17-105177City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 6352607 Fax (253) 8352609
Project Name: CHARWOOD MOBILE HOME PARK SPACE 102
Project Address: 1660 S 333RD ST
Building - Single Family
Permit #:17 -105177 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 797820 0081
Project Description: NEW - Installation of a new 1108 square foot manufactured home in a park
Owner
Applicant
Contractor
Lender
CHARWOOD PARK LLC
SUZANNE PRUITT
BERWICKS MANUFACTURED
Occupancy #1 - Area (Sq. Feet)...................
6619 132ND AVE NE PUB 254
1660 S 133RD ST SPACE 102
HOME SERVICE INC
New / Additional Sq. Feet - Garage ........................ 0
KIRKLAND, WA 98033-8627
FEDERAL WAY WA 98003
PO BOX 1563
Is this an Online or O.T.C. application?.......
New / Additional Sq. Feet - Total ........................... 1108
Occupancy #1 - Use.....................................
PUYALLUP WA 98371
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.) 0.00
0
0
0
0
No
Residence (1 or 2
family)
RM 3600
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 actor ce with the laws, rules and regulations of the State of
Washington an the ity of Federal Way.
Owner or agent: Date:
Additional Permit Information
New / Additional Sq. Feet - 1st Floor .....................
1108
New / Additional Sq. Feet - 2nd Floor.........
New / Additional Sq. Feet - 3rd Floor .....................
0
Occupancy #1 - Area (Sq. Feet)...................
New / Additional Sq. Feet - Basement ....................
0
New / Additional Sq. Feet - Deck ................
New / Additional Sq. Feet - Garage ........................ 0
Plumbing Work Valuation?..........................
New / Additional Sq. Feet - Other ...........................
0
Is this an Online or O.T.C. application?.......
New / Additional Sq. Feet - Total ........................... 1108
Occupancy #1 - Use.....................................
0
0
0
0
No
Residence (1 or 2
family)
RM 3600
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 actor ce with the laws, rules and regulations of the State of
Washington an the ity of Federal Way.
Owner or agent: Date:
THIS CARD IS TO REMAIN ON-SITE
cffy 11Va Construction Inspection Record
Fecleral Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 1710517700 Address: 1660 S 333RD ST Space 102
Project: CHARWOOD PARK LLC FEDERAL WAY WA 98003
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.
El
SWM Precon Site Mtg (4400)
❑S
Initial Erosion Control (4365)
3❑
Interim Erosion Control (4370)
Skirting/Final (4250)
Approved
Approved
To be done PRIOR to breaking ground
Approved
Approved
By
Date
By
Date
By
Date
®
Blocking/Tie Downs (4015)
❑S
Final Erosion Control (4375)
Final Electrical
®
Skirting/Final (4250)
Right of Way
Approved
Approved
Approved
1By
Approved
By
VW Date 1 10
11r
By
Date
By
Date
Date 2�
By
Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
41k
CITY OF
Federal Way
PERMIT NUMBER I - _
RECEIVED PERMIT APPLICATION
OCT 2 6 2017 PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
os 1 -1-7.5 r -
TARGET DATE
SITE ADDRESS
SUITE/UNIT #
1660 S. 3 33 S-� . r� I LOP,
!&k Iv
PROJECT VALUATION
$
ZONING
ASSESSOR'S TAR/PARCEL #
T17g?-.o �6 L
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Ch
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
C
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
NAME
PHONE M (,V (a - 4 3 a3
MA&qNG ADDRESS
510
E-MAIL
rwievi>C 2 n4
CONTRACTORro
CITY
�U o1141
STATE
1JA
ZIP
q93171
FAX
WA STATE CONTRACTOR'S LICENSE ## n
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
'{ -/
NAM
uvar
PRIMARY PHO
- S ? 5
LING ADDRESS �
Boa
E-MAIL
�.�
APPLICANT
CITY
STATE
'I71
ZIP ^ �O
(,(/
3
FAX Sinai) , C om
NAME
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(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 moreMAILING
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 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.
SIGNATURE: Al,Lt DATE d ��
PRINT NAME: LA Z 0 f
Bulletin #100 — January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTI ROVEMENTS
N 0
L U >
LU T>
7
S, .
$-
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
RESIDENTIAL -NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED TOTAL
FOR OFFICE USE
# of
Additional Information
Ssuare Feet
S, .
FikST FLOOR (or MobdeHome)
COVERED ENTRY
All
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
-
Area in
Occupancy Group(s)
Construction
GARAGE 0 CARPORT 0
Additional Information
Square Feet
Pe
Stories
Area Totals
EXISTING
PROPOSED TOTAL
777 7
ESTIMATED SELLING PRICE $
TENANT AREA ONLY
#OF BEDROOMS
Bulletin #l00—January 29,20l0 Page 2o[2 Application
AREA DESCRIPTION
Area in
Occupancy Group(s)
Construction
# of
Additional Information
Ssuare Feet
S, .
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Occupancy Group(s)
Construction
# of
Additional Information
Square Feet
Pe
Stories
TENANT AREA ONLY
wo
Bulletin #l00—January 29,20l0 Page 2o[2 Application