15-102675 ••• • •-•
4" 0_ • funding - Single Talinily
City of Fedeay
Community&Econ.Dev.Services Permit #: 15-102675-00-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: CHARWOOD PARK SPACE 9
Project Address: 1660 S 333RD ST Space 009 Parcel Number: 797880 0081
Project Description: NEW-Installation of 1,568 square foot manufactured home within a manufactured home
park
Owner Applicant Contractor Lender
CHARWOOD PARK LLC BERWICKS MANUFACTURED BERWICKS MANUFACTURED
6619 132ND AVE NE PMB 254 HOME SERVICE INC HOME SERVICE INC
KIRKLAND,WA 98033-8627 PO BOX 1563 BERWIMH865LP (6/17/16)
PUYALLUP WA 98371 PO BOX 1563
PUYALLUP WA 98371
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 0 New/Additional Sq.Feet-2nd Floor 0
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
I
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 0 Occupancy#1-Use Residence(1 or 2
family)
No Fixtures Associated With This Permit II
CONDITION :
Installation shall be in strict accordance with the manuf to liegallation instructions or professionally
engineered installation design,which shall rem ' uired by Washington State law.
f'1,1"-k
PERMIT EXPIRES Wednesday, December 16, 2015
Permit Issued on Friday,June 19, 2015
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'n accordance with the laws, rules and regulations of the State of Washington
and tthee,City of Federal Way.
Owner or agent: G{/ ( 2 !�'G Date: � 1 Y
City of Federal Way ".
Certificate of Y
Occu anc r
Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that
at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: CHARWOOD PARK SPACE 9 Permit#: 15-102675-00-SF
Address: 1660 S 333RD ST Space009
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: _
Occupancy Load:
Floor Area(sq.ft.) 0 _ 0 0 0
Owner Name: CHARWOOD PARK LLC
Owner Address: 6619 132ND AVE NE PMB 254
KIRKLAND,WA 98033-8627
•
Building Official Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severiy affect the health and safety of the general public. Although the City has made as complete a
review and inspection as is reasonably possible(within budgetary time and personnel limitations), the City neither guarantees nor
warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon
which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
_ THIS CARD IS TO ON-SITE
Cm of �/��� •
Federal Way 0 Construction In ection Record
y INSPECTION REQU TS: (253)835-3050
PERMIT#: 15-102675-00-SF Address: 1660 S 333RD ST Space 009
Project: CHARWOOD PARK LLC FEDERAL WAY, WA 98003-6434
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) ❑ Initial Erosion Control(4365) El Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
o Interim Erosion Control(4370) 0 Blocking/Tie Downs(4015) El Final Erosion Control(4375)
Approved Approved Approved
By Date By p Date g-7.-.( r- By Date
O Skirting/Final(4250)
Approved
By lit4 Date 10 f 5d( .
I
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
■
I
CITY OF A PERMIT IPPLICATION
Federal Way JUN 0.3 2015
IT(OF FEDERAL WAY
PERMIT NUMBER 1 -_ I ( S 6 7 5— 6 k l i-71 TARGET DATE _ 1 5
SITE ADDRESS SUITE/UNIT#
/44 0 . 2, 3 33 RP SA 24iL LA)4/ '4. 9 '3 7/ `I'
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# 0 — �^ 0 21
TYPE OF PERMIT I BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT /f/t1f16'Q4'5 /1/4440- gy /1/in rb 0 i 1R -
PROJECT DESCRIPTION '8 e/A/'� /Al IV °h'4 /-/fern`tl- ,,z15 CC- 1 /LTG Co
Detailed description of work to f 77 6-7.)OW 4, - a ie,2r-- /)e-c-A 7-0-e De_G✓P/rT,.4,-,-2J
be included on this permit only R e ir - e69'
NAME PRIMARY PHONE
PROPERTY OWNER 131/4)/ 5 .-/aktu t..4,s, , 4./A5--' e'v - '%5'9 7
MAILING ADDRESS / E-MAIL
Solo / / l—,S ,. AvC-N<;.0 d; 7") Ac cad.,,T,4-7ab4uis 'AN 5/405
CITY STATE ZIP •COQ
g,r2-- Z w/4 . 9 <P33
NAME PHONE
13Eecvicie s
MAILING ADDRESS / E-MAIL
CONTRACTOR 5 8'C /r1l-1L of 5 .e&-`l—CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
W i Zd.- /, P/3 / Tr? 5.5"3 tT3fY-9Go?
APPLICANT MAILING ADDRESS 'J E-MAIL
1 Lot 0 O. 333 'c 57-: -6 '? Ci aAcePahAvs,,c,
CITY STATE ZIP FAX
i s bR C La-4_7 w4. 5 el?°3 ,.c2-
NAME PRIMARY PHONE
PROJECT CONTACT %j /i L i , 4,14 /3 7 7 L I3 ✓876d- evo
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence .
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 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,and filed against the city,
but only where such claim arises ou of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a of this plication.
SIGNATURE: L.f/ /(1 ,11 DATE
PRINT NAME: I i!i,/,7-44 13A 5/i
Bulletin#100-January 1,2013 Page 1 of 3 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)
MR 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 Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
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
to �t fMM &Ltd/Ig// .n 1 $ /4 D0
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLE STEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes c�No CI Yes 2--No
701(3
RESIDENTIAL — NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
,.,`..is fi` •'%=r%;r"Y'r ---.....—..._-__.�_....___ .....__._...__._..._......._
FIRST FLOOR(or Mobile Home) Ag) 3'Z° /.5Z2
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COVERED ENTRY
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GARAGE ❑ CARPORT ❑
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EXISTING EXISTING PROPOSED TOTAL
Area Totals
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%F;'��"�° ,r,� � h,'��/ ��M+` ��.3 �,��',�r err �s',.:��,
ESTIMATED SELLING PRICE$ , #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
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ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction #of
Occupancy Group(s) Additional Information
in Square Feet
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TENANT AREA ONLY
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Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application
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