16-106049City of Federal Way
Community Development Dept.
Applicant
33325 8th Ave S
FILE
Federal Way, WA 98003
TOM FULKERSONAMERICAN
Ph: (253) 835-2607 Fax (253) 835-2609
Project Name: BELMOR MOBILE HOME PARK LOT 243
Project Address: 2101 S 324TH ST
I ti
Building - Single Family
Permit #:16 -106049 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 162104 9037
Project Description: NEW - Installation of a new 1350 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 # #4
Occupancy Class: R-3 1 4f 1 0z
Construction Type:
Occupancy Load: 11w -7x
Floor Area (sq. ft.) 0.00 0.00 j2
Additional Permit Inf anon
New / Additional Sq. Feet -1st Floor ..................... 1350 f; ='New / Additi S t -2nd Floor.................... 0
New / Additional Sq. Feet - 3rd Floor ..................... 0 �. - Occup - a (Sq. Feet).............................. 0
New / Additional Sq. Feet - Basement .................... 0 New / A al Sq. Feet - Deck........................... 0
New / Additional Sq. Feet - Garage ................. ..: O%` Plumbing Work Valuation?..................................... 0
New / Additional Sq. Feet - Other .................. an Online or O.T.C. application?.................. No
New / Additional Sq. Feet - To .. ... Wl....... ... X 350 ceupancy #1 - Use ................................................ Residence (1 or 2
family)
Comprehensive Plan Designation............. ,«:... SF - Hlgh 1tY Zoning Designation .......................................... 0
Residential
Total Valuation: 8,032.50
EXPIRES Tuesday, 18 July, 2017
rmit Issued on Thursday, January 19, 2017
ertify that the above information is correct and that the construction on the above described property
of 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.
cr.r or f&
Federal Way
PERMT #: 16106049 00
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 2101 S 324TH ST Space 243
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.
0 Blocking/Tie Downs (4015) 2❑ Skirting/Final (4250)
Approved Approved
By bL .J Date -17 -1 cl By Date
Rough E l t rical
0
Final Electrical
Right of Way
Approved
Approved
[By
Approved
By
Date
By
Date
Date
�rAss ociate s,lnc.
Geotechnical Engineering • Environmental Engineering
Construction Testing and Inspection
COMPACTION
REPORT NO.: 16261SCRO81716-MP
DATE: 8/17/2016 CONTRACTOR: Belmor Park
PROJECT M 06616261 PERMIT #: 16 -103491 -00 -SF
PROJECT: Belmor Park Lot #243 & 244 INSPECTOR: Michael Peaslee
LOCATION: 2101 S 324th St, Federal Way, WA JURISDICTION: JBLM
KA P.M.: Bill Throne WEATHER: Sunny TEMP: 77
SANDCONE F
171 NUCLEAR ASTM D6938 ASTM
F ASTM D115 6 F1OTHER
LOCATION MAP
O Paved Areas:
49 Building Pads) : Subgrade
O Utility:
Q Other:
Superintendent/Representative: Technician:
Offices Serving the Western United States
Compaction Report
Effective 04-20-15
Lynnwood (425) 485-5519 • Poulsbo (360) 598-2126 • Puyallup (253) 939-2500
the.& .4mpr. .W—fl-,-pd .p.ep.edfrr,Le.mk--- .fffiechmt ih,,repaa =y=bereprodmodmmyra�w;ha ffie ftmpmofffiechatarA aa anasoo. nnrepwm&caac msp t obw.emmdgrwjhsbawdmmte
mnditiaos md�mtrector activities. Thiemt atim is subleem—priorro Snelsob—ftaL HysigoingtbismpcM, mspeclardoms =cWrt pm bihtyfmvdiftyofr mt& Thea mformtimhmbempm,%&dbyatfimsm .
Page 1 of 1
Unified Soils Maximum Dry Optimum
Density / Rice
Curve Classification or Description Moisture
1 KA Lab No. 161-236 Native 133.3 8.3%
MODE & DENSITY REQUIRED
TEST ELEVATION LOCATIORL
CURVE DEPTH (PCF) MOISTURE COMPACTION COMPACTION
1 Lot 2
127.1 52% 95%. 950/4.
2 Top of Subgrade lot 244, Center of Bldg Pad
1 6" 126.1 5.9% 95% 95%
3
4
5
6
7
8
9
EQUIPMENT NO.:
20983
This testing does not preclude the possibility that the soil or hot mix asphalt
DAILY AVERAGE STANDARD DENSITY COUNT:
1991
may be loosened by future construction or rainfall events. The compaction
tests were performed at the approximate locations and elevations shown,
DAILY AVERAGE STANDARD MOISTURE COUNT:
625
and indicate relative compaction at those locations. Horizontal and vertical
limits of the compacted areas were determined by others. Our firm does no
Reviewed B
By:
guarantee earthwork or paving construction, nor does our work relieve the
contractor's responsibility to conform to the approved project plans an
specifications.
To the best of my knowledge, the above WAS performed in accordance with the approved plans, specifications and regulatory requirements.
REMARKS:
Superintendent/Representative: Technician:
Offices Serving the Western United States
Compaction Report
Effective 04-20-15
Lynnwood (425) 485-5519 • Poulsbo (360) 598-2126 • Puyallup (253) 939-2500
the.& .4mpr. .W—fl-,-pd .p.ep.edfrr,Le.mk--- .fffiechmt ih,,repaa =y=bereprodmodmmyra�w;ha ffie ftmpmofffiechatarA aa anasoo. nnrepwm&caac msp t obw.emmdgrwjhsbawdmmte
mnditiaos md�mtrector activities. Thiemt atim is subleem—priorro Snelsob—ftaL HysigoingtbismpcM, mspeclardoms =cWrt pm bihtyfmvdiftyofr mt& Thea mformtimhmbempm,%&dbyatfimsm .
Page 1 of 1
' Federal Way
� PERMIT APPLICATION
wKVM
y
PERMIT NUMBER �O _ (� o /
_ r _ ET DATE
SITE ADDRESS ��� U /Z--
SUITE/UNIT #
i o i s-. 3.7- V -V sl- F40,6lAL WA Ifw,A
s Z,4 c,-'
PROJECT VALUATION
ZONING
ASSESSOR'S TA//RIPARCEL #
b
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
i--L/V wzz 1�1 �� P O /U� �J W 1� G
PROJECT DESCRIPTION
Detailed description of work to
!--)C.e(
be included on this permit only
PROPERTY OWNER
NAME �
L, �
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
I
CI
STATE
IWA
15.14 ,
N E �
?�J'=��.!C 1 N �� O✓t�� �it1 � 2
PHONE
� SJ-��// .76vU
MAILING ADDRESS
is ('S /�� �fl
E-MAIL
i 11 L� vNOS
CONTRACTOR
CI n
/� c
STAT
ZIP
FAX
C
WA ST TE CONTRA OR'S LICENSE #
l 4444.E C `i 7e mac-
EXPIRATION DATE
el / 3 —/-/
FEDERAL WAY BUSINESS LICENSE #
b /z rD Sloe ;7-49-flCdZ
NAME
A A40, e ! ") t -]'!4V E"t�3z'<
PRIMARY PHONE
25_7- d-tr / - 3 d d
MAILING ADDRESS �
L/ 0 (0 S, 1 CO31, -
5—
E-MAII.
APPLICANT
CITY
IGodW I
q d y
FAX
PROJECT CONTACT
NAME �, �. '' /
I L ji v
PRIMARY PHONE
2S3 -22 b
MAILING ADDRESS
V4 l D S-74LS 7—
E-MAIL _
uro
(The individual to receive and
respond to all correspondence
CITY
�Aco ,9
STAT
�
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
U
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, andfiled 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 apart of this application.
%
SIGNATURE:DATE 2
PRINT NAME -7T4—,44 d��
Bulletin #100 — January 1, 2013 Page] of 3 k:\Handouts\Permit Application
7
' AUCHANICAL PERMIT
Indicate how T"y of each typE
AIR HANDLING UNITS
AIR CONDITIONER
BOILERS
COMPRESSORS
DU CTING
to be installed or relocated as
FANS _
FIREPLACE INSERTS _
FURNACES _
GAS LOG SETS _
GAS PIPING
VALUE OF MECHANICA - WORK
f this project_ Do not include existing fixtures to remain.
GAS PIPE OUTLETS OTHER (Describe)
HOODS )comme d4
HOT WATER TANKS )Gas)
REFRIGERATION SYST
W OODSTO V ES,
PLUMBING PERMIT
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING IrORK
VALUE OF EXISTING IMPROVEMENTS
a
$
Indicate how mczn o each type o
ure to be installed or relocated as
part o this ro "ect. Do not include existin res to remain.
BATHTUBS (orTub/Shower combo)
LAVS )Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
# of
DRINKING FOUNTAINS
SINKS (Kitchen/utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR'
VALUE OF EXISTING IMPROVEMENTS
a
Stories
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITION
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL
FAMm-ni
FIRST FLOOR (or Mobile Home)., e -^U 13-5(D
COVERED ENTRY
t. X
GARAGE ❑ CARPORT ❑
1 s #r 1 Ii
�y �/'p tt"
"14f
Area Totczls L'XISTRG `PROPOSED .TOTAL''
w
ESTIMATED SELLING PRICE $ # OF BEDROOMS
FOR OFFICE USE
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) s
In S uare Feet p y p()
Construction
# of
Additional Information
a
Stories
EWI" UII.DIN �•y'^` ?.,`� " z y
-� rs
�a. ra.'�,,.
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESC312IPTION
Area
in S
Occupancy Group(s)
Construction
# of
Additional Information
uare Feet
Ty -pe
Stones
ri
x
TENANT AREA ONLY
C.
,zg
Bulletin #100 - January 1, 2013 Page 2 of 3 kAHandoutsTermit Application
0
'4
41k
CITY OF
Federal Way
DEPARTMENT of COMMUNITY DEVELOPMENT SERVICES
RESUBMITTED 33325 8" Avenue South
Federal Way, WA 98003-6325
253-835-2607; Fax 253-835-2609
JAN 11 2017 www.cityoffederalwaYcom
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
RESUBMITTAL INFORMATION
This completed form MUST accompany a// resubmitta/s.
"Pleasenote Additional or revised plans or documents for an active project will not be accepted
unless accompanied by this completed form. Mailed resubmittals that do not include this form or that
do not contain the correct number of copies will be returned or discarded. You are encouraged to
submit all items in person and to contact the Permit Counterpnor to submitting /fyou are not sure
about the number of copies required. **
ANY CHANGES TO DRAW/NGS MUST BE CLOUDED.
Project Number: -- -60 - --/— 0 G --0 --V- —�E- - --0-a - SF
Project Name: 6ee'd4c) �2 -KIo�'-
Project Address: / in / S , y ZV3:6,0 .S'?' /�i�'f� tiJ/� to 1.07- 2 ��
Project Contact: �,a l J 4n 10r,4.r Phone:
RESUBMITTED ITEMS:
# of Copies **
Detailed Description of item
dawc
Always submit the same numbef� of copies as required foryourinitial app/kation."*
/�xvc) ec'T-
Resubmittal Requested by: Letter Dated: ! !
em er
Bulletin #129 — January 1, 2011 Page 1 of 1 k:\Handouts\Resubmittal Information