07-103176 -.
III
1 1 City of Federal WayBur - Sinle Family Permit #: 07-103176-0G-S.7
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: HARTWELL
Project Address: 2101 S 324TH ST Space 139 Parcel Number: 162104 9037
Project Description: Installation of a new mobile home in a park including entry decks.
Owner Applicant Contractor Lender
JUANITA HARTWELL INDIGO ENTERPRISES INDIGO ENTERPRISES
do BELMOR PARK PO BOX 446 INDIGEL975LW(6/16/07)
2101 S 324TH ST WOODINVILLE WA 98072 PO BOX 446
FEDERAL WAY WA 98003 WOODINVILLE WA 98072 II�
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Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 1,554 0 0 0
Additional Permit Information
New/Additional Sq.Feet- 1st Floor 1404 New/Additional Sq. Feet-2nd Floor 0
New/Additional Sq. Feet-3rd Floor 0 Occupancy#1 -Area(Sq.Feet) 1554
New/Additional Sq.Feet-Basement 0 New/Additional Sq.Feet-Deck 231
New/Additional Sq. Feet-Garage 0 Occupancy#1 -Class R-3
New/Additional Sq.Feet-Other 0 New/Additional Sq.Feet-Total 1635
Occupancy#1 -Use Residence (1 or 2 Zoning Designation RM 3600
family)
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Saturday, June 27, 2009
Permit Issued on Wednesday, June 27, 2007
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 cv ofFederal Way.
Owner or agent: ------�._.._.
Date: '4 7-('7
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City of Federal Way i •
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: HARTWELL Permit#: 07-103176-00-SF
Address: 2101 S 324TH ST Space139
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 1,554 0 0 0
Owner Name: JUANITA HARTWELL
JUANITA HARTWELL
Owner Name: c/o BELMOR PARK
Owner Address: 2101 S 324TH ST
FEDERAL WAY WA 98003
—471
Building 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.
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THIS CARD IS TO REMAIN'ON-SITE -
community Developmtit Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-103176-00-SF
Owner: JUANITA HARTWELL
Address: 2101 S 324TH ST Space 139
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. 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 Preconstruction Site Mtg ❑ Initial Erosion Control (4365) ❑ Blocking/Tie Downs (4015)
A44400) To be done prior to breaking ground ,/� Approved
By Date By Date By ,7 L/ Date/745)7 ,
❑ Final Erosion Control (4375) ❑ Skirting/Final (4250)
Approved Approved
By Date By G, LA,Dateig1.. v7
i
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
' Co
CITY OFr I F c.
ederai Wad ��� - 3 C 7
PERMIT
couen�IuntrrDEVELormEnrsExvrcEs ®�7 &MF CO ME EL PL DE EN FP
33325 FEDERTE AL
NUE SOUTH•FO 9BOX 718" 1 1 A P P L I CATION
FEDERAL WAY, er 98063-9718" TD 6 , a 5 /o Y
253-835-2607•FAX 253-835-2609
www.atUoffedernlwau.oom Y FEDERAL WAY
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The following is retia�t r i iittton-an incomplete application will not be accepted. Please print legibly(in ink)or type.
_:•PROPERTY INFORMATION
SrrE ADORPAT3 2101._8,34th St. su/earr# to+- I ,
A3SFRSOR'S TAX/PARCEL# 6 2 1 0-4 - l 0 3 7 LOT AIER(sf _4320__-
LEGAL DESCRIPTION(e.q.Acme estates. Eat 1! Belmor Park Lot 139 _ •,rvokrawa•+ t,e,gat
• PROJECT INFORMATION
TYPE OF PERMIT 11B// INNO 0 PLUMBING D Y'DC$AN'ICAL
CI ?s41_4r�a.,7,31. I:, ...,2,.,_,-,_,.,4,-_-14.12 , __._Y..-.: i __=as___.-.____' 31'7SwTT.tiG
PROJECT DE8CRIPTIOII(Provide detailed description of work included on this permit only)
Removal of old Manufactured Moyne and plf F r'i`I (I'S -E (1,1 t:' % f new 261641
Manufactured home in a manufactured home park.
PPMTPI'.T IIA_M_'m_..(Name of RyQmeSS nr t)r»orr J.ost 1Unme) Hartwell
III PEOPLE .I41.45, a
PROPERTY NAME
PRIMARY PHONE
OWNER HARTWELL, JAUNITA (206) 501 -6379
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
8420 Warren Drive NW WA, 98XXX
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
INDIGO ENTERPRISES PETER KRENZKE (425) 485 - 4673
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
PO BOX 446 WOODINVILLE, WA 98072 (206) 501 - 6379
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
Aktl,rr,-C 6'.- ( ( '0-7 (425) 402 - 7952
ef CONT OR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
w, w NDIGEL975LW 6/16/¢ O&7 indigoent@verizon.net
APPLICANT COMPANY NAME APPLICANT NAME
OFFICE PHONF.
INDIGO ENTERPRISES PETER KRENZKE ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
PO BOX 446 WOODINVILLE, WA 98072 (206) 501 - 6379
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect o Tenant 0 Agent 0 Other CONTRACTOR (425) 402 - 7952
PROJECT T NAME II PRIMARY PHONE ' E-MAIL ADDRESS
,- .r v- "' "'T
�� '7TYL' • (206 501 - 6379 ind2 fieri erizon.net
LENDER NAME Per RCW 19.27.095:
EAGLE MORTGAGE Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
20415 72ND AVENUE S. STE. 180 KENT, WA 98032 (253) 395 -3888
a DETAILED BUILDING INFORMATION
EXISTING USE RESIDENTIAL PROPOSED USE RESIDENTIAL
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ 15,000
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER n LAKEHAVEN n HIGHLINE n TACOMA n PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAIir;HAVEri ❑ HIGH,iNE ❑ PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESC• ` ION EXISTING PROPOSED TOTAL
. SQ.FT. SQ.FT. SQ.FT.
BASEMENT N/A N/A N/A
N/A
•
FIRST 0 1,404 1,404
SECOND N/A N/A N/A
THIRD N/A N/A N/A
ADDITIONAL FLOORS(DESCRIBE) N/A N/A N/A
DECK(0 COVERED ORNCOVERED?) 0 . O ._]&9-
.23 23/
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTALlt7a�sr TOTAL PROPOSED sr TOTAL SF
° 1 1 0 1554 1554
**NEW HOMES ONLY** NUMBER OF BEDROOMS 3 ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS)commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower combo) LAVS(Bathroom sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I
am authorised by the owner of the above premises to perform the ,rk for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim(includi , . expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be made by any person,including "r rsigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including its oI'(i. s • employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE c19Ga-' .,„ DATE €.(i- o 7
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent o Contractor o Architect o Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION ❑REPAIR 0 TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—April 2,2007 Page 2 of 4 k\Handouts\Permit Application