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HomeMy WebLinkAbout15-1062621%W4
- Mechanical
City of Federal Way
Community& Econ. Dev. Services Permit. #: 15 -106262 -00 -ME
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 FILE
Inspection Request Line: (253) 835-3050
Project Name: BALLESTA
Project Address: 32811 4TH AVE SW Parcel Number: 926491 1090
Project Description: Run gas line for gas logs.
Owner
Aonlicant
Contractor
CLARK F BELLESSA
ANGELA DOANE
ALL AMERICAN CHIMNEY SERVICE &
32811 4TH AVE SW
ALL AMERICAN CHIMNEY SERVICE&
REPAIR INC
FEDERAL WAY WA 98023-5614
REPAIR INC
ALLAMCSO44NK (11/9/16)
29222 112TH AVE SE
29222 112TH AVE SE
AUBURN WA 98092
AUBURN WA 98092
Additional Permit Information
Mechanical Work Valuation?.................................811 Is this an Online or O.T.C. application? ................. Yes
Mechanical Fixtures
GasLogs ........................................ 1 Gas Piping ...................................... 1
PERMIT EXPIRES Tuesday, June 7, 2016
Permit Issued on Thursday, December 10, 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
and the City of Federal Way.
Owner or agent: Date:
CITY OF
Federal Way
PERMIT #:
THIS CARD IS TOAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
15 -106262 -00 -ME Address: 32811 4TH AVE SW
Project: CLARK F BELLESSA FEDERAL WAY, WA 98023-5614
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
Right of Way
Approved
Approved to release test
Approved
By
Date
By
Date (Z - 11— L
BDate 2
Rough Electrical
Approved
Final Electrical
Approved
El
Right of Way
Approved
By
Date
By
Date
By
Date
All American Chimney Sery
-- WCEIVED
833-6975 p.2
c"op *.74%".DEC 10 2015 PERMIT APPLICATION
Federal Way
CITY OF FEDERAL WAY
CDS
PrAmaT Nunose 0 �
IY � �- _ M Z
TARGET DATE
SITS AMMAS
lb
SurrstivurT e
PROJECT VALUATION
20HRQG
A86E630R'6 TAX(PARCEL$ 4 t
TYPE OF PERMIT
❑ BUILDING ❑ PLUMI31NG MECi-MNICAL ❑ MwOLITION ❑ ENGINEERING ❑ MRE PREVENTION
NAME OF PROJECT
f Ili-NEArNvC
PROJECT DESCRIPTION
Detailed desrnption of work to
t _
of
�4 W 2, OD 51rJtR r -4/1 -LL . <
be included on this permit only
RAM No—,,t, & PRffiABY PHONE
PROPERTY OWNER
MA1LISiO ADD 8
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NAME ,I l (.+� {�
PRIMARY PHONE
MAILING ADDREss
S-MAtL
APPLICANT
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME t p I 1 o j �1 _
�[•� rj
PRn�In? PHO� r
�1J
MAILING
MAI1LLG ADDRIt,6S
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r XA=
(The individual to receive and
respond to all correspondence
I h i
Gcirvie�Cctrt • .
CI
1rtJ�j 111 i
sTATs
IrAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
Required rmiue of $5,000 or more
(RCW 74.27.095)
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 1VOrmation submitted in support of this permit application is true and correct, I cert(& that I will comply with
all applicable City of Federal Wag regulations pertaining to the work authorised by the issuance of a permit. I understand that the
issuance of this permit does not remove the owners responsibib?ty, for compliance with looal, state, or federal laws regulating
construction or enviroamentat taws.
I further agree to hold harmless the City of FederaZ 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 amployees, upon the accuracy of the
information supplied to the city as apart of this application.
SIGNATIIItE: l jl DATE
PRINT FLAME: fit &'l- � t�
Bulletin #104—October 26; 2015 Page 1 of k:U-Iandouts'PtrmitApplication
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All American ChirIey Sery
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MECHANICAL PERMIT
833-6975 p.3
VALUE QFMBc_rrAWICAL WORK
Indicate how rnan o each e o to be installed or relocated as art o this ro'ect. Do not include exis'WjWures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(C_.,.;w)
BOILERS FURNACES HOT [NATER TANKS pa*
COMPRESSORS GAS LOG SETS REFRIGEReirION SYST
DUCTING GAS PIPIAG WOODSTOYES
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
VALUE OF PLU140MG WORK
PLUMBING PERMIT
TOTAL
�
Indicate how many of each type offtrture
to be installed or relocated as
art of this ro ect. Do not include existiN-Axtures to remain.
BATHTUBS (Wr b/Sho Combol
LAVE (ii..a sinks)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/ualkm
WATER HEATERS IEj..oic)
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL FIXTURIM
# of
Stories
Additional Information
DECK
GENERAL INFORMATION
CRMCAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING iMPROVEKENTS
OTHER (describe)
PROJECT AREA ONLY
EXISTING/PREVIOUS USE
LOT SIZE (In Squ—e Feat,)
EXISTING FIRE SPRIMMICR SYSTEM?
PROPOSED PIRG SUPPRESSION SYSTEM?
TOTIa
"*NEW HOS$ ONLY"*
❑ Yes ❑ No
❑ Yes o No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
NEW BUILDnio
FIRST FLOOR (or Mobile Horne)
ADwT[ON
I
SECOND FLOOR
COMMERCIAL — RE, MODELITENANT IMPROVEMENTS
AREA DESCRIPTION
COVERED ENTRY
Occupancy Group(s) s
P(!Type
Construction
# of
Stories
Additional Information
DECK
GARAGE O CARPORT 0
TENANT AREA ONLY
OTHER (describe)
PROJECT AREA ONLY
Area Totals
PADPOSFa
TOTIa
"*NEW HOS$ ONLY"*
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL — NEWIADDITION
.AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
# of
Stories
Additional Information
NEW BUILDnio
ADwT[ON
COMMERCIAL — RE, MODELITENANT IMPROVEMENTS
AREA DESCRIPTION
Area In
Square Feet
Occupancy Group(s) s
P(!Type
Construction
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin ?#100 —October 26.20 L5 Page 2 of 3 k:1lHandoutskPertnit Application