15-103213Gilding - Single FaMily
Community
City & Eco�'Doev. Way
eNices Permit #: 15- 103213 -00 -S F
33325 8th Ave S FILE
Federal Way, WA 98003 Ins tion Re uest Line: 253 835 -3050
ec
Ph: (253) 835 -2607 Fax: (253) 835 -2609 p Q
Project Name: CAMELOT SQUARE MH PARK - SPACE 250
Project Address: 3001 S 288TH ST Space 250 Parcel Number. 042104 9155
Project Description: REP - Remove existing steel roof cover on freestanding patio✓deck and replace with
sheathing and composition shingles
.Owner
CAMELOT SQUARE INC
ARRI11cant
JOSE ALFREDO OCTAVIANO
Contractor
OWNER IS CONTRACTOR
Lit
#4
3001 S 288TH ST
3001 S 288TH ST SPACE 250
-3
Plumbing to be Included ? ........... ............................Yes
Occupancy # 1 - Use ................ ...............................
FEDERAL WAY WA 98003 -8019
FEDERAL WAY WA 98003
family)
Census Category: 555 - Non - structural roofing permits
Includes:
# 1
#2
#3
#4
Occupancy Class:
R-3
-3
Plumbing to be Included ? ........... ............................Yes
Occupancy # 1 - Use ................ ...............................
Construction Type:
Type V - B
family)
Occupancy Load-
Floor Areas . ft.
0
1 0
0
1 0
Additional Permit Information
New / Additional Sq. Feet - 1 st Floor .................... 0
New / Additional Sq. Feet - 3rd Floor ....................0
BasicPlan? ............................ ............................... No
New / Additional Sq. Feet - Deck ..........................0
Mechanical to be Included ? ........ ............................Yes
New / Additional Sq. Feet - Other ..........................0
New / Additional Sq. Feet - Total .......................... 0
New / Additional Sq. Feet - 2nd Floor ...................0
New / Additional Sq. Feet - Basement ...................0
Occupancy # 1 -Construction Type .......................Type
V - B
New / Additional Sq. Feet - Garage .......................0
Occupancy # 1 - Class ................. ............................R
-3
Plumbing to be Included ? ........... ............................Yes
Occupancy # 1 - Use ................ ...............................
Residence (1 or 2
family)
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Tuesday, December 29, 2015
Permit Issued on Thursday, July 2, 2015
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:
(7
F iN t'�LED
• THIS CARD IS TO �IN ON -SITE jr ��� °F THIS
Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835 -3050
PERMIT #: 15- 103213 -00 -SF Address: 3001 S 288TH ST Space 250
Project: CAMELOT SQUARE INC FEDERAL WAY, WA 98003
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.
Zoof Sheathing (4220) Final - Building (4050)
Approved to install roofing Approved
Date 1") Z t— t y �� Date = ) —
Rough Electrical
Approved
Final Electrical
Approved
Right of Way -^
Approved
By
Date
By
Date
By
Date
CITY OF 10A�
Federal Way
PERMIT NUMBER t 5
PERMIAPPLWION
JUL 02 2015
CITY OF FEDERAL WAY
_ TARGET DATE GDS
SITE ADDRESS
//
SUITE /U %NIT ##
PROJECT VALUATION
ZONING
ASSESSOR'S TAX PARCEL # ` —
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
�
PROJECT DESCRIPTION
Detailed description of work to
�Y
vV OO
be included on this permit only
PROPERTY OWNER
NAME
Y PHONE
MAILING ADDRESS Q
D
E
ITY
STATE
NAME
C
PHONE
S
MAILING ADDRESS
L
- -t CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
`
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAMEG� V
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
� OWNER - FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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 supplied to the city as apart of this application.
SIGNATURE: DATE 0 �_d L
PRINT NAME:
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