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07-100526 'I •• w City of Federal Way Builatng - Single Family Permit`#: 07-100526-00-SF CommunityPDevelop.O.Box9me718 nt Services I Federal Way,WA 98063-9718 I Ph.(253)835-2607 Fax:(253)635-26091 Inspection Request Line: (253) 835-3050 Project Name: OTMAR ! r Project Address: 2101 S 324TH Space 168 Parcel Number: 162104 9037 Project Description: Installation of a 28X60 mobile home on lot 168. Owner Applicant Contractor Lender STEVEN OTMAR STEVEN OTMAR AMERICAN HOME CENTER 2101 S 324TH ST 2101 S 324TH ST AMERIHC978OC 9/3/05 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 15111 105TH AVE CT E SUITE 3 FEDERAL WAY WA 98374 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.) 1,620 0 0 0 Additional Permit Information New/Additional Sq.Feet-1st Floor 1620 New/Additional Sq.Feet-2nd Floor 0 New/Additional Sq.Feet-Total 1726 Occupancy#1 -Use Residence(1 or 2 family) New/Additional Sq.Feet-3rd Floor 0 Occupancy#1 -Area(Sq.Feet) 1620 New/Additional Sq.Feet-Basement 0 New/Additional Sq.Feet-Deck 106 New/Additional Sq.Feet-Garage 0 Occupancy#1 -Class R-3 New/Additional Sq.Feet-Other 0 No Fixtures Associated With This Permit!! PERMIT EXPIRES Thursday, February 5, 2009 Permit Issued on Monday, February 5, 2007 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the e will be in accordance with the laws, rules and regulations of the State of Washington I iteral Way. Owner or agent: Date: CY City of Federal Way • • 'V 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: OTMAR Permit#: 07-100526-00-SF Address: 2101 S 324TH Space168 Includes: #1 #2 #3 #4 Occupancy Class: R-3 Construction Type: Occupancy Load: Floor Area(sq. ft.) 1,620 0 0 0 Owner Name: STEVEN OTMAR STEVEN OTMAR Owner Name: Owner Address: 2101 S 324TH ST FEDERAL WAY WA 98003 ht ;: 0'46 l, /(,)'X ee ; A,Lel'/ L:- C) /v- 4`7 Build. g Official i ate 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. J/ THIS CARD IS T EMAIN ON-SITE ' • , CITY OF ` •% Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 07-100526-00-SF Owner: STEVEN OTMAR Address: 2101 S 324TH Space 168 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. 0 Temp.Erosion Control(4365) ❑ Blocking/Tie Downs (4015) ❑ Final-SWM(4375) To be done prior to breaking ground Approved Approved G. t..►, 3.. 9 . 417 Date By Date ByDateBy rB2_74-2f Skirting/Final (4250) Approved Date 19 Q- CITY OF Federal Way 0 PERMIT _ 1_ 0A.7G COMMUNITY DEVELOPMENT SERVICE,JAN 3 ?`�� MF CO ME EL 40PL DE EN FP 33325 8*N AVENUE SOUTH•PO BOX 9718 A 1\_ 253D8362607 FAX 253-835-26691 WAY,WA 98063-974-YOF F lE�'[��.�;1 1 P P L I C A T I O _ v TD - www.cihioffederalway.com BUILDING DEt.. I / / The following is required information-an incomplete mplete application will not be accepted. Please print legibly(in ink)or type. .. ■ PROPERTY INFORMATION • SITE ADDRESS 2101 5 e32---zi ( // / Gj` SUITE/UNIT # ASSESSOR'S TAX/PARCEL# ( (� a ( •C) Q 2 2 LOT SIZE(sj) LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1) (Attach separate page for lengthy legal description) • IN PROJECT INFORMATION • TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL O DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description o work included on this permit only) fid Iu.5ft4L 21 Ai0 8eVes i L fie/e- CNeLy) 011 Z 0 I, 1-7 PROJECT NAME(Name of Business or Owner Last Name) C Tr 19 P, • PEOPLE INFORMATION PROPERTY NAME - - /1 f • PRIMARY PHONE OWNER j3et MoR t lerhi/ i11&te b9-4A cRs PHONE 5 7 MAILING ADDRESS CITY,S TE,ZIP E-MAIL ADDRESS r 0 (2 ( 5": 32.11 SfI r=e i LA.>�uiA, C[ 3 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE • ft-H ef1+6Pry !-i-Of--4Ce 42 ( z5 ) ?q 1 -36®o MAILING ADDRESS Y/t�� - CITY,STATE,/ ZIP • CELL PHONE CI J1FEDEmeRAL W t'ztdltf�NS LE`NSE NUMBER _ Ptl yAL£ up GLA.i l 53.7,5 L ) - EXPIRATION DATE FAX NUMBER (z53) r`f r- ©g33 eory of oa:a required CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS with each application I > #/i /(5 i LA)�,{/.. APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE 1-tO.W -r. . 5 -eveN O�444 (2.5:3) . 52..) - K7Z7 MAILING ADDRESS �/.,,0 [- ,,/,� CITY,STATE,ZIP/ f t) / '5'. 32(i 1.51) /l �6' Et-'d, �.'L^'� Gk//,(—(S ?e3 CELL PHONE RELATIONSHIP TO PROJECT , ( ) - t' �1 A fFAX NUMBER ❑ Architect ❑ Tenant 0 Agent Other 0 W 1-t e/(,..�' ( ) _ PROJECT f NAME CONTACT I ( 1} ��yOJ� /�jJ'/7 J��'/�/p}� (//J PRIMARY PHONE _2 I E-MAIL ADDRESS eC� " ' t t l /\ [(2_ --.)) (76, - "7Z7' J LENDER NAME Per RCW 19.27.095: Lender information is required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP PHONE 1 ( ) _ _ • • 111 DETAILED BUILDING INFORMATION EXISTING USE it-,( (" PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ )//' VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? 0 YES 0 NO FIRE.SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) ■ PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ. FT. SQ. FT. SQ. FT. BASEMENT FIRST -----,L-6'0- �rI* ® 14--(7(977 SECOND l ! 7o. ") /6.2 C' THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(❑ COVERED OR ❑UNCOVERED?) GARAGE ❑ CARPORT ❑ EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF NUMBER OF FLOORS /6TOTAL **NEW HOMES ONLY** NUMBER OF BEDROOMS 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(eathroomSinks) 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 authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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. 1 NAME/TITLE :.. fieCe' 0tie Ate IS DATE / 36 07 (Signature) (Title) RELATIONSHIP TO PROJECT 'Owner 0 Agent o Contractor ❑ Architect 0 Other xt"5 as r ' __' t� � «Yr o y�`iy»��;. e ��t/x. 0It 8 ,n_yIC E•O �; �t b o NEW ❑ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES a NO BASIC PLAN? ❑YES ❑NO ZONING DESIGNATION CHANGE OF USE? ❑YES o NO NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU? ❑YES ❑NO PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES ❑NO Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application