06-101616 i
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City of Federal Way Building - Single Family Permit #: 06-101616-00-SF
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 5 • Inspection Request Line: (253) 835-3050
Project Name: COLLEY
Project Address: 2101 S 324TH ST Space 22 Parcel Number: 162104 9037
Project Description: NEW-Place 2006 Liberty manufactured home in existing park.
Owner Applicant Contractor Lender
DAVID&MERRY COLLEY SHAWN AMES MODERN LIVING LTD DAVID&MERRY COLLEY
4502 S 257TH ST SHAWN'S PERMIT SERVICE,INC. MODERLL972DO(4/14/07) 4502 S 257TH ST
KENT WA 98032 P.O.BOX 93 6119 PACIFIC HWY E KENT WA 98032
PUYALLUP WA 98371 FIFE WA 98424
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
Additional Permit Information
New/Additional Sq.Feet- 1st Floor 1152 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 1152
Zoning Designation RM 3600
No Fixtures Associated With This Permit !!
CONDITIONS:
PERMIT EXPIRES Monday, April 21, 2008
Permit Issued on Friday, April 21, 2006
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,he City of Federal Way.
Owner agent c` �(W/1/1 l /� Date: `"/ ta) )0c"
City or Fedr--77V-----1110V ay
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: COLLEY Permit#: 06-101616-00-SF
Address: 2101 S 324TH ST Space22
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
Owner Name: SHAWN AMES
TOM FULKERSON
Owner Name: MODERN LIVING LTD
Owner Address: 6119 PACIFIC HWY E
FIFE WA 98424
ta I4 4 c& y0/06
Building Official lit/ ft C 7/11/0k 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.
ik „
THIS CARD IS TO MAIN ON-SITE
CITY OF ! ommunity Developm nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-101616-00-SF
Owner: DAVID & MERRY COLLEY
Address: 2101 S 324TH ST Space 22
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.
(] Temp.Erosion Control(4365) ® Blocking/Tie Downs (4015) ■ Final M(4375)
To be done prior to breaking ground Approved Approv-.
By Date By G W Date 57 hs—c i/� By-...-...n=11 ` n.,e° jiff
n
0 Skirting/Final (4250)
Approved
By Date hi 176
! ig a
CITY OF
A RECEIVES
Federal Way4-
-- — —
PERMIT _ — -- �
COMMUNITYDEVELOPMENT SERVIC 5R 0 3 2006 SF MF CO ME EL PL DE EN FP
33325 8rH AVENUE SOUTH•PO BOX 9718 APPLICATION
FEDERAL WAY WA 9 8 063-9 718 i 1=�D�RAL2535607. AX2535glTD
/ /
www.cityoffederalway.com RIt.-1-)11\1(3 DEPT.
The Followin. is re.wired in ormation-an incom.fete a.•lication will not be acce•ted. Please •rint le.ibi (in in or •e.
: ,-, . . . . ■ PROPERTY INFORMATION
SITE ADDRESS 1 O ( •
/3)q 4 6-I Te .•-- ( ,) w�OO? SUITE/UNIT#
(Q
ASSESSOR'S TAX/PARCEL# / 1 V t•{- _ 9 0 3 1
I LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 549 U2Z 0 C ZeifyiokI 14 P
(Attach separate page for lengthy legal desaipdon)
. .. . .` ■ PROJECT INFORMATION
TYPE OF PERMIT _p-BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
ftp1CACt rn 4 tt i UJ (( l4
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PROJECT NAME(Name of Business or Owner Last Name)
` PEOPLE INFORMATION
PROPERTY NAME
A Mr 1ei1 ` \ C PRIMARY PHONE ))/�
OWNER MAILING ADDRES yCi-�� , 01\Q I ( ;353) gJ3 Ulama
CITY,STATE,ZIP
4450a 3o.c3.-5-)y I ? r\-( f� , �I C 3
CONTRACTOR COMPANY NAM (� APPLICANT NAME
S (jt ) • ^�'_y-1, OFFICE PHONE
MAILING ADDRESS ` Vv(t/1l CITY,\C TE, y� (-- 5,3) (J� ��
CELL PHONE
T-1-4.e.E,El cal--) 'i (.. NaO - G31-
1 efi C OF FEDERAL WAY BUSINESS LICENSE NUMGB R
` _- D A O 3 -1 _ EXPIRATION DATE FAX NUMBER -
•• - B L ( )
11/
RACTOR5 REGISTRATION NUMBER(copy of card required with each application)
EXPIRATION DATE
/ /
APPLICANT COMPANY NAME
APPLICANT NAME
��t�`�'�11 )� \.L- -61L(1)I'( Q
1 1cOFFICE PHONE
MAILING ADDRESS
`/ � U�L� c 7r� _ - ?�I2
� Sri TY,STATE,ZIP
� � � ((JJ CELL PHONE
RELATIONSHIP TO PROJECT v`'�')� I u p (( ��)(� - 63'2
❑ Architect ❑ Tenant Agent 0 Other(Describe) YY FAX NUMBER
` CONTACT f NAI4E PRIMARY PHONE
�i r r ) x E- AIL ADDRESS
LENDER (NM
( t� - IP 31� I .S' a c-i N G 0115( .
o 4 NAME
MAILING ADDRESS """�
CITY,STATE,ZIP
• III DETAILED BUILDI'NG INFORMATION '
EXISTING USE 6l 0 b I If. /'f-c0 IV( r) f K/ PROPOSED USE , J 7b le I J4 I/1 p . •.
EXISTING ASSESSED/APPRAISED VALUE $ l
VALUE OF PROPOSED WORK $ 5 00 6
SPRINKLERED BUILDING? 0 YES ,❑
/REQUIRED?
10 FIRE SUPPRESSION SYSTEM PROPOSED /
• o YES FANO
WATER SERVICE PROVIDER (J LAKEHAVEN a HIGHLINE a TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER p LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
• 1 PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ.FT. SQ. FT.
BASEMENT
FIRST i 15
SECOND
THIRD
FOURTH •
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
EXISTING PROPOSED TOTAL .TOT ifXa§rnra sE . •-:T a TAL PROPOSED SF ' TOTAL 8
eek`'� TOTAL :
NUMBER OF FLOORS . :?0:',2'f" `; .400,1''' ?15.,eke- •s ,''.1.4'§':O.
**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 $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS e S REFRIG.SYSTEMS
BBQS FANS `OODS(commercial( WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES — MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTL •
PLUMBING
BATHTUBS or Tub/Shower combo( ERS WATER CLOSETS(roue.( MISC(Describe)
DISHWASHERSSINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sults( VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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, includin its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
' NAME/TITLE Kiel. \ A,' ' '•.�'G.5 r Cy �u,A DATE � � —
(Signature) 1 V (Title)
L...ELATIONSHIP TO PROJECT 0 Owner I gent 0 Contractor ❑ Architect ❑ Other
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application