04-102278City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129
Building , Single Family Permit #: 04 - 102278 - 00 - SF
Project Name: MACKEY
Project Address: 28840 23RD AVE S
Project Description: Carport enclosure and cover for existing concrete walk
Inspection request line: 253.835.3050
Parcel Number: 422250 0190
Owner
Applicant
Contractor
Lender
Richard L Mackey & Sharon M Mack
WE CARE CONSTRUCTION & DEv
WE CARE CONSTRUCTION & DEv
NONE
28840 23RD AVE S
WE CARE CONSTRUCTION & DEv
WECARCI995NC 7/26/05
_
_
FEDERAL WAY WA
5701 S FERDINAND
WE CARE CONSTRUCTION & DEv
98003 -7922
TACOMA WA 98409
5701 S FERDINAND
NONE
Includes:
Census category:
434 - Reside r #1 ��
#2
(� IF3
#4
Occupancy Group
Construction Type
U -1
J
J
_
Occupancy Load
_
_
--Ty
Floor Area (Sq. Ft.):
.......................... 434 - Residential alt/add - no, Height of Structure............. ........ 9.5
................. Yes Occupancy Group #1......... ....U-1
No Zoning Designation............................................. RS 7.2
PERMIT EXPIRES December 5, 2004.
Permit issued on June 8, 2004
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use w• c dance with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date: [J
THIS CARD IS TO MAIN ON -SITE
p
CITY OF tommunity Develo nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 04- 102278 -00 -SF
Owner: WE CARE CONSTRUCTION & DEVELO
Address: 28840 23RD AVE S
FEDERAL WAY, WA 98003 -7922
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on -site. DO NOT 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 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.
�;41yIA4S15er &W-7 yard
By Date
❑ Floor Sheathing (4105)
Approved to install flooring
By Date
❑ Plumbing Groundwork (4190)
Approved to cover
By Date
❑ Shear Walls (4245)
Approved to install siding
By ?" Date '7113/01
❑
Underfloor Framing (4285)
Gas Piping (4125)
Approved to sheath floor
By
Date
Approved
❑
Roof Sheathing (4220)
Approved to install roofing
By
Date A. .. G
❑ Mechanical Rough -in (4165)
❑
Gas Piping (4125)
❑
Fire/Draft Stops (4095)
Approved
Approved to release test
Approved
By Date
By
Date
By
Date
❑
NOTE: Prior to scheduling a Framing (4120)
❑
Framing (4120)
Insulation (4150)
inspection; Electrical, Plumbing & Mechanical
Approved to insulate
Approved to install wallboard
Rough -in and Fire/Draft Stop inspections must be
signed -off and approved. IBC 109.3.41UBC 108.5.4
By
Date
By
Date
[E] Final - Mechanical (4065)
❑
Final - SWM (4375)
❑ Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
Approved
Approved
By Date -
By
Date
[By
Date
❑ Final - Building (4050) ❑Temp. Erosion Maintenance (4370)
Approved Approved
By Date _ v By Date
, tA)
1�
CWtOF 40 .. - -L D- Z Z7
Federal Way EGGjV ED & P E R Mi11M V ID
SF F CO ME EL PL DE EN FP
COMMUMTY DEVELOPMENT SERVICES
33530F w/RwSwT.dWtAzpY SeOdeUrdH w • a u rn B m O
718
FEDERAL WAY, WA 9806 3-
253 -661 -0115• (FX 253 -6.619471 N n A p p L I C ATI �2
QQ'' ""��//��//aavv
The following ieiquItST r "Al R an incomplete a�i�oi�i�t�bte'dCcepted. Please print legiblu /in ink) or tune_
SITE ADDRESS - _O`' �I� 7 D J RD 1Nl Q SUITE /UNIT #��
ASSESSOR'S TAX /PARCEL # Z S-Q - C� l LOT SIZE (sj) �oD
LEGAL DESCRIPTION (e.g. Acme Estates, Lot ])I? ? L AjAAFL. 14-WD SO&W bi)% #r
(Attach separate page for lengthy legal desonPGon)
1 - - - PROJECT INFORMATION
TYPE OF PERMIT Q BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
,EY86 41; C&A6 . GA /k
PROJECT NAME (Name of Business or Owner Last
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PEOPLE INFORMATION
NAME
11"C.4 d �atv,c kelc-&e
PRIMARY PHONE
(7- -1'3) 91/ - 337/
MAILING ADDRESS
gg�a 2 � R s
, e. i
CITY, STATE, ZIP
ke-te L �
83 z
COMPANY NAME
109 C&rt
APPLICANT NAME
APPLICANT NAME
Glen l�t.,�
OFFICE PHONE
( 293)
-7707
CELL PHONE
( )
.
FAX NUMBER
X78
MAILING ADDRESS
-70 S,
CITY, STATE, ZIP
-?O
CELL PHONE
(2s3)a7S
-770
CITY OF FEDERAL WAY BUSINESS LICENSE N
EXPIRATION DATE
FAX NUMBER
— —
— B L
CONTRACTOR'S REGISTRATION NUMBER (copy
of card required with each application)
EXPIRATION
DATE
/A4%)S-
WIC 4 B, C 1 R g
S N c
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
( )
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
FAX NUMBER
CONTACT NAME PRIMARY PHONE E -MAIL ADDRESS
h r� 25 a79- 770 7 It NN 9R/"A1 ede•
LENDER
Per RCW 19.27.095: Lender information is
NAME
hkc-Kh k l IZL I)Es PC k
required if project value exceeds $5,000
I
MAILING ADDRESS
SROMS, 14108,117536 &.t- u
CITY, STATE, ZIP
S Q0.44'1'- WA 99199
EXISTING USE C&rDor4' PROPOSED USE QQI^c�G e
EXISTING ASSESSED /APPRAISED VALUE $ l (O i/yv� 00 VALUE OF PROPOSED WORK $ [� • yy
SPRINKLERED BUILDING? ❑ YES drNO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? ❑ YES WNO
WATER SERVICE PROVIDER W LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER C(LAKEHAVEN 11 HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
1010
HOODS (C—e«ial)
q
v
FIRST
logo
RANGES
v
SECOND
FURNACES
GAS WATER HEATERS
THIRD
GAS PIPE OUTLETS
❑ YES
❑ NO
FOURTH
UP /SEPA /SU?
❑ YES
ADDITIONAL FLOORS (DESCRIBE)
PLATTED LOT? ❑
YES ❑ NO
DECK (COVERED ?)
o YES
vvt
GARAGE /CARPORT
3%
3 7
HOW MANY FLOORS?
TOTAL EXISTING
Z%
TOTAL PROPOS&O
TOTAL EMSTING TU D PROPOSED
—NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECFL9NICAL
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (C—e«ial)
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
❑ YES
❑ NO
PLUMBING
BATHTUBS (oc Tub/sh- combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LA
SHOWERS WATER CLOSETS rrottet MISC (Describe)
SINKS DRINKING FOUNTAINS
SUMPS RAINWATER SYST
URINALS HOSE BIBBS
VACUUM BREAKERS ELECTRIC WATER HEATERS
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of
such claim), which may be made by any person, including the undersigned, and filed against the City of Federal Way, but only where such claim
arises out of the reliance of the , ' ing its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application. 1. n
NAME /TITLE I1rtJ
(Signature)
RELATIONSHIP TO PROJECT ❑ Owner
❑ Agent 1- Contractor
e-d dr DATE
(Title)
❑ Architect ❑ Other
FOR OFFICE USE ONLY
❑ NEW o ADDITION
o ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP /SEPA /SU?
❑ YES
❑ NO
PLATTED LOT? ❑
YES ❑ NO
DEMO PERMIT REQUIRED?
o YES
❑ NO
Bulletin # 100 — March 30, 2004
Page 2 of 4
k \Flandouts — Revised \Permit Application