07-101060G unityD Federal
lopmentS Mechanical Permit #: 07- 10106 -00 -ME
community Development Services
R0. Box 9718
Feder*rWaay, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: PRVOR
Project Address: 31522 45TH CT SW Parcel Number: 211551 0190
Project Description: Install gas fireplace insert and 100' gas piping
Owner
Applicant
Contractor
THOMAS M PRYOR
NORTHWEST PERMIT INC
WASHINGTON ENERGY SERVICES CO
SHARON K PRYOR
1345 GULF ROAD
(WESCO)
31522 45TH CT SW .
POINT ROBERTS WA 98281
WASHIES971 OB 9/2/07
FEDERAL WAY WA
2800 THORNDYKE AVE W
98023 -2189
SEATTLE WA 98199
Additional Permit Information
Mechanical Valuation ................. ...........................5128 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
F erts ........................ ... l� „CasPilae Outlets....... ...............
1
Owner or agent: Ch Date:
_ THIS CARD IS TO REMAIN GIN-SITE
CITY of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 101060 -00 -ME
Owner: THOMAS M PRYOR
Address: 31522 45TH CT SW
FEDERAL WAY, WA 98023 -2189
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
CM UP �►.✓ R6..C6..IVEL.J
t ;� — ( C r 0 1 .. (
v lJ ( ll// 1�L1�1 \.�/
f,
.. Federal Way PERMIT
CITY, STATE, ZIP
Federal Way, WA 98023
cOMMUNTTYDEVEfAPMENfsERViC.ES FEB 2 6 2QQ7
SF MF CO (jDEL PL DE EN FP
33325 BtT+M WA SOUTH • 63 BOX 9718 ASR LI CATION
FEDERAL WAY WA 98063 - 971$$,,,, -r
253- 835- 2607• FAX {7i��i'}
� f
253- 835- 26AP
t, w1v ., ttuolr <'cl,ynliratt,rvmt BUILDINGS DLPf.
MAILING ADDRESS
2800 Thorndyke Ave W
Thefibilowigg is required igforynation - an incom fete geqlication will not be acc ted. Please rint l . l (in ink or
PROPERTY •• •
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
2 Q -.0 -3- 1 9 4 2. 3 A - B L 12 / 31 /07
SITEADDRESS 31522 45th Court SW
SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # 2 1 1 5 5 1 - 0 1
9 0 LOT SIZE (s,%)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
OFFICE PHONE
( 360 ) 945 -2787
(Attach separate pone for "thy "M descrtptiow
PROJECT INFORMATION
CELL PHONE
( ) -
TYPE OF PERMIT ❑ BUILDING ' PLUMBING
"ECHANICAL
❑ DEMOLITION ❑ ELECTRICAL
❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION /Provide detailed description of work included on this hermit onlu)
Install gas fireplace insert and 100' gas piping
E -MAIL ADDRESS
melissa @nwpermit.com
PROJECT NAME (Name of Business or Owner Last Name) Pr}er
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME
Thomas Pryor
PRIMARY PHONE
(253 ) 952 -6950
MAILING ADDRESS
31522 45th Court SW
CITY, STATE, ZIP
Federal Way, WA 98023
PHONE
COMPANY NAME
WESCO
APPLICANT NAME
OFFICE PHONE
(206 ) 378 - 6608
MAILING ADDRESS
2800 Thorndyke Ave W
CITY, STATE, ZIP
Seattle WA 98199
CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
2 Q -.0 -3- 1 9 4 2. 3 A - B L 12 / 31 /07
FAX NUMBER
( ) -
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE
W A S H I —E—S-9— 7 1 0 B 09 /02 /07
COMPANY NAME
Northwest Permit Inc
APPLICANT NAME
Melissa Croda
OFFICE PHONE
( 360 ) 945 -2787
MAILING ADDRESS
1345 Gulf Road
CITY, STATE, ZIP
Point Roberts, WA 98281
CELL PHONE
( ) -
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant Agent ❑ Other (Describe)
FAX NUMBER
NAME
Mclissa Croda 1
PRIMARY PHONE
(360 ) 945 - 2787
E -MAIL ADDRESS
melissa @nwpermit.com
Per RCW 19.27.095: Lender iriformation is
required (f project value exceeds $5,000
NAME
MAILING ADDRESS
CITY. STATE, ZIP
PHONE
EXISTING USE SFR
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
• � t
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
SQ. FT.
BASEMENT
SUMPS
WASHING MACHINES
URINALS
FIRST
VACUUM BREAKERS
BASIC PLAN?
SECOND
❑ NO
ZONING DESIGNATION
THIRD
CHANGE OF USE?
❑ YES
❑ NO
FOURTH
UP /SEPA /SU?
❑ YES
ADDITIONAL FLOORS (DESCRIBE)
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
DECK (COVERED?)
❑ NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
a°STUO
°ROPOBe°
TOTAL
TOTAL a M1111 ar
TOTAL raoeoseO ar
TOTAL ss
* *NEW HOMES ONLY ** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
JWXHANICAL 5128.00
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS FANS
BOILERS FIREPLACE INSERTS
COMPRESSORS FURNACES
DUCTS GAS PIPE OUTLETS
BATHTUBS (or Tub7Shmver Combo)
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS (Bathroom Sinks)
VACUUM BREAKERS
GAS LOGS
HOODS (commerc)a0
RANGES
GAS WATER HEATERS
WATER CLOSETS gm)et) _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG, SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certVy under penalty 4f perjury that the iriformation furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized 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 made by any person, including the undersigned, and filed against the City of Federal Way, but only where such claim
arises out of the reliance of the city, including its officers and employees, upon the accuracy of the igformation supplied to the city as a part of
this application.
NAME /TITLE DATE 2 /-2 g"
(Sfgnatur MOO
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP /SEPA /SU?
❑ YES
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 - January I, 2006 Page 2 of 4 k\Handouts\Permit Application