18-101621 ,
Building - Single Family
City of Federal Way Permit #:18-101621-00-SF
Community Development Dept.
33325 8th Ave S 6 P
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
4 ',OMR :
Project Name: TACKETT
Project Address: 31412 13TH AVE SW Parcel Number:416810 0050
Project Description: REM-Remodel existing bathroom by widening door and adding roll-in shower. Patch
insulation in exterior wall as needed w/R-15. Includes plumbing; no mechanical.
Owner Applicant Contractor Lender
BRUCE TACKETT KEVIN YOUNGM A D M A D CONSTRUCTION LLC
31412 13TH AVE SW CONSTRUCTION 22002 38TH AVE E
FEDERAL WAY WA 98371 22002 38TH AVE E SPANAWAY WA 98387
SPANAWAY WA 98387
Census Category: 434-Residential alt/add- no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.)
Additional Permit Information
Mechanical to be Included? No Plumbing Work Valuation/ 3000
Number of Stories 1 Is this an Online or O.T.C.application/ Yes
Plumbing to be Included/ Yes
Total Valuation:800.00
Showers 1
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Saturday, 13 October,2018
Permit Issued on Monday,April 16,2018
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: = Date: i (E' /0
` THIS CARD IS TO REMAIN ON-SITE
� Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 18 101621 00 Address: 31412 13TH AVE SW
Project: BRUCE TACKETT FEDERAL WAY WA 98023-4507
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.
® SWM Precon Site Mtg(4400) 1=1 Initial Erosion Control(4365) 0 Plumbing Groundwork(4190)
Approved To be done PRIOR to breaking ground Approved to cover
By Date By Date By Date
® Underfloor Framing(4285) 0 Floor Sheathing(4105) 0 Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date s By Date By Date
e
7❑ Roof Sheathing(4220) ® Rough Plumbing(4230) ® Fire/Draft Stops(4095)
Approved to install roofing Approved Approved
By Date By Date By Date
CIInterim Erosion Control(4370) Prior to scheduling a Framing inspection; 1 i Framing(4120)
Electrical,Plumbing&Mechanical Rough-in
Approved to insulate
and Fire/Draft Stop inspections must be signed-
By Date off and approved. IBC 109.3.4 By Date
'
12 Insulation(4150) El Gypsum Wallboard Nailing(4130) i4 Final Erosion Control(4375)
Approved to install wallboard Approved to install mud&tape Approved
By Date -,..•---BY-7�_� Date,<:-5-.cl_ l By Date
5 Final-Plumbing(4075) LI Final-Building(4050)
Approved Approved
By L.-N.t.+�. Date S 4f..1- 1 - By t1 'W.,.., Date 74. %
0 Rough Electrical ❑ Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
,,,,,,,......41. RECEIVED PERMIT APPLICATION
Federal Way
CITY OF
APR 1PERMIT CENTER+33325 8a'Avenue South +Federal Way,WA 98003-6325
2018253-835-2607 + FAX 253-835-2609 +permitcenteltacityoffederalway.com
CITY OF FEDERAL WAY
COMMVNITY DEVELOP4E
PERMIT NUMBER / (y _ /
/ _ S F TARGET DATE J S rr
SITE ADDRESS SUITE/UNIT#
, 114- I P.N P Ccs --e ' W Lecu-) cU
pr
PROJECT VALUATIONZONING ASSESSOR'S TAX/PARCEL#
$ 0*(0F. 0 Li 1ce 1 0 - 0 0 50
TYPE OF PERMIT V BUILDING TA9PLUDABING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT l ` Y`(C(5-t)m re Y\A-CCI
0
PROJECT DESCRIPTION Lo l el tillc �TV AVl anY�c ,CWC I�e 1v L/ Y� �
Detailed description of work to I �I( J ` Qt
i. .- & ST X31 'lA_ et re nm>-Q 1 \t
be included on this permit only na11 in S n J 1e r
NAME, PRIMARY PHONE
PROPERTY OWNER MAILING ADDRESS E-MAIL
5)LI a 13+14 I IE SLO
CI STATE ZIP
teCe OA y I 9c DZ3
NAMEPHONE
`() t \ \ I t CA `C�/�-- 2-- 5-(-I t t�1
MAILING ADDRESS , E-MAM.
CONTRACTOR 2 (0— JSII'k Pr°4 E '- _y)t a Moot CO
CO kuc#-
CrT'Y/� _- STATE ZIP�� F"2-5- LJ 1�/�1
WA STATE CONTRACTOR'S # W'p`. EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
mp►bco 1— I (Z /31 c 2-6-12-- i b qi- II-661 ---•
NAME PRIMARY PHONE
OnA ,c) C�ti1 tz,w 2-53 -11c t zco 3
MAILING APPLICANT 2- zss 5. Pt-v, Q D
��JJtC�> e � ►'�e.�%lam.mar'-Ic.�ti►S�cl`.c��
CITJl 1 n� , $T ZIP/,y�,3�j.� FAx
✓✓5- �O i I
NAME - 1 iW\ ��V( / PRIMARY PHONE 1
PROJECT CONTACT �Mt L 11 \may) \'GU Vti- )_co:/-- -).L{ 1?o 1
(The individual to receive and A LIT S58 I ` "` E-MAIL�
respond to all correspondence t�ei1114)NIUG{C61titYtx4,ma
concerning this application) CITE STATEZIP FAX
J i,VILA 01 Lt t� 1� I 253 1 (1
NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 application.
SIGNATURE, mm' 1 -""-...411111111111111b-..- DATE
G� iC,. )o /8
PRINT NAME: l 2/l.J t Y\ I--, Wiu
i
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
$
Indicate how many of each type of fixture 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(Commerciai)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLIrnIBING PERMIT VALUE OF PLUMBING WORK
ridicate how many of each type of fire to be installed or relocated as cart of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand sinks) TOILETS WATER PIPING
DISHWASHERSRAINWATER SYSTEMS URINALS OTHER(Describe)
T
DRAINS 1 SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES - TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? I WATER PURVEYOR I 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 I TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
I **NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ _ I # OF BEDROOMS I
COMMERCIAL—NEW/ADDITION
Area in Construction #of
AREA DESCRIPTION cq„ars Feet Occupancy Groups) ,pQ Stories Additional Information
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in Occupancy Group(e) Construction # of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY I
Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application