09-103029'=l.iticung - mngie r alliiiy
CommCityunity
oevelopm Way FILE
Permit #: 09 -103029"00 -SF
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718 Inspection Request Line: (253) 833-3050
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: GRAF - SPACE 248
Project Address: 3001 S 288TH ST SPACE 248 Parcel Number: 042104 9155
Project Description: NEW - Installation of 1344 sqft mobile home in a manufactured home park in accordance
with manufacturer's installation instructions.
Owner
GENE GRAF
8118 PACIFIC HWY E
TACOMA WA 98422
Applicant
HORSLEY'S MOBILE HOME
SERVICE
PO BOX 764
PUYALLUP WA 98371
Contractor
HORSLEY'S MOBILE HOME
SERVICE
HORSLMHO74DC (3/22/10)
PO BOX 764
PUYALLUP WA 98371
Lender
Census Category: 112 - New Manufactured/Factory-Built 1-lc;'me, IN PARK
T
Includes: #1 #2 #3 #4
Occupancy Class:
Construction T e:
Occupancy Load:
Floor Area (sq. ft-.) 0 1 0 1 0 0
'rte, Additional P!Oii;�tnil liv� a
New / Additional 5q. Fecl - 1 st Floor....................1344 New/ Additional Sq. Feet - 2nd I or .......... ......... 0
New / Additional Sq, Feet - 3rd Floor .................... 0 New /Additional Sq. Feet - Inset rtt.................r:0
New / Additional Sq. Feet - Deck .......................... 0 New / Additional Sq. Feet - Gmn&.......... :...... ......0
New / Additional Sq, Feet - Other ..........................0 New / Additional Sq. Feet A Total.......................... 1344
No Fixtures Associated With This Permit H
M
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Tuesday, February 2, 2010
Permit Issued on Thursday, August 6, 2009
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. g//-/Oq
Owner or agent: �I - g`NTDate. (J
City of Federal Way
Community Development Services
P O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: GRAF - SPACE 248
Project Address: 3001 S 288TH ST SPACE 248
unaing - Ningie r aInny
Permit #: 09 -103029 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 042104 9155
Project Description: NEW - Installation of 1876 sqft mobile home in a manufactured home park in accordance
with manufacturer's installation instructions.
Owner Apolicant Contractor Lender
GENE GRAF HORSLEY'S MOBILE HOME HORSLEY'S MOBILE HOME
8118 PACIFIC HWY E SERVICE SERVICE
TACOMA WA 98422 PO BOX 764 HORSLMHO74DC (3/22/10)
PUYALLUP WA 98371 PO BOX 764
PUYALLUP WA 98371
Census Category: 112 - New Manufactured/Factory-Built Home, IN PARK
Includes: # 1 #2 #3 44
occupancy Class:
Construction T e:
OCCLI ancy Load:
Floor Area (sq. 1-t.) 0 0 0 0
Additional Permit Information'
New 1 Additional Sq. Feet - 1 st 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 New / Additional Sq. Feet - Total.......................... 1344
No Fixtures Associated With This Permit !I
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Tuesday, February 2, 2010
Permit Issued on Thursday, August 6, 2009
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 F=ederal Way.
Owner or agent: e5 Date:
Fe sway WED, PERMIT
GoarmnnM nBvapaisrvrssevrces
253;::2 s Gip b 2 A
APPLICATION
C`Sh x+ V CO ME EL PL DE EN FP
1 1
-PROPERTY
tIITa�T -D
%t
rper�
SDITE/UNIT 1
ZONING ASSESSOR'S TAR/PARCEL #
NAME OF PROJECT
(Tenant or Homeowner Name)
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL mcg,612- h1-vo-1C
TYPE OF PERMIT
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
/ our- 't /
7- U%662
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
❑ % S
FAME
�'� �`�
PRIHAAY PHONE
qz'0-1w6' 6
PROPERTY OWNER/
►"`�
NAILING ADDRESS, CITY, STATE, ZIP`�/ E-MAIL
OWNER IS ALSO:
CONTRACTOR APPLICANT PROJECT CONTACT
NAME
rs 4e -t7 lr,i 6d&.
PRTKARY PHONE
3,0 -N.3
CONTRACTOR
MAILING ADDRESS, CITY, STATE, 2IP
�O �� c�c 98 � 7
FA8
-
O • % .t� �
WA STATE CONTRACTbWS LSI(CENSE N EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE
NA=
PRUEAM IPHONM
APPLICANT
WALLING ADDRESS, CITY, STATE, ZIP
FAX
PROJECT CONTACT
NAME
6
PNLMARY PHONE
AP
(The individual to receive and
MALLING ADDRESS, CITY, STATE, ZIP
FAX
respond to all correspondence
concerning this application)
-
ALTERNATE CONTACT NAME: PRIMARY PHONE
E•NAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required for projects with
NAILING ADDRESS, CITY, STATE, ZIP
PRnL%RY PHONE
value of $5,000 or more
(RCW 19.27.095)
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 igjormation 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 authorized by the issuance of a permit. 1 understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal Taws 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 person, including the undersigne4 and filed against the
city, but only where such claim arises out of the reliance of the city, including fts officers and employees, upon the accuracy of the
information supplied to the city as a part of this app [ication-
DATE
SIGNATURE: — .a -
PRINT NAME: e-41
Bulletin #100 - 4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
MECHANICAL FIXTLRL,a
Value of Mechanical Work $ A COPY OF BID OR ESTIMATE MUST BE
Indicate number of each We offixture
to be installed or relocated
as part pf thisro'ect. Do not include eaPE
AIR HANDLING UNITS
FANS
GAS PI OUTLETS
OUTLETS
AIR CONDITIONER
FIREPLACE INSERTS
_
HOODS E
BOILERS
FURNACES
HOT WATER TANKS (Gao
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
1]U{'PEh(1
GAS PIPING
WOODSTOVES
PLUMBING
FIXTURES
Indicate number ?Leach a of
re to be installed or relocated as part of this pro'ect. Do not include m
BATHTUBS (a7ub/Showa combos
LAVE (Hand sw*
TOILETS
DISHWASHERS
RAINWATER SYSTEMS
URINALS
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (wb`hm/Uhuty)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
PROJECT VALUATION
EXISTING/PREVIOUS USE
WASHING MACHINES
GENERAL INFORMATION
WATER PURVEYOR
Ifixtures to remain.
OTHER (Describe)
pfixtures to remain.
WATER PIPING
OTHER (Describe)
TOTAL FIxTuRF.S
SEWER PURVEYOR I VALUE OF EMSTING IMPROVEMEBTS
LOT SIZE (In Sgnare Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
AREA DESCRIPTION (in square feet)
BASEMENT
FIRST FLOOR (or Mobile Home)
2 ► V�'
SECOND FLUOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
Area Totals
RESWENTIAL
E7�STING PROPQSET3 TOTAL FOR OFFICE USE
�3 YX f -
" ANW sass orate*
tRorall= I TOTAL
ESTIMATED SELLING PRICE_$ _ I # OF BEDROOM- I
Bulletin #100 — 4/17/2009 Page 2 of 4 k:\Handouts\Permit Application
Construction In _ ection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 09 -103029 -00 -SF Address: 3001 S 288TH ST SPACE 248
Owner: CAMELOT SQUARE INC FEDERAL WAY, WA 98003-8019
Scheduled inspections maybe 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.
Ei SWM
Precon Site Mtg (4400.)
Initial Erosion Control (4365)
i incl Electrical
Approved
Interim Erosion Control (4370)
1:1Approved
Approved
By
To be done prior to breaking ground
Approved
By
Date
By
Date
By
Date
Blocking/Tie Downs (4015) Final Erosion Control (4375) Skirting/Final (4250)
Approved Approved Approved
By IRL Date 2 By Date By 4_,j Dated _/6_C)5
Rough Electrical
Approved
i incl Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
Z
J
i