18-1049331
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (263) 8352607 Fax. (253) 8352609
+ V
Fl Building - Single Family
,!: Permit #:18-104933- -SF
Inspection Request Line: (253) 835-3050
Project Name: CAMELOT SQUARE MFH SPACE 361
Project Address: 3001 S 288TH ST
Parcel Number: 042104 9155
Project Description: NEW - Installing a new 1344 square foot manufactured home and incudes exiting stairs.
Owner
Applicant
Contractor
Lender
CAMELOT SQUARE INC
GENE GRAFMANUFACTURED
L N D SERVICES
3001 S 288TH ST
HOUSING RESALES
15010 74TH AVE E
FEDERAL WAY WA 98003-8019
PO BOX 2322
PUYALLUP WA 98375
TACOMA WA 98401
Census Category: 112 - New Manufactured/Factory-Built Home, IN PARK
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area (sq. ft.)
Additional Permit Information
New / Additional Sq. Feet - 1st Floor ..................... 1344 New / Additional Sq. Feet - 2nd Floor.................... 0
New / Additional Sq. Feet - 3rd Floor ..................... 0 New / Additional Sq. Feet - Basement.................... 0
New / Additional Sq. Feet - Deck .......................... 0 New / Additional Sq. Feet - Garage........................ 0
New / Additional Sq. Feet - Other ........................... 0 Is this an Online or O.T.C. application?.................. No
New / Additional Sq. Feet - Total ........................... 1344
Total Valuation: 7,996.80
PERMIT EXPIRES Saturday, 18 May, 2019
Permit Issued on Mondav, November 19, 2018
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: /i <9 U
I' �' a\A
Y
R e
THIS CARD IS TO REMAIN ON-SITE
V&
Federal WayConstruction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERNM #: 18104933 00 Address: 3001 S 288TH ST Space 361
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 arc 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.
Biockingffie Downs (4015) 0 Final Erosion Control (4375) ® Skirting/Final (4250)
Approved l) Approved Approved
By Date♦)�`-b 111y Date By Date 1
Ig
SWM Precon Site Mtg (4400)
G]
Initial Erosion Control (4365)
Interim Erosion Control (4370)
Approved
Final Electrical
To be done PRIOR to breaking ground
Approved
By
Date
By
Date
By
Date
Biockingffie Downs (4015) 0 Final Erosion Control (4375) ® Skirting/Final (4250)
Approved l) Approved Approved
By Date♦)�`-b 111y Date By Date 1
Ig
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
IBY
Approved
By
Date
By
Date
I Date
4
CITY Oe
Federal Way
PERMIT NUMBER 1 1
REC IE. "'D PERMIT APPLICATION
p PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
OCT
18 2t'018 253-835-2607 + FAX 253-835-2609 + permitcenter@cityo$ederalway.com
�C" OF FEDE.RkL WAY
` EL �' - S
TARGET DATE
SITE ADDRESSr.510
TE/UNIT 8
.3 o c:>1 So- Z R -WVQ ST"eee-I ):Z-- 414-- 64-W W* moa
:36
PROJECT VALUATION
$
ZONING
ASSESSOR'S TAR/PARCEL N
/ S�' (7
V
TYPE OF PERMIT
IkBUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
yO "T. RS'tQugk2A-=: /"08/L 1VjVAt4,e PWi4C
PROJECT DESCRIPTION^
Detailed description of work to
S T.�GG / �9 / 2—
be included on this permit only
be
c�6G&�7- _!M(.414pee /-roB/L .940sft" A"
PRIMARY PHONE
2.C3 4039 7C -7S-
PROPERTY OWNER
PdAILMG ADDRESS
STzee�L
E �AII
oa / 28 ��
CITY
STATE
ZIP
NAME
PHONE
Z4-3 3 07
MAILING ADDRESS
&-o/c, 7
E-MAIL
CONTRACTOR
c�uy,¢ e-1-.? u P
Gv
ZIP
�.r
FAX
WA STATE CONTRACTOR'S LICENSE R
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
/ NDSB/ •r / 73 pig
NAME
PRIMARY PHONE
MAILING ADDRESS
2
�. Boy 232CITY
E-MAIL
APPLICANT.
74-C O
STATE
ZIP
CIR� 7'r/
FAR
NAg
hW
PRIMARY PHONE
PROJECT CONTACT
-S
WAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all,correspondence
CITY STATE
ZIP
T
FAX
concerning this application)
PROJECT FINANCING
NAME
OWNER -FINANCED
When value is $5,006 or more
mren.raG ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 29.27.095)
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 well comply with
all applicable City of Federal Way regulations pertaining to the work authorised 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 persor4.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 —a.*,,of the
information supplied to the city as a part of this application.
Oe
SIGNATURE: DATE -_1
PRINT NAME:
Bulletin #100 —January 29, 2016 Page 1 of 2 k:11andout Termit Application
MvECHANIeAL PELT VALUE OF MECHANICAL WORK
�
Indicate how many o each type offixture to be installed or relocated as part o this project. Do not include existing res 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
GENERAL INFORMATION
CRITICAL AREAS OR PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUNKING PERMIT
EXISTING/PREVIOUS USE -
LOT SIZE (In Square Feet)
$
Indicate how many o each type offixture
to be installed or relocated as
part o this project. Do not include existing res to remain.
BATHTUBS (or'iltb/Shower Combo)
LAVS (Hand sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/utmty)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS OR PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE -
LOT SIZE (In Square Feet)
'EXISTING FIRE SPRINIMER SYSTEM? '
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
COMMERCIAL -NEW%ADDITION
AREA DESCRIPTION Area inOccupancy Group(s) Construction # of Additional Information
Square Feet Type Stories
A'REA'DESCRIPTIOIQ sn p*,' ; `'Oceripancy G=oup(s) ` Gonsltuction, of, •, AdditaohOInformation
TENANT AREA ONLY
Bulletin #100 -- January 29 2016 Page 2 of 2 UH—andoutsTermit Application
C)
m
rit
8 l /6 V0 L
HJW DavnD51oi3W'do
GWOH aligoVq MGN
19lij, 9ODdS '4aaajS L4488Z S ! ON
IS-0.0-££6b0 E-8 l
Dive
=1o3Tflad
:SSg2tcc3 d
:# 11WN3d
31D`
r
' It = Z01
rLC
t V.NLVII V�Nov�. A
a
r-F
w
�
T
r S
t
33
m
D 0
rn �0
n
nzW-a
>CD 090
m��
r- N
�
N In
m o
0 N
o
r�
cu