19-104013 f r
Building - Single Family
City of Federal Way Permit #:19-104013-00-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 PARK SPACE 98
Project Address: 2101 S 324TH ST Parcel Number: 162104 9037
Project Description: ADD-Construct a new 240 square foot ramp.
Owner Applicant Contractor Lender
BELMOR MOBILE HOME PARK 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:
Construction Type: •
Occupancy Load:
Floor Area(sq.ft.)
Additional Permit Information
Basic Plan? No Mechanical to be Included? No
Number of Stories 1 Is this an Online or O.T.C.application? No
Plumbing to be Included? No
Total Valuation:5,000.00
•"�>`� "s. .{ �,�,� r�-� �,4 :,,£r, .•y'.c ,r'.3 �z�!!'y'x'ra:,�;;. xF ,.i,i:• 'r`'>�` ..1 �g�-«;;_�{� v •},r�`',K,t� � ' ^„w"3,'«, x'
�i'�.F.�?.; . ...< ,"4;�.•s«, ''Y',.�;u} .. ,. r„%«.�:: ::a �r'.�3„;,r ... •k'h«i`:.:''t�J.'.:..:r'=: q�rr i�' pit.•;,u•; ra 1- � ,
PERMIT EXPIRES Sunday,23 February,2020
Permit Issued on Tuesday,August 27,2019
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
Washin' on and the City of Federal Way.
Owner or :gen • Date: Al c-/ 119
THIS CARD IS TO REMAIN ON-SITE
°� & THIS CARD IWay Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 104013 00 Address: 2101 S 324TH ST Space 098
Project: BELMOR MOBILE HOME PARK 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 Footings/Setback(4110) Electrical,sch �Frra�s ginspection; Q Framing(4120)
Approved to place concreteApproved PPmand Fire/Draft Stop inspections Hast be signed- A ved to insulate
By Date signed-
off ad approved IBC 1093.4 By Zle Date (7-4
0l Final-Building(4050)
Approved ri
By /6a5 Date ?.--/g
0 Rough Electrical 0 Final Electrical [J Right of Way
Approved Approved Approved
By Date By Date By Date
' %
CITY OF Wilding division
Fed a ra I JJay33325 Eighth Avenue South
Federal Way,WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: ( $ 3.2er� Sr PERMIT#: ( q / / 3 - Do
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(fie,,4c Qn Tam{d /o4_d apA:e4 f^ a_4< <1,;-e..7,:or7 a,-7)/
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IF YOU HAVE QUESTIONS CALL ZcO /,(,y—�_ (253) 835- 244-23
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
/t1//fATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
RECEIVED
•
AA_ PERMIT APPLICATION
.-
CITY OF
Federal Way AUG 1 q 2019 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607 +FAX 253-835-2609 +permitcenter(cr�cityoffederalway.com
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT F.PERMIT NUMBER 1 q _ I O Li D 1 3 _ 5 r q 2,
TARGET DATE
SITE ADDRESSf!��JJ'��//�JJ 7 C 6 1 S'. J, /Tdt�s j �7 S/SUITE/UNIT#
6PROJi,, VALUATION t� ~czON GL , ASSESSOR TAX PARCEL# � V Si
$ Sao) I. 4 — J 6 - q 0 3 7
TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT r 4..,44.IYA- 44 ii,
PROJECT DESCRIPTION // 7
Detailed description of work to 7' A)SA i( /c 9✓i-1( On) &U-' ?Si
be included on this permit only
• NAME PRIMARY
,,I PRIMARY PHONE
PROPERTY OWNER MAILING
I v 0 JJic, LA z1.-3-J 3S-✓ 0377
`
2( o-I --S', 32_17Y Si •
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CITY STATE ZIP
fA r,4 L rAJA ca 1. Al FeY a °
NAME l - PHONE
tfic
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MAILLING ADDRESS 7 .�rE-MAIL`Lei
/Joel,t3l S /(, 5i?� Sr / t'tl�..�c.nEsJoelC1r ie,1/Sd.6,4
CI Y STATE ZIP FAX
"*"1-7.40-0.1/4 /4A '17q`Fc/ 2 S ,Y)4'-oS3(s'
WA STATE CONTRA TOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
A44,,e'�W c q 7 'ac__,
/ /
NAME PRIMARY PHONE
ix),44£etcA,) icio4a CE 1'/-. .1s-54,z3o_6 2-6,Y
APPLICANT MAILING ADDRESS E-MAIL
• CITY STATE ZIP FAX
. ' A(.‘:,,IAy4 23"3-kVY-D e3 P'
NAME ,. PRIMARY PHONE d
PROJECT CONTACT ''"J�y� /-, f- u Lid", a�'t,l 2 _„ -13 t3." 6 4 6(1
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence t C4 , /OX'77L -.i-t— t j i i C&JJOJ'J 29J e d/1AI•Ce-2/
concerning this application) CITYSTATE Z P FAX
--1---:4CO 44,4 WA W003 Zr?-S4Y 0173 s
PROJECT FINANCING NAME,\I �/t J 0 OWNER-FINANCED
When value is$5,006 or more MAILING DRESS,CITY,STATE,ZIP -PHONE
(RCW 29.27.095) _ -
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;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 , / _ - DATE /"'�/4‘
PRINT NAME: 7 )4' r. J'' I j 1_4(.04 f t i
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application