01-101362t t
City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
IT 253.661.4000 Fax: 253.661.4129
0
Building
Project Name: MILLER
Project Address: 3001 S 288TH UNIT190
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- Single Family Permit #:01 -101362 - 00 - SF
Project Description: MH - Install mobile home in mobile home park (Camelot).
Inspection request line: 253.835.3050
Parcel Number: 042104 9222
Owner
Applicant
Contractor
Lender
ROLAND & JODI MILLER
CAMELOT SQUARE MOBILE HOM
OAKRIDGE LIMITED
NONE
1802 S 281 ST PL APT 104
3001 S 288TH ST
OAKRIL*064L2 3/23/01
FEDERAL WAY WA
FEDERAL WAY WA 98003
OAKRIDGE LIMITED
Occupancy Load:
1801 WEST VALLEY HWY SUITE
I NONE
Includes:
Census category: 112 - New n•
#1
#2
03
#4
Occupancy Group:
R-3
J
Construction Type:
Occupancy Load:
Floor Area (Sq. Ft.):
IFF
Census Category ................................................. 112 - New manufactured/facts Occupancy Group#1........................................... R-3
Total Building Sq. Feet........................................1620 Total Proposed Sq. Feet ....................................... 1620
CONDITIONS:
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.
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, "M3" 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.
PERMIT EXPIRES October 9, 2001, IF NO WORK IS STARTED.
Permit issued on April 12, 2001
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�e in accordance withethe laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date:
l
X,
I/ vNeey
POIS CARD ON THE FRONT OF BUILD
MY OF
EDE�Zf�L BUILDING DIVISION
AY INSPECTION RECORD
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PERMIT #: 01 -101362 -00 -SF
OWNER'S NAME: ROLAND & JODI MILLER
SITE ADDRESS: 3001 S 288TH UNIT190
( ) FOOTINGS/SETBACKS
'.
INSPECTION REQUEST PHONE #: 253-835-3050
( ) FOUNDATION WALL
"A
( ) DRAINAGE: Line
( ) Connection
() UNDERFLOOR FRAMING 610c k j. T+�
( ) ROUGH PLUMBING: DWV,
( ) ROUGH MECHANICAL
( ) SHEATHING
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH -IN
( ) FIRE/DRAFTSTOPS
Water piping
Gas piping
Roof Floor,
Ditch Cover
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"L._.. TE`APPRC) OI{IA1N(b CSN
( ) FRAMING/FIRESTOPPING
AVIV-
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( ) INSULATION: Floors Walls
( ) WALLBOARD NAILING
( ) ELECTRICAL FINAL
( ) PLANNING FINAL
( ) PUBLIC WORKS FINAL.
( ) FIRE FINAL
( ) BUILDING FINAL
Attic
( ) SUSPENDED CEILING
ACEIVED
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CONSTRUCTION TION PERMIT APPLICATION
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APR
APPLICATION NUMBER: 0 5 2U61 -1 - 3 j6
Y QF Fk�OEHAL 4mf APPLICATION NUMBER:
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BUILDING DEPT. APPLICATION NUMBER:
"The following is required information — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. -
M
PROPERTY INFORMATION
SITE ADDRESS: -, J ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT INFORMATION
TYPE OF PROJECT (This application): BUILDING El PLUMBING El MECHANICAL El DEMOLITION
El ELECTRICAL El ENGINEERINGE] FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide de ailed description):
I&LLI
PROJECT NAME:
I I � f I es�d
PEOPLE INFORMATION
PROPERTY OWNER: NAMEA DAYTIME MME PHONE:
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MAILING ADDRESS (STREET ADDRESS; CITY STATE,
CONTRACTOR: I NAME:_
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MAILING ADDRESS(STREET AD
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CITY OF FEDERAL WAY BUSINESS LICENSE t
CONTRACTOR'S REGISTRATION NUMBER.
(copy of card required)
APPLICANT: I NAME;' j /-1 .
MAILING ADDRESS (STREET At
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RELATIONSHIP TO PROJECT:
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DETAILED BUILDING INFORMATION
EXISTING USE: T EXISTING BUILDING ASSESSED/APPRAISED VALUATION 1;
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
PROPOSED VALUATION FOR IMPROVEMENTS: $
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EVENING PHONE:
FAX NUMBER:
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DAYTIME PHONE: i
EVENING PHONE:
FAX NUMBER:
El YES El NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: El YES 0 NO
0 LAKEHAVEN 0 HIGHLINE EJ TACOMA E-1 PRIVATE (WELL)
'D LAKEHAVEN El HIGHLINE El PRIVATE (SEPTIC)
"NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
zcertify under penalty of perjury that the information furnished bymwistrue and correct mthe 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 ismade. z
further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and puocneys'fcesincurred inthe
investigation anddefense the undersigned, and filed against the City nf
Federal Wbut only
including its officers and employees, upon the accuracy
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NAME/TITLE: DATE:
0 PROPERTY OWNER El APPLI/ANT ,f CONTRACTOR
FOR OFFICE USE ONLY:
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ZONING DESIGNATION:
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further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and puocneys'fcesincurred inthe
investigation anddefense the undersigned, and filed against the City nf
Federal Wbut only
including its officers and employees, upon the accuracy
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FOR OFFICE USE ONLY:
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LOT SIZE:
ZONING DESIGNATION:
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zcertify under penalty of perjury that the information furnished bymwistrue and correct mthe 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 ismade. z
further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and puocneys'fcesincurred inthe
investigation anddefense the undersigned, and filed against the City nf
Federal Wbut only
including its officers and employees, upon the accuracy
of the information sup e ci as part of this application.
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NAME/TITLE: DATE:
0 PROPERTY OWNER El APPLI/ANT ,f CONTRACTOR
FOR OFFICE USE ONLY:
0 NEW El ADDITION El ALTERATION El REPAIR El TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? El YES E] N 0
COMP PLAN DESIGNATION
BASIC PLAN? El YES 0 NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? El YES dNO
PLATTED LOT? El YES El NO
CHANGE OF USE? El YES El NO
COMMUNITY DEVELOPMENT SERVICES ^»omFIRST WAY SOUTH ~po.BOX pno^FEDERAL WAY, wm 000s3-9/m`zzn-6a1-1000~FAX: zsza»/'^/zo