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07-101782It THIS CARD IS TO REMAIN ON -SITE Y CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 07- 101782 -00 -ME Owner: CAROL GIBERSON Address: 2653 SW 330TH ST FEDERAL WAY, WA 98023 -2829 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 Date RES jgMITTED Federal WayAPR p 4 2007 PERMIT 939?rr Bp+AVEHGNSOU?it• P01)07L9TI6 Li CATI O N PEi�itAL 1YAY, WA 99069 9T ,n,, 6.wA7•PAw.A. �'� OF FEDE w,��Iraerat�xio BUILDING ,r&— iS.r7w.wtwi. IQ — ..iwwi ;afh.-mntinn . nn inn�nnnfnta nsf»fe.!nllr�n rertLi tt� -0? - - 10 L--7. S02�' SF MF CO L PL DE EN FP 1 I SITE ADDRESS 2653 SW 330th Street SUITE/UmT 0 ASSESSOR'S TAX/PARCEL # $ 9 4 5 2 0_ 0 9 9 0 LOT SUR ISO LEGAL DBSCRIBn0X (e.g. Aom Eskfts. Lot 1) TYPE OF PERUM O Btmb]NG ❑ PLUKEWO i(MCHANICAL O DRUOLM(M O WICTRICAL ❑ RNGUIREWHO © FIRE PREVENTION SUTEIN PRO,i = DZSCRWnON Wrovtde detailed descriotion of cvark included on dVs hermit oniu) Install Gas Fireplace Insert and 70' Gas piping PROPERTY owsm CONTRACTOR CONTACT LENDER. 0 PEOPLE INFORN ATION KAM PRIMARY PHONE Carol Gilberson t2 1 spa -8567 MARANG ADDRESS CPIY. 5[YITE Z!P 2653 SW 330th Street Federal Wa WA 98023 COAWAW NAIdIi WESCO APPiACANT KAM OFF" Pt ow (206 ) 378 6608 MMLM wDRM cur, $TAW. ZIP CSW PHONE i 3 - 2800 Thomdyke Ave W Seattle WA 98199 CELL PHONE crrY of FBDnC mwAY Busnim VERsE St imm 04- MM DME 131 /07 FAX NiUMBER ( - 2. -0 -.0 -1 -0 4 2. 3 .4-B L R MAUON6SHIP TO PROJECT - COrnRAC1O" REGisMMON NUMSER copy of card "quit" wm cant appiicatbui SOMAMON DAW /02 /07 W A S H I E S 9 7 1 0 B 09 COMPANY NAME APPIJCAM NAWS OFFICE PHONE Northwest Permit Inc Melissa Croda ( 360 ) 945 -2787 MAMINO ADDRESS CM WANK. ZIP CELL PHONE 1345 Gulf Road Point Roberts, WA 98281 " R MAUON6SHIP TO PROJECT FAX NUNM ❑ Architect ❑ Tenant Agent ❑ Other (UescrfbeJ I " Melissa Croda (aso } - 2787 mettssa®nwpermfi.Oam - - s =Wrm uft SFR PROPOWD USE F"TINO ABOSSSM/APPRAMW VALUE $ VALUE OF PROPOSED WORK $ SPROULUMBU BVUAX *? O YES ri NO FIRE S PPRBSWN SYElTM PR0P0SED( SD7 a 'YES ❑ NO WATER SERVICS PROVIDER O LAKBRAWN a HIGULME ❑ TACOM O FSUVATE MZW BBWER SERVICE PROVIDER fa LAKUUVEN ❑ MGMIM 0 PRWVATE (88iPTi ) - AREA DESGREMON EXISTING .FT. PROPOSZD SQ. F . TOTAL SQ. FT. BASEMENT FIRST SECOND TUIRD FOURTH ADi YM1ONAL FLOORS (DE*CCRIBL) DECK(COVERED7) GARAGE ❑ CARPORT ❑ sere NUMBER OF FLOORS "N N HOMES ONLY'" NUMBER OF BEDROOMS ESTIMATED SELUNG PRICE number of each type of jixh" to be tnstdited ar r+elacated as part of thds project. Do not � 37$3.25 Value at work * tD remain. AIR HANDLING UNUS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS 1389S FANS HOODSIawnm "wi WOODSTOVF.S BOILERS 1 FIREPLACE INSERTS RANGES MiSC (Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS I GAS PIPE OUTLETS D BA7MtJBS (orTubfahowucavlaw SHOWERS WATER CLOSETS (--kU MISC iDeserlbel DISHWASHERS SWISS DRINKING FOUNTAINS am PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS wmhmow si" VACUUM BREAISERS Sl1tCTRIC WATER HEATERS i cerft under penalty of pedwV that the Inp —adon furnished by ace is tree and caerect to the best ej my knowlefte, and further. that I am authorlsed by the owner tit the above premises to perform the work for which the permit application is made. I further agras to held hamless; the City such ctaiutt which maybe�madt by any p+erwn tudtngdthe undersigned. at djued against the CUM bra! d* � on4o where Such claim arises out of the reilance of the city, including its goUen and smptoyses, upon the accurocy qr the information supplied to the city as a part of this application. NAtIREfTITLE DATB —" __- Iftwurr) MtW REI.ATIONSH M TO P2tQ SCT Q Owner n Agent ❑ Contractor ❑ Architect O Other Bulletin ti100 – Jamnaly 1.2006 Page 2 of 4 k0 ndwusWer nit Applicadon