17-104922 Building - Single Family
City of Federal Way .fir.. Permit #:17-104922-00-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 HOME PARK LOT 322
Project Address: 2101 S 324TH ST Parcel Number: 162104 9037
Project Description: NEW-Installation of a new 1,392 square foot manufactured home in a park
Owner Applicant Contractor Lender
BELMOR HOLDINGS LTD TOM FULKERSONAMERICAN AMERICAN HOME CENTER
571 BELLEVUE AVE W SUITE 2D HOME CENTER 406 S 108TH ST
VANCOUVER BC 406 S 108TH STS 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 1392 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 1392 Occupancy#1-Use Residence(1 or 2
family)
Comprehensive Plan Designation SF-High-Density Zoning Designation 0
Residential
Total Valuation:8,282.40
No Fixtures Assoc>Pated With Thts Pernnit I1 ; '"
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
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:
D. ATE INSPECTOR AREA AND TYPE OF INSPECTION
'l Z• /�� Ma r ;4 l:1 - C-R-,. # r,'. 1. '
THIS CARD IS TO REMAIN ON-SITE
CITY OF -
Federal Wa Construction Inspection Record
y INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 104922 00 Address: 2101 S 324TH ST Space 322
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.
® SWM Precon Site Mtg(4400) 0 Initial Erosion Control(4365) ® Interim Erosion Control(4370)
Approved To be done PRIOR to breaking ground Approved
By DateBy Date By Date
111 Blocking/Tie Downs(4015) ,,Q Final Erosion Control(4375) ® Skirting/Final(4250)
Approved Approved Approved
By Date By Date By C. i\.. ,,,,,, Date LA" tc` I '
El Rough Electrical ❑ Final Electrical111Right of Way
Approved Approved Approved
By Date By Date By Date
t
RECEIVED
„Y�A PERMIT APPLICATION
Federal Way OCT 12 2017
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
PERMIT NUMBER I � Z _ j l 1 r.7-'-'
1 _ II ► TARGET DATE
SITE ADDRESS J fj ` - _o iii ,)K� SUITE/UNIT#
210 I -S 3 -z. (I rN Sr /-///)1 /64 1' . 1.1-/ V S`14 c66 3 2..-L--
PROJECT VALUATION ZONING ASSESSOR'S TAX) ARCEL#
$ - 6 2.. ___/ 0y - Pe3 '2
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL ❑ DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT g,Z(1440(C._ 1 _11 la
PROJECT DESCRIPTION J j
Detailed description of work to PI-. A l4 t nJ tj/J4 6 �Y fYti2 d lin/ ..S/24e ,
be included on this permit only
NAME 'Id
/IPRIMARY PHONE
M PROPERTY OWNER /' CS .�v 1 U�/ l/LJj..S r e--r-, 25 3— P3 S---a S7 7
MAILING ADDRESS / E-MAIL
TCITY,ZC v 1 S, 3Z,-f'7 CI-
CITY
STATE ZIP
Cr/) /Iff' LA/4 J t c',1 *t..'
---
NAME
AI,Gi,his 1 ni A .,�,‘ 041/1" < 2 r3- kill- 3 d<.�
CONTRACTOR '7 6 + S it( ts0:12 S"J' lci)LICt./LJUeLf C'Z)"j1/.S4d,CU/N
CITY STATE ZIP FAX
7740 14/1A L444 :1 (Y? 25'$- S'c/cr- 0 ?&'
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /_
NAME PRIMARY PHONE
Ae/lit01 r g,.► 144.3,v/ C4jy /C 2..5-7-Z30-6 2dr
APPLICANT MAILING ADDRESS E-MAIL
t(06 Rik&STT s' -6irLktaatvDrevflM,Cl/#4
CITY STATE ZIP FAX
_ ..>3ao,,,1, - Aki ?WO'' ZS'7.1.V P-vsJs-
NAME / PRIMARY PHONE
PROJECT CONTACT -77).17I1-'. t t) L m Jo 41 2._3-3- '2-3 u-102.6 d`>
(The individual to receive and MAILING ADDRESS f E-MAIL
respond to all correspondence Lie 6 -' /b�I®14 S ---` . , AIL 0 ii.r
concerning this application) CITY STATE ZIP FAX
-EA ce.? 4 j,14 _ 9k9Yy° 2 -3---J-4 - x-
NAME
PROJECT FINANCING f,a 1 0 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.0951
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 - d /-3-01....1L----- DATE /6/4//7
—1 __
PRINT NAME: 1 O/u / TU aijjv/J
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
r
1VIECFIANICAL PERMIT I VALUE OFMECHANICAL WORK
Indicate how many of UNITS each type offixture to be installed or relocated as part of this project_OUTLETS Do not inc de existing fixtures to remain
AIR HANDLING FANS GAS PIPE
AIR CONDITIONER OTHER(Describe)
FIREPLACE INSERTS HOODS(Comerdal)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS m
REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT VALUE OF PLUMBING Worrxl
$
Indicate how many of each type ofjtxture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
i BATHTUBS(or Tub/Shower Combo) LAYS(Rana Sin
I OJ TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS
DRAINS OTHER(Describe)
SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS pxitobm/uteityl WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
$
E7=2STING/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)- - -I-EXISTING PROPOSED TOTAL
FOR OFFICE USE -
FIRST FLOOR(or Mobile Home) 4- /3 ! Z /3 7 1
SECOND FLOOR 1
COVEREDENTRY —
DE GK — —.
GARAGE ❑ CARPORT ❑
OTJ IER(describe) -- --
Areea Totals uc PROPOSED I TOTAL
**NEW HOMES O LY**
ESTJMATED SELLING PRICE$ #OF BEDROOMS
C€MMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Group(s) Additional Information
Type Stories
NEW BUILDING J.,
ADDITION
CC#ZVMRCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction #of
Occupancy Group(s)
in Square FeetAdditional Information
Type Stories
TCYIf1i BUILDING
TENANT AREA ONLY
m PROJECT AREA ONLY - _
Bullet in#100-January 1,2013 Page 2 of 3
k:lHandontqlPPrn,rt Anr,t;r?+;,,„