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06-100186City of Federa$ Way 13uildin - Single Family Permit #: 06 -100186 -0.0 --'SF Comftunity Develonme"t Services g P O. Box 9718 Federal Way, WA 98063-9718 Inspection Request Line: (253) 835-3050 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: WICKLANDER Project Address: 3001 S 288TH ST Space 235 Parcel Number: 042104 9155 Project Description: NEW - New 1536 sgft mobile home setup Owner Applicant Contractor Lender STEVE WICKLANDER LEE'S MOBILE HOME LEE'S MOBILE HOME 3001 S 288TH ST LOT 235 WAINS0293 EXP.7/31/07 FEDERAL WAY WA Census Category: 112 - New Manufactured/Factory-Built Home, IN PARK Includes: I #1 1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load: Floor Area (sq. ft.) 0 0 0 0 Additional Permit Information New / Additional Sq. Feet - 1 st Floor...................:1536 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..............I..........:0 New / Additional Sq. Feet - Garage: ...................... 0 New / Additional Sq. Feet - Other.........................0 New / Additional Sq. Feet - Total.......................... 1536 Zoning Designation ............................................... RS 5.0 No Fixtures Associated With This Permit 11 CONDITIONS: PERMIT EXPIRES Friday, January 18, 2008 Permit Issued on Wednesday, January 18, 2006 hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the u e will be in accordance with the laws, rules and regulations of the State of Washington - an the City of Federal Way. - Owner or agent: Date: tki of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.2 of the International 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 by-Citystaff. Tenant Name: WICKLANDER Address: 3001 S 288TH ST Space235 Includes: # 1 #2 #3 Occupancy Class: Construction Type: Occu anc Load: Floor Area (sa. ft.) n Owner Name: STEVE WICKLANDER STEVE WICKLANDER Owner Name: LEE'S MOBILE HOME Owner Address: Permit #: 06 -100186 -00 -SF #4 7— 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 sevedy affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible (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 itis situated. Such compliance is the responsibility of the owner and / or occupant of the premises. .'' THIS CARD IS TO pFMAIN ON-SITE CITY OF' Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06 -100186 -00 -SF Owner: STEVE WICKLANDER Address: 3001 S 288TH ST Space 235 FEDERAL WAY, WA 98003 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. ❑ Temp. Erosion Control (4365) ❑ Final - SWM (4375) Skirting/Final (4250) To be done prior to breaking ground Approved Approved By Date By Date By Date A� RECEN My of Federal V4la�,r� Y 6 �c)u, PERMIT cOMMUAmDEVELwPMENT SBRVICBS 33325 8rH AVENUE SOUTH • PO BOX 9718 59 83 a, 3 ��{{�}�9 f WER41- VVA P P L I C A.T I O N W1uxr.niygffederulmQy 71LDING DLPT. MF CO ME EL PL DE EN FP The-folloulinq is re wired information - an incom Fete a lication u/t11 not be acce fed. Please lqp.rint % ib n in OLDre. PROPERTY INFORMATION SITE ADDRESS S• SUITE/UNIT # ASSESSOR'S TAX/PARCEL # - LOT SIZE (sj) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) TYPE OF PERMIT (Attach separate page far lengthy legal description) ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on khisermit only) PROJECT NAME (Name of Business or Owner Last Name) Vv )F # PEOPLE•- • PROPERTY OWNER CONTRACTOR APPLICANT CONTACT LENDER NAME 7 PRIMARY PHONE MAI LINO ADD R655 CITY, STATE, ZIP 1 1Ce t t COMPANY NAME APPLICANT NAME OFFICE PHONE �'q 3-11 MAILING ADDRESS CITY, STATE, ZIP CELL PHONE (' ) - OF V WAY 13USINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER _ _B - L ❑ Architect ❑ Tenant ,� Agent ❑ Other (Describe) CONTRACTORS REGISTRATION NUMBER (copy of card required with each appUcatioul EXPIRATION DATE COMPANY NAME I APPLICANT NAME OFFICE PHONE MAILIH4 ADDRESS CITY, STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT ✓ FAX NUMBER ❑ Architect ❑ Tenant ,� Agent ❑ Other (Describe) ( - NA PRIMARY PHONE -2.3•-3 E-MAIL ADDRESS NAME MAILING ADDRESS 71=STATE, ZIP EXISTING USE r-_ U EXISTING ASSESSED/APPRAISED VALUE $ SPRINKLERED BUILDING? ❑ YESif3 NO WATER SERVICE PROVIDERLAICEKAVEN SEWER SERVICE PROVIDER LAKEHAVEN PROPOSED USE VALUE OF PROPOSED WORK $ /NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) ❑ HIGHLINE 0 PRIVATE (SEPTIC) AREA DISCI BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS (DESCRIBE) DECK GARAGE ❑ CARPORT NUMBER OF FLOORS "osrE "NEW HOMES ONLY" NUMBER OF BI IPTION EXISTING PROPOSED TOTAL JT. I PROPOSED rorAL — a " iu.= lar .- -•Y[ ESTIMATED SELLING PRICE Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing futures to remain. Value of Mechanical Work $'' AIR HANDLING UNITS BBQS BOILERS COMPRESSORS DUCTS PLUMBING BATHTUBS (or Tub/Showercombu) DISHWASHERS GAS PIPE OUTLETS WASHING MACHINES LAVS iA.ti,.....m gl;.v.i EVAPORATIVE COOLERS FANS FIREPLACE INSERTS FURNACES GAS PIPE OUTLETS SHOWERS SINKS SUMPS URINALS VAnrrrrnt RAI: AVL'De GAS LOGS HOODS (Commercial) RANGES GAS WATER HEATERS WATER CLOSETS (rouey _ DRINKING FOUNTAINS RAINWATER SYST HOSE BIBBS 1Lr.V1 rVrn XI/AIPOD W e1- REFRIG. SYSTEMS WOODSTOVES MISC (Describe) ! cert(fy Under penalty ofperfury that the tr(t'ormation furnished by me is true and correct to the best of my knowledge, and further. to I am authorized by the owner of the above premises to perfarm the work for which the permit application is made. Y further agree to hold harmless the City of 1ti'ederat Way as to any claim [including costs, expenses, and attorneys' fees incurred in the investigation and defense of such claimj, which may he made by any person, including the undersigned, andfiled against the City of Federal Way, but only where such claim arises out of the reliance of the city, including its offtcers and employees, upon the accuracy of the information supplied to the city as apart of this application. NAME/TITLE ��' � • `�� DATE SlgnaturcJ (Title) RELATIONSHIP TO PRO ECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other Bulletin #100 — Januaiy 7, 2005 Page 2 of 4 k\Handouts\Permit Application