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
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