17-103911 Plumbing'
CimtyDe elopmeay Permit #:17-103911-00-PL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: ACCURATE CHIROPRACTIC
Project Address: 34512 16TH AVE S 414 it G Parcel Number:250090 0050
Project Description: Install(1)sink,(1)washer box and(1)hot water tank.
Owner Applicant Contractor
FEDWAY MARKETPLACE WEST LLC(C/O STEVE CARNEYSTATE MECHANICAL STATE MECHANICAL CO
MJ KLEIN) 8706 S 222ND ST STATEMC141C7 )
30300 AGOURA RD SUITE 270 KENT WA 98031 (9/1/17
AGOURA HILLS CA 91301 8706 S 22ND ST
KENT WA 98031
Laundry Washer Outlets 1 Sinks 1 Water Heaters 1
PERMIT EXPIRES Saturday, 10 February,2018
Permit Issued on Monday,August 14,2017
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 in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way.
Owner or agent: c/i
/7
Date:
,.
THIS CARD IS TO REMAIN ON-SITE
of Construction Inspection Record
federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 103911 00 Address: 34512 16TH AVE S Unit C
Project: FEDWAY MARKETPLACE WEST L FEDERAL WAY WA 98003
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.
® Plumbing Groundwork(4190) 0 Rough Plumbing(4230) 0 Final-Plumbing(4075)
Approved to cover Approved Approved
By IMO Date V(34 in _By YWh Date iri 251 11 ,s By n v 1 Date Qt-a.y)1
Rough Electrical Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
F?ECEIVEDPE
RMIT
APPLICATION
CITY of •.
„-
�Fyederal AUG1 �} 7 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
"" ""'��• � `O1/ 253-835-2607+FAX 253-835-2609+permitcenterAcityoffederalway.com
COMMUNE DEQ LE 0 u,
PERMIT NUMBER o
(
q/t///TARGET DATE
SITE ADDRESS SUITE/UNIT#
3 Li 51 z I (e, AM)( 5
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 2 5 0 0 9 0 — 0 0 5 0
TYPE OF PERMIT ❑ BUILDING ® PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Federal Wa iropractic 111Zf7 T 6- C i R-0 PgA( T
PROJECT DESCRIPTION To plumb and install: 1 Sink, 1 Washer box&11 hot water tank
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
FEDWAY MARKETPLACE WEST
PROPERTY OWNER MAILING ADDRESS E-MAIL
34512 16TH AVE S
CITY STATE ZIP
Federal Way WA 98003
NAME PHONE
State Mechanical 206-575-7527
MAILING ADDRESS E-MAIL
CONTRACTOR 8706 S 222nd St stevec@statemech.net
CITY STATE ZIP FAX
Kent WA 98031 206-575-7529
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
STATEMC141C7 9 1 17 20-10-101050-00-BL
NAME PRIMARY PHONE
Steve Carney 206-575-7527
MAILING ING ADDRESS E-MAIL
8706 S 222nd St stevec@statemech.net
CITY STATE ZIP FAX
Kent WA 98031
NAME PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E- L
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
.. _ NAME.. .. .. ...
PROJECT FINANCING 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: _l .A ) CAV11424 DATE 8/15/17
PRINT NAME:` Steve Carney
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
f wf
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type offuture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $5,980.00
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing factures to remain.
BATHTUBS(or Tub/shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS 1 SINKS(Kitchen/Utility) 1 WATER HEATERS(Electric)
HOSE BIBBS SUMPS 1 WASHING MACHINES 3 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
SEM NT
— ---------------------
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT 0
OTHER(describe).
EXISTING PROPOSED TOTAL `.,•_
Area Totals
**ffla' M Y*" ,"
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area m Occupancy Group(s) Construction #of
Square Feet p y P( ) Additional Information
q
Type Stories
NEW SING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of
Square Feet P Pl l Type Stories Additional Information
TOTAL.BUILDING
TENANT AREA ONLY
PROJII T Y__
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application