04-104088 II
'WALED
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City of Federal ay Building - Single Family Permit #: 04 - 104088 - 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: DYE
Project Address: 36529 6TH AVE SW Parcel Number:302104 9107
Project Description: NEW-Install manufactured home on single family lot(previously installed home,no record of permit)
Owner Applicant Contractor Lender
Douglas L Dye RAINMASTER NW INC RAINMASTER NW INC NONE
36529 6TH AVE SW RAINMASTER NW INC RAINMNW049N8 4/16/05
FEDERAL WAY WA PO BOX 2989 RAINMASTER NW INC
98023-7269 YELM WA 98597 PO BOX 2989 NONE
Includes:
Census category: 113-New rr #1 #2 #3 i #4
Occupancy Group: R-3
Construction Type: f____. _____________— ——
Occupancy Load:
Floor Area(Sq.Ft.):
1st Floor Proposed Sq.Feet 1392 Census Category 113-New manufactured/fact(
Height of Structure 14 Occupancy Group#1 R-3
Total Building Sq.Feet 1392 Total Proposed Sq.Feet 1392
Zoning Designation RS 15.0
PERMIT EXPIRES April 16,2005.
Permit issued on October 18,2004
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: ~As /2 ��r)--,.yls Date: /p-a- ox
i t t
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: DYE Permit number: 04- 104088-00
Address: 36529 6TH SW
#1 H #2 #3 #4
Occupancy Group: R-3
Construction Type:
Occupancy Load:
Floor Area(Sq.Ft.):
Owner Douglas L Dye
Name: 36529 6TH AVE SW
Address: FEDERAL WAY WA
98023-7269
tiWA/erinaitre;
e-}," /1) ."7/7 0/057
IIuil ;rig 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 pcssible(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 TEIVIAIN ON-SITE
cirY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-104088-00-SF
Owner: DOUGLAS L DYE
Address: 36529 6TH AVE SW
FEDERAL WAY, WA 98023
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) 0 Drainage/Downspout(4040) ❑ Final- SWM (4375)
To be done prior to breaking ground Approved to backfill Approved
By Date By Date By Date
❑ Skirting/Final(4250)
Approved
By / Date /f
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CITY OF • RECEIVED
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Federal Way PERM l - - {
6 20M (SF' MF CO ME EL PL DE EN FP
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COMMUTY DEVELOPMENT SERVICES \\ _
33325 8Th AVENUE SOUTH•PO BOX 9718 ......L'
FEDERAL WAY,WA 98063-9718 A P P L I C ATJ c NAL WAY TO
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253-835-2607•FAX 253-835-2609 / / c)-r-f
www.dluoll'ederahnaq.cornBUILDING DEPT.
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The following is required information-an incomplete ap.lication will not be acce.ted. Please .rint legibly(in ink)or type.
- -- • • PROPERTY INFORMATION
SITE ADDRESS 3 GS le? - G-tA A v, .5 u-
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 3 Q '"-- / O (-1, - ? I U —7, LOT SIZE s
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) So 2-hi`/ /07 4 ,4Gr 3 4 9 3 46 f frt,,;%a Kc.s,• '%z a,/6
3
separate page
S ec�J�, �� ch f lengthy legal deco Peon) !
%!/V/HJ�/4 /�.oN (Attach C l.1 Z� €-1
aF S /z 0.E �vwlti off' w'�'y rFilrify
' - i ? - IN PROJECT INFORMATION .
TYPE OF PERMIT ti4 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only,)
1 h 1 riak /( • L1 c cQ a :.;.11+ t 4) Ik A Y,o. c Mt4-•,e.0 h a:.4., e.
PROJECT NAME(Name of Business or Owner Last Name) 17 ` .- ✓t cAL
l ,: • PEOPLB INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER 1210 LA, /et I /',-7e (tc; ) gss - -?71e,
MAILING ADDRESS CITY,STATE,ZIP -
-3c5-7A - 6-,-.4-,../0. 5 w _ Pe ,&a—t / td.,.,7,4.4,4 9 ea z-?
CONTRACTOR COMPANY NAME L, APPLICANT NAME OFFICE PHONE
-lei l.rf;, �6'v' i . c '-i4e-1 4t, c..44 (36 c' ) ", - 2 Z 76
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE --
P 0,60 2,4 Gy `le-A., mak. It.,--a7 ( 3rfu) '7 ?1 - 2-d 5?_
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER 'EXPIRATION DATE FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
R gr z A/ /14 ti'w o Y cr 4/ IT- dyi /G / 1005
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
f`...!•h -, ( ) -
1 MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
LGL (-41.-et Al 4.t,,-g..k.0( ('36J) 7 Qrt - Lact
c.4.,....LENDER Per RCA,19.27.095: Lender information is NAME
required if project value exceeds$5,000 < $il 'a o ar
MAILING ADDRESS CITY,STATE,ZIP l`
. . ■ DETAILED BUB.DING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOORAREAS - .
ARE a •
EGNI PROPOSED S .FT. TOTAL
A DESCRIPTION
cr Z
SECOND
THIRD
FOURTH _- - -
ADDITIONAL FLOORS(DESCRIBE) —
DECK(COVERED?) ,
GARAGE/CARPORT IIIIIIIIIIII
TOTAL EXISTING ARD PROPOSED
TOTAL EXISTING
HOW MANY FLOORS? f
"NEW HOMES ONLY NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
.1ro c..:t ne..- .y
' Lxhire to be installed or relocated as part of this P ect. Do not include existing fixtures to remain.
Indicate number of each type off
•
MECHANICAL ^0
Value of Mechanical Work $__________—_
REFRIG.SYSTEMS
GAS LOGS REF G.SYSTEMS MR HANDLING UNITS EVAPORATIVE COOLERS HOODS Icamm«<i 1)
BBQSVES
FANS RANGES MISC(Describe)
----
COMPRESSORS
BOILERS FIREPLACE INSERTS GAS WATER HEATERS
FURNACES
COMPRESSORS GAS PIPE OUTLETS
—__-
PLUMBING DUCTS
LNG WATER CLOSETS(roue) MISC(Describe)
PLUMB SHOWERS
-----
DISHWASHERS
Rrub/sna�«cambal SINKS DRINKING FOUNTAINS
DISHWASHERS RAINWATER SYST
SUMPS HOSE
GAS PIPE OUTLETS URINALS
WASHING MACHINES VACUUM BREAKERS HOSE BIBBSIC WATER HEATERS
LAVS Bathroom sulks
r x v u{ x-t
W�iillYi��� �'.rc+r,.�r
GNATQREBLO�
I certify under penalty of perjury that the information furnished by meis
true artd hick the permito the
ban on est of my knowledge,
lel e, and
further,
ther to hold am authorized by the of the above premises to pernc the work j
person,including the undersigned,and thea against the the information of Federal
edrion Way,
i but only the city such a claim
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred ir;the investigation and defense of
y
f
such s out the h may be made bi any p
of
arises out of the reliance of the city,including its officers and employees, upon
this application. 1
DATE /U eld Y
NAME/TITLE �r/ /
gine)
hit
i RELATIONSHIP TO PROJECT 0 Owner O Agent liCContractor 0 Architect ❑ Other i
i
FOR OFFICE USE ONLY• ATION o REPAIR o TENANT IMPROVEMENT
❑ALTER
o NEW ❑ADDITION
BASIC PLAN? o YES o NO ,
BUILDING SHELL ONLY? o YES a NO o'YES a NO
CHANGE OF USE?
ZONING DESIGNATION Up/SEPA/SUS ❑YES o NO
I NEW ADDRESS REQUIRED? o YES o NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? o YES o NO
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I Bulletin 11100-March 30,2004 k\Handouts-Reviscd\Permit Application
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