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08-104979:Wilding - Single amily city of Federal way Permit #: 08 -104979 -00 -SF Community t]evelopment Services P.O. Box 9718 Federal Way, WA 98063-9718 Inspection Request Line: (253) 835-3050 Ph: (253) 835-2607 Fax: (2531 835-2609 Project Name: SOTO Project Address: 3001 S 288TH ST Space 277 Project Description: NEW - manufactured home installation Owner CAMELOT SQUARE INC 3001 S 288TH ST FEDERAL WAY WA 98003-8019 Applicant MODERN LIVING LTD 6119 PACIFIC HWY E FIFE WA 98424 Contractor MODERN LIVING LTD MODERLL972DO (4/14/09) 6119 PACIFIC HWY E FIFE WA 98424 Parcel Number: 042104 9222 Census Category: 112 - New Manufactured/Factory-Built Home, IN PARK Includes: #1 #2 #3 44 Occupancy Class: Construction T e: Occu anc Load: 0 0 Floor Area (sq. F1.} 0 0 . Additional Permlflofoftbatiari f ; New/ Additional Sq. Feet - 1st Floor....................1378 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.......................... 1378 No Fixtures Associated With This Permit 11 CONDITIONS: Subject to field inspection without plans. PERMIT EXPIRES Sunday, April 19, 2009 Permit Issued on Tuesday, October 21, 2008 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 accance with the laws, rules and regulations of the State of Washington J;�and'e City of Federal Way, Date: Owner or ge a THIS CARD IS TO FT'MAIN ON-SITE CITY OF -•- Community Developmeat Inspection Recard Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 3050 PERMIT #: 08 -104979 -00 -SF Owner: CAMELOT SQUARE INC Address: 3001 S 288TH ST Space 277 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 L M 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. ❑ SWM Precon Site Mtg (4400) ❑ Initial Erosion Control (4365) ❑ Interim Erosion Control (4370) Approved To be done prior to breaking ground Approved By Date By Date By Date E]Skirtin Skirting/Final Blocking/Tie Downs (4015) ❑ Final Erosion Control (4375) ❑ �� ( 4250 ) Approved Approved Approved By G 6j Date/p- Z7-e4a By Date By-[(- Date For inspector_reference only`_ ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date 2 6 em •r -� V Z F�sdB�l PERMIT'�'�' �� MF CO ME EL PL DE EN FP COMMUNITY DEVELOPMENT SERVICES 33325 Sm ENDS SOA7if • PO 971 9718 APPLICATION 57�Fr��1:0�44 FEDERAL WAY, WA 98063.9718 253.8952607- FAX 253-835-2609 u1 w- 0 1 w ffe i k m ma .000n The following is required information -an incomplete application will not be accepted. Please print legibly (in ink) or type. ASSESSOR'S TAXI/PARCEL # J . LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) SUITE/UNIT # Sz4Ld��7 LOT SIZE (Sfi (llunoh zepornue pugr for fineptlW lepa! dmrr+pEdorij � TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEt i ❑, ,AFIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of umrk included on ' e L �Fj Vi5r) EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK SPRINIMERED BUILDING? ❑ YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES WATER SERVIC) PROVIDER ❑ LAKEHAVEN ❑ 1UGHLINE ❑ TACOMA (3 PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE I3 PRIVATE (SEPTIC) ❑ NO CUs A y PROJECT NAME (Name of Business or Owner Last Name PEOPLE•- PROPERTY tog C� NAME r r0jv 300 • a PRIMARY PHONE - �} EMAIL OWNER MMLINO ADDRES UTT STATE,Z1P . f AD RE33 - 7 9 r" CONTRACTOR COMPANY NAME APPLICANT H � - 0FFICE PHONE [ZJT ) I1? d r c13 Ll d o .� CELL NE d ADP CITY STATE, ZIP - z�oyCz�� CRY OF FIS ERAL WAY tSU31 CENSE NUM8LR MFIRATION DA 2.. i e FAX NUMBER X 33) 9ZJ2 3 - -,(T CONTRACTORS! RZOWRATZON NUNMM g.7 MATION DATE E-uML ADDREM APPLICANT COMPANY NAME J � �� LA1 PLICANT NAMES OFFICE PHON9 u� L-.1 I /JA MAI I O ADDRESS C3'M STATE. ZIP CELL PHONE f RELATIONSHIP TO PROJECT I F ❑ Architect ❑ Tenant gent ❑ Other ) - PROJECT NAME r PRIMARY PHONV EMAiI,APDRESB CONTACT LENDER NAME For.RCW 19.27.095: Lender information is required tf prnjeet oche exceeds $5,000 MAELIN i ADDRESS CITY. STATE, ZIP 1_j r-3 PHONE (4-44.) 3A _ O �7 7 C 6� 5A � C - EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK SPRINIMERED BUILDING? ❑ YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES WATER SERVIC) PROVIDER ❑ LAKEHAVEN ❑ 1UGHLINE ❑ TACOMA (3 PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE I3 PRIVATE (SEPTIC) ❑ NO AREA DESCRIPTION .BASEMENT FIRST SECOND THIRD ADDITIONAL FLOORS (DESCRIBE) DECK (❑ COVERED OR D UNCOVERED) GARAGE El CARPORT NUMBER OF FLOORS 7°�ArO FROfq'EO rorar +"NEW HOMES ONLY"* NUMBER OF BEDROOMS -_ EXISTING SQ. FT. I rare. xusrrrro si ESTIMATED SELm Indicate number of each type of f dare to be installed or relocated as part of this project. Do not include existing fixtures to remain. Value of Mechanical Work (ACOP OF BID OR ESTLUATE MUST BE INCLUDED WITHAPPLICATION) AIR HANDLING U[i(i',9 PR POSED s • FT. 'TOTAL SQ. FT. BBQS `�.. BOILERSMISC FANS 6AS WATER HEATERS (Describe) FIREPLACE INSERTS-- HOOI]S (i ommnrus ) COMPRESSORS �- CES / RANGES G En REMO. SYSTEMS y�DUCTS BATHTUBS (arSLl�Sisor�reamEa] LAVS (aah.sk" L DISHWASHEg DRIN FOUNTAINS RAINWATER 9YST SHOWERS VACiJYJM BREAKERS rvr.�erxare�unsr t+aas�sr G PRICE $ 2 Indicate number of each type of f dare to be installed or relocated as part of this project. Do not include existing fixtures to remain. Value of Mechanical Work (ACOP OF BID OR ESTLUATE MUST BE INCLUDED WITHAPPLICATION) AIR HANDLING U[i(i',9 EVAPORATIVE COOLERS GAS-PWE 0�ii_,LTS WOO WOOD3TOVES BBQS `�.. BOILERSMISC FANS 6AS WATER HEATERS (Describe) FIREPLACE INSERTS-- HOOI]S (i ommnrus ) COMPRESSORS �- CES / RANGES G En REMO. SYSTEMS y�DUCTS BATHTUBS (arSLl�Sisor�reamEa] LAVS (aah.sk" URINALS MI3C (Describe) DISHWASHEg DRIN FOUNTAINS RAINWATER 9YST SHOWERS VACiJYJM BREAKERS _� WATER CIM M- fr.&q .ECTPIC WATER HEATERS �_ SINKS WASHING MACHINES HOSE BIBB3 SUMPS 7 cerWy under penalty of perfury that I am the property owner or authorized agent of the property owner. I ce rtt& that to he best of ' knowledge, the iriforma"On submitted in support of this permit application is true and cornet I certJfg that I will eorriply with u appiic e CRY of nderal Wary regulations pertaining to the work authorized by the tssuance of a permit I understand that the issuance of this permit does not remove the owner's responsibility for compitance xuith local, state, or federal laws regulating construction or enuimnmental laws. I further agree to hold harmless the city of Faderal Wag as to any claim (including costs, expenses, and attorneys' fees incurred in tyre investigation and defense of such clo-14, which may be made by any person, including the undersigned; and filed against the city, but only where such claim arises out of the reliance of tFee city, including its officers and employees, upon the accuracy of the Information suppIted to the city as apart of this application. SIGNATURE: Pro a a NEW a ADDITION a ALTERATION BUILDING BE= ONLY? a YES ONO ZONING DESIGNATION NEW ADDRESS REQUIRED? to YES ❑ NO PLATTED LOT? o YES a NO Authari2esi a REPAIR a TENANT IMPROVEBIENT BASIC PLAN? O. YES u NO CHANGE OF USE? UP/SEPA/SU? DBMO PER]kUT REQUIRED? a YES a NO a YES a NO a YES o NO Bulletin #100 -January 1, 2008 Page 2 of 4 k\HandoutslPermit Application 3 I a u �u V- V)