
By Date By Date
By Date
P IT ,P
el
PLICATION
� PLICATION
Federal Way
UEC 2 2 �'!
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PERMIT NUMBER I(7 /
— 0 (2 0 5t) - F' b"eD NiA Z �i//
— /J — _4,- TARGET DATE �"Err�
SITE ADDRESS �jL
"• , /z- /J a ,/�e/ N/� SUITE/UNIT#
A ! o ► s-. 324/ 51 rEj)f�L �A y w,4 5,AS6 /c /
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ / b 2- / o y - ? 0 3
TYPE OF PERMIT D BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION r>LLM o >•4,Q ,kc.f fli uJ t4'h c G I'- c-�'lZ
Detailed description of work to ID/kJ TA C. / Cj 1
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER /44 el-6D /l/o/j j t4 f r L- P° _.5i- 1-' -oSi 7
MAILING ADDRESS E-MAIL
33- A la c,LLo 6c_vo
MA STATE
e_14 LA ZIP 13 -V
NAME
2q71/1160 C.19-Ai /`_16,44‘ C /t1 JE2 PHONE
.y-may/---_766t-
MAILING 76
ADDRESS E-MAIL
CONTRACTOR 6 'S' /6��.1-J — 9filliCI,_KS040S^eitall,e8G7
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C�Ia-- STAT ZIP FAX
'T/C1C �r9 i4 9J 11W A 7- es- /f o e38-
WA STiTE CONTRA(?OR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
A/14",...,"-C/4 C. `77e,,,C. 7 / 3 //7 zA/i ra VOL> 2--c.0-o QZ
NAME PRIMARY PHONE
ArviF2 t C4,t) 44AE e.f 6( 25.E -i 1-3 6d 0
APPLICANT MAILING ADDRESS
E-MAIL
ti176 s. f0C-J�S"-i-
.. CITY . W1 Id yV y FAX -
NAME /. /, PRIMARY PHONE
PROJECT CONTACT ---16/1- 1 t 1J e-Kf',SC-/1) 2S3-2J c -6 ZEi gj
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence thD G .S, i D a---141-sr ��v L l4/,/LSum ARO,4641.el r
concerning this application) CITY STAT ZIP FAX
NAME
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PROJECT FINANCING UNZ 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,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.
SIGNATU• _ — ,_ DATE /2-72- / 1.
PRINT NAME:Q/"i _ � idi C`off_j p"
Bulletin#100—January I,2013 Page 1 of 3 k:\Handouts\Permit Application
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MECHANICAL 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)
II
AIR CONDITIONER FIREPLACE INSERTS HOODS)commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COINIPRESSORS GAS LOG SETS REFRIGERATION SYST
DU CTING GAS PIPING WOODSTOVES,
PLUMBING PERMIT VALUE OF PLUMBINGtvoxx
$
Indicate how many of each type o
ffixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. _
BATHTUBS)or Tub/Shower Combo) LAVS pima sit>ks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Icitch u/utnity) WATER HEATERS(electro)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION .
CR TICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR _ VALUE OF EXISTING IMPROVEMENTS
$
EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
EXISTING/PREVIOUS USE LOT SIZE(Ia Square Feet)
❑Yes❑ No . ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
SASE NT <
FIRST FLOOR (or Mobile Horne - _ / .7.3/ /2 3
SEaL Fey. ,
cx
e4, , 4,, "g
COVERED ENTRY ,
mat a,..,;" x
GARAGE 0 CARPORT 0
r OTFIER des - i "'' X44 tt 4 . ;% 4, , . c.1,,..,-.4, zp ,
Area TotcztsG PROPOSED 7. v .
_
4w x .
, ,. . , IEWHOME.S OIY* ,* t-rte v¢,` n
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area
Construction #of
In Square Feet Occup ne Group(s) Additional Information
a y
Typ Stones
.'' • ' s�` =r ? o, � '',..-:,irk.''''.r 1. ' a,, TSUILD , `.,4,g, r, , . —,
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of
In Square FeetAdditional Information
; Type Stones
TO AL BIIILDING� g , t z a 5V
... `x v =?:.�.` ,� ., -46i---4,-.„--4-0,----4--- -.�,;'', c.�``.�`� :' �s�r,v';s:'�'"ate..`'� ....�`a�.. I'�.��� �7��'�,, ,.»� `���'��`''Ai
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TENANT AREA ONLY
s , x :. t
,, WEP AREA ONLY" , ��� .4" 4, ;z x
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Bulletin#100-January 1,2013 Page 2 of 3 k:\llandouts\Permit Application