16-106046 •
•
Building - Single Family
City y FILE
Community Development 1e„Way Permit #.16-106046-00-SF
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 220
Project Address: 2101 S 324TH ST Parcel Number: 162104 9037
Project Description: NEW-Installation of a new 1,350 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 1350 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 1350 Occupancy#1-Use Residence(1 or 2
family)
Comprehensive Plan Designation SF-High-Density Zoning Designation 0
Residential
Total Valuation:8,032.50
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 o agent:, v. � Date: l//y/ /7
THIS CARD IS TO REMAIN ON-SITE
Federal Way Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 16 106046 00 Address: 2101 S 324TH ST Space 220
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 Iisted 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.
ID Blocking/Tie Downs(4015) El Skirting/Final(4250)
Approved Approved
.By Date ...By )Rhe Date 1/15//7
El Rough Electrical El Final ElectricalElRight of Way
Approved Approved Approved
By Date By Date By Date
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PERMIT PPLICATION
Federal Way
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PERMIT NUMBER ' Co I_ 0 Y/ O EC 22
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err, •r jTE
SITE ADDRESS L 4L 1 u,- SUITE/UNIT#
1 o I s. 32-V !' 51- fLD1 4L 1A/,y b/v4 5/4c
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
- b Z / o - p v I- -7
TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION 6 LL/1/1L 44 14 �c f N M S 1�Y1 G /4 0,--/Z
Detailed description of work to L2)AtJ 2 Z—v
be included on this permit only
NAME � PRIMARY PHONE
PROPERTY OWNER 6 1 lC- / / 7 J�.�,G(J/fr . 8-0S/7
MAILING ADDRESS E-MAIL
3_s--AlaLLL uLv.)
P
CISTATE ZIP
72
l'/► 1 CSN �i 6.44Ea/AJE2 PHONE�SF-y/-76ot'
MAILING ADDRESS E-MAIL
CONTRACTOR Z b S. 'o 2 'Xi _ /iv-L/C so4DS@/LjJ,Le4 -
CI STAT•
ZIP FAX
et/
vyt
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
, ,14L✓�.7 J4c 77 - C.. e( / 3 //7 20/z ra VO0 r3-t._
NAME PRIMARY PHONE
A,4v)F% ! C.4/0 t-c - t L'LeAri 25.7 Zrci I-36.0
APPLICANT MAILING ADDRESS E-MAIL
j H
CITY JCD/j/t W/STATA 1 d V / ' FAX
NAME PRIMARY PHONE
PROJECT CONTACT --Tam f. v L(� So u 2-
S3—2D d-6 Z6 g
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence Vit' -5, /d S- --'5 T r1 t'v Lki(Ku'v a-5IP,,,,fN.e4,1/.
concerning this application) CITY STAT ZIP FAX
�ACo,,vrA 9 S' (/`/cf 2-3- /E-0 k3a'
NAME
PROJECT FINANCING vN L OWNER-FINANCED
Required value of$5,000 or more MAILING AD,DRRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I ant 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 ofhis application.
SIGNATURE � DATE /2///74
PRINT NAME: 111
Bulletin#100—January 1,2013 Page 1 of 3 k:Wandouts\Permit Application
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VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
$
I Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existingtxtures 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.
' VALUE OF PLUMBING WORK
PLUMBING .PERMIT
$
Indicate how many of each type offiiture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BA'T'HTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(xitchen/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FACTURES
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
; 74. w }
BASEMENT
FIRST FLOOR (or Mobile Home) ,_-g-
I 3-5-4-) l`3-5v
, ',&»�.,,ap,&.res3 $'=�R.3' :- 4, s� � -a€ � fm s - �.aro.., ".:
COVERED ENTRY
GARAGE ❑ CARPORT D
: , mo-; r,-77'7-7-k7 --
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gFx.,.....a, `�e"�� ,,,41 a ,4fw' -fir * t- w m _
Area Totcz7SEXISTING PROPOSED ror�t
-i---,-3- .
ESTIMATED SELLING PRICE$ ' #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Construction #of
In Square Feet Occupancy Group(s) ape Additional Information
Stories
. . r " ;▪ m `' `......�, ds a, a ,' rwEI DING' - �� ' Y rax���`�". ',t1,x2 , 4
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction #of
In Square Feet Occupancy Group(s) Type Stories Additional Information
x:; w a , r itI * -fAeo r c r au' • .,
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aW'= , ' " Z,:' ' .. „ ▪ rd. dr,-,,,,i, „ v!,,, -a-. l& ., rT ,
TENANT AREA ONLY
x PR0.T>;CT ARE(4"NLY"t"` w «-o- °,14 'iii.:
Bulletin#100—Ianuary 1,2013 Page 2 of 3 k:\Handouts\Permit Application