07-100249City of Federal Way Mechanical Permit #• 07- 100249 -00 -M E
Community Development Services •
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: SHRIVER
Project Address: 29412 7TH PL S Parcel Number: 515250 0040
Project Description: Installation of lexington gas fireplace.
Owner
Applicant
Contractor
GEORGE I SHRIVER
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
REDONDO WA
(WESCO)
(WESCO)
98054 -0294
2800 THORNDYKE AVE W
WASHIES971 OB 9/2/07
SEATTLE WA 98199
2800 THORNDYKE AVE W
SEATTLE WA 98199
Additional Permit Information
Mechanical Valuation ................. ...........................4545 Over the Counter Permit ? ...................................... Yes
Mechanical Fixtures
pl, Userts ..............................
7,
hereby certify tort the above�ll formatlt l.is aco that the ico, tru con t
the occupancy and the use will be in accordance wit}i the laws, rues and regu
and the City of Federal Way.
Owner or agent. �(� �1rY _ �� - � J,
�S V
X09
Date: I#
THIS CARD IS TO REMAIN ON -SITE
4. CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 100249 -00 -ME
Owner: GEORGE 1 SHRIVER
Address: 29412 7TH PL S
FEDERAL WAY, WA 98003 -3637
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 Approved
By Date By Date By g:�-_ CIO—) Date2. ! .
Federal Way mcovED
PERMIT
'" 17 2°PPLICATION
- FEDEIL9L WAY, WA 98063 -9718
253-835-2607• FAX 253835-2609
°` w ITY OF FEDERAL WAY
The follolnittn is nemeiNW6Q)fDl`IltdtiltanT' an incomplete avolication will n
SF MF CO &EL PL DE EN FP
SITE ADDRESS 29412 7th PI SUITE/UNIT #i
ASSEswR'$ TAg/PARCEL i 5 1 5 2 5 0_ 0 0 4 0 LOT 8= (si
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
unach PB�Ji» bgdAnn�ioN
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING #f MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed desafotion of uwrk bwluded on fhfs uermit oniu)
Install Gas Lexington Fireplace insert model # A131 DVNC and 10' gas piping
PROJECT NAME (Nww of Bm4ness or OuA►er Last Nance) gh, -
Pf--,OPI.F- INFORMATION
PROPERTY
OWNER
CONTRACTOR
LENDER
NAMC George Shriver (0529 - 7773
MAILING AD RESS CRY, STATE, ZIP
29412 7th PI Federal Way, WA 98003
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
WESCO
Melissa Croda
(206 ) 378 - 6608
MAHANG ADDRESS
CITY, STATE, ZIP
CELL PHONE
2800 Thomdyke Ave W
Seattle WA 98199
( ? -
CITY OF FEDER& WAY BUSINESS LICENSE NUMBER ViPM ION DATE
FAIL NUMBER
Z .Q - -0 _3" J Q 4 2. -3 -4 - B L 12 / 31 /07
( -
CONIRACTOWS REGISTRAZON NUMB R (OW of card tequind vfth each qVI -b-) EXPIRATION DATE
W A S H I E S 9 7 1 0 B 09 /02 /07
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
Northwest Permit Inc
Melissa Croda
(380 ) 945 -2787
MAH,M ADDRESS
CITY, STATE, ZIP
CM.LPHONE
1345 Gulf Road
Point Roberts, WA 98281
( 206) 388 - 9357
RELATIONSHIP TO PROJECT
FAX NUMBER
o Architect ❑ Tenant Agent o Other (Desaibe)
( ) -
EXISTI NG USE SFR
NAME PRIMARY PHONE E- MAILADDRFSS
Melissa Croda 1 (360 ) 945 - 2787 melim@nwpermit.00m
Aw new 10.074M. M. Lender by6T11fdtion is NAME
*eg+d*w ifs value wwom a ^000
MAILING ADDRESS CRY, STATE, ZIP PHONE
PROPOSED USE
ZIUSTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
8PRINHLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/MQUMD? o YES o NO
WATER SERVICE PROVIDER o LAEEIIAVEN o HIGHLINZ o TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN o HIGHLIIiE o PRIVATE (SEPTIC)
AREA DESCRIPTION
EEISTING
89. FT.
PROPOSED
89. FT.
TOTAL
SO, FT.
BASEMENT
FANS
HOODS (cm.. t Q
WOODSTOVES
FIRST
FIREPLACE INSERTS
RANGES
MISC (DescaYbe)
SECOND
FURNACES
QAB WATER HEATERS
a NO
THIRD
GAS PIPE OUTLETS
CHANGE OF USE?
FOURTH
o NO
NEW ADDRESS REQUIRED? O YES o NO
ADDMONAL FLOORS (DESCRIBE)
SHOWERS
WATER CLOSETS trued
MISC (Deacrfie)
DECK (COVERED?)
SINKS
DRINKING FOUNTAINS
O NO
GARAGE ❑ CARPORT ❑
SUMPS
RAINWATER SYST
NUMBER OF FLOORS
mrrreee
PpD D
TOL`
om
VACUUM BREAKERS
Tamer
"NEW HOMES ONLY'* NUMBER OF BEDROOMS ESIIMATED SELLING PRICE $
hipe of jbdu a (o be installed or relocated as part of this project Do not Include ez&&W jixhtnes io rernatn.
AIECE IUCAL 4545.00
Vatue of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (cm.. t Q
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (DescaYbe)
COMPRESSORS
FURNACES
QAB WATER HEATERS
a NO
DUCTS
GAS PIPE OUTLETS
CHANGE OF USE?
Gi
o NO
NEW ADDRESS REQUIRED? O YES o NO
BATHTUBS (urTubtsho comnoe
SHOWERS
WATER CLOSETS trued
MISC (Deacrfie)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
O NO
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS madumm RnW
VACUUM BREAKERS
ZLECTRIC WATER HEATERS
I cw tft under penaety of perjury that the kb4b oration furnished by me is true and correct to the beat of mg knowledge, and j urther, that I
am authorised by the owner of the above promises to perform the nark Jbr which the permit application is made. Jr Jkuther arse to hold
harmless the City of Federal Way as to any ct aim (including coats, expenses, and attorneys' fees incurred in the Investigation and defense of
such clabn), which may be made by any person, including the undersigned, and jUed against the City of Federal Way, but only where such claim
arises out of the reliance of the cit& including its ooUvrs and employees, upon the acm , ral of the injbrmuation seupplted to the city as apart of
this application.
NAME /TITLE W' DATE
RELATIONSHIP TO PROJECT ❑ Owner *Agent ❑ Contractor ❑ Architect ❑ Other
IrOA OFi t UIIE pItLF
o NEW b ADDITION
o ALTERATION
o REPAIR
o TENANT
BUILDING SHELL ONLY? o TES ,❑ NO
BASIC PLAN?
❑ TES
a NO
ZONING DESIGNATION
CHANGE OF USE?
o TES
o NO
NEW ADDRESS REQUIRED? O YES o NO
UP /SEPA/SU?
o TES
o NO
PLATTRD LOT? o YES ONO
Dzuo PERtiIT REgunmi ?
O TES
O NO
Bulletin #100 — January 1, 2006 Page 2 of 4 klHandoutsTennit Application