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07-104699-4 - City of Federal Way c Community Development Services Mechanical Permit #. 07- 104699 -00 -ME P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050 Project Name: SHERMAN:� Project Address: 32607 39TH AVE SW Parcel Number: 8731951460 Project Description: Installing fireplace insert & reconnecting gas Owner Applicant Contractor GARY & YEVA SHERMANS GARY & YEVA SHERMANS GARY & YEVA SHERMANS 32607 39TH AVE S 32607 39TH AVE S 32607 39TH AVE S FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 Adtional:.r ii11Jl1 ly Mechanical Valuation ................. ...........................3484 Over the Counter Permit ? .......... ............................Yes M'ech",,64 1 Flxture Fireplace Inserts ............................. 1 Gas Piping....... ............................... 1 PERMIT EXPIRES Monday, August 24, 2009 Permit Issued on Friday, August 24, 2007 I hereby certify that the above information is correct and that the construction on the ai the occupancy and the use will be In accordance with the laws, rules and regulations �`-,&%end the City of Federal Way... Owner or agent: Date THIS CARD IS TO REMAIN ON -SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 07- 104699 -00 -ME Owner: GARY & YEVA SHERMANS Address: 32607 39TH AVE SW FEDERAL WAY, WA 98023 -2604 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 ByZjCC�2 Date ._ V. By Date For inspector reference only ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date RECEIVED Fbde aI Way PERMIT SF MF CO EL PL DE EN FP COMMUMIYDBVSLOPMSNTSSRVICE3�p (� 339758TMAVSHUY,WA PO BOX 1diuU APPLICATION FEDERAL WAY, WA 98063.9718 Y53.895.2607• PAX ?53 -d35 -? 9 ), v e aFRAL �r�g �u�Ec is pE T The following is required information = an incomplete application will not be accepted. Please print. kgibiy (in ink) or type. (� PROPERTY •. • SITE ADDRESS ` O h e :!w ;7cbi oAf , 4.�OZJ SUITE /UNIT # ASSESSOR'S TAR /PARCEL # _. _ - LOT SIZE (s,� LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) ( Attadhaeparot .Pre.J6.ragtlytagalduaiPtlonJ . PROJECT •• • TYPE OF PERMIT b BUILDING ' -- UMBING "ECEANICAL ❑ DEMOLITIC, _,CTRICAL ❑ ENGINEERING ❑ _FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit only) e- . //_ v PROJECT NAME (Name of Business or Owner Last Namel PEOPLE •• • PROPERTY OWNER CONTRACTOR APPLICANT PROJECT CONTACT LENDER EXISTING USE NAME . G (3- PHONE w-73) 6(v -30o MAILING ADDRESS I 6 0 7 . '%" A CITY, STATE, ZIP FrDC aJmj /. ! a E-MAILADDRESS MPANY N E A �CA�N�T NAME OFFICE PHONE [ - W ✓O MAII ADDRE33,� TATE,ZIP C PHONE CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS COMP IAW NAME APPLICANT NAME OFFICE PHONE CITY, STATE, ZIP PHONE MAILING ADDRESS CITY, STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT PAX NUMBER ❑ Architect ❑ Tenant ❑ Agent ❑ Other NAME PRIMARY PHONE E -MAIL ADDRESS NAME Per RCW 19.97.095: Lender information is required i f project value exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE PROPOSED USE EXISTING ASSESSED /APPRAISED VALUE $, VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO VATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE O TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) Indicate number of each type of fcdure to be installed or relocatgd as pq Doc�lude existing fixtures to remai& ar�wssivn ru. ti/- - NV �t// - Value of Mechanical Work $ (A COPY OF OR IMAT7J BE 1N iID WHt1pPLICATTOAIJ BATHTUBS (or Tub /shovwcombo LAVS (arthmmsk*o URINALS MISC (Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS from# ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS I certVy under penalty of perjury that I am the property owner or authorised agent of the property owner. I eerft that to the best of my knowledge, the igformation submitted in support of this permit application is true and correct. I cert(fy that I will comply with all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of .%decal 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, but only where such claim arises out of the reliance of the ty, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this Capp li �tio/n. SIGNATURE: X� '` DATE Property Owner and /or Authorized Anent a NEW o ADDITION o ALTERATION AIR HANDLING UNt EVAPORATIVE COOLERS OAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS HOODS �cmmaa,q COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG. SYSTEMS BATHTUBS (or Tub /shovwcombo LAVS (arthmmsk*o URINALS MISC (Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS from# ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS I certVy under penalty of perjury that I am the property owner or authorised agent of the property owner. I eerft that to the best of my knowledge, the igformation submitted in support of this permit application is true and correct. I cert(fy that I will comply with all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of .%decal 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, but only where such claim arises out of the reliance of the ty, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this Capp li �tio/n. SIGNATURE: X� '` DATE Property Owner and /or Authorized Anent a NEW o ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES . a NO BASIC PLAN? a YES a NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? a YES a NO UP /SEPA /SU? a YES a NO PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? a YES o NO. Bulletin # 100 - August 16, 2007 Page 2 of 4 . MandoutsTelmit Application .