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04-102212 . . , City of Federal Way Building - Single Family Permit #:04 - 102212 - 00 - SF Conununity Development Services 33�30 Ist Way S Federal Way,WA 98003-6210 Ph:253.661.4000 Far 253.661.4129 Inspection request line: Z�J3.g35.3050 Project Name: GRIFFIN,LOT 2 Project Address: 34110 36TH PL SW Parcel Number:308900 0133 Project Description: NEW-Install manufactured home with site build attached self supporting garage.Includes gas piping. � On LOT 2 Owner Applicant Contractor Lender Gary L Griffin Gary L Griffin AJ HOME SERVICES Gary L Griffin 30030 20TH PL SW 30030 20TH PL SW AJHOMS*077MN 07/15/04 30030 20TH PL SW FEDERAL WAY WA 98023-3404 FEDERAL WAY WA 98023-3404 AJ HOME SERVICES FEDERAL WAY WA 98023-3404 320 TODD RD NE Includes: � � Census category: 113-New rr #1 #2 #3 #4� - - — --- ---- �Occupancy Group: R-3 U-1 �� I _ - _ ,_._—_�� Construction T e: ! --- —�` — --- -�._� -__.-. --, �ccupancy Load � _ � Floor Area(59 ��) I I _j��_ _ __� lst Floor Proposed Sq.Feet ...............................1920 Census Category.............................. .............113-New manufactured/€actc Garage Proposed Sq.Feet..... .... ......................4d0 Height;of Structure................ .:... ......:......14 Occupancy Group#1...... ............................,..R-3 Occupancy Group 1l2.................,...... ...:U-1 Total Building Sq.Feet... .......:...................:...1920 Total Proposed Sq.Feet....: .:.:..... .............2320 Zoning Designation.............................................RS 7.2 Plumbing Fixtures � Description -�Quantity�_ Description ' Quantity _ Description__�Quantity Gas Pipe Outlets �� 1� PERNIIT EXPIRES January 2,2005. Pernut issued on July 6,2004 I hereby certify that the above informarion is correct and that the construction on the above described property and the occupar.cy and the use will be in accordance with the law nd regulations of the State of Washington and the City of Federal W . '�""^�, Owner or agen • , Date:T�� —� � " -�— � w ' ' �HIS CARD IS TO �EMAIN ON-SITE .. , ��oF �:ommunity Developr��Cnt Inspection Re�o�-d Federa1111/ay IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04-102212-00-SF Owner: GARY L GRIFFIN Address: 34110 36TH PL 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. ❑ Ternp.Erosion Control(4365) ❑ Footings/Setback(4110) ❑ Drainage/Jownspout(4040) To be done prior to breaking ground Approved to place concrete Approved to backfill By �(A Date ..�7 �� `1� By G �.�J Date '— S —J� By Date �7'�� ❑ Shear Walls (4245) ❑ Roof Sheathing(4220) NOTE: Prior to scheduling u Fruming(412Q) Approved to i+:st�ll siding Approved to install roofing inspection;Electrical,Plumbing&Mechanical Rough-in and Fire/Draft Stop inspections must be signed-off and approved. ISC 109.3.4/UBC 108.5.4 By %��`� Date � I� � By Date j �� ❑ Framing(4120) ❑ Insulation(4150) ❑Gypsum Wallboard Nailing(41.30;� Approved to insulate Approved to install wallboard Approved to install mud&tape By �. Da By Date By Date ❑ Final- SWM (437�� ❑ Final-Mechanical (4065) [� Final-Buildi�g(4050) Approved Approved Approved By Date By Date By �ate ❑ Skirting/Final(4250) Approved By Date � � � � . . INSPECTION LOG DATE : INSPECTOR OK CQRR/REJ AREA AND TXPE 4F INSPECTION ' .�. . < < �`.e �� D �1'1 � � Clf�'OF� . . . - . 'a��_ .. Federal Way � p ¢�� - � �--�� OOMM(JM7YDEVELbPMENTSERV/CES 1 ERMIT - -� F CO ME EL PL DE EN FP 33530 FIRST'WAY SOUTff•PO gpX 9718 A p p L I C A'I'I O l�ry a � FEDERAL WAY,WA 98063-9778 p 253-661-0715�FAX 253b614129 2 (7 A � / /� unuw.dtvol(ederdwav com «7 The ollowin is re uired in ormation-an inco lete a lication�TM�F � YPiease rint le ibi (in inkJ or - • • i • - � � � , �� L S � SITE ADDRESS SUITE/UNIT# ��7�� ASSESSOR'S TAX/PARCEL# � O �✓ � � �- � � � LOT SIZE(s� �I — j LEGAL DESCRIPTION(e.g.Acme Estafes,I.ot 1 J �e�_ �Attach s�rate page for lcmg(hy legd duoipnonJ � ' " • � 1 • ' � � • I` / /�� TYPE OF PERMIT �BUII,DING ❑ PLUMBING ❑ MECHANICAL Cs�Frs �j iQl�� ❑ DEMOLITION �LECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM I PROJECT DESCRIPTION(Provide detailed description of work included on this pernut on(ul .s L l� ��T J� T�u� � L�� c.7/T� �Lri y','_ i �s�-n=�rJ"'�I�. ��' � �'r /0�-1C�!//�1 �'r-- �it�� i I PROJECT NAME(Name of Business or Owner Last Nam� �r��T�✓� • ' 1 • - � • • PROPERTY xAME � PRIMARY PHONE OWNER ) ,�QO MAILING ADDR SS CITY,STATE,ZIP ' � �/�} O ! CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PtiONE I � 1 _ / � MAI�.ING ADDR SS C1TY,STATE,Z(P CELL PHONE � � � ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRAT[ON DATE FAX NUMBER W• �C�� CONTRACTORS REGISTRATION NUMBER�copy o[cud reqnired with each a Lcat�a / � � PP I EXPIRATION DATE � � APPLICANT COMPANY NAbtE APPLICANT NAME OFFICE PHONE MAIL G ADDRE S CITY,STATE,ZIP CELL PHONE RELATIONSHIP TO PROJEC'f �AX NUM�ER ❑ Architect ❑ Tenant ❑Agent ❑ Other (DescribeJ � � _ CONTACT NA PRIMARY PHONG E-MAIL ADDRESS Af - G L G/Z 1 '�F�p L � LENDER Per RCW 19.27.095: Lender irtforntation{s " NAME required if proJect value exceeds$5,000 MAIGNG ADDRESS CI ,STATE,ZIP � • I � : 1 � I 1 • - • EXISTING USE �� PROPOSED USE ��'J�pF�C� EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUII,DING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/RF.QUIRED? p yE.S ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE O TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAI{EHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC� ..r.,�, � `;;,. ' - . . . - AREA DESCRIPTION EXISTING S . FT. PROPOSED S . FT. TOTAL BASEMENT FIRSf � SECOND THIRD FOURTH � I ADDITIONAL FLOORS(DESCRIBE) i DECK(COVERED?) GARAGE/CARPORT f„�OO � I HOW MANY FL,OORS? rar.v.zwsruc rorni,reoroseP ror/v.eus�mc wRn eizoeosen "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ ► - � I Indicafe number of each type of fixture to be installed or relocated as part of this project. Do not include e�cisting juctures to remain. i MECHAMCAL ^ Value ojMechanical GVork $ �[J!`� �^ � AIR HANDLING UNITS EVAPORAT[VE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS�ca�e«�� WOODSTOVES BO[LERS F[REPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUC'I'S GAS P[PE OUTLETS PLUMBING BATHTUBS�o�r�n/sno..«co�no� SHOWERS WATER CLOSE'I'S Ra,i�q MISC(Descnbe) DISHWASHERS SINKS DRINKING FOUNTAINS , GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS � LAVS eau„oomsv,tcs VACUUM BREAKERS ELECTRIC WATER HEATERS � • lul - 1 - � I certify under penalty oJ perjury that!he tnformation frcrnished by me is t�ue and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perJorm the work for which the permit application is made. I further agree to hold harmless fhe City of Federal Way as to any claim(inciuding costs, expenses, and attorneys'Jees incurred in the investigation and defense oJ such clatrr�, which may 6e made by any person, including the undersigned,and filed against the City of Federal Way,but only where such claim artses out oj Lhe reliance oj the city, including its officers and employees, upon the accuracy oJ the information supplied Yo the city as a part of this application. ' NAME/TITLE i DATE L�" Z�O� � gnaturc) (Title� RELATIONSHIP TO PROJECT Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other FOR OFFICE USE ONLY ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR a TENANT IMPROVEMENT BUII.DING SHELL ONLY? ❑YF.S ❑NO BASIC PLAN? ❑YF.S ❑NO ZONiING DESIGNATION CHANGE OF USE? ❑YES ❑NO NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES ❑NO PLATTED LOT? ❑YE.S ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO E3ulletin#l00—March 30,2004 Pagc 2 of 4 k\Handouts—Revised\Pennit Application