01-101036City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Building - Single Family Permit #:01 - 101036 - 00 - SF
Project Name: MARSHALL
Project Address: 3001 S 288TH ST Space95
Inspection request line: 253.835.3050
Parcel Number: 042104 9222
Project Description: MH SETUP - Remove existing mobile home and replace with new mobile home on space #95, Camelot
Square Mobile Home Park.
Owner
Applicant
Contractor
Lender
CAMELOT SQUARE INC
MICHAEL & KATHERINE MARSHf
LND SERVICES INC
NONE
3001 S 288TH ST
3001 S 288TH ST UNIT 95
LNDSEI*173DA 2/15/02
FEDERAL WAY WA
FEDERAL WAY WA
15010 74TH AVE E
98003-8019
PUYALLUP WA 98375
NONE
Includes:
Census category: 112 - New rr
#1
#2
#3
#4
Occupancy Group:
R-3
R-3
Construction Type:
Occupancy Load:
Floor Area (Sq. Ft.):
1 st Floor Proposed Sq. Feet ................................. 1566 Census Category ................................................. 112 - New manufactured/fact(
Deck Proposed Sq. Feet.......................................80 Occupancy Group#1........................................... R-3
Occupancy Group#2...........................................R-3 Total Proposed Sq. Feet ....................................... 1566
Zoning Designation ............................................. RM 3600
CONDITIONS:
1. No building shall encroach onto any building setback line or easement shown or not shown.
Service connections for electrical and communication facilities shall be placed underground per section 16-48 of
the Federal Way City Code.
2. MOBILE HOMES - ACCESSORY STRUCTURES BETWEEN UNITS Per Section 21.09.030 Part E. #8 of
the King County Zoning Code, there shall be a minimum of 10' (ten feet) of separation maintained between all
mobile homes on the site. Accessory structures may be located no closer than: A. 10 feet to mobile home on
adjacent spaces. B. 5 feet to accessory structures of mobile homes on adjacent spaces. NOTE: Uniform
Building Code overrides the 5 -foot setback under Table 5-A, 11M3" and "R" in Uniform Building Code Manual,
whereby Part I, Chapter 1, Section 103, indicates that the most restrictive requirement shall govern. In this case
a 6 -foot setback is required. C. Five feet to the mobile home or other accessory structures on the same space,
except that separation may be reduced to three feet when the affected structures are constructed of
noncombustible materials.
3. This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating
to the subject proposal.
PERMIT EXPIRES October 3, 2001, IF NO WORK IS STARTED.
Permit issued on April 6, 2001
I hereby certify that the above information is correct and that the construction on the above described pro
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Wasl,
the City of Federal Wa
Owner or age Date: '1� G
f
CICYOF G�
ghergAL
uV AY
POSS CARD ON THE FRONT OF BUILD
BUILDING DIVISION
INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253-835-3050
( ) DRAINAGE: Line
() UNDERFLOOR FRAMING
( ) Connection
O ROUGH PLUMBING: DWV Water piping
O ROUGH MEOHANICAL Gas piping
O SHEATHING Roof Floor
i
O SHEAR WALLS
O ELECTRICAL. ROUGH -IN Ditch Cover
( ) FIRE/DRAFTSTOPS
O ELECTRICAL, FINAL
() PLANNING FINAL_
() PUBLIC WORKS FINAL
() FIRE FINAL
O BUILDING F�AL //
Cff.CONSTRUAON PERMIT APPLICATION
VV FF'Y PPLICATION NUMBER: - t G� 3 -
APPLICATION NUMBER: --
APPLICATION NUMBER: — — - — — — — — — - — —
**The foljevaing is xequiredinformation —Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY.. - / f
SITE ADDRESS: JC2'!/ qn TL � 21� 77V ' `TS ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
9 PROTECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
•
PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR
�u
APPLICANT:
NAME: DAYTIME PHONE:
/VIA25HA.L _ ►tit/Com► -AeL ! kA'THC-RI N(c=�
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
3Cy�) I -� 1 a Z�- tF` 9 5
NAME'_
DAYTIME PHONE:
MAILING ADDSS (STREET AD IRESS; CITY, STATE, ZIP):
'- `
EVENING PHONE:
1<569- (
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iX53 )
CITY OF FEDERAL WAY BUSINES LICENSE NUMBER:
–
FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required)
— —
— — — —
NAME: ("'z'!'
r'' .", .i 'D i
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
-pr 32—
RELA NSHIP TO PROJECT: ,�,� FAX NUMBER:
El ARCHITECT ❑ TENANT l!� OTHER( DESCRIBE): -
E -MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR I
DETAILED BUILDING INFORMATION
EXISTING USE: MnWa f4owe EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ I
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES R_& O FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 11 HIGHLINE 0 PRIVATE (SEPTIC)
0
..NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
PR03ECT FLOOR AREAS`
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
FIRST
1,55
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
T
�L
DECK
v
o
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACEINSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINALS)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
]TSCLATMPR /STC'NATI IRP RI C
WATER HEATER(S)
❑ ELECTRIC ❑ GAS
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and
further, that I am authorized 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 filed against the City of
Federal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the information sup a city as a part of this application.
NAME/TITLE: DATE:
❑ PROPERTY OWNER APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129