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 .