19-101634 0 ,
Building - Single Family
City of Federal Way Permit #:19-101634-00-SF
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: CAMELOT SQUARE MOBILE HOME PARK SPACE 330
Project Address: 3001 S 288TH ST Parcel Number:042104 9155
Project Description: Installing a new 1392 square foot manufactured home,with 2 ingress/egress decks totaling 37
square feet.This home is replacing a mobile home that is currently in this space.
Owner Applicant Contractor Lender
CAMELOT SQUARE INC LOREN BALL MIKE'S MOBILE SETUP
3001 S 288TH ST 2375 130 AVE NE SUITE 102 2175 LYNNETTE PL SW
FEDERAL WAY WA 98003-8019 BELLEVUE WA 98005 BONNEY LAKE WA 98391
Census Category: 112-New Manufactured/Factory-Built Home,IN PARK
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0.00 0.00
Additional Permit Information
New/Additional Sq.Feet-1st Floor 1392 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 1392 Occupancy#1-Use Residence(1 or 2
family)
Comprehensive Plan Designation SF-High-Density
Residential
Total Valuation:8,282.40
1, s:140 u .s
. y 'Fps •S
3• � „ SttCiil ���a11111'�
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 Monday,25 November,2019
Permit Issued on Wednesday,May 29,2019
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 with t - .ws, rules and regulations of the State of
ingto -•= ity o - •eral Way.
Owner or age i -/./ Date: 0/1"
/.
•
THIS CARD IS TO REMAIN ON-SITE
°�°� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 101634 00 Address: 3001 S 288TH ST Space 330
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.
El Blocking/Tie Downs(4015) El Skirting/Final(4250)
Approved Approved
By (U Date „I By ) Da
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
. " R
RECEIVED
CITY OF ,...4,...„ APR 0 5 20
PERMIT APPLICATION
Federal Way PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
CITY OF FEDERALW835-2607+FAX 253-835-2609+permitcentert3citvoffederalway.com
COMMUNITY DEVELOPMENT
PERMIT NUMBER / q - 1 b / .� 3 )- 5t_-(/ 11
TARGET DATE
SITE ADDRESS SUITE/UNIT 0
3001 So.288th STREET#330,FEDERAL WAY,WA 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL 41
$ 10,000.00 0 4 2 1 0 4 _ 9 1 5 5
TYPE OF PERMIT XJ BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT MOBILE HOME REPLACEMENT AT CAMELOT SQUARE
WE ARE REQUESTING A PERMIT TO RELPACE THE HOME AT LOT#330
PROJECT DESCRIPTION
Detailed description of work to IN CAMELOT SQUARE MOBILE HOME COMMUNITY.
be included on this permit only
NAME PRIMARY PHONE
CAMELOT SQUARE MHP 253-839-7575
PROPERTY OWNER MAILING ADDRESS E-MAIL
3001 So 288th Street/Office camelotmhp0comcast.net
CITY STATE ZIP
Federal Way WA 98003
WA IMS NAME MIKE'S MOBILE SETUP PHONE 360-710-8235
SIL VE-13 00,--g.Z MAILING ADDRESS 21751 nnette P1 NW E-MAIL
CONTRACTOR yMikessetup@hotmail.com
CITY STATE ZIP 98312 FAX
Bremerton WA
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE DEMAL NESS LICENSE
MIKESSI011KC 8 / 12 /2020
NAME Loren Ball PIUMARYrHc 253-432-1390
APPLICANT
MAILING 10320 218th Ave Ct E E-MAIL orengball@gmail.com
CITY Bonney Lake WA ZIP FAX
98391
NAME PRIMARY PHONE
PROJECT CONTACT Loren Ball 253-432-1390
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence Same as Above lorengball@gmail.com
concerning this application) crrY STATE ZIP FAX
PROJECT FINANCING NAME Loren Ball El OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRONE
(RCW 19.27.095) Same as Above 253-432-1390
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 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(in udin costs,expenses,and attorneys'fees incurred in
the investigation and defense of such claim),which may be made by any per ,in ing the undersigned,and filed against the city,
but only where such claim arises out of the r ance of t - city, inclu its fficers and employees, upon the accuracy of the
information supplied to he city as a part• t'apr
SIGNATURE: �- ` DATE 4/2/2019
PRINT NAME: Loren Ball
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Pennit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures • remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTH • Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commerce I)
BOILERS FURNACES HOT WATER TANKS)pace)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how many of each type of fixture to be installed or relocated as •• of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS)Hand Brow) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEM URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS pa Utility) WATER HEATERS(Ekon)
HOSE BIBBS SUMP WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WA • -VEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(la Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
40x85= 3400 SqFt ❑Yes xi No ❑Yes Ip No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home) 1392
SECOND FLOOR
COVERED ENTRY
DECK 37SqFt
GARAGE 0 CARPORT 0
OTHER(describe)
Area Tota is EXISTING PROPO8ED TOTS
"REW HOMES MY" -
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction if of s Additional Information
Square FeetTYPe
NEW BUILDUIG
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEME
AREA DESCRIPTION Area Occupan oup(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUDDING
TENANT AREA ONLY
PROJECT AREA DELT
Bulletin#100—January 29,2016 Page 2 of 2 kaHandouts\Permit Application