07-100240�- City of Federal Way
L(253)835-2607
ommunity Development services Buli+aing - Single Family Permit #:
WP.Oay, 8 97�8 Y 07-100240-00-SI�
Federal Way, WA 98063-9718
Fax: (253) 835-2808
Inspection Request Line: (253)835-3n5n
Project Name: CAUDILL
Project Address: 3001 S 288TH ST Space 328
Parcel
Project Description: NEW - Installation of a new 1568 sq/ft MH in a park. In Camelot Squareu ace 32842104 9155
p
Owner
CAMELOT SQUARE INC
CAMELOT SQUARE INC
3001 S 288TH ST
FEDERAL WAY WA
98003-8019
APPlicant
SHAWN'S PERMIT SERVICE
PO BOX 43
PUYALLUP WA 98371
Cont — —
MODERN LIVING LTD
MODERLL972DO (4/14107)
6119 PACIFIC H W Y E
FIFE WA 98424
Lender
Census Category: 112 - New Manufactured/Factory-Built Home, IN PARK
Includes: #1 #2
#3 #4
Occupancy Class: R-3
Construction T e:
Occu anc Load:
Floor Areas 1,568
--------
Additional Permit Information
New/ Additional Sq. Feet - 1st Floor....................1568
New / Additional Sq. Feet - 3rd Floor...................0
New / Additional Sq. Feet - Basement .............••.•,•
0
New / Additional Sq. Feet - Garage.......................0
New /Additional Sq. Feet - Other....,.,.
Occupancy#I - Use
............ ........................Private Garage
New / Additional Sq. Feet - 2nd Moor.......::..........0
Occupancy # l - Area (5q. Fect).............................1568
New 1 Additional Sq. Feet Deck ................
Occupancy #
P Y I Class ............................................ R-3
NOW / Additional Sq. Feet - Total ...........................
Zanin D •'1568
Zoning Designation...... .... RM 3600
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Sunday, February 15, 2009
Permit Issued on Thursday, February 15, 2007
1 hereby certify that the above information is correct and that the construction on the above described prope and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and th�ity of Federal Way. g
Owner or�genr t '
Date: C Yi
City of redeeal Way
Certificate of occupancy
This Certificate issued pursuant to the requirements of Section ih the110.2
.2ous oof rdinances of theional Cityng regulating certifying build gthat
at the time of issuance, this structure was in compliant
construction or use. This certificate is valid ONLY when endorsed b Ci staff.
Permit #: 07 -100240 -00 -SF
Tenant Name: CAUDILL
Address: 3001 S 288TH ST Space328
#2 #3 #4
Includes: #1
Occupancy Class: R-3
Construction T e:
Occu anc Load: U 0 U
Floor Area 05. ft. 1,558
Owner Name: CAMELOT SQUARE INC
Owner Address: 3001 S 288TH ST
FEDERAL WAY WA
3-30- o s
Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was an those matters which
experience has shown most severly affect the health n hud safetyand otaryFtime and personnel limitations), the thegeneral public, Although the rCity neity has ther guarantees nor
review and inspection as is reasonably possible (w 9
warrants to the owner/ occupant or toy otheperson tgtt t afiectrnrg the c vnstructr'on for use ofsa d structure or the land upon
ordinance or regulation of the City or the r
which itis situated Such compliance is the responsibility of the owner and / or occupant of the premises.
THIS CARD
CITY OF IS TO REMAIN ONSITE
Federal IVa-ommunity Develop�me,,t Inspection Reeor
Y
PERMIT #: 07 -100240 -00 -SF 253 IVR INSPECTION REQUEST PHONE # 8 3050
( ) 35m
Owner: CAMELOT SQUARE INC
Address: 3001 S 288TH ST Space 328
FEDERAL WAY, wA 98003-8019
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO
Inspections are listed as close to sequential order as possible (read left to right, top to bottom). Please schedule inspections as
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence U7' appropriate.
TN Work
are logged on the back of this card. appropriate. Work must not
quence On-going inspections
Lj i emp. Erosion Control (4365)
To be done prior to breaking Bloeking/Tie Downs (4015) El
g ground Approved Final - SWM (4375)
By Date r Approved
By Date . /. (� By
El Date
Skirting/Final (4250)
\\ Approved
By L a.�.J
Date ��
cffvOf A RECEIV i 1
Federal Way
3.325 nYWv iUr1i �;�JAN 6 OfJ7 PERMIT
�z �W7Yw� 5 �g ULICATION
2=-e3s-ssv7r,taca5.a3sY 0F F�1�E
BUILDING jDEpT.
TTiefollowi is utrsed { orm4don -
a7l iilCAmnle to .,...-.e�---.. ..
--L)D - —C� C Z k-( a
(�MF CO ME EL PL DE EN FP
_ , ted. piein
atse rirtt
r� , • . (in k] or tune.
BITE ADDRESS .. f
ASSESSOR'S TAX PARCEL # O {
LEGAL TAX/
��
DFSCRIPITON (e.g. Acme Estates, Lot 1),
00'au h 'nw PRla,Ta u,�d„ r kqy N
SUITE/UNIT # r j
LOT SIZE (sfi
TYPE OF PERMIT
U-11UILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ?ROII�CT DESCRIPTION ('-'—IGte dei ff descr tion o RING ❑FIRE PREVENTION SYSTEM
iP f work included onthf4Q MW nrtl
PROTECT NAME (Name of Business or Owner Last Name)
It
AREA D> CRIP'PION
ET�G PROPOSED TOTAL
BASEMEN' S . FT'. . FT.
S . FT.
FIRST
SECOND
THIRD
FOURTH
"' IUNAL FLOORS (DESCRIBE)
DECK (C(o) - D?)
GARAGE ❑ CARPORT 0 �—
NUMBER OF FLOORS 5 *':1: rs�oen i
rorat mnatwn e. rur u axopogEy s.
'"NEW HOMES ONLY'• NUMBER OF SED1tOOMS +�
E911MATED SE11MC; PRICE $
Indicate number of each We arfixttare to be
►nsGxlled or relocated as part of �It[s project Do not inc4tde ��
hIECIIAlYIC/II, tjlx[uraes to rema[n.
UaLte ofMechan[caI Work $
AIR HANDLING UNITS APORATIVE COOLERS
BBQS GAS LOGS
BOILERS F
HOODS (Commem(al) REFRIG. SYSTEMS
WOODSTOVES
IREP INSF RANGES
COMPRESSORS F
FURNACES MISC (Describe)
DUCTS GAS WATER HEATERS
GAS PIPE 0[1 . _
BA7'lMBS (W*Ajb/Shower Combo) yc HS
DISHWASHERS NHS WATER CLOSETS ObueO
GAS PIPE OUTLETS UMPS DRFNKING FOUNTAINS MISC (Describe)
WASHING MACHINES URINALS ATER SYST
LAYS It uimnrnsasWay HOSE•131BBS
VACUUM BREAKERS
ELECPRTC WATER HF.A't'Fuc
I cert;jy under penalty of pelf,,, that the {Nor'ma£ion
am less the by the owner the abate frerreished o me is true and correct to the best of my knowledge, and further. that I
harmless the G1f premise's to perform the work for which rhe permit
such clad eN may berm Way its to any claire (including eases, experrse r whiand atto application is made. !farther agree to hold
rre) which may be made by any person, including the undersigned, and ted rne+Js fees incurred in the innestigattan artd defense of
arises out of the reliance of the city,
including its o .p against the Ci
this application. 9 dicers pad errtpIoyees, upon the occur of Federal Way. but only tnhen such claim
1 acy of the inforntatfort supplied to the city as a part q/
NAME/TITLE
[Sly;nniurcl
RELATIONSHIP TO PROJECT ❑ Owner
U-kgent
FOR OFFICE USE ONLY
° NEW ❑ ADDITION
BUILDING SHELL ONLY?
ZONING DESIGNATION
NEW ADDRESS REUUMD?
PLATTEDLOT?
Bulletin #100 — January , 27 005005
--'Fn-u,)
❑ Contractor ❑ Architect ❑
cl ALTERATION
❑ REPAIR
YES ❑ NO
❑TENANT IMPROVEMENT
HASIC PLAN?
CHANGE OF USE?
❑YES
❑ NO
C1 YES [:]No
UP/SEPA/$U?
13 YES
o NO
❑ YES o NO
DEMO PE RMIT REQUIRED?
o YES
❑ NO
❑ YES
❑ NO
Page 2 of 4
kWatldouislPermit Application
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