15-105260Project Name: MITCHELL
Project Address: 32327 11TH AVE SW
Project Description: Gas fireplace insert installation.
0 Mechanical
Permit #: 15 -10526P -90 -ME
Inspection Request Line: (263) 835-3060
Parcel Number 926493 0480
Owner
Ap licar
City of Federal Way
ROLAND MITCHELL
community & Econ. Dev, Services
HOUSE OF BEAT INC
33325 8th Ave S
FILE
Federal Way, WA 98003
FEDERAL WAY WA 98023
Ph: (253) 835-2607 Fax (253) 835-2609
12221 190TH AVENUE CT E
Project Name: MITCHELL
Project Address: 32327 11TH AVE SW
Project Description: Gas fireplace insert installation.
0 Mechanical
Permit #: 15 -10526P -90 -ME
Inspection Request Line: (263) 835-3060
Parcel Number 926493 0480
Owner
Ap licar
Contractor
ROLAND MITCHELL
ROLAND MITCHELL
HOUSE OF BEAT INC
3232711TH AVE SW
3232711TH AVE SW
HOUSEH*19711F (1/11/18)
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
12221 190TH AVENUE CT E
BONNEY LAKE WA 98391 J
Additional Permit Information
Is this an Online or O.T.C. application? .................YOS
Mechanical Fixtures
Fireplace Inserts ............................. 1 Gas Pipe Outlets ............................. 2
CONDITIONS:
Separate Electrical Permit Required
PERMIT EXPIRES Tuesday, April 12, 2016
Permit Issued on Thursday, October 16, 2015
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
an the City of Federal Way.
,1, 0.310 Date: 19 —//—/(0
Owner or agent If
F TIC
, F IVA P -L' rcoo
C'Ity of Federal Wajr
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
Mechati'CA
Permit #: 15 -105260 -00 -ME
Inspection Request Line: (253) 8353050
Project Name: AMCHELL
Project Address: 32327 11TH AVE SW
Project Description: Wiring for (2) outlets and a gas fireplace insert installation.
Parcel Number: 926493 0480
Owner
Applicant
Contractor
ROLAND NffCHELL
ROLAND MITCHELL
HOUSE OF HEAT INC
3232711TH AVE SW
32327 11TH AVE SW
HOUSEH" 197BF (12/31/14)
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
12221 190TH AVENUE CT E
BONNEY LAKE WA 98391
Is this an Online or O.T.C. application?
Fireplace Inserts ............................. 1
Additional Permit Information
.Yes
Mechanical Fixtures
Gas Pipe Outlets ............................. 2
PERMIT EXPIRES Tuesday, April 12, 2016
Permit Issued on Thursday, October 15,.2015
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
d the City f Federal Way. f
Owner or agentDate:
_ THIS CARD IS Tih� fie ON-SITE
cm OF .. .
Federal Alla Construction IctiI Record
y INSPECTION REQS: (253) 835-3050
PERMIT #: 15 -105260 -00 -ME Address: 32327 11TH AVE SW
Project: ROLAND MITCHELL FEDERAL WAY, WA 98023-5555
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
Mechanical Rough -in (4165)Gas Piping (4125) Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By?AL Date I0.�_ $p By W Date 1 p 1t I
rt�
Rough Electrical
Approved
El
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
�,�� ECEIVE® PERM IT#IPPLICAT1OJN
- Wdiral Way
OCT 15 2615 �W-�
EDE �IVAY
U'�L
PERffi'r NII>�ER I '� - — — — —DS — -- O�
TARGET DATE
SITE ADDRE88
3Z32,-7 / 14�, S (,) ( t -J14 7SVL-3
Surm/unm F
J
PROJECT VALUATION
$ 3d��
ZONDFG
A8SEBBOWS TAWPARCEL 0
� -7,
� U c
-6-
TYPE OF PERIM
❑ BUILDING ❑ PLUMBING 56 MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAM OF PROJECT
PROJECT DESCRIPTION
/ov aro
Detailed description of work to
be included on this permit only
,as yr - 10(Q Ce lilS [ �Lt fi d�
PROPERTY OWNER
Ns>Sz FRnMXV PRONE
�01 a.�� `�z61� l 0 6) PY q
>rAanQG ADDRESS
37,3 Z7 104, Ave, S (-✓
gNEAII,
PenaSTATS
(WA
NA=1louse- dF 9rv_4-
24Z--7 99
1IAU=G ADDRESS
/ 31 s 90 %h A✓G C� 6 -as -1-
E-MAM
CONTRACTOR
LA
STATS
WA
ZIP
`l g 3 q r
FAX
WA STATE CONTRACTOR'S LICEI M 6 EXPIRATION DATE
HO„sE H /17,QF
FEDERAL WA! s WWW LICENSE 8
"M w
/t[S 1”"
FRLIARL P80AE
APPLICANT
'IA 27DR
3 l L fz• A✓e
EHIAII.
C"
FAX
PROJECT CONTACT
MAIM
PIIilIA1RT F80NE
(The individual to receive and
WHAM
respond to aU correspondence
crrr
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAM
OWNEit FENANCED
Required value of $5,000 or more
IRCW 19=095
R UNG ADDRESS, Crrr, STATE, MF
!SONE
r underp� ofperjury that I am the property owner or authorlesd agent of the ml pmpowner.Z �y that to the best
Of
f mage, the frqformation submitted in =pport of this permit application is true and correct. I cert(& that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit, t understand that the
issuance of this permit does not remove the owner's reaponsUdlity for compliance with Ioc4 stage, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Wag as to any claim (including costs, expenses, and attorneys' jbss incurred in
the investigation and defense of such claim, which may be made by any person, including the undersigned, and filed against the city,
bit only where Such claim arises out of the r*Ua7we of the city, inclining its officers and emphiyee% upon the accuracy of the
inpr udion supplied to the as a part of this application.
SIGNATURE: V--�
DATE !O , S-145-
f
R. A t4/b( , A,_A,_ it
PRINT NAME-
AN. VALUE OF A&CMWCAL WORK
MECHANICAL PERMIT
Indicate how many o each type offixture to be installed or relocated as part of this Proiect. Do not include eidstingfixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS ( c=..di n
BOILERS FURNACES HOT WATER TANKS (cam
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT
CRMCAL AREAS ON PxopEaT!?
WATER pfiRVLTOx
VALUE OF PLIIMBWG WORK
VALIIE Or 3XUnMfO ffilxOVElQmTs
FOR OFFICE USE
BASEMENT
Additional Information
BummNG
Indicate how manng of each type offlxhire
to be installed or relocated as
part of this proiect. Do not include emstmgfuctures
to remain.
BATHTUBS (or—/snuwavc—i.0
IAVS (Hmasmkc)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
Construction TypeStogies
DRINKING FOUNTAINS
SINKS wwhm/umiW
WATER HEATERS (mecmc)
HOSE BIBBS
I SUMPS
WASHING MACHINES
TOTAL FD[TpRLB
GENERAL INFORMATION
CRMCAL AREAS ON PxopEaT!?
WATER pfiRVLTOx
ssw= lUxvElOa
VALIIE Or 3XUnMfO ffilxOVElQmTs
FOR OFFICE USE
BASEMENT
Additional Information
BummNG
xx8rru1Q/Pnzvw s USE
LOT SIZE On sgtice Feet)
xznrr Yp mm sranixua svn%w
puopoew i!'= summissiox sywrm?
ADMTION
❑ Yes ❑ No
❑ Yes ❑ No
RESEDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EEISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
Additional Information
BummNG
FIRST FLOOR (or Mobile Home)
ADMTION
SECOND FLOOR
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
COVERED ENTRY
Arm arra Feet
Occupancy Groupie)
Construction TypeStogies
DECK
TOTAL. Bummo
GARAGE ❑ CARPORT ❑
Trwm" ARFA OxLT
OTHER (descnbe)
Powwr AREA OxLZ
Area Totals
**I"saARs
OJMT**
ESTIMATED SELLING PRICE $
1 ii OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIP11ON
Area arra Feet
in SqNEW
Occupancy Group(s)
Construction
St000f
Additional Information
BummNG
ADMTION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Arm arra Feet
Occupancy Groupie)
Construction TypeStogies
Additional Information
TOTAL. Bummo
Trwm" ARFA OxLT
Powwr AREA OxLZ