14-1022790 Ouilding - Single Family
C �ofEcon. D Way Permit #: 14-102279-00-SF
community 8 Eton. Dev. Services
33325 8th Ave S
Federal way, WA 96003 Inspection Request Line: 253 835-3050
Ph: (253) 835 -2607 Fax: (253) 835 -2809 p
Project Name: CAMELOT SQUARE MHP LOT 98
Project Address: 3001 S 288TH ST Space 98 Parcel Number: 042104 9222
Project Description: NEW - Installation of 1440 square foot mobile home in mobile home park.
Census Category: 112 - New Manufactured/Factory -Built Home, IN PARK
Includes.
Owner
ARRlican
Contractor
Lender
CAMELOT SQUARE INC
CAMELOT SQUARE INC
L N D SERVICES
3001 S 288TH ST
3001 S 288TH ST
LNDSEI* 173DA (8/6/15)
FEDERAL WAY WA 98003 -8019
FEDERAL WAY WA 98003 -8019
15010 74TH AVE E
PUYALLUP WA 98375
Floor Areas . ft.
Census Category: 112 - New Manufactured/Factory -Built Home, IN PARK
Includes.
# 1
#2
#3
#4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas . ft.
0
0
0
0
Additional Permit Information
New / Additional Sq. Feet - 1 st Floor ....................1440
New / Additional Sq. Feet - 3rd Floor ....................0
New / Additional Sq. Feet - Deck .......................... 0
New / Additional Sq. Feet - Other ..........................0
New / Additional Sq. Feet - 2nd Floor ...................0
New / Additional Sq. Feet - Basement ...................0
New / Additional Sq. Feet - Garage .......................0
New / Additional Sq. Feet - Total .......................... 1440
No Fixtures Associated With This Permit It
ICJ`
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, December 3, 2014
Permit Issued on Friday, June 6, 2014
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: Date l
CITY OF
Federal Way
• THIS CARD IS TO MAIN ON -SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835 -3050
PERMIT #: 14- 102279 -00SF Address: 3001 S 288TH ST Space 98
Project: CAMELOT SQUARE INC FEDERAL WAY, WA
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.
Blocking/Tie Downs (4015) Final Erosion Control (4375) Skirting/Final (4250)
Approved Approved Approved
Date to ! By Date By 4, Date Ct t , v t
SWM Precon Site Mtg (4400)
13
Initial Erosion Control (4365)
0
Interim Erosion Control (4370)
❑
Approved
By
To be done prior to breaking ground
Approved
By
Date
By
Date
By
Date
Blocking/Tie Downs (4015) Final Erosion Control (4375) Skirting/Final (4250)
Approved Approved Approved
Date to ! By Date By 4, Date Ct t , v t
Rough Electrical
Approved
Final Electrical
Approved
❑
Right of Way —�
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
PERMIT91PPLICATION
PERMIT NUMBER fi
14_ 10 2� 7q - &F MAY 162014A &lza fq
CITY OF ��I
SITE ADDRESS *g //°�
/ ,/�
SUITE /UNIT #
PROJECT VALUATI,OrN
ZONING
ASSESSOR'S TAX /PARCEL #
7
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
C�1('t �� L� C 0
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME piq TC
r1/9_ v F& X17`""
PRIMARY PHONE
MAILING ADDRESS sf
/ � 2 --6-'�
E -MAIL
CY
- Weo" ,oC LCJ
STATE
ZIP
GG
NAME
A% _.. 414 �
PHONE
7 � 3C, 7 3 ` ,YS'
MAILING ADDRESS /
IS� / T — 'e
E-MAIL
CONTRACTOR
CIW
LC L�
STrATE
4fdw1
ZIP Y-4 7
FAX
WA STATE ONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
� (%
l4' 1G i�
A/4 0
NAME/j
PRIMARY PeH'`ONE / r
' MAILING ADDREW _
/ Z- X5 3 <--� .d 0-7— /E
E -MAIL
-
APPLICANT
CITY �,�^y /
-r "V k
STATE
l
ZIP
FAX
PROJECT CONTACT
NAME
6 6 1�
PRIMARY PHONE
S3,
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
r'
CITY ��� STTAAT�E/�
2W o
ZIP
�, /
FAX
concerning this application)
PROJECT FINANCING
NAME
OWNER- FINANCED
Required value of $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 Sapp Ued to the city as a part of this application _..
SIGNATURE: —DATE �'y /✓ % �i'
PRINT NAME: jq /�
PRINT
Bulletin # 100 –January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
•
MECHANICAL PERMIT
VALUE OF MECHANICAL WORK
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing ures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
RESIDENTIAL - NEW OR .ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
VALUE OF PLUMBING WORK
PLUMBING PERMIT
FOR OFFICE USE
r---
AREA DESCRIPTION
Occupancy Group(s)
............ _ ..... _. ........... --
x.
Indicate how many o each type of
re to be installed or relocated as part o this project. Do not include existigg fixtures to remain.
BATHTUBS (or Tub /shower Combo)
LAVS (Hsnd Sinks)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen /Utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL FIXTURES
✓£% l
./
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GENERAL INFORMATION
4,,/,/>/, r 1}/rH�i' y %(/fir, X „
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CRITICAL AREAS ON PROPERTY?
WATER
PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
N 0
-- _— ...... ...........
L
z U,Z>
r
AREA DESCRIPTION
Occupancy Group(s)
$
EXISTING /PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
Type
Stories
❑Yes �-No
❑Yes ❑ No
RESIDENTIAL - NEW OR .ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
r---
AREA DESCRIPTION
Occupancy Group(s)
............ _ ..... _. ........... --
x.
Additional Information
in Square Feet
Type
Stories
� NDYa71ES�� /
j
FIRST FLOOR (or Mobile Home)
1440
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y
�x �,
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0 / ✓/ / Zv i G�i. , c- :" /.°, r%' f rt'r/.,. F 5£ ham_ 1 ..'- Y ... /i. rJf .
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COVERED ENTRY
COMMERCIAL - REMODEL /TENANT IMPROVEMENTS
Area
-- _— ...... ...........
Construction
# of
r
AREA DESCRIPTION
Occupancy Group(s)
F�IYF,
GARAGE ❑ CARPORT ❑
Type
Stories
01
A
=BTEIG
' P Sp
TOTAL
Area Totals
V
PROJECT; AREA, ONLY
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL - NEW/ADDITION
Area
Construction
# of
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
in Square Feet
Type
Stories
� NDYa71ES�� /
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�; s� /,/ � /
777777777
�'/%, �^` n%
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ADDITION
COMMERCIAL - REMODEL /TENANT IMPROVEMENTS
Area
Construction
# of
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
in Square Feet
Type
Stories
TENANT AREA ONLY
PROJECT; AREA, ONLY
Bulletin #100 — January 1, 2013 Page 2 of 3 k:\l-Iandouts\Permit Application