13-101156 r"► w
' Mechanical
City of Federal Way
Community&Econ.Dev.Services Permit #: 13-101156-00-ME
33325 8th Ave S
Federal Way,Fax
98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 P q
Project Name: GOEDE
Project Address: 416 SW 327TH PL Parcel Number: 926491 0140
Project Description: Install gas log and fireplace insert for new fireplace
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Owner Applicant Contractor
DANIEL A GOEDE DANIEL A GOEDE FIRESIDE OF WASHINGTON INC
416 SW 327TH ST 416 SW 327TH ST FIRESWI943OH(9/8/14)
FEDERAL WAY WA 98023-5643 FEDERAL WAY WA 98023-5643 21402 84TH AVE S
KENT WA 98032
Additional Permit Information
Is this an Online or O.T.C.application9 Yes
Mechanical Fixtures
Fireplace Inserts 1 Gas Logs 1
PERMIT EXPIRES Sunday, September 8, 2013
Permit Issued on Tuesday, March 12, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use -•e in acco dance with the laws, rules and regulations of the State of Washington
• thyity of Federal Way.
Owner or agent: f '/I+i Date: 3 -/Z
Ps
l3
THIS CARD IS TO MAIN ON-SITE
CITY OF �`-- S Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 13-101156-00-ME Address: 416 SW 327TH PL
Project: DANIEL A GOEDE FEDERAL WAY, WA 98023-5643
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.
El Mechanical Rough-in (4165) . -❑ Gas Piping(4125) ❑ Final--Mechanical(4065)
Approved Approved to release test Approved
By Date By Date :13 Date,
LI Rough Electrical Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
• PERMIT tPPLICATION
Federal Way
RECEIVED
PERMIT NUMBER 1 f _ 1 0 + ( 5 (10 _ vO MAR 1 2 2013
TARGET DATE
SITE ADDRESS CITY,OUSIT, uD )IIT,# WAY
1416114). g.,1 ivr6 1;'at4r ✓ kee ' 'a-z-3
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# _ � � '-�
$ (//l Z � 0
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION LI ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT /�
PROJECT DESCRIPTION /a c7111 Cari " l7�f ��" 4t q 7'f ar i,‘Ar 4Gf
Detailed description of work to
be included on this permit only
NAME PRIMARY PH
PROPERTY OWNER
NAME„-, oCag:E g �3 ill 7a7r
LI e- 7 ,14cft+" E-MAIL he
Diel✓.vORJ7C® . Cv�
I -NW,`kc it,41/ 1- 07 ZIP AgB Z S
NAME h atl i�I: V f WA / Lia s -3eia 1
LIINGDRESS E-MAIL
CONTRACTOR i /B pini T/i Ave
cre
FAX
CIT".„64
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING ( We El 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 claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied te1he city as a [f this application.
SIGNATURE. /i �u DATE 3 I.
.""'74,1r/
J
PRINT NAME: J I (Y601r1
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Pennit Application
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VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many 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)
BOILERSFURNACES HOT WATER TANKS(Gas)
COMPRESSORS ----7—
V GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/ShoaerCombo) LAVS)Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) 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 0 No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
13t ",i zi y,N
:.,'„ L �Gk-- r•xs�.§_ • . ,a � '' i'•i
COVERED ENTRY
.5 -^ ;�; � _tel r: £ .,�y MI y <• rvv' .,kAn:«a's '.,'y�''yo' '. :�r -x. �-,.
GARAGE 0 CARPORT 0
EEISrOIO PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction of Additional Information
in Square Feet Type Stories
� „q; .
•41-4;,-,:; ;;ii.
l"n '
sa ,T.4S.' , k ''.u4'..
�:Mn
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
:�#''
f3Lr �(
� .r=; w:.+r,,,, T i.i .yrE,. ,.. ^}�',„.4.`".:';;�"'�.''?�,�."' •`-: �'3 F,"�'s': :��'- �,:"':lr,�:: s K��S#F�U�F����.z",.�s��''�x�������x,���'t"1,/!:�,�`�"'".i.
TENANT AREA ONLY !f
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application