15-101990City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: MCCONKEY
Project Address: 922 SW 295TH ST
Project Description: Replace water line from meter to house.
0 1 1 Numbing
Permit #: 15 -101990 -00 -PL
Inspection Request Line: (253) 835-3050
Parcel Number: 119600 2650
Owner
ARRlican
Contractor
ULLA MCCONKEY
GREEN PLANET
GREEN PLANET
EDWARD J MCCONKEY
2701 CALIFORNIA AVE SW SUITE 224
GREENPP876RJ (12/11/15)
922 SW 295TH ST
SEATTLE WA 98116
2701 CALIFORNIA AVE SW SUITE 224
FEDERAL WAY WA 98023-8213
SEATTLE WA 98116
Plumbing Fixtures
Other Plumbing Fixtures ............... 1
PERMIT EXPIRES Wednesday, October 21, 2015
Permit Issued on Friday, April 24, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u 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:S^—
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO MAIN ON-SITE .,
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
15 -101990 -00 -PL Address: 922 SW 295TH ST
ULLA MCCONKEY FEDERAL WAY, WA 98023-8213
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
0
Plumbing Groundwork (4190)
0
Rough Plumbing (423)as
Final Electrical
Approved
Piping (4125)
Approved to cover
By
Approved
Approved to release test
By
DateBy
By
Date y r
By
Date
Final - Plumbing (4075)
Approved
By Date
Rough Electrical
Approved1:1
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
RBCE M RECErVW
A� CITY OF
APR 24 2015 2015
Federal Way
ERAL WAY
CITY OF FEAQ�VIFCDS
CDS
PERMIT 4KPPLICATION
PERMIT NUMBER 15 _ YQ ( f � (,/ _ 1� �— TARGET DATE
SITE ADDRESS
SUITE/UNIT #
Uag, -T 4, ) '), FZ Z
PROJECT VALIFATION
ZONING
ASSIYSSOWS TA$/PAROL #
`//
TYPE OF PERMIT
❑ BUILDING rKLOUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
4 tcIJ AL � �o
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
MAILADDRESS
E-MAIL
IG
L
CITY �!
STATE
ZIP G
D 1
N G�-s►. !cam- � C%Z.
PHONE
Z� �- O -
MAILING ADDRESS
E-MAIL
CONTRACTOR
r
CITY
STATE
ZIP
FAX
WT�EXPIRATION
DATE
FEDERAL WAY BUSINESS LICENSE #
.�i►��V/
NAME
PRIMARY PHONE
C/ �
MAILING RESS
E-MAIL
APPLICANT
CITY
)C-11
STATEu� ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
V l Yi.» .-._
MAILING ADD S
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE ZIP I
FAX
concerning this application)
'V 1ANAME
PROJECT FINANCING
❑ OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such im arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied he ci as a part of this application.
SIGNATURE: DATE �11
PRINT NAME: %� W
Bulletin #100 - January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
MECHANICAL PERMIT
CRITICAL AREAS ON PROPERTY?
/J,$
VALUE OF MECHANICAL WORK
Indicate how mctny of each type offixture
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)
�— O H R (D cribe)
BOILERS
FURNACES
HOT WATER TANKS (Gas)
�i"
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
HOSE BIBBS
DUCTING
GAS PIPING
WOODSTOVES
"F y '�
PLUMBING PERMIT
CRITICAL AREAS ON PROPERTY?
/J,$
VALUE OF PLUMBING WORK
Indicate how many o each type offixture
to be installed or relocated as
part o this project. IDot include existing fixtures to remain.
BATHTUBS (or Tub/Show Combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
�— O H R (D cribe)
DRAINS
SHOWERS
VACUUM B EAKERS
�i"
DRINKING FOUNTAINS
SINKS (Kitchen/utility)
WATER H TERS (Electric)
HOSE BIBBS
SUMPS
WASHING ACHINES
TOTAL FIXTURES
"F y '�
•"if , f>!�
f`�ll ilF lF.
%
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
FOR OFFICE USE
--------....__...----
Fe�%,`'n`.../�m
I'll,— I I
�f�
✓ ,{' rr0l /✓ '
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTE ?
PROPOSED FIRE SUPPRESSION S EM?
AREA DESCRIPTION
❑ Yes ❑ No
❑ Yes ❑
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
--------....__...----
Fe�%,`'n`.../�m
I'll,— I I
�f�
✓ ,{' rr0l /✓ '
�r �;r ✓!/,
Construction
,/F
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
in Square Feet
FIRST FLOOR (or Mobile Home)
a
Stories
/sv ,. d,;�ff/f/%
"F y '�
•"if , f>!�
f`�ll ilF lF.
%
TOTAL BUiLDCF / Yi
`j'
f / ,
TENANT AREA ONLY
COVERED ENTRY
DEC ie ig
,PROJECT ARS ONLY
/ , , %;
GARAGE ❑ CARPORT ❑
-_
Area Totals
rmsTIRG
PROPOSED
TOTAL
ESTIMATED SELLING PRICE $ # OF BEDROOMS
COMMERCIAL— NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet I I Type I Stories
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
Area
Construction
# of
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
in Square Feet
a
Stories
/sv ,. d,;�ff/f/%
"F y '�
•"if , f>!�
f`�ll ilF lF.
%
TOTAL BUiLDCF / Yi
`j'
f / ,
TENANT AREA ONLY
,PROJECT ARS ONLY
/ , , %;
Bulletin #100 — January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application