15-101900 f.
ilding - Single Family
City ctf eral Way
Community&5 8hn,De S'Services Permit #: 15-101900-00-SF
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) H is-3050
Project Name: PARKWOOD LANE LOT 19
Project Address: 2611 S 288TH ST Unit 19 Parcel Number: 28320 0190
Project Description: NEW-Installation of mobile home.
Owner Applicant Contractor Lender
PARKWOOD LANE LLC DONNA DOTY L N D SERVICES
4616 25TH AVE NE SUITE 701 4229 201ST STREET CT E LNDSEI*173DA(8/6/17)
SEATTLE WA 98105 SPANAWAY WA 98387 15010 74TH AVE E
PUYALLUP WA 98375
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.) 0 0 0 0
Additional Permit Information
New/Additional Sq.Feet- 1st Floor 0 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
Occupancy#1 -Class R-3 New/Additional Sq.Feet-Other 1104
New/Additional Sq.Feet-Total 1104 Occupancy#1 -Use Residence(1 or 2
family)
No Fixtures Associated With This Permit !!
CONDITIONS:
Installation shall be in strict accordance with the manufacturer's installation instructions or professionally
engineered installation design,which shall remain on-site as required by Washington State law.
PERMIT EXPIRES Monday, January 25, 2016
Permit Issued on Wednesday, July 29, 2015
I hereby certify that the above information is correct and that the construction on the above described property nd
the occupancy and the u -wl I be in accordance with the laws, rules and regulations of the State of Washingt n
/ a-0; •*-//- City of Federal Way. `�
Owner agent,. � � !- Date: ! �9/
l ahsIli ).1"/-4,(
THIS CARD IS TO .MAIN ON-SITE `a_
carr of
• Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050 .
PERMIT#: 15-101900-00-SF Address: 2611 S 288TH ST Unit 19
Project: PARKWOOD LANE LLC FEDERAL WAY, WA 98003-7976
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.
❑ Footings/Setback(4110) Cl Foundation Wall(4115) ❑ Blocking/Tie Downs(4015)
Approved to place concrete Approved to place concrete Approved
By f!.' Date 9 ( . (It; By Date By 0__Ada, Date -2-1-1 S
o Skirting/Final(4250)
Approved
By I k-,.. Date 10_2.l_ 13—
0 Rough ElectricalEl Final Electrical 111 Right of Way
Approved Approved Approved
By Date By Date By Date
.
RECEIVED
k
APRIlk 2°15` PERMIT ,PPLICATION
Federal Way CITY OF FEDERAL WAY
CDS
PERMIT NUMBER / S _ / 0 / 0 b - 5 F
q J TARGET DATE
SITE ADDRESS SUITE/UNIT#
AO I ) - C.- 88 Xs„. 105-33 iq
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# -
0_1_ q 0
tem 3‘oo
TYPE OF PERMIT }7<UILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT // l i 1 L es
igtv,.I ei-icym e P-ik
PROJECT DESCRIPTION Set
Detailed description of work to 5 P.-J u p KO 6f re v e
be included on this permit only
NAMEi PRIMARY PHONE
PROPERTY OWNER
PF\Rkwoon L j vt f ^LLC
MAILIN VE 11� ( 5 ry m 1, N1..., 7� E-MAIL
D o Ty /N Lt)A 5 h
CIT 3 e T 1 r-r 1 E-: t Til ,rig,
! (J 105 �J 4o
1 s 11tra_ NAMIE.J ` PHONE
/+6'9'
t (z_,_,� �� Llv D (V i C _
4A 5-3 -- 53P-Oif
V �� I I�3u Imo_ MAILING ADDRESS �f Q� E-MAIL
CONTRACTOR y ���� U / < - , FFF...���
36 l-i 7e iIL
I
h1 SIVA ZIPq g FAX
r C1 71 -'?”d WA STATEnO 15T.R.A'CTOR' LII�CENN�JS (EJXPIRAT/I,ON DATE F(EDE-• ' . •s .i' - - • NSE#
O`"! ( t I J, t ( �� b / `E' //S 0 / %,.%Z1 f
NAME PRIMARY PHONE
�
®1^�V K) ��O
APPLICANT MAILING DRESS r _ I� � L
0\A9r AO1J b... /;AI1045h /
CIT PA ti"lA`^� V ST_ 7'Tq .. ZIC 3/?r7 FAX 6 /J l4`i(/ ( 6/
NAME SIM
�I/�� g \�jJ( PRIMARY PHONE ,`!''...J„/
PROJECT CONTACT 1I OA k) y4 p Q .
(The individual to receive and MAILING ADDRESS �y A J n /�
respond to all correspondence q 7 Z 1 �V I � 1 �' �_ E-MAIL
/Al W QS A _
concerning this application) CITY TACE„ ZIP FAX
►w 9g.n87 a SSA, C`oil
NAME I
PROJECT FINANCING n ) ri WNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
but only where such claim :rises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the ci - as a part of tit:. ...li'it ion.
SIGNATURE: DATE i 7/0
II iniir"
PRINT NAME: At 0,NAM / 0 7
Bulletin#100—January 1,2013 Page 1 of 3 k:\I-Iandouts\Permit Application
•
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER T S(Gas)
COMPRESSORS GAS LOG SETS REFRIGE r. ION SYST
DUCTING GAS PIPING WO*% TOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be installed or - ocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand S. TOILETS WATER PIPING
DISHWASHERS RAINWA "' SYSTEMS URINALS OTHER(Describe)
DRAINS SHO RS VACUUM BREAKERS
DRINKING FOUNTAINS KS(xitchen/Uwity) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATIO
CRITICAL AREAS ON PROPERTY? "ATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Homy I /01"
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application