14-1061504 � � Z.
0 Mechanical
Cky of ay
Community & Econ.�Dev. services Permit #: 14 -106150 -00 -ME
33325 8th Ave S
Federal way, WA 98003 Inspection Request Line: 253
Ph: (253) 835-2807 Fax: (253) 835-2809 peC eq ( ) 835-3050
Project Name: MCKENNEY
Project Address: 35022 19TH AVE SW
Project Description: Gas line repair
Parcel Number: 795630 0030
Owner
VICKI A MCKINNEY
Aouiicant
MCKINNEY RICHARD
Contractor
OWNER IS CONTRACTOR
3502219TH AVE SW
PO BOX 25474
FEDERAL WAY WA
FEDERAL WAY WA
98023
Is this an Online or O.T.C. application?.................Yes
Mechanical Fixtures
GasPiping ...................................... 1
PERMIT EXPIRES Sunday, May 31, 2015
Permit Issued on Tuesday, December 2, 2014
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 Date: 7— -01 /
CITY OF M&
Federal Way
PERMIT #:
14 -106150 -00 -ME
THIS CARD IS TO ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
Address: 35022 19TH AVE SW
Project: VICKI A MCKINNEY FEDERAL WAY, WA 98023-6914
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 f the inspection sequence. On-going inspections are logged on the back of this card.
Mechanical Rough -in (4165)as
Piping (4125)
Fina - Mechanical (4 5)
Approved
Approved to release test
Approved
11BY
By Date
By ph j,- Date 12--3 -- j 1
f A L Date 17--3 —) 4
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
_^
Right of Way
By
Date
By
Date
By
Date
CITY OF 'A
Federal Way
WEIVED PERMIT %PPLICATION
DEC 0 2 2014 ro
T FEDERAL WAY �,,
PERMIT NUMBER I - _ � V In _ / A )
�1 ___t7
TARGET DATE
SITE ADDRESS
3S6Z2
SUITE/UNIT #
PROJECT
$
ZONING`
ASSESSOR'S T /PARCEL #
—
TYPE OF PERMIT
❑ BUILDING N PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
G A" Sl ri G
PROJECT DESCRIPTION
Detailed description of work to
�,., n
cn/+ cKe /4
Ci
be included on this permit only
PROPERTY OWNER
NAME
Vick( M Gk//)ne-
PRIMARY PHONE
1-yy res
MAILI G ADDRESS
0
E-MAIL
CITYSTATE
rii� V s`
W X
ZIP
p Q
NAME �^ r.l- ^
_. a—S— c) W i`�Y
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATEZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME � / / i f^
R i c l K
PRIMARY PHONE
2r3 s 7f-6
MAILING ADDRESS
1/J o 1 >;2 rq 7
E-MAIL
APPLICANT
CITYe-j /
FY''
ZIP p 2
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
Required value of $5, 000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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
-in ormation supple o the cityas a paQ�=t�of�Tiis application: ------- _.
/ C%
SIGNATURE: rG^ DATE l C� ( /
PRINT NAME: v ` t C
Bulletin #100 — January 1, 2013 Pagel of 3 k:\Handouts\Permit Application
0
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
# of
AREA DESCRIPTION
Indicate how many of each type of
fixture to be installed or relocated as
part of this project. Do not include existing res to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS
OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (commercial)
OTHER (Des
BOILERS
_s FURNACES
HOT WATER TANKS (Gas)
d (!N
COMPRESSORS
G S LOG SETS
REFRIGERATION SYST
DUCTING
AS PIPING
WOODSTOVES
TOTAL FIXTURES
ADDITION
--- -- - -.... ..................... -_..........— — -
y—
� f
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
# of
AREA DESCRIPTION
Indicate how many o each type offixture
to be installed or relocate
art o this . Do not include existing fixtures to remain.
BATHTUBS (or Tub/shower combo)
LAVS (H—dsinks)
OILETS
WATER PIPING
'be)
DISHWASHERS
RAINWATER SYSTE
FIRST FLOOR (or Mobile Home)
OTHER (Des
DRAINS
SHOWER
VACUUM BRE =
d (!N
DRINKING FOUNTAINS
(Kitchen/Uwity)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
# of
AREA DESCRIPTION
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
fps"!i'�/
in Square Feet
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
# of
AREA DESCRIPTION
"BASE�i
W
Additional Information
fps"!i'�/
in Square Feet
Type
FIRST FLOOR (or Mobile Home)
NEar;BulLnnro
F/
SECQND7.00R f f a
,f /l
..
Vii,/,'.
., .,,. x
i, !
- --
COVERED ENTRY
,
ADDITION
--- -- - -.... ..................... -_..........— — -
y—
� f
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
,.,,,..-.,""
Construction
GARAGE ❑ CARPORT ❑
AREA DESCRIPTION
OTHER (described
'.
in Square Feet
Type
Stories
Area Totals EMSTDQG
PROPOSED
TOTAL
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL - NEW/ADDITION
Area
Construction
# of
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
in Square Feet
Type
Stories
NEar;BulLnnro
F
/
,f /l
..
Vii,/,'.
i, !
,
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
Area
Construction
# of
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
in Square Feet
Type
Stories
TENANT AREA ONLY
/
PROJECT AR? C{a♦ LY,
,
Bulletin #100 - January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application