05-102641 r ` 0 S
1 4 Zr
City of Federal Way Building - Single Family Permit #: 05 - 102641 - 00 - SF
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: LONG
Project Address: 2101 S 324TH ST Space252 Parcel Number: 162104 9037
Project Description: Install a 1,404-sqft manufactured home in a park.
Owner Applicant Contractor Lender
Nancy J.Long DC DEVELOPMENT INC DC DEVELOPMENT INC NONE
2101 S 324TH ST SPACE 252 DC DEVELOPMENT INC DCDEVI*011JE(04-02-06)
FEDERAL WAY WA 98003 22110 139TH AVE CT E DC DEVELOPMENT INC
GRAHAM WA 98338 22110 139TH AVE CTE NONE
Includes:
Census category: 112-New rr #1 #2 #3 #4
Occupancy Group: R-3 R,--- L
Construction Type:
Occupancy Load: 1
-- —
Floor Area(Sq.Ft.): ,� _ �_.-- �_ _ �.. —1
1st Floor Proposed Sq.Feet 1404 Census Category 112-New manufactured/fact(
Height of Structure 10 Occupancy#1-Class; R-3
Total Building Sq.Feet 1404 Total Proposed Sq.Feet • 1404
Zoning Designation RM 3600
PERMIT EXPIRES January 4,2006.
Permit issued on July 8,2005
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 City of Federal Way. , ,��
Owner or agent: A. -, /, -'�'"'! 42(2- 11/74
Date: ss-7—6-/S
• , • r r
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.3 of the Uniform 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: LONG Permit number: 05 - 102641 -00
Address: 2101 S 324TH Space252
#1 #2 #3 #4
Occupancy Group: � R-3
Construction Type:
Occupancy Load: I�
• Floor Area(Sq.Ft.):
Owner Nancy J.Long
Name: 2101 S 324TH ST SPACE 252
Address: FEDERAL WAY WA 98003
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 severely
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 *MAIN ON-SITE
CITY aF p p!ommunityDevelo ment Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-102641-00-SF
Owner: NANCY J. LONG
Address: 2101 S 324TH ST Space 252
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) ❑ Final- SWM(4375) ❑ Skirting/Final(4250)
To be done prior to breaking ground Approved Approved
By Date By Date By G_ Date fa "
13t��C Nt •
/77 /0 7/2-0 rz.4
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REcEi It,: 1 a2_ _G Pi_l N31.1
'Federal Way PERMIT SF MF CO ME EL PL DE EN FP
COMMUN17Y DEVELOPMENT SERVI
33325
� 0 3 2rAPPLICATION
FEDERAL WAY,FAX
98063-9718 D w / 0 )1 / C
253-835-2607•FAX 253-�f��B I/
www.c(wafederalwau`.V l OF FEDERI.
The following is re,uired in ormation-an incom.lete a,,lication will not be acce,ted. Please print le!".1. (in ink)or
MI PROPERTY INFORMATION
SITE ADDRESS zip I `acr# sT i ), 4 ' l / 1414- SUITE/UNIT# ‘P-C2
ASSESSOR'S TAX/PARCEL# _ _ _ _- _ _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT X BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
I#JSnl A (Y)Ait.A.�eA C.rU,z'v.P 1- kr,r€ Lica T fn iiia% Mewl K_ Pirvzi‹_
PROJECT NAME(Name of Business or Owner Last Name)+ tic.,, 4" r le ji, if. 4/20._ /44,V
• PEOPLE INFORMATION
PROPERTY NAME/ PRIMARY PHONE
OWNER / a'x! boo') J
- 3"4.9(..
MAILING
CITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
0C.DEIPELOP -w I C'AN(:C.1r-_ IC- .1)1P (2$3) 3cI7 - .S
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
?C3 >c (46(PG 144 -, i LA)41235 (ZS VZ
) Got* - /g.
7 /j- l 1 tJ/n , CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
-B L / / (cs7 )Sg7 -ONI
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
QC. QEvs D1i1- 5. y / Z. / Zrrte
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
SAmic AS ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
COILTPACIVX ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect %Tenant Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONEE-MAIL ADDRESS
OA 1C,- OR-- DAA 3 (Z,s 3) 841- s 3Ss_
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000 I"'0C6.--s PA""�o jAx, Cl C j,4
MAILING ADDRESS CITY,STATE,ZIP
ter U DETAILED BUILDING INFORMATION ",
EXISTING USE 19h'/ 4CTCk(1) • A. r PROPOSED USE ` )eu, ,r .<j Ai*E_ Le I
EXISTING ASSESSED/APPRAISED VALUE $ 59;1:3. .'i -7 VALUE OF PROPOSED WORK $ 7/qiit
-14"
SPRINKLERED BUILDING? ❑ YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 4 NO
WATER SERVICE PROVIDER 2,LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER t-LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
J
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
/qct /V0 cf
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS Es�nec PROVE=
ROP TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SP
**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 LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLKIb
PLUMBING
BATHTUBS(or rob/Shaver combo) SHOWERS WATER CLOSElb
_ (mile) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Balks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I cert(fy 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. r
NAME/TITLE j,�[T ril/1i4- C:,C2 DATE , 3-c r
(Si a e) (Title)
RELATIONSHIP TO PROJECT 0 Owner d Agent Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
❑NEW ❑ADDITION ❑ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
411". # •
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2CI-$104.50;Each add'n 500 ft -$33.50) 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage ❑ 101 200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
❑ Detached outbuilding orgarage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50
0 601-800 amp 398.50 168.50
O 801- 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder
❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
CI
-600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
U 601 -800 amp 247.00 132.00
Cl Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 264.50
U 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
❑ 0 to 200 amp $87.00
U 201 -600 amp 141.00 ❑ #of circuits to be added/altered
U over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARRResidential/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0- 100 amps $69.50
❑ 101-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
U #of Thermostats U #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
U Low Voltage U Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $104.50
❑ Security Alarm System
0 Voice Cabling ❑ Additional Plan Review $104.50/hour
(for modified submittals)
❑ Data Cabling
U Automation Fee on all Permits $5.00
0
(Per System(s) 19t 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296-46-910i51(bfi&ii)
Bulletin#100-January 7,2005 Page 3 of 4 k\l-Iandouts\Permit Application