12-104555City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
0 Mechanical
Permit #: 12 -104555 -00 -ME
Inspection Request Line: (253) 835-3050
Project Name: MELLIGAN
Project Address: 32514 35TH AVE SW:, Parcel Number: 8731901920
Project Description: Install fireplace insert
Owne
ARRlican
Contractor
DAVID J MILLIGAN
DAVID J MILLIGAN
OWNER IS CONTRACTOR
32514 35TH AVE SW
32514 35TH AVE SW
FEDERAL WAY WA
FEDERAL WAY WA
98023
98023
Additional Permit Information
Mechanical Valuation............................................2232.05 Is this an Online or O.T.C. application? ................. Yes
Mechanical Fixtures
Fireplace Inserts ............................. 1
PERMIT EXPIRES Tuesday, April 2, 2013
Permit Issued on Thursday, October 4, 2012
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 CityofFederal Way.
Owner or agent: Y Date:
FINAWO&O 111/4q/120
ciTY OP
Federal Way
PERMIT #:
Project:
THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
12 -104555 -00 -ME Address: 32514 35TH AVE SW
DAVID J MILLIGAN FEDERAL WAY, WA 98023-2666
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 Electrical
Approved
Final - Mechanical (4065)
1:1Approved
Approved
By
Approved to release test
Approved
By
Date
By
Date
By
Date
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
g aPECEIVED� PERMIT
°2 o�7F 25 -,T4t T o 4 20APPLICATION
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CITY OF FEDERAL WAY
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SITE ADDRESS
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SurrE/DNIT #
PROJECT VALIIATION
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ASSESSOR'S TAS/PARCEL #
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TYPE OF PERMIT
❑ BUILDING ❑ PLUAMING A-=CHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
n /�
(Tenant Name/HomeoumerLast Name)
V ` 666 111
PROJECT DESCRIPTION
Detailed description of work to
r t e 01 L to
be inchuied on this permit only
PROPERTY OWNER
NADIR
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MANdNGADDR888 TZ. v / ,
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NAME
PHONE
MAHJNG ADDRESS
E-MAM
CONTRACTOR
C=
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # ESPRIATION DATE
FEDERAL WAY Susu s LICENSE #
NAME
PHONE
Vel
MAUMG ADDRESS
E-MAM
APPLICANT
CM
STATE
ZIP
FAX
PROJECT CONTACT
NAM
PHONE
Mte vulundual to recetty and
respond to all correspondence
O V"
MAII ING ADDRESS
WWAM
concerning this appltcc t"V
cm
STATE
MP
FAX
ALT'�NATE CONTACT NAME:
PHONE
WMAD.
PROJECT FINANCING
NAME
OWNER-MMMCED
Required value of $5.000 or more
(RCW 19.27.095)
MAILNG ADDRESS, CITY. STATE. ZIP
PHONE
I cert{Jy under penalty of perjury that I am the property owner or authorized agent Rf the property owner. I cert1Jy that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certVy 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 FWeral Way as to any claim (including costs, expenses, and attornegs' 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 cl as a part Of this application.
I (' 0
SIGNATURE: DATE
PRINT NAME V o
Bulletin #100 — January 1, 2011 Page i of 3 k:\Handouts\Permit Application
PLUMBING FIXTURES
Indicate hour many of each type of future to be installed or relocated as part of this project Do not uiclude existing fixtures to remaun
BATHTUBS(or-Vue/sh—rCo b.) IAVS (H -W Sink.) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS ([ntd�/unmyl WATER HEATERS (d-m�)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIRTURES
GENERAL INFORMATION
MECHANICAL FIXTURES
VALUE OF ItCHAMCAL WORK $
(a copy of bid or estbnate must be provided)
Indicate how many of each type of future to be installed or relocated as part of this project. Do not include ex(stung fixhires to remain.
AIR HANDLING UNITS
FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER _L
FIREPLACE INSERTS HOODS (come mw)
BOILERS
FURNACES HOT WATER TANKS (cam)
COMPRESSORS
GAS LOG SETS REFRIGERATION SYST
DUCTING
GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate hour many of each type of future to be installed or relocated as part of this project Do not uiclude existing fixtures to remaun
BATHTUBS(or-Vue/sh—rCo b.) IAVS (H -W Sink.) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS ([ntd�/unmyl WATER HEATERS (d-m�)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIRTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EEI$TING B11PROVS]NUDI S
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
ESU3TDriG/PREWOUS USE
LOT S1ZZ On Sq-- Feet)
Ela"MG FIRE SPRMU" SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
FIRST FLOOR (or Mobile Home)
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL
- NEW OR ADDITION
Area vara P eet
in SqNEW
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area arra Feet
in SqTOTAL
COVERED ENTRY
Construction Typestories
Additional Information
Bumum G
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
PROJECT AREA ONLY
F
Area Totals
"NEW HOMES ONLY"
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area vara P eet
in SqNEW
Occupancy Group(s)
Construction TypeStories
Additional Information
BuumvWG
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area arra Feet
in SqTOTAL
Occupancy Group(s)
Construction Typestories
Additional Information
Bumum G
TENANT AREA ONLY
-
PROJECT AREA ONLY
F
T
Bulletin #100 - January 1, 2011 Page 2 of 3 k: liandoutsTermit Application