16-100671 •
. • Building - Single dam ly
City of Federal Way Permit 16�100671i 00�S F
Community&Econ.Dev.Services #:
33325 8th Ave S 3113
Federal Way,WA 98003
Ph:(253)835-2607 Fax(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: LAURELWOOD VALLEY SPACE 37
Project Address: 29401 MILITARY RI)S Space 37 Parcel Number: 042104 9174
Project Description: NEW-Installation of a new 1,020 square foot manufactured home.
caner Applicant Contractor Lender
CAMBRIDGE PACIFIC INC AMERICAN HOME CENTER AMERICAN HOME CENTER
650 E CLARK AVE 16311 MERIDIAN E AMERIHC978OC(9/3/17)
ORCUTT CA 93455 PUYALLUP WA 98375 16311 MERIDIAN E
PUYALLUP WA 98375
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.) 0 0 0 0
Additional Permit information
New/Additional Sq.Feet-1st Floor 1020 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
Occupancy#1-Class R-3 New/Additional Sq.Feet-Other 0
New/Additional Sq.Feet-Total 1020 Occupancy#1-Use Residence(1 or 2
family)
No Fixtures Associated With This Permit!!
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 Monday, August 29, 2016
Permit Issued on Wednesday, March 2, 2016
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 agent: ! e: �Z//,6
THIS CARD IS TO REMAIN ON-SITE
CITY OF ., Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-100671-00-SF Address: 29401 MILITARY RD S Space 37
Project: CAMBRIDGE PACIFIC INC 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.
O SWM Precon Site Mtg(4400) Initial Erosion Control(4365) Interim Erosion Control(4370)
Approved To be done prior to breaking ground Approved
By Date By Date By Date
0 Blocking/Tie Downs(4015) 0 Final Erosion Control(4375) El Skirting/Final(4250)
Approved Approved Approved
Date /74//e) By Date Date
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
cm-OF PERMR' APPLICATION
Federal Way RECEIVED
•
Ir 0 0 � 1/// FEB 04 2016
z--- ///3/ho JPERMIT NUMBER
_ - CITY 0FfutwAY
CDS
SITE ADDRESS SUITE/UNIT#
62.`tW0I /1lictrA,zY /23 AA '3ot ,-H IGerZetc (J) 4€od3 37
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ SO d Oo 0 C 0 `-t 2 U_ L( - q t l y
TYPE OF'PERMIT XBuILDING 0 PLUMBING 0 MECHANICAL ❑ DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT L.Ac REL.4)0 O/D 1,(4 «,, -673 TA T E.S
PROJECT DESCRIPTION /
Detailed description of work to # YLC CJ A/16a/4E ifilO"t /N. l S /N G SPAC�L
be included on this permit only �j
,
( 1 020 j \
NAME / / PRIMARY PHONE
PROPERTY OWNER ^AU t2€L.4)Uf)f7 VALLEY L`J rATES r s�.L C- 805--i37-647i
MAILING ADDRESS �,((�JE-MAIL A
Gia 1-1
E E . CLA Q K C CAA1640;464E Pok.6 Ao..Cq.A,,_
CITY STATE ZIP
0eCc-,Lrr CA 93<'1""
NAME PHONE .
CAM 3auic,E No27-Kc.3E-3-7-- $05-ti345-670o
MAILING ADDRESS AVE- E-MAIL
CONTRACTOR 650 E,CCAfL,G ACA,n4RI06EPAC 4CQcx.wn4.-
CITY STATE ZIP FAX
DeCurr- CA 93455- ` 01---937-0ts13
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
CC- cAh[312.K 8711731- 3 /2t /17
E '' \\ PRIMARY PHONE
Avl W rZ-.-7oN -MAlJ, 6 iN6 /lE,•j aE,z Esos-310--67oc)
APPLICANT MAILING ADDRESS E-MAIL
6m E. C. jg A04- 2)W/LtbM di CA/t612.15&tt3A.Ms.-7-
CITY STATE ZIP FAX
OP.C.Ksr CA crIgt-- _g0i-'g37-b413
NAME PRIMARY PHONE
PROJECT CONTACT E4 A 146_ Co4A-;,u( 251-213-2a66
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 15L(t0 S.E. 427 N STQEar SCEsrarE5 6LIVE.COI"-
concerning this application) cm STATE ZIP FAX
SKr "IA cr804�
NAME .. _._. ... ..
PROJECT FINANCING AAM/260.4)006 V . J k".."7-#4 TESI LLL OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
7
(RCW19.2095) 6SO6.CAacAJi£ CAC,2CccTr �'t345s So --q-3
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 an, ense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only whe such cla arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
informati. supplied to the ty as a part of this application.
,
S NAT '1_x_'111 r iiiir OW 4 i— _ DATE /-25-
NTN' ,'iii AV l 6 kV/L50l4
/17,;;4/ fliaL,_k_a--(641
Bulletin#100-January 4,2016 Page 1 of 3 k:\Handouts\Pennit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type offuture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS x OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial( M 14 ' S�ftit?
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 offixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower combo( LAVS(Hand Sinks( TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS t** P4rE2 G 1Ipe>et4P
DRINKING FOUNTAINS SINKS(Kitchen/utility)
WATER HEATERS(Eleetrie( SE(JER.
HOSE BIBBS X SUMPS WASHING MACHINES _3 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
LAKEHAVEu 1,AleeNAt1(/1
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOS FIRE SUPPRESSION SYSTEM?
/Vic)f3t NOi - 3 J LV o Yes No ü YesA No
SPAS
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home) X fD2 O
SECOND FLOOR •
COVERED ENTRY
DECK •
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals /Oap /O 20
**NEW HOlifES Oar*
ESTIMATED SELLING PRICE$ £S;000 #OF BEDROOMS .3
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-January 4,2016 Page 2 of 3 k:\Handouts\Permit Application