07-1040977
City of Federal Way Mechanical Permit # • • 07-104097-00-ME
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
J
Project Name: SCHULTZ E
i.
Project Address: 33606 7TH PL SW Parcel Number: 729804 0410
Project Description: Install gas piping to pool boiler & barbeque
Owner
Applicant
Contractor
TIM & PAULA SCHULTZ
BURIEN NATURAL GAS
BURIEN NATURAL GAS
33606 7TH PL SW
153 SW 154TH ST
BURIENG0270D 8119107
FEDERAL WAY WA 98023
BURIEN WA 98166
153 SW 154TH ST
BURIEN WA 98166
Additional Permit Information
Mechanical Valuation ................. ...........................1500 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
Gas Pipo O utlets ............................. 2
PERMIT EXPIRES Friday, July 24, 2009
Permit Issued on Tuesday, July 24, 2007
I hereby car* that the above information is correct and that the construction on the above describW property and
the occupancy and the. _u-*e- will be in accordance with the laws„ rules and regulations of the State of WashlW
and the City of Federal Way.
Owner or agent �� �-" Date: v�
4`
` THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 104097 -00 -ME
Owner: TIM & PAULA SCHULTZ
Address: 33606 7TH PL SW
FEDERAL WAY, WA 98023 -5004
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 -j_ e By Dates g_ J� t By Q Dates �•�Cltl
- �_ `_For ins _ctor reference only - - - - -- ---- - - - - --
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
' \0 cl 7
My OF
Federal Way �� �-�
COM"ffDEVELOPMOTSERVICES 2� PERMIfi SF NtF CO EEL pt, DE EN FP
333256 EKAL UY, WA 9 W- 97X9718 `v� , LI CATI Q N
FEDERAL WAY, WA 98083 -9718 J /
253.835- 2607 - FAX 253- 835 -�9 Q r
www.cituojjederalwau.cvm � y
The following is re ed( rmatton - an incomplete apptication will not be awepted. Pease print legmitl (in Ink) or tgpe.
_ .1
SITE ADDRESS
SUITZ/UNIT f
ASSESSOR'S TAX /PARCEL A —7 Z 4-T -0— -' 4 - C) 4 L,() LOT SIZE (sfJ
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(49wnSqxr PWesaknoI,&gW1
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
❑ DEMOLITION O ELECTRICAL Q ENGINEERING D FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed de tim of work kwAided on
PROJECT NAME (Name of Business or Owner Last
PROPERTY
OWNER
CONTRACTOR
COPY of card nmaahvd
w" no WP WA-
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
,
PRidIARY PHONE
�'VIIN
MAILING DRIMS
ING DDRESS _
cCfLY, STATE, ZIP
EMAIL ADDRESS
IRATION DATE
FAX NUMBER
/
MPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING DRIMS
CTM STATE. ZIP �y/ /
CELL PHONE
CAY OF FEDERAL WAY BUSINESS DENS$ NUMBER
IRATION DATE
FAX NUMBER
/
l
VAnO ER
IRATION DATE
E- MAILADDRESS
tCONTRACTOitRSE�G
\
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY. STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
o Architect O Tenant o Agent o Other
FAX NUMBER
( ) -
NAME PRIMARY PHONE E-MAIL ADDRESS
NAME
PerRCW I&27.0Q5:
Lender' if{formation is tegnbv d (f pmjmt vahw exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
/PHONE
l
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRIN =RED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? a YES o NO
WATER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE (WELD
SEWER SERVICE PROVIDER o LAKERAVEN o HIGHUNE o PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
SQ.FT.
PROPOSED
89, FT.
TOTAL
SQ.FT.
BASEMENT
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
FIRST
BUILDING SHELL ONLY? a YES ONO
BASIC PLAN?
SECOND
o NO
ZONING DESIGNATION
THIRD
CHANGE OF USE?
0 YES
o NO
ADDITIONAL FLOORS (DESCRIBE)
UP /SEPA /SU?
o YES
DECK (❑ COVERED OR ❑ UNCOVERED?)
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
GARAGE ❑ CARPORT ❑
o NO
NUMBER OF FLOORS
XXOMM
morose
era,
zorALAMETWOP
70Mrsaenseasr
aerALsr
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type ofJktze to be instaited or relocated as part of this project Do not include existing fbdures to remain.
Value of Mechanical Work 00 00 44 COPYOF BID OR ES77KA7E MUST BE INCLUDED VAM APFUCA770M
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS imlUb /snoeercombol
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
IAVS W3 Ahmm MaW
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS icamma man
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS a wet)
WASHING MACHINES
WOODSTOVES
WSC (Describe)
MISC (Describe)
I cdto under penally of ped-# that the irlrormaton jioaished by nee is true and oor. to the best of my knomhedge, and further, that I
am authorised bg the owner of the above premises to paform the work jbr which the permit application is made. I jihrrher agree to hold
harmless the CUM of rederat Way as to any claim inetuding costa, expenses, and atLoregs' Jises IAceatad in the investigation amd drftnse of
such claim), -hick may be made by any person. including the undersigned, and jlled against the City of Federal Way, but onyy wave such claim
art— out of the reliance qr the city, including its q,0Rcers and employees, upon the accuracy qr the ioLftmation supptW to to city as a part qr
this application. __
NAME /TITLE
RELATIONSHIP TO
o Owner o Agent Contractor o Architect o Other
"R OMeR UST& ONLY
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES ONO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
0 YES
o NO
NEW ADDRESS REQUIRED? o YES o NO
UP /SEPA /SU?
o YES
c NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #100 - April 2, 2007 Page 2 of 4 WandoutslPernmit Application