18-10249363
City of Federal Way
Community Development Delrt.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 935-2607 Fax (253) 835-2609
Project Name: BELMOR MOBILE HOME PARK SPACE 59
1%�., 6
Building - Single Family
Permit #:18 -102493 -00 -SF
Inspection Request Line: (253) 835-3050
Project Address: 2101 S 324TH ST Parcel Number: 162104 9037
Project Description: NEW - Installation of 1620 square foot manufactured home.
Owner
Applicant
Contractor
Lender
METRO NORTHWEST LP
TOM FULKERSONAMERICAN
AMERICAN HOME CENTER
2101 S 324TH ST
HOME CENTER
406 S 108TH ST
FEDERAL WAY WA 98003
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.) 1 1,620.00
Additional Permit Information
New / Additional Sq. Feet - 1st Floor ..................... 1620 New / Additional Sq. Feet - 2nd Floor.................... 0
New / Additional Sq. Feet - 3rd Floor ..................... 0
New / Additional Sq. Feet - Basement .................... 0
New / Additional Sq. Feet - Garage ........................ 0
Is this an Online or O.T.C. application? .................. No
Occupancy #1 -Use ................................................ Residence (1 or 2
family)
Total Valuation: 9,639.00
Occupancy #1 - Area (Sq. Feet) .............................. 1620
New / Additional Sq. Feet - Deck ........................... 0
New / Additional Sq. Feet - Other ........................... 0
New / Additional Sq. Feet - Total ........................... 1620
CONDITIONS:
Installation shall be in strict accordance with the manufacturer's installation instructions or
professionally engineered installation design, which shall remain on-site as required by Washington State
law.
PERMIT EXPIRES Wednesday, 12 December, 2018
Permit Issued on Friday, June 15, 2018
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 agen . Date:A--(
urr or THIS CARD IS TO REMAIN ON-SITE
�
Federal Way Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 18102493 00 Address: 2101 S 324TH ST Space 059
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) FAI Final Erosion Control (4375)0 Skirting/Final (4250)
Approved Approved Approved
By Date%By Date By 4,J Date
SWM Precon Site Mtg (4400)
F11
Initial Erosion Control (4365)
El
Interim Erosion Control (4370)
Approved
I
1By
To be done PRIOR to breaking grotmd
Approved
By
Date
Date
By
Date
® Blocking/Tie Downs (4015) FAI Final Erosion Control (4375)0 Skirting/Final (4250)
Approved Approved Approved
By Date%By Date By 4,J Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
RECEIVED
PERMIT APPLICATION
JUN 072018
CITY OF FEDERAL WAY
p/COMMUNfTY DEVELOPMENT
PERMIT NUMBER Y _ ® ® A L% 7,3 — 5 F
TARGET DATE ✓' ' V
;ITE ADDRESS _ ,•- ,, p ,� t/
SUITE/UNIT #
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PROJECT VALUATION
ZONING
ASSESSOR'S TA%/ ARCEL #
TYPE OF PERMIT
p BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING 11 FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
LL'
rk to
Detailed description ofwok
be included ora this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
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2Y3— P3 S --i) -5-17
NAMING ADDRESS
EMAIL
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CITY
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STATE
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ZIP
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2fA�TE-
PHONE
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MAILING ADDRESS
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CONTRACTOR
CITYSTATE
ZIP
FAX
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Y YY
a k
WA STATE CONTP.ACTOWS LICENSE A
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE if
PRIMARY PHONE
MAILINGADDRESS
'- 49 b S, /(0 �' .ST'
EMAIIL
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APPiICANT
CITY
. i c -o
STATE
it
ZIP
9 �yY
FAX
NAME
/
"'—
IM
PRIMARY PHONE
PROJECT CONTACT
I1/
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2—'1-3 - 23 0,1- 2�6
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NAMING ADDRESS_
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MA
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.1.
(The individual to receive and
(The
respond to all correspondence
CITY
STATE
2T3
FAX
concerning this application)
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9 ,�
' -
PROJECT FINANCING
NAME
—2-j::
[j OWNER -FINANCED
Required value of $S, 000 or more
NAMING ADDRESS, CITY, STATE, ZIP
-T
PHONE
(RCW 1-9-27-095)
-
I certify zoader penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knotvLedge_ 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 partnof this application.
SIGNAT DATE/
PRINT NAIL`o
Rnlletin *10i)— Taminry 1 9011 PROP- i nf3 k•\Aan,lnntc\Permit A., N—t;—
cow,
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G
4'" ENERAL INFORMATION
4= TTICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
FIRST FLOOR (or Mobile Home)
CG-VERED ENTRY
VALUE OFPLUMBING WORK
3R:==9ZxSTINGjPREVIOIIS USE
LOT SIZE (In Sgnaze Feet(
$
Indicate how many o each type offixture
to be installed or relocated as
part o this project. Do not include existingfixtures to remain
AIR HANDLING UNITS
RANS
GAS PIPE OUTLETS
OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (co�ers�4
OTHER (Describe)
BOILERS
FURNACES
HOT WATER TANKS (G-)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
TOTAL FIXTURES
4'" ENERAL INFORMATION
4= TTICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
PLUMBING PERMIT
FIRST FLOOR (or Mobile Home)
CG-VERED ENTRY
VALUE OFPLUMBING WORK
3R:==9ZxSTINGjPREVIOIIS USE
LOT SIZE (In Sgnaze Feet(
EXISTING FIRE SPRINHLER SYSTEM?
Indicate how man o each e o
re to be installed or relocated as
art o this roject. Do not include existin res to remain.
BATHTUBS for Tub1sboo_ combo)
LAVS (H—i s;�)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS jnc b „/GwseA
WATER HEATERS (Ez�triq
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
4'" ENERAL INFORMATION
4= TTICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF WUSTING IMPROVEMENTS
FIRST FLOOR (or Mobile Home)
CG-VERED ENTRY
3R:==9ZxSTINGjPREVIOIIS USE
LOT SIZE (In Sgnaze Feet(
EXISTING FIRE SPRINHLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM,,?
y a
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
---- AREA DESQRIPT Q�(in e fe --- – S'Fl�itr–RR9FOSE TO rT—
– -- FE3Ri7FFFIC E u
FIRST FLOOR (or Mobile Home)
CG-VERED ENTRY
GArRAGE ❑ CARPORT ❑
y a
Aw--ea Totals
cv!$oazEsgNz
EST JMATED SELLING PRICE $
4 OF BEDRnnMR _
R111Ir_iw-in #1(10– Iannary 1 9M7 n___ 1 _11