16-101552• - _ •Plufnbiig
City of Federal Way Permit #: 16 -101552 -00 -PL
Community & Ern. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line:
Ph: (253) 835-2807 Fax: (253) 835-2609 Pe q (253) 835-3050
Project Name: MACKEY"
Project Address: 28840.23RD-AVE S.. Parcel Number: 422250 0190
Project Description: Add plumbing lines for relocation of dishwasher and refrigerator.***WORK
PREVIOUSLY DONE***
Owner
Annlicant
Contractor
RICHARD L MACKEY
SHARON M MACKEY
OWNER IS CONTRACTOR
SHARON M MACKEY
28840 23RD AVE S
28840 23RD AVE S
FEDERAL WAY WA
FEDERAL WAY WA
98003-7922
98003-7922.
Plumbing fixtures
Other Plumbing Fixtures .............. 1
PERMIT EXPIRES Monday, e'i[xYCier 26, 2016
Permit Issued on Wednes rch 30, 2016 -
1 hereby certify that the above information is correct an a . e construction the above described property and
the occupancy and the use will be in accordance with ws, rules and r g tions of the State of Washington
and the Ci Federal
Owner or agent Date: 30 mos 20 �(p
1
O
C1 F 4:&'.
MA:/'
Federal Way
PERMIT #:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
16 -101552 -00 -PL Address: 28840 23RD AVE S
Project: RICHARD L-MACKEY FEDERAL WAY, WA 98003-7922
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed 4 gjpse 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.
11 Final - Plumbing (4075)
Approved
By Date
Plumbing Groundwork (4190)
Rough Plumbing (4230)
Final ]Electrical
Approved
Gas Piping (4125)
Approved to cover
By
Approved
-
- Approved to release test
By
Date
By
Date
By '
Date
11 Final - Plumbing (4075)
Approved
By Date
Rough Electrical
Approved
Final ]Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
' CIV 'OF Building Division
Federal Wayderal Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: a %%4n 2. `3_,k__® ` V h i'>, PERMIT#: J
%-.
IF YOU HAVE QUESTIONS CALL
�:
(253) 835- DL 1z W1
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
CITY OF A
Federal Way
PERMIT NUMBER I
PERMIT '!$LICATION
R MM
r MAR 3 0 2016
—� TARGET DATE CITY
OF FPnFRel 1A/AY
SITE ADDRESS
SUITE/UNIT i
nlN o Q 3ral Q S wpmgQ03
PROJECTVALUATION
ZONING
ASSESSOWS T P2L N�$SO0 50—
0_
TYPE OF PERMIT
❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
// --�
C,Le= ; L,,3 T WQ r -
o `JLQp -AD
be included on this permit only
NAME
PRIMARY PHONE
1
53 q q 1- 1
PROPERTY OWNER
MAILING ADDRESS
a a &s
E-MAIL
CITY rs
STATE�
ZIP ^
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE If
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE M
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
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
When value is $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 authorised 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 claimq, 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 apart of this application.
SIGNATURE: :??'^' DATE 0.11 ZOI (p
PRINT NAME:
Bulletin #100 — January 4, 2016 Page 1 of 3 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT -l"..
$
Indicate how man o each type o~ a nstalled or relocated as part of this project. Do not include existing res to remain.
AIR HANDLING UNITS [FPS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (cammerciall
BOILERS FURNACES HOT WATER TANKS (cash
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
$
Indicate how many o each type offixture
to be installed or relocated as
part o this project. Do not include existing res to remain.
BATHTUBS lar Tub/sh—r combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
I ER (Describe)
nOT
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
�_ SINKS (Kitchen/uttsty)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
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
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
_................................ ------------- ----- .
Area Totals EXISTING PROPOSED TOTAL
**NEW HOMES OATU-"
ESTIMATED SELLING PRICE $ # OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION Area In Occupancy Group(s) Construction # of Additional Information
Square Feet Type Stories
NEW BUILDING
Bulletin #100 —January 4, 2016 Page 2 of 3 k:\Handouts\Permit Application