19-102224 w
14; Fre
Building - Single Family
City of
Community FedeDevelropmenal t Dept. Permit #:19-102224-00-SF
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 SPACE 116
Project Address: 2101 S 324TH ST Parcel Number: 162104 9037
Project Description: NEW-Installation of a 900 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: I #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.)
Additional Permit Information
New/Additional Sq.Feet-1st Floor 900 New/Additional Sq.Feet-2nd Floor 0
New/Additional Sq.Feet-3rd Floor 0 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 900 Comprehensive Plan Designation SF-High-Density
Residential
Zoning Designation RM 3600
Total Valuation:5.355.00
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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 Saturday,16 November,2019
Permit Issued on Monday,May 20,2019
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
ashington and the City of Federal Way.
LA/Owner or agent: ,4d r7-Date: ` OZO�l
tI
t
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 102224 00 Address: 2101 S 324TH ST Space 116
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) Skirting/Final(4250)
Approved Approved
By Gt! Date By Date
0 Rough Electrical 0 Final Electrical D Right of Way
Approved Approved Approved
By Date By Date By Date
___ _A. HEDEIVED PERMIT APPLICATION
CITY OF
Federal Way MAY
PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
2019 253-835-2607 + FAX 253-835-2609 +permitcenterJcityoffederalway.com
CITY OF FEDERAL WAY
COMMUNITY DEVELOPbSE
/
PERMIT NUMBER / _ / 9 G7 Ill - S '- TARGET DATE �_ - - -
SITE ADDRESS r Q / n,i�� ///1 ii X' SUITE/UNIT#
2cm t " S 32yT/1 s7- fi` 4 4 -- 6c1.9 ° S;14 Ce-'- // C
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 2 _i o - P O 2
TYPE OF PERMIT Errnin.DING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT he 4.44 0/ 44 (/1
PROJECT DESCRIPTION
Detailed description of work to /C, ,k)/..3 /?A r G ('Car/4 C G'Ai -94 CI:e ((C,
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
/14/(-1-"X 0 N 661417#j61417#/.00 SfT G_-Y'/� A 3-3 -y3 I-(0_5? 7
)
s 3 Zr
LING ADDRESS ��
t v 1 . . 4'7v S
CITY STATE ZIP
NAME
/ -.'/ttC,4,J /-10747:` LeA)i,2 253-V51/& 6Go
MAILING!ADDRESS E-MAIL
L
CONTRACTOR o b /b r To Sr- g _ry L`f�i0c),0 bsl''MSAJ_CCy,
CITY STATE ZIP FAX
T.4(4,,l,✓4 bt44, 9,i y d V .45 -k Ver-6 Plv
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/4Ali 4-T8C- ?7Y v / / PRIMARY NM / ) 2-3 V -(o 2.4 d
A� E J�iC�c 4/i cel�-tQ C/A/Tie/C. T
APPLICANT MAILING ADDRESS E-
4o (o S, / Sr- l fu Oats()A) 4(614' da.Cf
CITY STATE ZIP FAX
-r-i¢c v(1-1L l t,/14 5' r(IVY 3-Sof dr-o.kiP _.
NAME '. / PRIMARY PHONE
PROJECT CONTACT '-U/2/ Y Al 1C,S 0A) 253 *2-j4) -6 L 6 y
(The individual to receive and MAILING ADDRESS E- L
respond to all correspondence (.JD 6. S / U r7-11Sr lcJCittA!U.i) d. ed...J4)t(.a,(4
concerning this application) CM STATE ZIP FAX
TA 60.4 -kei ,,JY'- ! r'v Y f-x-may y•v pry
NAME
PROJECT FINANCING ❑ OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27095)
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 a��((pplication.
SIGNATURE: c .--- � (L, `i DATE .S/<((7
PRINT NAME: At t N
-
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sulks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Ut,hty) WATER HEATERS(Electnc)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/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) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home) 9 v J CJ
SECOND FLOOR (,
COVERED ENTRY
DECK
GARAGE ❑ CARPORT 0
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**11TEW HOMEs env*
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION
Area in Occupancy Group(s) Construction of Additional Information
Square Feet Type Stories
NNW BV>7DVIG
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area m Occupancy Group(s) Construction Stories Additional Information
Square Feet
TOTAL BttlithUG
TENANT AREA ONLY
PttOil.� AREA OIILY
Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application