07-102520City of Federal Way Mechanical Permit #• 07- 102520 -00 -ME
Commus'ity Development Services •
P.O. Box 9718
FWeral Way, WA 98063 -9718
Ph: 53) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: KIDD
Project Address: 2531 S 286TH ST Parcel Number: 552900 0020
Project Description: Running gas line fora gas firepla ' and i tip `'' for a future gas oven /range and hot
water tank.
Owner
Applicant
Contractor
ANTHONY KIDD
ALL AMERICAN CHIMNEY
ALL AMERICAN CHIMNEY
2531 S 286TH ST
29222 112TH AVE SE
ALLAMCSO44NK (9/20/08)
FEDERAL WAY WA 98003 -3323
AUBURN WA 98092
29222 112TH AVE SE
AUBURN WA 98092
Additional Permit information
Mechanical Valuation ................. ...........................2495 Over the Counter Permit ? ...................................... Yes
a.a�w
Mechanical Fixtures
Firep hdserts ............................. Y
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 102520 -00 -ME
Owner: ANTHONY KIDD
Address: 2531 -S 286TH ST
FEDERAL WAY, WA 98003 -3323
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 Ongoing 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 7
By Date By Date By Date /G
For inspector reference only
❑ Rough Electrical ❑ HNAL - Electrical
Approved Approved
By Date By Date
CITYo' . SECEIVE®
Federal Way
PERMIT SFMFC ME LPL DE EN FP
COMMUNITY DEVELOPMENT SERVICES L 0 g 2 07
333QF 8r" AVENUE SOUTH • 63 971 971AYIF1 I p p L I C AT I O N TD
FEDERAL WAY, WA 98063 -9718
253- 835 -2607• FAX 253- 835- 26CITY OF FEUERAL WAY �
uncw.cidlottetiemhouy.cpm (,�
BUILDING DEPT.
The following is required information -an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY •• •
SITE ADDRESS _ v93 — 5d o20 S r �PQU 3 SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # -! - O� LOT SIZE (sj)
LEGAL DESCRIPTION {e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING � MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit onlu)
t
PROJECT NAME (Name of Business or Owner Last Name) r �4 ki-40
PEOPLE •- •
PROPERTY
OWNER
CONTRACTOR
COPY of card required
with each application
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
�lv ru ib0
PRIMARY PHONE
bps )% 1
MAILING ADDRESS
50 �� SST
Cl TATE, ZIP
lF pcw
E -MAIL ADDRESS
COMPANY NAME
APP ]CANT NAME
OFFICE PHONE
�f 2 L �n rG
; I d
i�25�3) �3 - S3
MAILING ADDRESS
I
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E -MAIL ADDRESS
COMPANY NAME r
6<ee4_-" C
APPLICANT NAME
4 /-,?-
OFFICE PHONE
(,?.53 �3 -SS3
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
.21x22 2 — /a2.' S�
zg
.Lo6 -i' q
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
NAME PRIMARY PHONE E -MAIL ADDRESS
i ) -
NAME
Per RCW 19.27.095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE $
PROPOSED USE qq
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 ❑ H.IGHLINE ❑ PRIVATE (SEPTIC)
AREA GRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
S , FT.
BASEMENT
GAS WATER HEATERS
BOILERS
FIREPLACE INSERTS
FIRST
COMPRESSORS
FURNACES
,
,SECOND
GAS LOG SETS
REFRIG. SYSTEMS
ONO
THIRD
o YES o NO
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
o NO
PLATTED LOT?
o YES o NO
DECK (0 COVERED OR ❑ UNCOVERED ?)
DEMO PERMIT REQUIRED?
b YES
o NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
ax�srr „o
rnorosaD
TOTAL
TOTAL Enermo or
IWAL PROPOSED Sr
TOTAL er
"NEW HOMES ONLY” NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
� Y r
Indicate nuinber of each type of facture to be installed or relocated as part'of this project: Do not include existing fixtures to rerrm'
MECHANICAL rp
Value of Mechanical Work $ l / 5• (A COPY OF BID OR ESTIMATE MUST BE INCLUDED W7PH APPLICATION) \
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS
BBQS
FANS
GAS WATER HEATERS
BOILERS
FIREPLACE INSERTS
HOODS (Commerdap .
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
13ATHTUBS for Tub /Shower Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
LAYS (Bathroom Sinks)
RAINWATER SYST
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
WATER CLOSETS rrousq
WASHING MACHINES
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 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 i>formation supplied to the city as apart of
this application.
s
RELATIONSHIP TO PROJECT o Owner O Agent eContractor
❑ Architect o Other
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES o NO .
BASIC PLAN?
DYES
n NO
ZONING DESIGNATION
CHANGE OF.USE?
q YES
ONO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SU?
D YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
b YES
o NO
W
Bulletin #100 — April 2, 2007. Page 2 of 4 k \Handouts\Permit Application