17-103440L'E
City of Federal Way
Community Development Dept,
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 635-2609
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Building - Single Family
Permit #:17 -103440 -00 -SF
Inspection Request Line: (253) 835-3050
Project Name: CAVANAUGH HOMES
Project Address: 34004 ' 37TH AVE SW Parcel Number: 147330 0010
Project Description: NEW - Installation of a new manufactured home with decks. No plumbing or mechanical.
Owner
Applicant
Contractor
Lender
CAVANAUGH HOMES
INDIGO ENTERPRISES LLC
INDIGO ENTERPRISES LLC
OWNER IS LENDER
PO BOX 1977
628 MAPLE VALLEY HWY SUITE:
328 MAPLE VALLEY HWY SUITE 3
64
LYNNWOOD WA 98046
MAPLE VALLEY WA 98038
MAPLE VALLEY WA 98038
0
Census Category: 113 - New Manufactured/Factory-Built Home, ON LOT
Includes: ,#1 #2 #3 #4
Occupancy Class: R-3
Construction Type:
Occupancy Load:
Floor Area (sq. ft.) 1,836.00
Additional Permit Information
New / Additional Sq. Feet - 1st Floor .....................
0
New / Additional Sq. Feet - 2nd Floor....................
0
New / Additional Sq. Feet - 3rd Floor ....................:
0
Occupancy #1 - Area (Sq. Feet)..............................
1836
New / Additional Sq. Feet - Basement ....................
0
New / Additional Sq. Feet - Deck ...........................
64
New / Additional Sq. Feet - Garage ........................
0
New / Additional Sq. Feet - Other...........................
0
Is this an Online or O.T.C. application? ..................
No
New / Additional Sq. Feet - Total...........................
64
Occupancy #1 -Use ................................................
Residence (1 or 2
Comprehensive Plan Designation...........................
SF - High -Density
family)
Residential
Zoning Designation .................................................
RS 7.2
Total Valuation: 12,169.00
CONDITIONS:
NO connection into the City storm drain system allowed.
C,
PERMIT EXPIRES Monday, 23 July, 2018
Permit Issued on Wednesday, January 24, 2018
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: o
carr of
Federal Way
PERMIT #:
Project:
.
THIS CARD, IS TO REMAIN ON•SITR
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
1710344000 Address: 34004 37TH AVE SW
CAVANAUGH HOMES FEDERAL WAY WA 98023-2942
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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.
E
SWM Precon Site Mtg (4400)
®
Initial Erosion Control (4365)
®
Footings/Setback (4110)
Approved
Approved
To be done PRIOR to breaking ground
By
Approved to place concrete
By
Date
By
Date
By
Date
®
Drainage/Downspout (4040)
®
Interim Erosion Control (4370)
®
Blocking/Tic Downs (4015)
Approved
Approved to backfill
Approved
By
Approved
By
Date
By
Date
By
Date
El
Final Erosion Control (4375)
®
Skirting/Final (4250)
Approved
Right of Way
Approved
By
Date
Approved
By
Date `l —2,1�-+
Rough Electrical
Final Electrical
..
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
{ RECEIVED
,-
CITY tiP JUL 1 8 2017
PERMIT APPLICATION
FederITYOf ��iwiJ PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
ala i t 253-835-2607 + FAX 253-835-2609 + permitcenter(dcityoffederalway.com
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(,10jANtu'! T`v' PNIENT
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PERMIT NUMBER _ 1 _ S J /
TARGET DATE
SITE ADDRESS
SUITES /U T #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
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PROJECT DESCRIPTION
Detailed description of uAork toA-
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be included on this permit only
PROPERTY OWNER
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NAME
PRIMARY PHONE
MALING ADDRESS
E-MAIL
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STATE
ZIP...
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NAME
PHONE
MAILING ADD SS , I
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, E-MAIL
CONTRACTOR
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STATE
ZIP/' - j
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WAS ATE CONTRACT LICENSE #
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XPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME V
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAMEPRIMARY
�'
PHONE
\ /Ob-?
MAILING ADDRESS w
E-MAIL I
W1 A 0 t "J x
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $5,000 or more
(RCW 19.27.095)
MAILIN ADDRESS, CITY, STATE, ZIP
PHONE
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 arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information s e to a city as apart of this application.
SIGNAT DATE -7,19,17
PRINT NAME:
Bulletin #100 – January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application
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MECHANICAL PERMIT VALUE F MECHANICAL WORK
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existin fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial
BOILERS FURNACES HOT WATER TANKS (Gas(
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
OF
VALU PLUMBING WORK
PLUMBING PERMIT
TOTAL
FOR OFFICE USE
FIRST FLOOR (or Mobile Home)
l
.......... -- .................... .........................................
........................................................... ........................................... -
$
EXISTING/PREVIOUS USE
Indicate how many of each type offtxture
to be installed or relocated as
part of this project. Do not include ex
tin fixtures to remain.
BATHTUBS or Tub/Shower Combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (KHchen/utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWERPURVEYOR n
VALUE OF EXISTING IMPROVEMENTS
TOTAL
FOR OFFICE USE
FIRST FLOOR (or Mobile Home)
l
.......... -- .................... .........................................
........................................................... ........................................... -
COVERED ENTRY
EXISTING/PREVIOUS USE
LOT SIZE )In Square Feet)
t^"1
EXISTING FIRE SPRINKLER SYSTEM?
❑ YeSANo
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes 4No
GARAGE ❑ CARPORT ❑
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
FIRST FLOOR (or Mobile Home)
l
.......... -- .................... .........................................
........................................................... ........................................... -
COVERED ENTRY
.........................................
GARAGE ❑ CARPORT ❑
Area Totals
EXISTING
PROPOSED
TOTAL
-------------- --...-------- .... .......................... ..........................................
ESTIMATED SELLING PRICE vvv # OF BEDROOMS
Bulletin #100 — January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application
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