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14-104341City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Project Name: CAMELOT SQUARE MHP LOT 1 Project Address: 3001 S 288TH ST Space 1 f, wilding - Singles Faditly Permit #: 14- 104341 -00 -SF Inspection Request Line: (253) 835 -3050 Parcel Number: 042104 9155 Project Description: Installation of 1620 square foot mobile home in mobile home park. Owner Annlicant Contractor Lender CAMELOT SQUARE INC GENE GRAF L N D SERVICES 3001 S 288TH ST MANUFACTURED HOUSING LNDSEI" 173DA (8/6/15) FEDERAL WAY WA 98003 -8019 RESALES 15010 74TH AVE E Occupancy Load PO BOX 2322 PUYALLUP WA 98375 Floor Areas . ft. TACOMA WA 98401 0 1 0 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 1 0 1 0 Additional Permit Information New / Additional Sq. Feet - 1 st Floor ....................1620 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 .......................... 1620 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 Saturday, March 7, 2015 Permit Issued on Monday, September 8, 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:► ,� �� r' 400 % • THIS CARD IS TO ON -SITE Federal Way Construction Inspection Record y INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 14- 104341 -00 -SF Address: 3001 S 288TH ST Space 1 Project: CAMELOT SQUARE INC FEDERAL WAY, WA 98003 -8019 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 By Date p� _ _ By Date By Dater SW M Precon Site Mtg (4400) Initial Erosion Control (4365) Final Electrical Interim Erosion Control (4370) Approved 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 By Date p� _ _ By Date By Dater Rough Electrical Approved Final Electrical Right of Way -� Approved Approved By Date By Date By Date CITY OF A • Federal Way PERMIT NUMBER 14 _ ( O 14 �Aj _ I • ra J1 • A • AUG 2 5 2014 S (- CITY OF F D TWAY SITE ADDRESS /_� / /vs, �i �7 SUITE /UNIT # TE / PROJECT VALUATION ZONING ASSESSOR'S T�PARC�# /vim � © A � /-1►Y - TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT �? _i�r 0 7--- 6f A_r) "Z'o C2 g;, (.C,) PROJECT DESCRIPTION .Detailed description of work to S T!V -6-G_ Imo-- be included on this permit only PROPERTY OWNER NAME C e L O¢ PRIMARY PHONE Z E-S 7r MAILIN G ADDRESS � � E -MAIL � �,jZTC STATE Z NAME E'/`CJ (; �. S Vv/ G Pi ! i ^� &0_7 37 1 MAILING ADDRESS a/ , c2 71L/ � E-MAIL CONTRACTOR STATE Z 2 7� FAX WA STA E CONTRACTOR'S LICENSE # EXPIRATION DAT 3 FEDERAL WAY BUSINESS LICENSE # NAME Zvi 6P-if - PRIBL41ZY PHONE Z,: ' Zz ING ADDRESS d- &�oy 07-3 Z'.. E -MAIL APPLICANT CIT G TATE A ZIP �� �0 FAX 2 53 2Gt�Z NAME ^ PRIMARY PHONE 6 6 Z PROJECT CONTACT �E/ F� /'- MAMIN DRES Z Z E -MAIL (The individual to receive and respond to all correspondence CITY C STATE 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 iii orinciti6ii su -�Iierhto the ci as apart o this application. .i• PP � PD of this PP � ci / SIGNATURE: L Jam'( .. DATE �% �J e F PRINT NAME: /� Bulletin 4 100 - January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application MECHANICAL PERMIT VALUE OF MECHANICAL WORK Indicate how many o each type offixture to be installed or relocated as part o this project. Do not include existingfixtures 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 .— ..._..._. .... -- - - -- _____ ..... _......�__...-- ...— .._..___.... %n '`,�`,f /✓�z'` /�s,c/i r ,> r` �' / r^ eft ,ter Indicate how many o each type offixture to be installed or relocated as part o this project. Do not include existing fixtures to remain. BATHTUBS (oriub /Shower combo) LAVS (Hand 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 1 �r.�xfc,rf`!� �' w„ ,� z/, s.r, �'x,w,...,G _ ✓ >,.» > ^, _ /r, � , ,�; :.; m : ".... >,'.., GENERAL INFORMATION ....._ �__._._ ..�___._._._.�.___-- --.._...._. COVERED ENTRY CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS COMMERCIAL — REMODEL /TENANT IMPROVEMENTS Area Construction EXISTING /PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? i^„ 9 �%.s X,b /b�.rf lN,�..%�.li"yili.f„ ,. ,y;•�>^•'x+ /,F / /� /,. `e .i ,;, ti�i�. / /ii..r.�, �.,r `(" if! ^. ,>/�.- �'°%�"i ✓��>'�.,� .,, / =�i. ,, ❑ Yes ❑ No ❑ Yes ❑ No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE .— ..._..._. .... -- - - -- _____ ..... _......�__...-- ...— .._..___.... %n '`,�`,f /✓�z'` /�s,c/i r ,> r` �' / r^ eft ,ter . /rr� is / '/ '. 2' k' 1-:..;', ei`>.>. i�„+`, ,^%S,t,">"y`9''✓% " /,�i,�''�,<6, ,r",^, �'>i"ir',`;i �i`.��/�! ra¢. rs;; s? .___._— ..._— FIRST FLOOR (or Mobile Home) Stories ..__.._..._._....._._..._'—" ___._._.— ..._._.... _._._ .............. - ------ l/c < / r,v r ' y�,yi/>/ % /z 1 �r.�xfc,rf`!� �' w„ ,� z/, s.r, �'x,w,...,G _ ✓ >,.» > ^, _ /r, � , ,�; :.; m : ".... >,'.., ,. ,,, E. , -. _„ •'/ ....._ �__._._ ..�___._._._.�.___-- --.._...._. COVERED ENTRY .. . ........ __ _. _ .. ........�.�.__._.______...._.__ COMMERCIAL — REMODEL /TENANT IMPROVEMENTS Area Construction # of AREA DESCRIPTION i^„ 9 �%.s X,b /b�.rf lN,�..%�.li"yili.f„ ,. ,y;•�>^•'x+ /,F / /� /,. `e .i ,;, ti�i�. / /ii..r.�, �.,r `(" if! ^. ,>/�.- �'°%�"i ✓��>'�.,� .,, / =�i. ,, GARAGE ❑ CARPORT ❑ a Stories —___—._._..____..___...__..___..__._-__ _.- .._._....�..._......._._____ EXISTIRO PROPOSED TOTAL Area Totals TENANT AREA ONLY / ESTIMATED SELLING PRICE $ # OF BEDROOMS COMMERCIAL — NEW /ADDITION Area Construction # of AREA DESCRIPTION Occupancy Group(s) Additional Information in S ware Feet Type Stories l/c < / r,v r ' y�,yi/>/ % /z rr v ✓ ADDITION COMMERCIAL — REMODEL /TENANT IMPROVEMENTS Area Construction # of AREA DESCRIPTION Occupancy Group(s) Additional Information in Square Feet a Stories TENANT AREA ONLY Bulletin #100 — January 1, 2013 Page 2 of 3 k:\IIandouts\Permit Application