21-103668City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: EHLERS
Project Address: 29704 3RD AVE SW
Mechanical
Permit #:21-103668-00-ME
Inspection Request Line: (253) 835-3050
Project Description: replacing existing fireplace with freestanding gas fireplace.
Parcel Number: 720531 0010
Owner
Applicant
Contractor
MARY E EHLERS
DAVID H EHLERS
ADVANCED INSTALLATIONS INC
29704 3RD AVE SW
29704 3RD AVE SW
ADVANII033DU (3/13/22)
FEDERAL WAY WA
FEDERAL WAY WA
16504 HWY 99 SUITE 101
98023-3509
98023-3509
LYNNWOOD WA 98037
Additional Permit Information
Mechanical Work Valuation? .................................. 6000 Is this an Online or O.T.C. application?.................. Yes
Mechanical Fixtures
Gas Logs 1
PERMIT EXPIRES Monday, 28 February, 2022
Permit Issued on Wednesday, September 1, 2021
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
4 Washington and the City of Federal Way. ] l
Owner or agent: Date: 01y f ! 20 z
CITY or }
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 103668 00 Address: 29704 3RD AVE SW
Project: David H Ehlers FEDERAL WAY WA 98023-3509
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE TINS 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) 0 Gas Piping (4125) ® Final - Mechanical (4065)
Approved Approved to release test D� ^„ (lam Approved
By Date By Date By G K„k, Date G)�)
Rough Electrical
Final Electrical
El
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
I RECEIVED PERMIT APPLICATION
CITY OF
PER
Federal Way SEP U 1 2021 MIT CENTER t 33325 8� Avenue South +Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
CITY COM U OF F D E LL PAY /
PERMIT NUMBER 1 _
165 TARGET DATE
SITE ADDRESS
SUITE/UNIT #
Z970 Ave- SW
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
oof)
— -- - -
TYPE OF PERMIT
❑ BUILDING ❑PLUMBING f�I MECHANICAL El DEMOLITION El ENGINEERING El FIRE PREVENTION
NAME OF PROJECT
l GC S
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
453 z1716zS
MAILING DRESS
3 ►r d 4v-e- S W
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-e lerg 1 D@ co M atsf- n
PROPERTY OWNER
CITY �C ��rdf .OLY
STATE1)1�6
ZICr P 6 1-3
NAIEA a Va n Ctd _�L h s}jc l l a_hOl _Tr, C.
PHONE
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MAILING ADD SS
E-MAIL
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CONTRACTOR
CITY{ STATE
ZIP � � �
FAX
�� �
WA S ATE CONTRACTOR'S LI ENSE Al EXPIRATION DATE
UBI #
a 83IL3��Zaz2
NAME
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
APPLICANT
CITY
STATE ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $5, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19,27.095J
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 to the ty as apart of this application.
q �7
D / / 1h L
SIGNATURE: DATE
PRINT NAME: �C1��/_' �d 4`
Bulletin #100 — February 19, 2020 Page 1 of 2 k:�Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how man v each e.o
re to be installed or relocated as
art v this ra' ct. Do not include exist'
ures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS
OTHER (Describe]
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (Commercial)
BOILERS
FURNACES
HOT WATER TANKS (Gas)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how moM of each type ❑
re to be installed or relocated as
part of this project. Do not include wdstin Inures to remain.
BATHTUBS (or Tub/shower Combo)
LAVS (Hand Sinks)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/Utility)
WATER HEATERS (Elect io)
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
,P
EXISTING/PREVIOUS USE
LOT SIZE
(In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE $ 1 # OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
S uare Feet
Occupancy Group(s)
Construction
jUe
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 — February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application