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07-102183
City of Federal Way Mechanical Permit #• 07- 102183 -00 -M !CrsrtirrcG.?nity Development Services • P.O. Box 9718 Federal Way, WA 98063 -9718 ~ Ph: (2 ) 835 -2607 Fax: i253i 835 -2609 Inspection Request Line: (253) 835.3050 Project Name: DO F Project Address: 37540 21ST AVE _S k Parcel Number: 721265 1310 Project Description: Replace wood fireplace with a freestand wood stove; �einvdc+tW chimney to fit the wood stove replacement /requirement; Owner Applicant Contractor MAN K DO MAN K DO MAN K DO ANHDU N DO 37540 21ST AVE S 37540 21 ST AVE S 37540 21 STAVE S FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA 98003 -7586 98003 -7586 98003 -7586 Add�t ©rt(,.Pet�rnit (Q�11i1cttKfi�tl z Mechanical Valuation ................ ............................870 Over the Counter Permit ? ...................................... Yes WoodstoV A ............................ -0 DATE 07 1 OF �c �,e- 7ht- CivAec� X��- s��� /log'- C�nQv THIS CARD IS TO REMAIN ON- SITE CtrYOF Community Development Inspection Record. Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 =3050 PERMIT #: 07- 102183 -00 -ME Owner: MAN K DO Address: 37540 21 STAVE S FEDERAL WAY, WA 98003 -7586 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 �o Z 0� By Date By Date lz W/ % For inspector reference only ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date CITY OP. RECEIVED t^.. ! 0- ,+-( V Federal LAITY DEVELOPMENT DEPA ; i JKi - — — — — PERMITRECEIVED - COMMUNITY DEVELOPMENTSERVICI pR ��C1% SF MF CO< EL PL DE EN FP 33325 8- AVENUE SOUTH • 63 BOX 9 APPLICATION 2 3 2B Q FEDERAL WAY, WA 98063 -9718 TD 253 -835 -2607• FAX 253- 835 -2609 www dLY l xie llmnrrcom { ly; OF FEDERAL The following is required information - an incomplete application ipj�( �CKted. Please print Legibly (in ink) or type. SITE ADDRESS e! JPv f-zc4tAt W V.- SUITE /UNIT #� ASSESSOR'S TAX /PARCEL # _ — _ — - _ — _ LOT SIZE jsj) F �� LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (Attach separate page for lenyfiy Ie9W d--.),don) MhDuHS Man K.DO 37540 21st Ave. S • • INFORMATION Federal Way, WA 98003 -7588 TYPE OF PERMIT ❑ BUILDING p PLUMBING q MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul PROPERTY OWNER CONTRACTOR COPY of cvd required with each epptl —tioo APPLICANT PROJECT CONTACT LENDER PEOPLE INFORMATION NAME PRIMARY PHONE -3 q4Y MAILING ADDRESS CITY, STATE, ZIP (,� E-MAIL ADDRESS `n 7 . f/ a., J o %/{ Q COMPANY NAME APPLICANT NAME OFFICE PHONE I MAILING ADDRESS CITY, STATE, ZIP CELL PHONE r CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER ) CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E -MAIL ADDRESS COMPANY NAME to ©W W !�^• APPLICANT NAME OFFICE PHONE MAILING ADDRESS -CITY, STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT O Architect ❑ Tenant ❑ Agent ❑ Other FAX NUMBER ( ) -7 NAME PRIMARY PHONE E -MAIL ADDRESS NAME I V Per RCW 19,27.095: Lender irtformation is required if project value exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE ) EXISTING USE PROPOSED USE EXISTING ASSESSED /APPRAISED VALUE $ &h I' �VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES W..NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES 6-NO WATER SERVICE PROVIDER LI LAKEHAVEN ❑ HIGHLINE p TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER 0- SAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) Is Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL o ALTERATION Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED iWTH APPLICATION) AIR HANDLING UNITS. EVAPORATIVE COOLERS GAS PIPE OUTLETS L—_W6ODSTdVE3 BBQS FANS, GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS HOODS (commercial) o NO COMPRESSORS, FURNACES, RANGES ' UP /SEPA /SU? DU.C(3;... -. y.;... GAS LOG SETS` REFRIG. SYSTEMS o YES o NO PLUMBING DEMO PERMIT REQUIRED? a YES o NO BATHTUBS (orTuElshower combo) LAVS (Bathroom Si k.) URINALS MISC (Describe) DISHWASHERS .. RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS (roueo ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS 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 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 flied 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 information supplied to the city as apart of this application. y NAME /TITLE (signs RELATIONSHIP TO PROJECT fill* � r U C DATE -�r[ e) (Title) b90wner o Agent o Contractor ❑ Architect o Other o NEW o ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT. BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? a YES o NO UP /SEPA /SU? o YES a NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? a YES o NO Bulletin #100 - January l; 2007 Page 2 of k \Handouts\Permit Application