18-103698City of Federal Way
community Developnent Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
Project Name: BELMOR PARK SPACE 163
Project Address: 2101 S 324TH ST
Building - Single Family
Permit #:18 -103698 -00 -SF
Inspection Request Line: (253) 835-3050
Project Description: NEW - Installation of 1274 square foot manufactured home.
Parcel Number: 162104 9037
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: 434 - Residential alt/add - no change in number of units
Includes: #1 #2 #3 #4
occupancy Class: R-3
Construction Type:
Occupancy Load:
Floor Area (sq. ft.) 1,274.00
Additional Permit Information
New / Additional Sq. Feet -1st Floor 1274 New / Additional Sq. Feet - 2nd Floor .................... 0
New / Additional Sq. Feet - 3rd Floor ..................... 0 Occupancy #1- Area (Sq. Feet).............................. 1274
New / Additional Sq. Feet - Basement .................... 0 New / Additional Sq. Feet - Deck ........................... 0
New / Additional Sq. Feet - Garage ........................ 0 New / Additional Sq. Feet - Other........................... 0
Is this an Online or O.T.C. application? .................. No New / Additional Sq. Feet - Total........................... 1274
Occupancy #1 -Use ....................................... Residence (1 or 2
family)
Total Valuation: 7,580.30
PERMIT EXPIRES Monday, 4 March, 2019
Permit Issued on Wednesday, September 5, 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 ager Date: y
ern v 4!&
Federal Way
PERMIT #: 18103698 00
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 2101 S 324TH ST Space 163
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 SWM Precon Site Mtg (4400)
0 Initial Erosion Control (4365)
FAI Interim Erosion Control (4370)
Approved
To be done PRIOR to breaking ground
Approved
By Date
By Date
By Date
0 Blocidngrfie Downs (4015)
®
Final Erosion Control (437)
Skirting,/Final (4250)
Approved
Approved
Approved
C5---bate'--1
By
Date
By
Date 3
4
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
osr oc �i�
Federal Way
PBRMITTAERPLICATION
AUG 14 2018
1 Q D CITY OF FEDERAL WAY
Pula= NUnKER O _ C% _ 5 IMUNrTY DEVELOPMENT /
— — — — — — — — TARGET DATE
SITE ADDRESS 6trtd,o
SUITE/vNIT #
co s 2 Z-1) s
S 4la c,
PROJECT VVALUATION
ZONING
ASSESSOR'S TAS/ ARCEL
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLMON ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
o
/
PROJECT DESCRIPTION
Detailed description of work to
tYv!4-1 \
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
^ yr/`�$
2Y-?— 23 L . -I
MAn G ADDRESS
o S S>—
Z-KAM
CITY
STATE
ZIP
Al Alf el
v
MAILING ADDRESS
g_MAIL
CONTRACTOR
ST
L
CITY
STATE
ZIP O ` f U
FAX
2j--5 Lfr
WA STATE CONTRACTOR'S LICENSE #
EZPIRATI N DATE
FEDERAL WAY BUSINESS LICENSE #
PR]3KARY PHONE ''...
-7-2
APPLICANT
MAII,II4ADDRESS
6? 6 S / 7W.ST
E MAH,
CITY
T �0
STATE
ZQ•
9 y
FAX
NAMS
PRnKARY PHONE
PROJECT CONTACT
23 u. P
M&'MG ADDRESS
4 d 4, �� ,
E.MAM
(The individual to receive and
mond to all correspondence
im D
concerning this application)
CITY
STATE
ZIP
FAX
s
9
NAME
PROJECT FINANCINGM-141,05
Qo-4WMM FJNAAC$D
Required value of $5,000 or more
(RCW 2"7 o9s)
MAILING ADDRESS, CrrY. STATE. ZIP
PHONE
I cotV9 under penalty of perJ&uV that I am the property owner or authorised agent of the properly owner. I csrhjjg that to be
Of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply
with
al I app8cable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand thet the
issuance of this permit does not remove the owner's responsibility for compliance local,
with 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 claim4 which may he made by any inchsding
permn, 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 apartef this application.
;1SIGNA DATE
PRINT
Rn11rtin ii 1 iUl — lannary 1 7011 Poor i of I I \Nanriniita%Pn m:t A -1; -t;-
Cl1iLi
7
MECHANICAL PERMIT
Indicate how many of each typd
AIR HANDLING UNITS
AIR CONDITIONER
BOILERS
COMPRESSORS
DUCTING
fo be installed or rel
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
GAS PIPING
GAS PIPE OUTLETS
HOODS (Commaeiq
HOT WATER TANKS p.q
REFRIGERATION SYST
WOODSTOVES
VALUE OFMECHAMM WORK
OTHER (Describe)
PLUMBING PERMIT
Indicate how marky of each #me ofadum to be installed or relocated as Part
BATHTUBS (-b/SbooQ Combo) LAVS (Hand WM4
DISHWASHERS RAINWATER SYSTEMS
DRAINS SHOWERS
DRINKING FOUNTAINS SINKS tx+tcv4=/u+ehl
HOSE BIBBS SUMPS
VALUEOFPLUA9MGWORK
o this Project. Do not incbide es to remain.
TOILETS WATER PIPING
URINALSOTHER (Descn'be)
VACUUM BREAKERS
WATER HEATERS (n.,4
WASHING MACHINES TOTAL FIICTIIRES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
ES33TJNG/PREVI0IIS IISELOT
WATER PURVEYOR
SIZE (In Squamae Feet)
SEWER PURVEYOR
EXISTING FIRE SPRINKLER SYSTRtIi?
❑ Yes o No
VALUE, OF EMSTING DeROVEMENTS
PROPOSED FIRE SUPPRESSION SYSTEM?
o Yes o No
RESIDENTIAL - NEw OR ADDITION
--ARRA R c -(
FIRST FLOOR (or Mobile Home) 2 ? Y
COd'VERED ENTRY
GARAGE Q CARPORT ❑
}T
Area Totals
B �
EST':I I SELLING PRICE $ # OF BEDROOMS
TOT,"
,
C(>M MRCrAL - NEW/ADDmoN
A IUMA DESCRIPTION Area
In square Feet Occupancy ('rionp(s)
ADDITION I
C0'mMRCLAL — REMODEL/TENANT IMPROVEMENTS
a'NFtIr.A DESCRIPTION Area
in Square Feet Occupancy Groups)
TENANT AREA ONLY
R"lle.-tin#TOO—lannary 1 ?Ali n __1 _oe
Construction " of
TvDe Atnrlaa Addition8llnformation
# of Additional Information
for as
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RECEIVED
AUG 14 2018
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
311,E