18-104437 . .t
_ r '
Building - Single Family
C City of Federal WayPermit #:18-104437-00-SF
ity Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: CRESTWOOD MHP SPACE 187
Project Address: 1645 S 272ND ST Parcel Number:332204 9010
Project Description: NEW-Installation of single-wide manufactured home.
Owner Applicant Contractor Lender
STEVE WAGNER STEVE WAGNER OWNER IS CONTRACTOR OWNER IS LENDER
1645 S 272ND ST SPACE 45 1645 S 272ND ST SPACE 45
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Census Category: 112-New Manufactured/Factory-Built Home,IN PARK
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.)
Additional Permit Information
New/Additional Sq.Feet-1st Floor 560 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
New/Additional Sq.Feet-Other 0 Is this an Online or O.T.C.application No
New/Additional Sq.Feet-Total 560
Total Valuation:3,332.00
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 Wednesday,3 April,2019
Permit Issued on Friday,October 5,2018
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: "..,4-eter ���Date: /6/5-//e
AIL THIS CARD IS TO REMAIN ON-SITE
v reran W Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 18 104437 00 Address: 1645 S 272ND ST Space 187
Project: STEVE WAGNER FEDERAL WAY WA 98003
Scheduled inspections maybe 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 SWM Precon Site Mtg(4400) 0 Initial Erosion Control(4365) •Q Interim Erosion Control(4370)
Approved To be done PRIOR to breaking ground Approved
By Date By Date
*BY Date
® Blocking/Tie Downs(4015) 0 Final Erosion Control(4375) 0 Skirting/Final(4250)
Approved Approved .ver kip"44 1. Approved
BY.. Date , 2 By Date .,By i.(.09 Date 6-9-20
Rough Electrical E Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
CITY OF �� SEP
A. 19 2018 PERMIT APPLICATION
Federal WaPERMIT CENTER+33325 8th Avenue South +Federal Way,WA 98003-6325
y�MMUNCITY�F F DE RAL
253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
PERMIT NUMBER J S _ a/ Y Li3 7 - 5 E TARGET DATE /0 "'al q -- I
SITE ADDRESS / vvSUITE/UNIT#
1645
P(a45OJECT ALS ION212n� SN- . SW AS/�SOR'S TAX/PARCEL# M) c. /
$ 3 , 3 3 c)--_ goo 3 3 ir2z. a o - 7 o __L o
TYPE OF PERMIT %BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT A l�Ul4 Z10_C D Us' v 1 Q/ WA ME--
PROJECT DESCRIPTION
Detailed description of work to SET-Li? / E(AC.t -1 ALG , �'rCI )M ` 4 E L j�,UC k L. HMe-UP
be included on this permit only OF l` 1 EVJ -r ,h i t F2 )� &c& le-1
NAME � 1 1�1�'t PRIMARY PHONE
o
PROPERTY OWNER f M17 1 PAR_IL 253-941 - 5I 10Z
104S\S 212 -S-E l-. E-MAIL
-5
CITY ZIP
FEZOLAL
NAME / , ` v\ e PHONE
MAILING ADDRESS I�' ,j\ E-MAIL
CONT CTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
__ r / / 1 `f
NAME
(144414E-2--- 2c4,2 71'1 [OI I
- MAILING ADDRESS 14b �L� E-MAIL
APPLICANT
l( 45 5, 2`72 S srE-vewAGma-Zu@6mAii_a1
CITY v Jew ST ZI FAX
NAME , 1 r PRI�MMMAAA,����Y/PHONE 101
1
PROJECT CONTACT (� (EV� WA& K, \( 7I9 /0 I '
(The individual to receive and MAILING ADDRESS C /, E-MAIL
respond to all correspondence I(045 Si 211 St, # TJ swevot‘uccatieGNAIL am
concerning this application) CITY STA ZIP FAX
NAME
PROJECT FINANCING X OWNER-FINANCED
When value is$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 arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to t city as a/ of this application.
i
SIGNATURE: Al�''� �, DATE 1 i q i 8
PRINT NAME: £ •I. .
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\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(comma
BOILERS FURNACES HOT WA . ' ANKS(Gas)
COMPRESSORS GAS LOG SETS • •'. ERATION SYST
DUCTING GAS PIPING ' OODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be inst. -d or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS and s nks) TOILETS WATER PIPING
DISHWASHERS . ATER SYSTEMS URINALS OTHER(Describe)
DRAINS • SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utlty� WATER HEATERS(electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
PJIUA L- �n _ $ i ) /
EXISTING/PREVIOU SE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESS ON SYSTEM?
S F k t, A ❑YesNo ❑Yes No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
```...,:"4,,t0 -1 3 A"0 _
FIRST FLOOR(or Mobile Home)
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COVERED ENTRY
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GARAGE ❑ CARPORT ❑
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Area Totals EXISTING PROPOSED TOTAL
res 'i rr� nor" r, ,. ' ^.0.""i7: i v• s • '
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
Area in Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
Square Feeta Stories
?t ,�+-, y/ ' x.r x `r g,,�, �ti� r r , rer,- ,rr
ADDITION
COMMERCIAL-REMODEL/TENANT IMPRO , NTS
AREA DESCRIPTION Area Occ :ncy Group(s) Construction #of Additional Information
S areurea Feet a Stories
14.0
I ..:<„ 1.''.' "rk` ' ',:(77-4::'''fid 4... -,:,-,9-7-1,',--',r✓ , "-,. , ...� _ ,F,.r ',lr,` � ,, l
TENANT AREA ONLY
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Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application