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09-103989w 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 Project Address: 3001 S 288TH ST SPACE 9 Project Description: NEW - Installation of 27 x 40 manufactured home Owner ATTN: PROPERTY OWNER OR MANAGER CAMELOT SQUARE INC. 3001 S 288TH ST FEDERAL WAY WA 98003 Applicant GENE GRAF 8118 PACIFIC HWY E TACOMA WA 98422 Building - Single Family Permit #: 09 -103989 -00 -SF Inspection Request Line: (253) 835-3050 Contractor HORSLEY'S MOBILE HOME SERVICE HORSLMI-1074DC (3/22/10) PO BOX 764 PUYALLUP WA 98371 Parcel Number: 042104 9155 Lender Census Category: 112 - New Manufactured/Factory-Built Home, IN PARK _:�Includes: #1 #2 #3 94 cupancy Class: — Cor truction Type OcculLanc Load: 11001- Atlaa (sq. ft. Additional Permit Information New/ Additiona -1q, i] eet - 1st Flui.ir................... 1080 \'c,s , Add iIionaI sq. Feel - 2nd. ...,V..C1 New / Additional Sq, Feet - 3rd FIoor...................•0 New / Additional Sq. Feet - Basement ...... ............ 0 New /Additional Sq. Feet - I)eck..........................0 New / Additional Sq. Feet - Garage .............. ......... 0 New / Additional Sq. Feet - Other ..........................0 New / Additional Sq. Feet - Total .......................... 1080 No Fixtures Associated With This Permit!! Subject to field inspection without I hereby certify that the the occupancy and the Owner or agent: CONDITIONS: PERMIT EXPIRES Saturday, April 10, 2010 Permit Issued on Monday, October 12, 2009 e information is correct and that the construction on the above described property and will be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way Date: %C) /-Z— � FWA L[71) N L THIS CARD IS TO REMAIN ON-SITE CITY OF Co _� dere l Waynstruction Ins :coon Record INSPECTION REQUOE 1'S: (253) 835-3050 PERMIT #: 09 -103989 -00 -SF Address: 3001 S 288TH ST SPACE 9 Owner: ATTN: PROPERTY OWNER OR MA FEDERAL WAY, WA 98003 Scheduled inspections may be failed if this card is not on-site. DO N I 11.0SF'I11I5 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. ❑ SWM Precon Site Mtg (4400) ❑Initial Erosion Control (4365) F1 Interim Erosion—Control(4370) Approved To be done prior to breaking ground Approved By Date By Date BY Date ❑ Blocking/Tie Downs (401.5) V inal Erosion Control 4375 ( ) ❑ SlcirtiApproved (4250} Approved 1:1 Approved Approved i BY GGi Da to � � By Date Qy� Date ' � Rough Electrical Final Electrical ❑ ❑ Iti�7Date WayApproved ApprovedBy Date By DateBy Federa -• EIV E _ . PERMIT cnvhiunvar navEtoPa>Ervrsslrvtces 2�-8.7. 2607• FrSX 253.835-$� � 2�"�•ppl+T�A T T O �n.r �<i1Lt�L_(ir •[ICrflilUfl �l�rn�'i; C 1■ice■;n■J arm ADI JF CO ME 1:L PL DE EN FP PR()PCit'i'Y �—RJ O 91c1�; Z&& )Z(� y� S171MUNIT i ZONING 4se ®� An"SOR-g TAX/PARCEL / NAME OF PROJECT 'ROJECT (Tenant or Homeowner Narne) ( TYPE OF PERMIT A$UILDING ❑ PLUMBING ❑ MC Q DEMOLITION C,ELEC HAMCAL TRICAL ❑ ENGINEERING C] FIRE P REVENTION PROJECT DESCRjpTI0111 fJT Detailed description Of to �f 2 IL�� F�>�Cawc be includerj on this perrnt anly / NANZ PROPERTY OWNER ��e.�� NAILING ADDItz;53 CITY, 8TAT1S, OWNER Is ALSO. �� Y5 e 7*6C 0 4 �- ❑ COIPiRpC[aR APPLICANT NAME CONTRACTOR 115Le5(p APPLICANT PROJECT CONTACT (The indit"dual to receive and respond to all correspondence concerning this applicatiorz) PROJECT FIN,, LACING h'equired for projects with value of ;V5, ppa or more (RCW 19.27.095) C =�BOa--) .? PRIMARY PONS C'v �atAl,, E::;-/- Le ie—1 S'�rcr,'GP [LING ADZ)RESS, CITY, STATS. ZIP STATS CoraTxAJLT ENBE N� TG LC- 1[7 1 NADH MAILING ADAiIE.49, CrrY TATE Z NAME MAiLD76 ADDRESS, CITY, STATS, ZIP ALTERNATE CONTACT NARIS: NAME WAILING ADDRESS, CUT, STATS. ZIP EXPIRATION DATE PRINARYPNONS vi ❑ PROJECT CONTACT PRJAIAltY PxvN$ S � iC7 vz_ FAR FEDERAL WAY 31vli ,Ss LICSNSS I MWARY FICO -IM 53 c?2-ZId' FAR a �HONE Y Pte- 4�6 FAR a-neAn, ❑ ()W1VE 2-F'INANCE17 PRI�(ARY PHONE I rerth under penalty of Perjury beat of my knowledge, the irrfvrmaf arlbrrrttted in su ro rtdth all pew owner or authorized agent of the proper owner. I cerci the issuance C{ty of Federal Way regulations pertainfnf this permit application is true and comets. ! re ssuance of this permit does 9 to the fy that to the not remove the owner's respa o C116tworo authorized by t ue and c r o �fy that I udll comply construction or envlronmentaf laws. f a ermit, 'further a hJ for covnpl�anae with tonal p I understand that gree to hold harmless the Cityo state, or federal laws regulating In the investigation and defense o ofp, Way as to any claim (including coats, ex ansae, cit+j, but only where such claim f such claim), which may be made b p and attorneys irijermation su arises out of the reliance of the cit y any person, including the rrndersi neS'fees incurred ppIied to the city a= a p of this rJr including its o g and filed against the application. fflrers and employees, upon the accuracy of the SIGNATURE: r� ��-,A _ Z. PRINT NAME; Bulletin #100 — 4/17/2009 Page 1 of 4 / 0 / Z © 9• kAHandouts\Permit Application MEC�,NICAL FIXTUREN A CDPY QF BID aR ESTIMATE MUST" BC PRdVIIaEf]res to remain VnIue b Mechanical Werk $Iu OTHER (Describe) Indicate number of each a are to be instated or relocated as art of t is GAS PIPE U include existi FANS HOODS (cg --W) AlR HANDLING UNITS — �gEpLACE INSERTS — AIR CONDITIONER HOT WATER TANKS (GeA FURNACES REFRIGERATION 3YST BOILERS GAS LOG SETS COMPRESSORS GAS PIPING DUCTING PLUMBING FUTURES re to b�t"talle d or relocated as part of this prO a Do not include estingWATER PIPINGfj.,qurgs to matnIndiaatt number of each type offrxtuTOILETS GEg (llescribe)BATHTUBS (or7wb�gb°°�combolLa Sin"I URINALS DISHWASHERS RAINWATER SYSTEMS SHOWERS VACUUM BREAKERS — DRAINSWATER HEATERS (eiertrid TOTAL FIX'CUItI;s SINKS (Kirch-/Udliry) WASHING MACHINES DRINKING FOUNTAINS SUMPS HOSE BI513:3 GENERAL INFORMATION VALIIE of Wagrjgo MPROVEMP"TS SEWFR ppP,ygYbR PROJECT VALUAVO" WATER PURVEYOR e Feet) ERttS9'IN[9 FIRE ePRiHKLBR SYSTBMP PROPOSED F1RE SUPPFtE88ION SYSTEM? MO/wEVI0i18 USE, SIZE Ila sgnar ❑ Yes ❑ No ❑Yes ❑ NO MUSTRES-UDENTLkL PROPOSED TOTAL FOR OFFICE USE E3CiSTINTx ARIA DE5CRIPTION (in square feet} -- _ _ — - -- — - - FIRST FLOOR (or Mobile Home) SEi:OND FLOOR COVERED ENTRY DECK GARAGE Cl CARPORT ❑ 0TkIER (describe) Area Totals waaxmo sw on -s arils' FROTORM # OF 1:%U kJv'v,2 (MATED SELLING PRICE $ COMMERCIAL — N EM1IAD DITION Construction # of Additional Information ARFA pESCRIPTXON Area Occupancy Groups) a Stories is Square Feet iriSW BUILDING ADDITION CQNII/IERCIAL - REMQDELITENAN� XIPRQ�iVIENA ditionallufornlatioa Area Occupancy Groups) a Stories AREA DESCRIPTION in Square Feet - TOTAL DUILPIHG TwANT AREA ONLY AREA ONLY Bulletin #100 - 4/17/2009 page 2 of 4 k:\liandouts\Perinit Application a 161 u U. LLJ o I a 161