07-100089City of Feder Way Mechanical Permit #• • 07- 100089 -00 -ME
' Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 8355 -30550
Project Name: MANGIO
Project Address: 1903 SW 317TH PL Parcel Number: 179010 0040
Project Description: Install gas fireplace insert into existing wood burning fireplace.
Owner
Applicant
Contractor
JAMES MANGIO
JAMES MANGIO
JAMES MANGIO
1903 SW 317TH PL
1903 SW 317TH PL
1903 SW 317TH PL
FEDERAL WAY WA
FEDERAL WAY WA
FEDERAL WAY WA
98023 -5103
98023 -5103
98023 -5103
Additional Permit Information ,
Mechanical Valuation ................. ...........................3625 Over the Counter Permit ? ....................................... Yes
Mechanical Fixtures
THIS CARD IS TO REMAIN ON -SITE `
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 100089 -00 -ME
Owner: JAMES MANG10
Address: 1903 SW 317TH PL
FEDERAL WAY, WA 98023 -5103
This card is part of your required inspection documents. 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 //PsJ Approved
By Date By Date ' By Date Z " O
- federal Way RECSIVED
PEIZ Ml (�
7'I
COMMUNnYDEVELOPMENrSERVICES SF MF Cq ME EL. PL DE EN FP
' 33325'8x" AVENUE SOUTH • PO BOX 9718
FEDERAL WAY, WA 98063 -9718 JAN p 8 A P P L I C AT I- N ITD
.253- 835.2607• FAX 253.83S -2609 /
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CITY OF MORAL WAY
The following is requiQk1#xQWQA" °�,,an incomplete application will not be accepted. Please print legibly (in ink) or. type.
"SITE ADDRESS q e->l �� SUITE /UNIT #
- ASSESSOR'S TAX /PARCEL # 4 i - 0 LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot I)
/Attach separate page far lengthy legal desgipNwg
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 'PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
of work included on this Permit only)
PROJECT: NAME (Name of Business or Owner Last Name -1 l A
o� �_ a
PEOPLE •- •
PROPERTY
ME PRIMARY PHONE
OWNER A 11
"CONTRACTOR
COPY of evd »gained
r1th eee ppllestlon
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
MAILING ADDRESSi
CITY, STATE, ZIP
CELL PHONE
MAILING ADDR ESS
- C
C (
EXPIRATION DATE
CITY, STATE, ZIP 4°x�z :�
E -MAIL ADDRESS
R' l
E -MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESSi
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
(
CONTRACTORS REGISTRATION NUMBER
EXPIRATION DATE
E -MAIL ADDRESS
COMPPAAN�Yy, NAME
APPLICANT NAME
OFFICE PHONE
CITY, STATE, ZIP
/PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
NAME PRIMARY PHONE E-MAIL ADDRESS
NAME
Per RCW 19,27.095:
Lender information is required if project vatue exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
/PHONE
EXISTING ASSESSED /APPRAISED VALUE $
SPRINKLERED BUILDING? ❑,yE3' ❑ NO FIRE S
WATER SERVICE PROVIDER Q- AKEHAVEN b HIGHLINE
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE
USE
VALUE OF PROPOSED WORK
0
SYSTEM PROPOSED /REQUIRED? ❑ YES
TACOMA ❑ PRIVATE (WELL)
Indicate number of each type of facture to be installed or relocated as. part of this project, Do not include existing fixtures to remain.
MECLEAMCAL
Value of Mechanical Work $ (A Cop OF BID -OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
Du.CJ.Sf } ,.. . .
I/MBING
BATHTUBS joy Tub /sho rcombo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
)Bathroom Sink.)
FATER SYST
SUMPS
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (commerdail
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
_ WATER CLOSETS (Toilet)
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
i certify under.penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorised by the owner of the above premises to perform the work for which the permit application is made. 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 m by any person, including the undersigned, and flied against the City of Federal Way, but only where such claim
arises out of the reliance J ity, including its officers and employees, upon the accuracy of the igformation supplied to the city as a part of
this application.
NAME /TITLE -DATE C ��
( ignature) (Title) '
RELATIONSHIP TO PkWtCt Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
EW o ADDITION
❑ ALTERATION
o REPAIR o TENANT IMPROVEMENT.
7UILDING SHELL ONLY?
o YES o NO
BASIC PLAN?
o YES
o NO
NING DESIGNATION
CHANGE OF USE?
a YES
o NO
W ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SU?
o YES
a NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #100 — January 1, 2007 Page 2 of 4 WiandoutAPermit Application