09-101374 ' ' ` Building - Single ll'arniiy
•
City of Federal Way
Community Development Services Permit #: 09-101374-00-S F
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: CAMELOT SQUARE irr
Project Address: 3001 S 288TH ST SP 166 Parcel Number: 042104 9231
Project Description: Install a new double-wide manufactured home on existing space.
Owner Applicant Contracto --` Lender
CAMELOT SQUARE INC SOUND EXTERIORSSO D ,TERI' ' VERONICA ROSALES
3001 S 288Th ST 8515 TH A E ' SO EI00 •P .'11/11 761 S 15 DST APT 625
FEDERAL WAY WA PUYALL W 98371 i 15 67 er E ` TUKWI A WA 98188
98003-8019 PU .ALL A :37
t
Cens Category: 112 Ne anu 4 ctured/Fact 1 -r u' Hom IN PARK
Includes: #1 it; #4
Occupancy Class: lc; e
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
;''Y'',-t Additional Permit Information
New/Additional Sq.Feet-1st Floor 1173 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 1 Additional Sq.Feet-Other 0 New/Additional Sq.Feet-Total 1173
e
'':d.,/:'° ' i -CI - ltl1 .. ° �, '',,. , \ . s ,-A, 7-,,t- iff,., t _ ` ' <..
0 PERMIT EXPIRES Saturday, Octob • w • 19 Pt r
Permit Issued on Monday, April 1 201
I hereby certify that the above information is correct and that the construc ion on t ..ove described property and
the occupancy andthe use will be in accordance with the laws, rules and regulations of the State of Washington
C and the City of Federal Way.
Owner or agent: �'L`( \,i&__/-i Date:4_ /3-- 'c
SUBJECT TO FIELD It1SPECT10
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-101374-00-SF
Owner: CAMELOT SQUARE INC
Address: 3001 S 288TH ST SP 166
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. 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.
•
0 SWM Precon Site Mtg(4400) ID Initial Erosion Control (4365) 0 Interim Erosion Control(4370)
Approved To be done prior to breaking ground Approved
By Date By Date By Date
— 0 Blocking/Tie Downs(4015) EI Final Erosion Control (4375) ❑ Skirting/Final(4250)
Approved Approved Approved
By 1..--**-'/ to 001 0 By Date By Date
•
•
For inspector reference only
O Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
Building Division
4Ik• CITY OF 33325 Eighth Avenue South
w„' „ Fed a ra I JJa' PBox 9718
Federal Way,WA 98063-9718
Phone 253-835-2607
Fax 253-835-2609
CORRECTION NOTICE
2 /�/� D 116C sP 6
ADDRESS: 3 00 15 8� St PERMIT#: L 9-1 of 3 71
0 I n5141) loriyitad Irlat I +le dovVrm-
,v-i- G n/1 t"" o r r rci�i 5 f� -a at'Polo ily17► v f roxv
0 O 9 P o , &olke✓ 1 keJ c reit/// 0--1 the" nti a A 4-{4( -hd ramal hf
c c A I) -o ir f4 sp (471,41 iv4 e h th,-1 a h 47 if---6' its c n4n04±-6
IF YOU HAVE ANY QUESTIONS CALL /,f 1( �" 3 q
keI127e' (253) 835-
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MAD WITHIN 15 DAYS.
illi 10 1
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
-4&
n)
//-*--
-,..,.._,
R-O
-� o o
RN $‘ /....-. N o
_
C>
Ns t. N ---,Z)
0
SSD f y
Fede RECEIVES - �-
era[ �01
LC38f°`r"o"'°2vem°P"S"''s y�FR A 3 2Qf}g PERMIT SF F CO ME EL PL DE EN FP
333758M AV&WiR SOM • Pp gO+! 97!
P8 W"' W" sT1$ ' U CATI O N
ZS.7.83SY60T� FAX 7
ThR fOilO[Ut7W {3 requirad- aR '( WORIPArts appn will not be acaepte& Please Print P legibly (in inkj or type.
SITE ADDRESS
r
ASSESSOR'S TAX/PARCEL # �� _ 2-3 r
SUITE/OMIT #
�L
LEGAL DESCRIPTION (e g. Acme P-states, Lot 1)
LOT SIZE (sp
('�°°�'h��Pail+J��nee4lr drefpRan)
TYPE OF PERMIT
3130iLDING ❑
PLUMMO ❑ D®C ffMCAL
PRO.iE
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING
❑ FIRE PREVENTION SYSTEM
N �''° description of k included on
f, r
PROJECT NAME (Name of � OT Owner Last N �5
PROPERTY
NAlA
OWNER
PRI PRONE
1
�IL>rra Ann sr. s� ZEP i
-1
W
)
Ann
CONTRACTOR
COP aPAxr NAME
u CANT
QH
hlAl xq Dr
' 1, 5f 78,
�.
i
C PHgx6
-I
V
OF FE➢SiW, WAY BUSMEM L1C8NSE xUFiBBR
J %/
PIRATION DATE
NUMBER
CTRAC1pR'S !i4![BRR
TIglfZZYMATION OATS
0
rPAX
4
ADD
'
6TI
t
_,v
Pte-
APPLICANT
COMPAM MME APALiCA;P1 NAME
,
f �r'
OFFICE PHONE
MA1L[x0 Ann
Cny. $TAT$. ZIP
CHU PHONE
REIATIONSHIP TO PRpIECT
—
❑ Architect ❑ Tenant Agent ❑Other � f"'
FAX NUMBER
r
�
PROJECT
CONTACT
web Y Pxq
H MAiL AD>7RE53
LENDER
NAME
Psr RtrSV I9 �7.095:
MAILIHD AdI7R Lender infi n ton is r"utreri tf Amlect Dates e=esds
$5,000
r.(n. STATE, ZJP
PHONE
- r
EXISTING USE
PROPOSED USE {J
EXISTING ASSESSED/APPRAISED VALUE
VALUE OF PROPOSED WORK $ .1
3PRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUMED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 13 PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAxBuAVEN ❑ HIGBLnm 0 PRIVATE ISEPTTrh
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fatAm to remain.
Value of Meoitareical Work $ (A Copy OP BID OR EST
IlI�ATE MUST BE INCLUDED WITHAPPLICATIONJ
AIR HANDLING UNITS
EVAPORATIVE COOLERS
OAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS Tco�dq
COMPRESSORS
FURNACES
RANGES
DUCTS
OAS LOG SETS
REFRIG. SYSTEMS
O
BATHTUBS (orneb/sboW CO-9 of
LAVS pwf. mswo
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (roa.q
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
I y under penalty of perjury that I are the property owner or authorised agent of the proparty owner. I certify that to the best of my
knowledge, the inforrF tion submitted in support of this perm# appItcauon fs true and correct I certify that I urill comply with dIT oppllcahfe
City of FedardI Way regut"Nons pertaining to the work authorised by the issuance of a permit. I understand that the isssu=ca of this permit
dogs not rsmovd the oumees responsibility for compHance with local, stwte, or federal taws regulattng construction or environmental Taws.
z j4rrther agree to hold harmless the City of Federal Wang ds to Duly claim (including costs, expensts, and attormVe fees incurred to the
investigation and dgfanse of such clal", which may be inside by Q►t9 Parsonl including the undersigned, and ffled against the city, but only
where such alldrn arises out of the reliance of the city, including its officers and empfayees, upon the accuracy of the ir4forrreatiun supplied to
sis
the eft as a port of this,apptication.
SIGNATURE: u
property Ow46 and/or Authorized Agent
a NEW a ADDITION ❑ ,ALTERATION a REPAIR
BUILDING SHELL ONLY?
ZONING DESIGNATION
NEW ADDRESS REQUIRED?
PLATTED LOT?
DATE f�l�
a TENANT IMPROVEMENT
a YES a NO BASIC PLAN?
CHANGE OF USE?
o YES a NO UP/8SPA/sU?
o YES a NO _ DEMO PERMIT RRE
a YES o. NO
a YES a NO
a YES a NO
o YES a NO
Bulletin #100 —January 1, 2009 Page 2 of 4 k\HandoutslPem it Application