10-103601 , wilding - Single,Family
Community Development Services
City of Way Permit #: 10-103601 -00-S F
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph (253)835-2607 Fax (253)835-2609
Project Name: LAURELWOOD VALLEY MHP- SPACE 20
Project Address: 29401 MILITARY RD S SPACE 20 Parcel Number: 042104 9174
Project Description: NEW-Installation of 1400 sqft manufactured home in MH park
Owner Aoolicant Contractor Lender
LAURELWOOD VALLEY MHP AMERICAN HOME CENTER LARSEW W903CJ(04/30/13)
26132 147TH AVE SE 16311 MERIDIAN E 2706 PIONEER WAY E
KENT WA 98042 PUYALLUP WA 98375 TACOMA WA 98404
Census Category: 112 -New Manufactured/Factory-Built Home,IN PARK
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
p.
. ,�q °t ;-A� A! a a � 'ta V
a�pl�� � `= -„ � , � ®.. �°°`<-i� .,� a a' ��s'�k '^` .., �' .,,..rte.,-,.. �.
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
New/Additional Sq.Feet-Deck 0 New/Additional Sq.Feet-Garage 0
New/Additional Sq.Feet-Other 0 New/Additional Sq.Feet-Total 0
Zoning Designation RM 1800
CONDITIONS:
Subject to field inspection with plans.
***ANSI INSTALLATION MANUAL ON SITE***
PERMIT EXPIRES Wednesday, February 16, 2011
Permit Issued on Friday, August 20, 2010
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 try- ity of Federal Way.
Owner • agent: 411111 , . . / Date:
10/1 /f0
City bf Federal Way • •
Certificate of 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: LAURELWOOD VALLEY MHP - SPACE 20 Permit#: 10-103601-00-SF
Address: 29401 MILITARY RD S SPACE20
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
—
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
Owner Name: LAURELWOOD VALLEY MHP
Owner Address: 26132 147TH AVE SE
KENT WA 98042
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 severly 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 AIN ON-SITE ,
CITY OF ` 0 Construction In ction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 10-103601-00-SF Address: 29401 MILITARY RD S SPACE 20
Owner: LAURELWOOD VALLEY MHP FEDERAL WAY, WA 98003-8014
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.
❑ SWM Precon Site Mfg(4400) AEI Initial Erosion Control (4365) ❑ Interim Erosion Control(4370)
Approved To be done prior to breaking ground Approved
By Date By Date By Date
❑ Blocking/Tie Downs(4015) ❑ Final Erosion Control(4375) ❑ Skirting/Final(4250)
Approved Approved Approved
By Date 9 - 1 t u By Date By�,iis4.& ^ Date 1 xxs `1„ 0
•
l
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
IP / 0 _ ( 0 ,3 w0 /
,,,..: ,:g"""- �/E[ PERMIT •MF CO ME PL DE EN FP
Fern
CO MA?VITY DEVELOPMENTS/A ,, PPLICATION �— T �_2 1.53-6 35-2607.FAA 253-535-2
'� 1
CITY OF FEDERAL WAY
co-
SITE ADDRESS CDS SUITE/UNIT#
9iVo/ /12,L,5-411 1 s f leae/aL 11/4 y a',4 9y 3 It zv
PROJECT VALUATION ZONING ASSESSOR'S TAX PARCEL# r
TYPE OF PERMIT %BUILDING ❑ PLUMBING 0 MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) h 14✓4-4-W J Ci 1141 1 I-14 647 I/
4041‹.—
PROJECT DESCRIPTION ,� 7 ]CG rno�G- 9�� p.J S.T/ Cr.s+tea R d✓/�
Detailed description of work to
be included on this permit only
-
NAME PRIMARY PHONE
PROPERTY OWNER ZAJ 2,t ttooa //h4I/.e7 in 114 7 i 3-(/-6 -2Yb-3
16/3 2 JS'7' 4,J,6 SE E-MAIL
CITY K NT I I I Z5
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NAME PHONE
W4L-1-.iR lea. Lliq i2 ss,)A 2 /3/r - 3k1-5'..3.11-'•
CONTRACTOR 7�6 1 /'Aiz '( LI''/,7 y .G E-/V
CITY STATE ZIP i �� FAX
TW c. } "R INy
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE
//j/av L4 fr.JLJ ?f)3 CS. y/7D /?-473
NAME PHONE
i9,14/ittc9 +/ /40,4i, (.404/7:1-X A)3-SW-344k)
APPLICANT MAILING ADDRESS E-MAIL
aa3i/ ✓i4e.419e9,./ -E , WG(oroe-rtodobC
CITY STATE ZIP FAX
CITY/ad S�'E'37J .2J 3-J-s. -. o P1Y
PROJECT CONTACT NAME � PHONE c,
(The individual to receive and 1T ,)rvr I 1 `) LkF,2su/l) - .3 23e)- 62.4 1
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application) no 3/1 I'a,mac!4,441 G. 1-FUC,x6tl'o.i)0]e C441
7 Yilc.w,/� STATE Z7Y3 7f 251-11.1"-083 s'
ALTERNM'E CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
Required value of 85,000 or more N teAi i/7 94 OWNER-FINANCED
(RCW 19.27 095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 _ _ ��/ DATE U/2f//J
PRINT NAME: 1;44 • r
/ it Z.k.E; 1).4
Bulletin#100—April 14,2010 Page 1 of 3 k:\Handouts`Permit Application
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VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
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(comnenisn
BOILERS _ FURNACES HOT WATER TANKS.ICes)
COMPRESSORS _ GAS LOG SETS REFRIGERATION SYST •
DUCTING GAS PIPING WOODSTOVES
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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(Nord Sins) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Eiteheu/Utihtr) WATER HEATERS(Hectic)
HOSE BIBBS SUMPS WASHING MACHINES
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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
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AREA DESCRIPTION(In square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
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of. ..... "..:.,........ �::::n.........:....... .
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FIRST FLOOR(or Mobile Home) 9 72.-- 40 2-0
of33:x#:3:s'J3333:>:4i'
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COVERED ENTRY
x:3$3/3ii:'G•333it:%:%:::$%:
............ .:
GARAGE ❑ CARPORT ❑
'
i:.:SY-
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EXISTIDa PROPOSED TOTAL
Area Totals
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= 3
ESTIMATED SELLING PRICE$ �•3 U`+u #OF BEDROOMS
Area Construction
AREA DESCRIPTION Occupancy Group(s)
Stories
is S uaze Feet Type
q...........•:: P y
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ADDITION
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Area Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
In Square Feet Type Stories
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TENANT AREA ONLY ry�
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Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application
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