09-100634=fFederalXaderal Waylopment Servicesox 9718A 96063-9718Fax: {263) 835-2609
P41ilding - Single Family
Permit #: 09 -100634 -00 -SF
Inspection Request Line -(253) 835-3050
Project Name: GRAF
Project Address: 3001 S 288TH ST Space 362
Parcel Number: 042104 9155
Project Description: NEW - Installation of 1876 sgft mobile home in a manufactured home park in accordance
with manufacturer's installation instructions.
Owner Amicant Contractor
GENE GRAF HORSELY'S MOBILE HOME HORSELY'S MOBILE HOME Lender
8118 PACIFIC HWY E SERVICE
TACOMA WA 98422 P O BOX 764 SERVICE
HORSLMHO74DC (3/22/10)
PUYALLUP WA 98371 P O BOX 764
PUYALLUP WA 98371
Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 #2
#3 #4
Occupancy Class:
COnSITLICtioill
Decu anc Load:
Floor Areas , r, 0 0
Additional Permit Information
New/ Sq. Feet - 1st Floor ................. „ 1876
New/ Additional Sq. Fect - 3rd Floor .................. New / Additional Sq. Feet - 2nd Floor...................0
.0 New / Additional Feet - Basement .... ......:..-...f 0
New / Add ilional Sq. feet - Deck.........
.....:........... 0 � 1 Additional
New / Additional Sq. Feet - Other................ Feet - Garage ..........:... 0
0 ew iiional Sq i l'otal............
.............. 1876
No Fixtures Associated With is Permi
.0
CONDITIQ ' e- 0011 .
Subject to field inspection without plans.
PERMIT EXPIRES Monday, August 17, 2009
Permit Issued on Wednesday, February 18, 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 will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: T rF
Date: �- i � "/
THIS CARD IS TO "EMAIN ON -SIT
CITY ofA THIS
� .
Federal Community Development Inspection Record
Way IVR INSPECTION REQUEST PHONE # (253) 835-050
PERMIT #: 09 -100634 -00 -SF
Owner: GENE GRAF
Address: 3001 S 288TH ST Space 362
Federal Way, WA
F y— mquirea inspection ments. Scheduled inspections may be failed if this card is not on-site.
Inspections are listed as close tos eq ential orderuas possible (read eft to right top t bottom).. Please schedule inspections as O ra tial
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inSpection�So On-going
T o must
n•
are logged on the back of this card. en P -• ing is mus! not
e9 gang insgeclions
EUSWM Precon Site Mtg (4400)Approved Date
❑ Blocking/Tie Downs .(4015)
Approved
BY i/i'! Y Date
0�
El Erosion Control (4365)rBy
Interim Erosion Control (4370)one prior to breaking groundApproved
Date Date
❑ Final Erosion Control (4375) ❑ Skirting/Final (4250)
Approved
Approved
BY Date By 'j Date Al
For insFector reference only _
Rough Electrical` -
Approved FINAL -Electrical
BY Date Approved
BYE Date
MY or �A
Federal Way R ECEIC 7_ Q O (�
COMMUN1TYDEVEL!)pq A�SBRVICES
73325 8'+r AVENUE SOUP. R T
TH • PO DOX 9718 - �
F011E W"y WA 98063.9718 � SF F CO ME EL PL DE EN FP-- -- ---
353.635•?607• FAX�53.8.75'.?6J9 �B .X APPLICATION 0
The following lg ' equ
N.
te application will not be wept ple
print Legibly (in in4 or type.
SITE ADDRESS _� (r�s C2
/ -- C
ASSESSOR'S TAX/PARCEL
� � � U6
LEGAL DESCRIPTION (eg. Acme Estates, Lot 1)
('+"°4'''Q PmA•lor rayury r�,1 a.,orru,,,�
TYPE OF PE tmr
c�-j? SUITr:A T 0
LOT SIZE (g) i� e Gs1
jl�'BUILDIIYG ❑ PLUNNnFG ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENG
PROJECT DESC ENGINEERING
❑ FIRE
RIPTI p Ulde detailed defscrription of work inc&uded on thrs_nmm mw MENTION SYSTEM
I f—
PROJECT NAME (Name ofAMUM OrOwnerLat N
md
EXISTING ASSESSED/APPRAISED VALUE 4_
SPRINIMERED BUILDING? ❑ YES 014
WATER SERVICE PROBER•AKEFrAVEN
SEWER SLRvTorz- nn..r.._ __
t✓o tZ—kl—�=
PROPOSED USE
VALUE OF PROPOSED WORK
FIRE SUPPRESSION SYSTEM PROPOSED,REQUIRED? O YE.S
Indicate number of each type offLxtuTie to be installed or relocated as part of this projecr. uo nor. uwmuw m& --d i-- - -
MEGBAMC 4 LA COPY OF BID OR EST'Il�IATE MUST BE INCLUDED WITHAPPLICATION)
Value of Mechanical Work $
VES
14031S Mntla
that Y mn the property owner or authorized agent of the property owner. r cert& that to the beat of my
,i certify under Putty of perjur*j o this it application is buo and correct I certify that Y ural correpiy with oli hisappucable
pannit
knowtedgQ the igormation submitted in support j ! the issuance of a permit !understand chat the issuance of this permit
city of .Federal Way regulations Pertaining to the work aeclhorizare by
as to an cWrn line costs, expenses, and attorneys' fees incurred in the
dose net remove flea owner's raspanail+itityfer comgtiance with local, stats, or fBdera[ laws rreguiuting construction or enviranmont �
f further agree to hold hormlese the City of Federal Wog *y but 0 n ly
investigation and defense of such. ataim), which may be made by any parson, including the undersigned, ac and fie the formati n -supplied to
where such claim arisas out of the reliance of the tiny, including its officars and ornployaos, upon the aaruracy j
the city as a part of this appitcation.
HATE
SIGNATURE:
5erandJor Authorised
EVAPORATIVE COOLERS
GAS PIPE OUTLETS W,-"Lj
MISC (Describe)
AIR HANDLING UNITS
o NEW o ADDITION
GM WATER HEATERS
BBQS
FANS
FIREPLACE INSERTS
HOODS (c=mwda
BOILERS
FURNACES
RANGES
COMPRESSORS
GAS LOG SETS
REFRIG. SYSTEMS
DUCTS
NEW ADDRESS REQUIRED?
o YES o NO
I"r
o NO
URINALS MISC (Describe)
BATHTUBS (.Tab/9hffWWCOOS"
LA(�""m�
RAINWATER 9YST
VACUUM BREAKERS
DISHWASHERS
SHOWERS
WATER CLOSETS crow
DRINKING FOUNTAINS
WASHING MACHINES
ELECTRIC WATER HEATERS
SINKS
crnups
14031S Mntla
that Y mn the property owner or authorized agent of the property owner. r cert& that to the beat of my
,i certify under Putty of perjur*j o this it application is buo and correct I certify that Y ural correpiy with oli hisappucable
pannit
knowtedgQ the igormation submitted in support j ! the issuance of a permit !understand chat the issuance of this permit
city of .Federal Way regulations Pertaining to the work aeclhorizare by
as to an cWrn line costs, expenses, and attorneys' fees incurred in the
dose net remove flea owner's raspanail+itityfer comgtiance with local, stats, or fBdera[ laws rreguiuting construction or enviranmont �
f further agree to hold hormlese the City of Federal Wog *y but 0 n ly
investigation and defense of such. ataim), which may be made by any parson, including the undersigned, ac and fie the formati n -supplied to
where such claim arisas out of the reliance of the tiny, including its officars and ornployaos, upon the aaruracy j
the city as a part of this appitcation.
HATE
SIGNATURE:
5erandJor Authorised
lei nn — Ianuary t, 2009
Page 2 of 4 k\Handouts\Permit Application
ALTI;RATIQI+T
a REPAIR o TENANT IDdPROVEMENT
o NEW o ADDITION
c�
BASIC PLAN? o YES
o. NO
BUTLDII�IG 3fII:i.L ONLY?
a YES o NO
CHANGE OF USE? ❑ YES
a NO
ZONING DESIGNATION
UP/SEPA�SU? o yES
❑ NO
NEW ADDRESS REQUIRED?
o YES o NO
DEMO PERMIT NEQU[RIrD? ❑ Y�4
o NO
PLATTED LOT?
❑YES o NO
lei nn — Ianuary t, 2009
Page 2 of 4 k\Handouts\Permit Application