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05-105430Ci q^ of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph : (253) 835-7000 Fax: (253) 835-2609 � g OLi Building - Single Family Permit #: 05 -105430 - 00 - SF Inspection request line: (253) 835-3050 Project Name: RUBRIGHT Project Address: 3001 S 288TH ST Spacel4 Parcel Number: 042104 9155 Project Description: NEW - Installation of a new 1995, single -wide, 924 sqft mobile home. Owner Applicant Contractor Lender CAMELOT SQUARE INC RON RUBRIGHT WASHINGTON STATE MANUFAC7 NONE 3001 S 288TH ST 3001 S 288TH ST SPACE 14 WAINS0683 7/31/07 FEDERAL WAY WA FEDERAL WAY WA 98003 98003-8019 NONE Includes: Census category: 112 - New tr #1 #2 #3 #4 Occupancy Group: R-3 Construction Type: Occupancy Load: Floor Area (S.. FL): 1st Floor Proposed Sq. Feet,.. .............................. 924 Census Category ................................................. 112 -New manufactured/fact( Height of Structure., ............................................ 16 Occupancy # 1 - Class.......................................... R-3 Total Proposed Sq. Feet.......................................924 Zoning Designation............................................ RM 3600 CONDITIONS: This parcel is located within a Wellhead Protection Area (Capture Zone 5) and must comply with FWCC, Chapter 22, Article XIV "Critical Areas" and fill out a Hazardous Materials Inventory Statement, if applicable. PERMIT EXPIRES April 19, 2006. Permit issued on October 21, 2005 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 dance with the laws, rules and regulations of the State of Washington and the City of Federal Owner or agent: Date: 1 City Of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.3 of the Uniform Building Code certifying that at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. This certificate is valid ONLY when endorsed by City staff. Tenant Name: RUBRIGHT Permit number: 05 - 105430 - 00 Address: 3001 S 288TH Spacel4 Owner CAMELOT SQUARE INC Name: 3001 S 288TH ST Address: FEDERAL WAY WA 98003-8019 Building Official Date The priorityfocus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severely affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible (within budgetary time and personnel limitations), the City neither guarantees nor warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which it is situated. Such compliance is the responsibility of the owner and/or occupant of rhe premises. THIS CARD IS TO P— MAIN ON-SITE CITYOF ��-�� Community DevelopmentFederal Inspection Record Y IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05 -105430 -00 -SF Owner: Address: 3001 S 288TH ST Space 14 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 �I�T 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 mus[ not be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence, Qn-going k mus inspections are logged on the back of this card. rBy Temp. Erosion Control (4365) ❑ Final - SWM (4375) To be done prior to breaking ground :,j/ rting/Final (4250) Approved Approved Date By Date By Date r` ry�. RECEIVEF" baa Federal Way PERMIT O0AfjunrrvnsveraA�snrssrehcss' zQQ 63335 8" r RAL WA6 SOU7" • PO WX 9718 fsuBk-2 WAY, X 98063.9718 PLI CATI O 733.8,75.3607• FAX 333,83 5. BOILDING DEPT. The allowin is ined i m.".n _ an incom rete application will not be � v 9, SF MF CO ME EL PL DE EN FP :2:� / rated. Presse print Ieoibly(in ink) or tune_ SITE ADDRESS ASSESSOR'S TAX/PARCEL #t LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) y l c (A— uperrre}w�elar �,yar desaipuwy SUITE/UNIT #!� LOT SIZE (sj) /1 1 TYPE OF PERMIT ABUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PROJECT DESCRIPTION (Proudde detailed des ' lion O PREVENTION SYSTEM rk e f udd on th' a it oral PROJECT NAME (Name of Business or Owner Last Name) PROPERTY OWNER r - CONTRACTOR STATE, ZIP T� - ►V +� y CELLpf;aH6 ' [CONTRACTOR'S�jjt�" 1111 R oa~ B L }� 1 !T hard ragnlxrd xlth arch ■pPl;awtionj L L E APPLICANT NAME 4i e APPLICANT NAME OFFlC$ P1 MA1L1 DRESS ��/ , C � C CITY, STATE, 7.1P _ 11 J J I ` CELL PI{OI RELATIONSHIP TO PRO.1 Yia cn { i ❑ Architect b'nant ❑ Agent ❑Other FAX Nu (Describe) { CONTACT NAr 1 PRIMARY PHONE LENDER 9 - E-MAIL ADDR ESS I)� —9 �` � MAKE l ' 1rfAlLlNU ADDRESS &A,0 E.h( EXISTING USE r �� PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK � SPRINKLERED BUILDING? ❑ YF.S40 FIRESUPPRESSION SYSTEM PROPOSED WATER SERVICE PROVIDER/REQUIRED? ❑ YES �NO SEWER SERVICE PROVIDER rLARMIAVEN AKEHAVEN 13 HIGHLINE ❑ HIGHLINE ❑ TACOMA 13 PRIVATE (WELL) 0 PRIVATE fsPPTrr,r AREA DESCRIPTION BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS (DESCRIBE) DECK (COVERED?) GARAGE © CARPORT ❑ smgTtXo lROAOSILU ) TOTAL NUMBER OF FLOORS ••JfI?W FIOMGS ONLY" NI MB>;I, OF BEDROOMS 1 STI MATED SELLING PRICE Indicate nurnber of eacrL type o]1Lxeurc LU MEcuAHIfiAL Value of Mechanical Work AIR HANDLING UNITS EVAPORAT] COOLCRS BBQS FANS BOILERS FIREPLACE S S COMPRESSORS FURNACES DUCTS GAS PIPE Qu'i'i:'ET'S TOTAL SO. FT. GAS LOGS -r" —" REFRIG. SYSTEMS 1 oon—s (commerclaq WOODSTOVES GES MISC (Describe) ASWATER HEATERS PLUMBINGWATER CLOSETS (W10MISC (Describe) BATHTUBS (orTub/Showrcom SHOWERS DISHWASHERS SINKS DRINKING FOUNTAINS SUMPS RAINWATER SYST GAS PIPE OU S HOSE BIBBS WAS13iNt'i MACHINES URINALS VACUUM BREAKERS ELECTRIC WATER HEATERS orneatian farnisieed by nee is true and correct to the best of my knowledge, and further, that T that the tof I cert{fy under penalty of perJury ld am authorized by the owner of the above Premises to perform the work for which the permit application Is mode. Y further agree to ho harmless the city of Federal way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation are such claim defense of such claineJ which may be made by any Person, including the undersigned, and filed against tine City of Federal Limy, but only wherearises out of the rel�c of he City,_ ludl+eg its afficers and employees, upon the accuracy of the information supplied to the city as a Pari of this application. rr� �} J r V !r DATE V 1 NAME/TITLE Icicle) )Signature)' RELATIONSH P T�] PROJEC'p/ ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑Other Bulletin # 100 —Januar 7, 2005 Page 2 of 4 Mtlandoutfferinit Application