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07-102203City of Federal Way Community Development Services Builln - Single FamilyPerm#: 07 -102203 -00 -SF 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: RALLS Project Address: 29406 19TH AVE S Parcel Number: 304020 0160 Project Description: NEW - Installation of a new 2835 sqft manufactured home on single family lot. Existing manufactured home to be removed. ****3 bedrooms; proposed selling price: $215,000**** Census Category: 113 - New Manufactured/Factory-Built Home, ON LOT Includes: #1 #2 #3 #4 Occupancy Class: R-3 Construction Type: Occupancy Load: Floor Areas . ft. 2,835 0 0 0 Additional Permit Information New / Additional Sq. Feet - I st Floor....................2835 Owner Applicant Contractor Lender DAVID D RALLS SOUND EXTERIORS SOUND EXTERIORS EAGLE HOME MORTGAGE BRENDA RALLS 8515 67TH AVE E SOUNDE*141DR 3/11/02 20415 72ND AVE S SUITE 180 PUYALLUP WA 98371 8515 67TH AVE E KENT WA 98032 New / Additional Sq. Feet - Total.......................... PUYALLUP WA 98371 Occupancy # 1 - Use...............................................Residence Census Category: 113 - New Manufactured/Factory-Built Home, ON LOT Includes: #1 #2 #3 #4 Occupancy Class: R-3 Construction Type: Occupancy Load: Floor Areas . ft. 2,835 0 0 0 No Fixtures Associated With This Permit 11 PERMIT EXPIRES Thursday, May 21, 2009 Permit Issued on Monday, May 21, 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 City of Federal Way. Owner or agent: Date: c Additional Permit Information New / Additional Sq. Feet - I st Floor....................2835 New / Additional Sq. Feet - 2nd Floor ................... 0 New / Additional Sq. Feet - 3rd Floor...................0 Occupancy # 1 - Area (Sq. Feet) ............................. 2835 New / Additional Sq. Feet - Basement...................0 New / Additional Sq. Feet - Deck .......................... 0 New / Additional Sq. Feet - Garage.......................0 Occupancy # 1 - Class............................................ R-3 New / Additional Sq. Feet - Other.........................0 New / Additional Sq. Feet - Total.......................... 2835 Occupancy # 1 - Use...............................................Residence (1 or 2 Zoning Designation ............................................... RS 7.2 family) No Fixtures Associated With This Permit 11 PERMIT EXPIRES Thursday, May 21, 2009 Permit Issued on Monday, May 21, 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 City of Federal Way. Owner or agent: Date: c City of Federal Way W 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: BALLS Address: 29406 19TH AVE S Permit #: 07 -102203 -00 -SF Includes: 41 92 #3 #4 Occupancy Class: R-3 Construction Type: Occu anc Load: Floor Area (sq. ft.) 2,835 0 0 0 Owner Name: Owner Name: Owner Address: DAVID D RALLS BRENDA RALLS W ,�Q_ - to -22-C41 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 itis situated. Such compliance is the responsibility of the owner and / or occupant of the premises. - r THIS CARD IS TO 12F.MAIN ON -SI rE kommunity �oCITY© TDe�elo m nt Ins e�tion ��d p p Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 07 -102203 -00 -SF Owner: DAVID D RALLS Address: 29406 19TH AVE S FEDERAL WAY, WA 98003-3813 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. ❑ SWM Preconstruction Site Mtg ❑ Initial Erosion Control (4365) ❑ Drainage/Downspout (4040) Ap("(ko) To be done prior to breaking ground Approved to backfill By Date By Date By Date ❑ Blocking/Tie Downs (4015) ❑ Final Erosion Control (4375) ❑ Skirting/Final (4250) Approved Approved Approved By Date i By Date By CDate (� —2- 3- r - For inspector reference only ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date CITY OF. Federal Way«l 111 = EiVE 0 PERMIT .F tea: ,gip MB—ELPL DE EN FP COMMUNITY DEVELOPMENT SERVICES p 33325 8T" AVENUE SOUTH • PO BOX 9718 .-298633-2 2F5E3D8E3R526W0A7•YFAX 53-85-60 2 4 2OO7 A P P L I C iA T) N / / wwue rilr o edernh�uau_com The following.ia(i-�� ll t h9da�t%n - an incomplete application will not be accepted. Please print Legibly (in ink) or type. APlli P11AIfe ncor Included sn this permit onlu) PROJECT NAME (Name of Business or Owner Last Name) Yc / ` "l,l �L1 �^ SITE ADDRESS • � - O SUITE/UNIT # ASSESSOR'S TAX/PARCEL # ' 0 O g ® - o ! /� LOT SIZE (sf 3--;zDL10 LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) EXPIRATION DATE E-MAIL ADDRESS /Attach separate page for lengthy legal description) • • • PROJECT TYPE OF PERMIT BUILDING O PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM Included sn this permit onlu) PROJECT NAME (Name of Business or Owner Last Name) Yc / ` "l,l �L1 � HO.,�E. //_— ✓�� PEOPLE• • � - O E-MAIL ADDRfESiS�/tF� PROPERTY OWNER NAME FAX NUMBER PRIMARY PHON$.. PRIMARY EXPIRATION DATE E-MAIL ADDRESS CONTRACTOR COPY of card xgaired with each application V APPLICAN PROJECT CONTACT LENDER � � / lv"tel / ` "l,l �L1 � HO.,�E. //_— ✓�� )LING DRESS 19 �1 CITY, S�'ATE, ZIP � - O E-MAIL ADDRfESiS�/tF� COMPANY NAME 1V ! S ? APPLICANT NAME OFFICE PHONE? ( 2✓3) 53 7 16 Z MA4ILING ADDRESS giTI, STATE, ZIP � � CELL PHONE — / Q CITY OFFEDERALWAY BUSINESS LICENSE NUMBER EXPIRAJION DATE FAX NUMBER PRIMARY PHON$.. CONTRACTORS REGISTRATION NUMBER SO EXPIRATION DATE E-MAIL ADDRESS COMPANY NAME ALD APPLICANT NAME OFFICE PHONE MAILIN DRESS' CITY, STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT ❑ Architect ❑ Tenant KAgent ❑ Other FAX NUMBER 'NAME PRIMARY PHON$.. E-MAILADDRESS ( � Per RCW formation bender information is required ifproject value exceeds $5,000 MAILING AD SS CITY, STATE, ZIP PHONE EXISTING USE EXISTING ASSESSED/APPRAISED VALUE SPRINKLERED BUILDING? ❑ YES ❑ NO WATER SERVICE PROVIDER 16AKEHAVEN SEWER SERVICE PROVIDER XLAKEHAVEN PROPOSED USE 5�1 1 VALUE OF PROPOSED WORK FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? ❑ YES ❑ NO ❑ HIGHLINE o TACOMA ❑ PRIVATE (WELL) ❑ HIGHLINE 11 PRIVATE (SEPTIC) PROJECT FLOOR AREAS J. AREA DESC ON EXISTIN PROPOSED S FT: SQ. FT. Q; _— TOTAL SQ. FT. BASEMENT Al.1.4- f FANS FIRST +�.. - Q .-- SECOND RANGES GAS LOG SETS THIRD o NO ZONING DESIGNATION ADDITIONAL FLOORS (DESCRIBE) CHANGE OF USE? o YES o NO DECK (❑ COVERED OR ❑ UNCOVERED?) o YES o NO UP/SEPA/SU? o YES GARAGE 0. CARPORT q PLATTED LOT? o YES o NO NUMBER OF FLOORS EwsTING PROPOSED TOTAL TOTAL EXISTING SP TOTAL PROPOSED SP TOTAL Sr "NEW HOMES ONLY" NUMBER OF BEDROOMS 3 ESTIMATED SELLING PRICE $ Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. Value of Mechanical Work AIR HANDLING UNITS BBQS BOILERS COMPRESSORS DUCSt. %. UMBING BATHTUBS (or Tub/shower combo) DISHWASHERS DRINKING FOUNTAINS ELECTRIC WATER HEATERS HOSE BIBBS (ACOP OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES FANS GAS WATER HEATERS MISC (Describe) FIREPLACE INSERTS HOODS (commercial) FURNACES RANGES GAS LOG SETS REFRIG. SYSTEMS LAVS (Bathroom sinks) URINALS MISC (Describe) RAINWATER SYST VACUUM BREAKERS SHOWERS WATER CLOSETS jro let) SINKS WASHING MACHINES SUMPS DYES D NO 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. r-\ n NAME/TITLE RELATIONSHIP TO PROJECT ❑ Owner `g� Agent ;Contractor r ❑ Architect ❑ Other TE Bulletin #100–January 1; 2007 Page 2 of k\Handouts\Permit Application . ❑ NEW o ADDITION o ALTERATION o REPAIR D TENANT IMPROVEMENT BUILDING SHELL ONLY? DYES D NO BASIC PLAN? D YES o NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? D YES o NO Bulletin #100–January 1; 2007 Page 2 of k\Handouts\Permit Application . PERMIT4 07- 02203-00 SF PROJECT REMOVE-REP�ACE MANUFACTURED HOME OWNER, RALLS DATE A�-7 . . . . . .. . . � a; ] j ^j }�{\ \\ \ \� \\\� \X� \}