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07-103064r City of Federal Way Building - Single Family Permit #• 07- 103064- 0.0 -'`F Community Development Services • P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050 Project Name: DYCHE Project Address: 3001 S 288TH ST Space 28 Parcel Number: 042104 9231 Project Description: New - Installation of a new 1680sq /ft manufactured ho p . In Camelot Square space 28. 1100N �, l Owner CAMELOT SQUARE INC CAMELOT SQUARE INC 3001 S 288TH ST FEDERAL WAY WA 98003 -8019 J'S PER SE ICE DE LIVID LT6 O''O BOX M E 972DO 4/14/09 ALLUP WA 37 6119 PACIFIC HWY E i FIFE WA 98V4 a Census Categogo%ll Lender I Home, IN PARK #3 1 #4 0 ►1foq,hatn „ �� ¢M f , f m New / Additional Sq. Feet - 2nd Floor ...................G Occupancy #I - Area (Sq. Feet) .. ...........................1680 New / Additional Sq. Feet - Deck ..........................0 Occupancy # 1 -Class ................. ............................R -3 New / Additional Sq. Feet - Total .......................... 1680 Zoning Designation ................... .............................RM 3600 No Fixtures Associated With This Permit 11 PERMIT EXPIRES Sunday, June 21, 2009 Permit Issued on Thursday, June 21, 2007 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 accordan a with the laws, rules and regulations of the State of Washington an h�Cily f Owner or gent: • Date: io it [^O)L* .w� star�cd �0 ? rnot adlt��r New / Additional Sq. Feet.- 1st Floor .................1680 New / Additional Sq. Feet - 3rd Floor ...................0 New / Additional Sq. Feet - Basement ...................0 New / Additional Sq. Feet - Garage .......................0 New / Additional Sq. Feet - Other .........................0 Occupancy #I - Use ......................... ......................Residence (1 or 2 family) Lender I Home, IN PARK #3 1 #4 0 ►1foq,hatn „ �� ¢M f , f m New / Additional Sq. Feet - 2nd Floor ...................G Occupancy #I - Area (Sq. Feet) .. ...........................1680 New / Additional Sq. Feet - Deck ..........................0 Occupancy # 1 -Class ................. ............................R -3 New / Additional Sq. Feet - Total .......................... 1680 Zoning Designation ................... .............................RM 3600 No Fixtures Associated With This Permit 11 PERMIT EXPIRES Sunday, June 21, 2009 Permit Issued on Thursday, June 21, 2007 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 accordan a with the laws, rules and regulations of the State of Washington an h�Cily f Owner or gent: • Date: io it [^O)L* .w� star�cd �0 ? rnot .city 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 staff. Tenant Name: DYCHE Address: 3001 S 288TH ST, "Space28 �l Permit #: 07- 103064 -00 -SF Includes: - #1 #2 #3 #4 Occupancy Class: R -3 Construction Type: Occupancy Load: Floor Area (s q. ft.) 1,680 a 0 0 0 Owner Name: INWELOT SQUXU INC Owner Address: 3001 S 288TH ST FEDERAL WAY WA 98003 -8019 s Y Building 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 severly 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 it is situated. Such compliance is the responsibility of the owner and / or occupant of the premises. 3 4� F F THIS CARD IS TO REMAIN ON -SITE r CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 07- 103064 -00 -SF Owner: CAMELOT SQUARE INC Address: 3001 S 288TH ST Space 28 FEDERAL WAY, WA 98003 -8019 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. ❑ SWM Preconstruction Site Mtg ❑ Initial Erosion Control (4365) ❑ Blocking/Tie Downs (4015) Ap¢44O0) To be done prior to breaking ground Approved By Date By Date By Date ❑ Final Erosion. Control (4375) ❑ Skirting/Final (4250) Approved Approved By Date By Date For inspector reference only _ ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date CITY OF Building Division , 33325 Eighth Avenue South Box 9718 Federal Way • Federal Way 98063 -9718 Phone 253 - 835 -2607 Fax 253 -835 -2609 INSPECTION NOTICE ADDRESS: 3CO ( S ��i/i�' '�'� #: O�- 11J301v� S� IF YOU HAVE ANY QUESTIONS CALL Call for reinspection before cover FOR DETAILS. DATE IN PECTOR DO NOT REMOVE THIS NOTICE N. S Page of �.Federal Way Building Division 33325 Eighth Avenue South • Box 9718 Federal Way 98063 -9718 Phone 253 - 835 -2607 Fax 253- 835 -2609 INSPECTION NOTICE ADDRESS �nrli sass }� w N 1'11710-7 A C l�J 1/1 ,� . e e f'✓ ljy, R s ar IF YOU HAVE ANY QUESTIONS CALL MlC vl �-`' (253) 835 - 41 [= �J Call for reinspection before cover WHEN CORRECTIONS HAVE BEEN MADE CALL (253) 835 -3050 FOR RE- INSPECTION. SEE BACK OF CARD FOR DETAILS. ATE INSPECTOR DO NOT REMOVE THIS NOTICE Page 0 f Federal Way INSPECTION NOTICE Building Division 33325 Eighth Avenue Sauth Box 9718 Federal Way 98063 -9718 Phone 253- 835 -2607 Fax 253- 835 -2609 IF YOU HAVE ANY QUESTIONS CAd - �e� (253) 835- -NOZC- ?f Call for reinspection before cover WHEN CORRECTIONS HAVE BEEN MADE CALL (253) 835 -3050 FOR RE- INSPECTION. SEE BACK OF CARD FOR DETAILS. DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page of ARECEIVEED FederaM , 2007 PERMIT C0mAf1UmrrrPf.w1"'MEr Led SF MF CO ME EL PL DE EN FP 33325 8"' AVBNUF. SOLllil • PS7 BOX 9718 2 ,R6071' �A WEDERAL wAAPPLI CATI ON DEPT. , 1 The.jbilawiFw is requi-ed. irLforrnat{an -an incomplete application will not be accepted. Please print legw-u (in ink) or tune. SITE ADDRESS J��L� 'pY 4 l SUITE/UNIT � [ ASSESSOR'S TAX/PARCEL # V 1 Lj - :�( L - LOT SIZE (sfi LEGAI. DESCRIPTION (e.g. Acme Estates, Lot I) I � l: r z C5' Y) ) (I 1 (Atlnch Sgp ate pcgejar Iergft legal descHpWrd PROJECT• • TYPE OF PERMIT L74UILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PRO.I TT DESCRIPTION (Provide detailed descrtptiori of work included on this permit onU 1-)1(� a v'<<l 1-1 111 ljf PROJECT NAME (Name of Business or Oumer Last Name) PEOPLE•• • PROPERTY NAME PRIMARY PI NE OWNER r L l J ' ( �) 1'7 I - r) NG ADDIiE54 ) CifY, STA1r;. CONTRACTOR Y l "i ! ADDRESS. jCILY.S,T'A7 CITY OF FEDL F.*?AI. WAY awmN '/' LICENSE N U M I Z, Q--01G-1 .0 2 09 5:-s 1. COWMACTORM ROGio^ MMON NUMBER (oaVY of C" squired wiHa qu 14 L� yr 1 LANs 1, r RELA'nONSHIP'M PROJECL' ❑ Architect ❑ Tenant Agent o Other (Descrfhe) OFFICE PHONE , l - ( ) - rip. Cm PROM EXPIRATION DATE FAX NUM FR 12- / 3 1 /off ( ) - CONTACT NAML 1 P1iLMARY PHONE • `iVf 1 ( ) LENDER Per RCW 19.27.095. Lender igformation is �"F required (fprgjwt value exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP EXISTING USE EXISTING ASSESSED/APPRAISED VALUE SPRINKLERED BUILDING? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN SEWER SERVICE PROVIDER ❑ LAKEHAVEN tj / it, / 09 OFFICE PHONE CELL PHONE PAX NUMBPA (-as-) 77U - 61o':� PROPOSED USE VALUE OF PROPOSED WORK $ FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) 0 HIGHLINE 11 PRIVATE (SEPTIC) / ''7 PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING FT. PROPOSED . FT. TOTAL . FT. BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS (DESCRIBE) DECK (COVERED?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS Irmo Tor—rer er 7peoro® M 7 e. TOTAL "NEW HOMES ONLY** NUMBER OF BEDROOMS 111ESTIMATED SELLING PRICE $ ' f 77 FIXTURES Indicate number of each type gffbeture to be installer! or relocated as part oilhis project Do not include existing fixtures to remain. Value of Mechanical Work AIR HANDLING UNITS BBQS BOILERS COMPRESSORS DUCTS PLUMBING BATHTUBS (or 7Lb/Sho—rCombo) DISHWASHERS GAS PIPE OUTLETS WASHING MACHINES L AVSymto,oan &.ii.) 'LTVL� EV COOLERS GILS LOGS FANS HOODS (co—cm) FIREPLACE IN RANGES FURNACES GAS WATER HEATERS GAS PIPE O SHDWEfiS WATER CLOSETS fbietl _ SINKS DRINKING FOUNTAINS SUMPS RAINWATER SYST URINALS HOSE BIBBS VACUUM BREAKERS ELECTRIC WATER HEATERS REFRIG. SYSTEMS WOODSTOVES MISC (Describe) MISC (Describe) r cert-Vy under penalty of perjury that the Warmation furnished by me is true and correct to the Lest of my knowledge, and further, that I am authorised by the owner of the above premises to perform the work for which the permit application is made. 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 jived against the City of Federal Way, but only cohere such claim arises nut of the reliance of the city, including its ql kvm and employees, upon the accuracy of the Wormation supplied to the city as a part of this application, NAME/TITLE RELATIONSHIP TO PROJECT ❑ Owner tl4(&nt ❑ Contractor ❑ Architect ❑ Other FOR OFFICE USE ONLY ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT BUIIAING SHELL ONLY? ❑ YES ❑ NO BASIC PLAN? ❑ YES ❑ NO ZONING DESIGNATION CHANGE OF USE? ❑ YES ❑ NO NEW ADDRESS RSQUIRED? ❑ YES ❑ NO UP/SEPA/SU? ❑ YES ❑ NO PLATTED LOT? ❑ YES [:]NO DEMO PERMIT REQUIRED? ❑ YES ❑ NO Bulletin #100 — January 7, 2005 Page 2 of 4 k\Handouts\Permit Application