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09-104772Ciof Federal Way FcommunZity Development Services P.O. Box 9718 Federal Way, WA 98063-9718 253 Building - Single Family' Permit #: 09 -104772 -100 -SF ( 1 835-2607 Fax: (253)835-2609 = ? t o �t Inspection Request Line: (253) 835-3050 Project Name: CAMELOT SPACE 159 Project Address: 3001 S 288TH Shell 159 P IN mber: 042104 9231 Project Description: Mobile home set-up, 1296 sq ft home includes skirting and 2 decks under 3011 Owner PORT OF SEATTLE PO BOX 68727 SEATTLE WA 98168 Ann-- liiont BERWICKS MANUFACTURED HOME SERVICE PO BOX 1563 PUYALLUP WA 98371 Con ractor BERWICKS MANUFACTURED HOME SERVICE BERWIMH93OMP (7/17/11) PO BOX 1563 PUYALLUP WA 98371 Lender PORT OF SEATTLE PO BOX 68727 SEATTLE WA 98168 Census Category: 112 - New Manufactured/Factory-Built Home, IN PARK Includes: #1 #2 #3 Occupancy Class: #4 Construction T ie: UCCIt at1L' Load: Floor Area (sq- ft.) 0 0 0 0 Add onal� egnit Information all New / Additional Sq. Fact - I st Floor... .... 0 New/ Additional 5q• - Feet 3rd f'Ioor0 NCw / Additional Sq. Feet - 2nd Floor...................0 .................... New 1 Additiontil Sq. Feet - 13asement............. New 1 Additional 5q. Feet - Deck ..........................0 ,.....0 New/ Additional 5 Feet - New / Additional Sq. Feet - Garage... ....................0 S q- 0ther.........................D New/ Additional Sq. Feet - Total...............:. 0 Ilia Fixtures Associated with This Perinit 11 PERMIT EXPIRES Saturday, June 5, 2010 Permit Issued on Monday, December 7, 2009 1 hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use willbe -n accordance with the laws, rules and regulations of the State of Washington and the City of Federa Way. Owner or agent: i'= 0/ Date: RNAUewb Z /(/io CITY of •,i Nl ;. THIS CARD IS TO R MAIN ON-SITE Federal Way Construct'" Ins NSPECTION REQUESTS: g RD5�rf1 3 PERMIT #:0 09 -104772 -00 -SF Address: 3001 S 288TH Shell 159 Owner: PORT OF SEATTLE Scheduled inspections may ha f :� a :r., . FEDERAL WAY WA AQnn m - - a uu�j Oaro is not on-site. LOSE Possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not ti covered until it i inspector if you are unsure about any of the inspections or the inspections sequence. 18 CARD Inspections are listed as close to sequential order as ❑ S M Precon Site going inspections are logged on the hack of this card. s aPProved. Check With your Approved tg (4400) ❑ Initis! Erosion ontrol (4365) To be done prior to breaking ground ❑ Interim Erasion Control (4 70) By Date By Date Approved ❑ Elocking/Tie DnwnS (4015) By Date Approved El Final Erosion Control (4375) By Approved ❑ Skirting/Final (4250) C f,_.) Date 2_ I.— 0 C) By Date ��- Approved By /' s �O— Date .,Z�� Rough Electrical Approved ❑ Final Electrical ly Approved [By Ril;lit of Way Date By Date Approved Date V- �- DEC 0 7 OF I:LIOEp CDS A j_ WA I /,/\. 4f retie; t' E1VED PERMIT couMun�rynevatapu�rss�evrc�s A ppL I CA a;-rs35-sso7• FA.0 753• 9 ry 1, T10 `�, 7 20�') 1 1nr SITE AIW sUITEJ IT i NAME OF PROJECT (Tenant or Homeowner N� TYPE OF PERMIT PROJECT DESCRIPTION Detailed description of work to be included on this Permit only PROPERTY OWNER PRCfPEHTV F CO ME EL PLO... f EN FP ZONING I' LlJd 7 �S TA7(IPAIiCIvI, ; P] CT BUILDING4 ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAI,1 Ar ❑ ENGINEERING ❑FIRE „ p�VENTION \ A '110 6 ~ Www_ --c- L. NAME PEOPLE MAILING ADDRESS, CITY, STATE, ZIP OWNER IS ALSO: • d ' 6 ❑ CONTRACTOR']t�� NAME ONTRACTOR MAILING ADDRESS, CITY, STATE, ZIP V P °. i` " 1) �� it �7 f ! WA STATE CONTRACTON,S LICENSE k r APPLICANT PROJECT CONT (Tile ?ndiuidual to receive and respond to all correspondence concernrnrg this application) PROJECT FINAN II GG NN Required forprajects with value Of$5,000 or more (RCW i 9.?7.f1S5) NAME l' `MAILING ADDRE89, CITY, STATE, ZIP N�c LING ADDRESS CITY`STATE, ZIP ALTERNATE CONTAA CT NSE: "l7 NAME MAILING ADDRI[8B, f_ FAIXLliYPHONE �(l Q T VAR-FINAXCRD P�MARY PHONE t certt& under penrrt of J of Perjury that ram the hest alrrly knewredge, the 1 formation submjtted in p��+�J cu+ner or arRthoriaed ruith all applirable City of l�sderat W raAAo� of this a agent of the prnpe the Issuance of thisdoesay regulations pertainin F' omit apphcat[an is true and Correa ny °caner. t cert{fy that to the construction or envi nmentaus at remove then 9 to the work authorised I certify that I wner's T-wonsibilt P the issuance v a will ca.nply ty for con licence with lora` slate, Perini` t understand that In therrth� fires hard harmless the Cr or federat laws r ireveMyatian and de ense o iy of Federal Way as to egrelating ditdl, but only where such Claim f Bch clam), which may be m �y clalra lincluding cam, expenses and atto Information arises out a the f the y perso including the u+rdersi ne rneYs' fees Incurred ra"Uh red to the ct f reliance o e by an '� a Part of this application. including its q,(j4cers and employees upon and flied against the p the accuracy of the SIGNATURE. PRINT NAME: t c DATE Bulletin #100 — 4/17/2009 Page 1 of 4 k:\HandoutsTermit Application PRIMARY PHONE ROG )INy .t E-MAIL `'� APPLICANT C'_ . G- ❑ PROJECT CONTACT 'e. i ► I PRIMARY PHONE W�r { FAX EXPIRATION DATEt- j� q FEDERAL WAY BUSINESS LICENSE N l PRIMARY PHONE FAX 1 � PRIMARY PHONE f_ FAIXLliYPHONE �(l Q T VAR-FINAXCRD P�MARY PHONE t certt& under penrrt of J of Perjury that ram the hest alrrly knewredge, the 1 formation submjtted in p��+�J cu+ner or arRthoriaed ruith all applirable City of l�sderat W raAAo� of this a agent of the prnpe the Issuance of thisdoesay regulations pertainin F' omit apphcat[an is true and Correa ny °caner. t cert{fy that to the construction or envi nmentaus at remove then 9 to the work authorised I certify that I wner's T-wonsibilt P the issuance v a will ca.nply ty for con licence with lora` slate, Perini` t understand that In therrth� fires hard harmless the Cr or federat laws r ireveMyatian and de ense o iy of Federal Way as to egrelating ditdl, but only where such Claim f Bch clam), which may be m �y clalra lincluding cam, expenses and atto Information arises out a the f the y perso including the u+rdersi ne rneYs' fees Incurred ra"Uh red to the ct f reliance o e by an '� a Part of this application. including its q,(j4cers and employees upon and flied against the p the accuracy of the SIGNATURE. PRINT NAME: t c DATE Bulletin #100 — 4/17/2009 Page 1 of 4 k:\HandoutsTermit Application ��ANICAL FIXTURES T14[ATE MUST BE PROV[l7ED A COPY OF BID OR EST res to remain Value of Mechanteal Work $OTHER (Describe) ' to number D each e ❑ frxture to be installed or rel°cated as R� D t GIAS PIPE OUTLETS include existin (Describe)Indicate FANS AIR HANDLING UNITS HOODS (commercial) FIREPLACE INSERTS HOT WATER TANKS (Gas) AIR CONDITIONER FURNACES BOILERS REFRIGERATION SYST GAS LOG SETS WOODSTOVES COMPRESSORS GAS PIPING DUCTING PLUMBING FIXTURES res to remain. Do not include WATER PIPING his pro Indicate number v each type D ore to be installed or relocated as part ° tTOI TOILETS OTHER (Describe) LAVS (Hand sinks) URINALS BATHTUBS (or Tub/shor,ercombo) gp�11WATER SYSTEMS VACUUM BREAKERS — ~� DISHWASHERS SHOWERS DRAINS _ WATER HEATERS (Electric) TOTAL. FIXTURES (Kitchen/UtilitA WASHING MACHINE DRINKING FOUNTAINS SUMPS HOSE BIBBS GENERAL INFORMATION VALUE OF EjaSTING IMPROVEMENTS SEWER PURVEYOR V/,Lt1ATION WA+TER PI]R.VBYOR PROT j I l llCfr { �•E`l SUFPRZSWON SYSTEM? 66C) y !I_ r� ER SYSTEM? PROPOSED FIRE (,]'L� nye Fad] E7CISTING FIRE BPRI�NKL Yes >� ►�10 ElasTurGl�� Gus USE LOT sIZ£ Ila sq 0 Yes c3/No -3. 1 �11b) AREA DFESCRIPTIOI�1 (in square feet) BASEMENT I'IRST FLOOR (or Mobile Home) SECOND FLOOR COVERED ENTRY DECK GARAGE ❑ CARPORT ❑ OTHER (describe) Area Totals AREA DESCRIP'1`I011 NEW BUILDING RESIDENTIAL pRQpOSED TOTAL rXISTniG �. sty,. p�NLY** in psenpoa� rorty FOR OFFICE USF- OF SE OF 13EIJKUUm0 COMMERCIAL- NEW/ADDITION Cix'strllatlnn# of Additional Information Area Occupancy Groups) , a Stories ADDITION �_ `��O"L+'LT"L: N"I'S COl►i RCIAL - REMODELJTEi�1AN �Ij Y Fll� ai+ Constructiols # of Additional Information Area Occupancy Group(S) a Stories ASA DE5CRIPTIO1 in Square Feet TOTAL B TENANT AREA ONLY PROJzcT AREA ONLY Page 2 of 4 Bulletin #100 — 4/17/2009 k:\Handouts\Permit Application