17-104919 FILE, Building - Single Family
City of Federal Way Permit #:17-104919-10-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 PARK LOT 53
Project Address: 2101 S 324TH ST Parcel Number: 162104 9037
Project Description: NEW-Installation of a new 1,620 square foot manufactured home in a park
•
Owner Applicant Contractor Lender
BELMOR HOLDINGS LTD TOM FULKERSONAMERICAN AMERICAN HOME CENTER
571 BELLEVUE AVE W SUITE 2U 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: R-3
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0.00 0.00
Additional Permit Information
New/Additional Sq.Feet-1st Floor 1620 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 1620 Occupancy#1-Use Residence(1 or 2
family)
Comprehensive Plan Designation SF-High-Density Zoning Designation 0
Residential
Total Valuation:9,639.00
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PERMIT EXPIRES Tuesday, 17 April,2018
Permit Issued on Thursday,October 19,2017
I hereby certify that the above information is correct and that the construction on the above described property Ili
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
7
THIS CARD IS TO REMAIN ON-SITE
Federal I 0 . Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 104919 00 Address: 2101 S 324TH ST Space 053
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.
ID SWM Precon Site Mtg(4400) ° El Initial Erosion Control(4365) 0 Interim Erosion Control(4370)
Approved To be done PRIOR to breaking ground Approved
By Date By Date By Date
Blocng/Tie Downs(4015) ❑ Final Erosion Control(4375) ®
kiSkirting/Final(4250)
Approved Approved Approved
.By ts•.'_v,...+.s_ Date 1, -,11.4 V .By Date .By c \t‘.., Date Li ,,b(.,,s £s
0 Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
t dI 411111 111/
RECEIVED
CITY OF OCT t z 2017 PERMIT APPLICATION
Federal Way
CITY OF FEDERAL WAY
COMMUNCTY DEVELOPMENT
PERMIT NUMBER 1 7 _ ) 0 q 9 1 1 _ I ( / 7
TARGET DATE
SITE ADDRESS gey' - In/e__ /11 ti I:) SUITE/UNIT#
2%.1 cO 1 -S s -z y r! Ste- ATI/1=7641 . pli4 v sipi.cam- j`.
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 2- _/ 0 Y - y e ? 9
TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL El DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT id/1 O
PROJECT DESCRIPTION {
Detailed description of work to - / II 047 ,z- g
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER l�,i/E /I C a (7-i/�,L/j s r- e-/g 25-3- P3 c •-6 Y.(7
MAIL' "ING ADDRESS- '�-.J�1' E-MAIL
ACO ( s, .i_z' 7V CT
CITY STATE ZIP
icd/4/Ji9L /;V/j� j L'V/ / ylY Z ir.
NAME--_-_ -_- - __- ------ --.- PHONE
j/li 61/0 n) A a.44 04n01-74 ., .. 2rJ : 'yf• 36c.10
ING ADDRESS E-MAIL
CONTRACTOR 1:1Lrl S. /(0.81! S-7--- ...---
l ti LKtr`/XJCJlj 6:l 6.1"41,C1.1.41
CITY STATE ZIP FAX
' )c it7,3 z t it 25-5- kgs oerS'
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
,4v47/4/c4.A) l l vA4r� �/r�'•JT r/ z.r",3- 23 e,-G 2-6.S"
APPLICANT MAILING ADDRESS E-MAIL
y a7 Co S / [D g7'i/ S T _-7-:/-ti' L G.A).4Jd; i2iJ .cr�,df
CITY STATE ZIP
'-----1---- C c. 4/4' t4-A 2k/q y 2.1-3-.4-1/ v-0 A' S"
NAME / PRIMARY PHONE
PROJECT CONTACT 77)4 J j-, t,L) Leif,J()/v1 23-3-- `2-3 v A. 2A t P
(The individual to receive and M'AjILING ADDRESS �® E-MAIL
respond to all correspondence Li MAILING
L S, /b d Z� S i -jC�( ./JV.t f l &1LJAI,C 4,147
concerning this application) CITY'''T--.4 c STATE/ ZIP FAX
A44 l,'v4 9 k S' Yy 2 571�.-4-/1' X S,
NAME
PROJECT FINANCING 1V10/04-
0 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP
(RCW 19.27.095) PHONE
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 - - ..Alin AA ./ DATE too/ �a//7
PRINT NAME:'T^�,/H h j-- V ./C f,=.% s• /
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
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MECHANICAL PERMIT $VALVEOFMECHANICAL WORK
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS
AIR CONDITIONER
FANS GAS PIPE OUTLETS OTHER(Describe)
FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS pea)
GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT VALUE OF PLUMBING WORK
$
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing to remain.
BATHTUBS(or Tub/shower Combo) LAYS mane Sinks) TOILETS
DISHWASHERS
WATER PIPING
RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Unv'ry) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR I SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
$
ENLISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
RTESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTIQII(in_sgnare feet) EXISTING PROPOSER TOTAL—
_-- FOR -TTSE
FIRST FLOOR(or Mobile Home)
.F :: i. ,4- l 2� /6 2-L
r
COVERED ENTRY
".* .
mi,
GARAGE Q CARPORT ❑
Area Totals
PROPOSEDTOTAL
ESTIMATED SELLING PRICE$ I #OF BEDROOMS
CCOMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Construction #of
In Square Feet Occupancy Group(s) Additional Iafonnatlon
> �. .44:1;:;:2-;:l Type Stones Additional
e `
'e, _- __ .a �*.en'vwv rt ' . . 71;40 £ 5, IA '4 ,r;' " '`.#�`, r + '` : 1.,:-0;:.o.!..1,-,‘-`, :-.. p ''
.:. '4„
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction #of
In Square Feet Occupancy Group(s) Additional Information
'-'",. .7t.:-,4V15$ Type Stories� .r��� -� , � ':: j ,,„ � � ' 5, fi: * -
, : °_ $` BUILDN;:,� - ' s . ;
' , $,
TENANT AREA ONLY
PRO IEGT AREA`ONLY �.;.-.0 i, a< - ,^• ..
Bulletin#100-January 1,2013 Page 2 of 3 k:\I-Iandnntc\Perrnit A„n);,-a+;,,.,