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15-103179Building - Single Family Permit #: 15-103179-00-S F City of Federal Way Community &Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Inspection Request Line: (253) 835-3050 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: DAWSON Project Address: 843 SW 312TH ST Parcel Number: 072104 9246 Project Description: NEW - Installation of 1,904 square foot manufactured home on a single family residential lot. ***3 bedrooms; $250,000 estimated selling price*** Owner Applicant Contractor Lender LIUDMYLA EVANS ROGER DAWSON OWNER IS CONTRACTOR Plumbing to be Included?.......................................No ROGER DAWSON 922 SW 313TH CT New / Additional Sq. Feet - Total ..........................1904 922 SW 313TH CT FEDERAL WAY WA FEDERAL WAY WA 98023 Census Category: 113 - New Manufactured/Factory-Built Home, ON LOT Includes: 91 #2 #3 #4 Occupancy Class: R-3 Construction Type: Type V - B Occupancy Load: Plumbing to be Included?.......................................No Floor Areas . ft. 0 0 0 0 Additional Permit Information New / Additional Sq. Feet - 1 st Floor....................1904 New / Additional Sq. Feet - 3rd Floor....................0 Occupancy # 1 - Construction Type ........................Type BasicPlan?........................................................... No New / Additional Sq. Feet - Deck..........................0 Occupancy #1 - Class.............................................R-3 Mechanical to be Included?....................................No Plumbing to be Included?.......................................No New / Additional Sq. Feet - Other .......................... 60 New / Additional Sq. Feet - Total ..........................1904 New / Additional Sq. Feet - 2nd Floor...................0 New / Additional Sq. Feet - Basement...................0 Occupancy # 1 - Construction Type ........................Type V - B New / Additional Sq. Feet - Garage.......................0 Occupancy #1 - Class.............................................R-3 Plumbing to be Included?.......................................No Occupancy # I - Use ............................................... Residence (1 or 2 family) No Fixtures Associated With This Permit H l,iq �s l,o�.r.��cd DolNk /��(t� t3��wzcv� Wve-ssLs 93s Aid Q'4 -i CONDITIONS: 1. 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. 2. A Right of Way Permit is required for the new culvert & asphalt driveway. PERMIT EXPIRES Monday, October 24, 2016 I Permit Issued on Wednesday, April 27, 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 1 and the City of Federal Way. 4 Owner or agent: UDate: CITY OF .. Federal Way PERMIT #: Project: THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 15 -103179 -00 -SF Address: 843 SW 312TH ST LIUDMYLA EVANS FEDERAL WAY, WA 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 Mtg (4400) Initial Erosion Control (4365) E] Footings/Setback (4110) Approved To be done prior to breaking ground Approved to place concrete By Date By Date By V - Date 71T (� El Drainage/Downspout (4040) E] Interim Erosion Control (4370) ❑ Blocking/Tie Downs (4015) Right of Way Approved Approved to backfill Date 11' _1 1 Approved Date Approved By Date By Date By Date I z,S f r El Final Erosion Control (4375) Approved ❑ Skirting/Final (4250) Approved By Date Right of Way Approved By Date 11' _1 1 El Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date c4v of Federal Way RECEIM JLJ 2015 CITY OF FEDERAL WAY I CDS PERMIT NUMBER _ \ 0 :3 _ PERMI? APPLICATION TARGET DATE l SITE ADDRESS 3 q 3 5�j 31ZI ST. %�le�^� (,..)alp WA R$aZ3 SUITE/UNIT # PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL # /� ® Z ' lJ — �`( l 1 TYPE OF PERMIT )9BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT �YA VV. SO N to i � l 5-%l vim. o - rK � PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME RO er' Dawson PRIMARY PHONE 251--2,24- - C1 I 5S - MAILING ADDRESS G 2 Z 313^ G� E-MAIL lkovtvb e� I Coal CITj(_, , e.V'Cl, STATE (�pj �j Z LO 0 Z3 NAME 5A-C.o loc, PHONE 3t V -Z13 - 9 392 - MAILING ADDRES 1� n 3Z W Orh� ST' �1 E-MAIL is 5'k'% J1 Ole, -Is `0"JCS CONTRACTOR CITY E.\ eoe i' STATE WA ZIP oi8 w ( FAX Z o6- WA STATE CONTRACTOR'S LICENSE # 6E5TGSIS68N9 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # � � ev� �Soln PRIMARY PHONE ZS3 - 3z.(.2 — 9iss- MAILING AbDRESS ci22 54) 3l3 Glt . -MAIL aW50%4 erI @Cpmcot APPLICANT CITY veA Wa STATE WA, ZIP R$ OZ3 FAX CONTACT NAMES� PRIMARY PHONE SS(ThPROJECT 7-53 - 3 Z% - 9 155 - MAILING ADDRESS 22_ SCJ 3 3 �� E-MAIL a(aWSa,%✓d e✓ I t CC)JftccLj e individual to receive and (The respond to all correspondence CITY wev'c,t. wan STATE WA ZIP FAX concerning this application) PROJECT FINANCING NAME j1,5 }- �� El OWNER -FINANCED Required value of $5,000 or more MAILING ADDRESS, CITY, 13TATE, ZIP I22 j it L PHONE (RCW 19.27.095) OO O �Al WS d /�/'� S(Ri 8VV " � vtltr 6Y thl 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 c' p of this application. % Gf / SIGNATURE: DATE (�! PRINT NAME: Bulletin #100 - January 1, 2013 Page I of 3 k:\tlandouts\Permit Application . net I. COwt t. ni {: ke1 MECHANICAL PERMIT Indicate how many of each typo AIR HANDLING UNITS AIR CONDITIONER BOILERS COMPRESSORS DUCTING PLUMBING PERMIT Indicate how many of eac E Z BATHTUBS (or Tub ower combo) DISHWAS DRAI NKING FOUNTAINS HOSE BIBBS re to be installed or relocated as FANS FIREPLACE INSERTS ( FURNACES GAS LOG SETS GAS PIPI 'fixture to be installed or relocated as -- LAVS (Hand Sinks) SEWER PURVEYOR RAINWATER SYSTEMS I SHOWERS ISINKS (Kitchen/utility) GAS PIPE OUTLETS SUMPS s� CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS VALUE OF MECHANICAL WORK LQ-Ke14&Vtvt txLKeliat)" 1�1t,1 art of th' ro'ect. Do not include existin ures to remain. GAS PIPE OUTLETS OTHER (Describe) HOODS (commercial) PROPOSED FIRE SUPPRES N SYSTEM? HOT WATER TANKS (Gas) REFRIGERATION SYST ❑ Ye:o WOODSTOVES COVERED ENTRY COMMERCIAL — REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION VALUE OF PLUMBING WORK Occupancy Group(s) DECK part of this project. Do not include existing fixtures to remain. TOILETS WATER PIPING URINALS OTHER (Describe) VACUUM BREAKERS WATER HEATERS (Electric) WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS ot) LQ-Ke14&Vtvt txLKeliat)" 1�1t,1 l 1�3 C11.4 EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKL R SYSTEM? PROPOSED FIRE SUPPRES N SYSTEM? SECOND FLOOR 103 S F ❑ Ye:o ❑ Yes No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT NEW BUILDING l 1�3 C11.4 f __...._._.__..._.. —--.......... -......... _.... -- ........ - .... _...----._._..—..._... -- ..... FIRST FLOOR (or Mobile Home) SECOND FLOOR COVERED ENTRY COMMERCIAL — REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area in Square Feet Occupancy Group(s) DECK # of Stories Additional Information GARAGE ❑ CARPORT ❑ OTHER (describe) .... -........... -.._-............ _.......................... --..... --.-._.... ----- ...... - ......... _...... --.._.--- ..._. Area Totals IMIsTING 0 **NEW HOMES ONLY** ESTIMATED SELLING PRICE $ # OF BEDROOMS 3 COMMERCIAL— NEW/ADDITION AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction a # of Stories Additional Information NEW BUILDING ADDITION COMMERCIAL — REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction a # of Stories Additional Information TOTAL. BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin #100 — January 1, 2013 Page 2 of 3 k:\-Iandouts\Permit Application Sti. 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