09-104892City of Federal Way Mechanicat � � .
Community Development Services Permit #: 09- 104892 -00 -ME
P.O. Box 9718
Federal Way, F : 98063-9718
835- Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 p q
Project Name: BUTLER
Project Address: 3719 SW 331ST PL Parcel Number: 873213 0070
Project Description: Install fireplace insert
Owner
Amlicant
Contractor
JAMES R BUTLER
JAMES R BUTLER
JAMES R BUTLER
3719 S 331 ST PL
3719 S 331 ST PL
3719 S 331 ST PL
FEDERAL WAY WA 98023 -2643
FEDERAL WAY WA 98023 -2643
FEDERAL WAY WA 98023 -2643
Mechanical Valuation ................. ...........................3769
Is this an Online or O.T.C. application ? .................Yes
c�NM.IED ��� /lam
THIS CARD IS TO AIN ON-SITE .~
OF Construction Ins coon Record
Federal Way INSPECTION REQUE TS: (253) 835 -3050
PERMIT #:
09- 104892 -00 -ME
Address: 3719 SW 331 ST PL
Owner: JAMES R BUTLER FEDERAL WAY, WA 98023 -2643
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.
0 Mechanical Rough -in (4165)
Gas Piping (4125)
Final - Mechanical (4065)
Approved
Approved to release test
Approved
El
y,S �Si
By
By Date
By Date
By � Date
El
Rough Electrical
Approved
Final Electrical
Approved
El
Right of Way �^
Approved
By
Date
By
Date
By
Date
C" of CE O®
Federal a `HERMIT
co 53'60 EC 1 e APPLICATION
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BUITEMM #
ZOMG ASSESSOR'S TAX/PARM #
NAME OF PROJECT n
(Tenant or Homeowner Name) te _ L �I � 19 .
o DUUMIN ❑ I4.0 AMG KMECHANICAL,
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TYPE OF PERMIT
❑ DEMOLITION D ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION
PROJECT DESCRIPTION
-X
Detailed description of urork to
be Included on this permit only
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PROPERTY OWNER
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FEDMAL WAY BU88MM UCXXM #
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respond io all correspondence
concemtng this application)
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PROJECT FINANCING
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Requi ed for projects with
MAXIMO ADDRESS, cI1R. BTATZ, ZIP
HUMAN! PHORM
value of $5, 000 or more
(RCW 19.27.095)
I
I eertVu under penalty of pedury that I am the property owner or authorized agent qr the property owner. 1 eerdfy that to the
best of my knowledge, the ir{formation submitted in support of this permit application is true and correct. I eertM that I will congft
with all applicable City of Federal Way regulations pertaining to the work authorized bg the issuance of a permit. I understand that
the issuance of this permit does not remove the owner's responsibility,ror compliance with local, state, or,federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City qr Federal Way as to any claim (Including costs, espenses, and attorneys' fees incurred
In the investigation and dgfense of such claim), which may be made by any person, including the undersigned, and•ftled against the
cig& but only where such claim arises out qr the reliance of the city, including its officers and employers, upon the accuracy qr the
irtformaHon supplied the city as a part of
7k17 SIGNATURE:
PRINT NAME:
Bulletin #100 — 4/21(2009 Page 1 of 4 UIIandoutsTermit Application
D?J
GENERAL INFORMATION
MECHANICAL FIXTURES
Value of Mechanical Work $
(A jMff OF BID OR ESTIMATE MUST BE PROVIDED/
Indicate number of each type of, Jixture to be installed or relocated as part of this pmjwt Do not Mclude existingjixtures to remabi.
AIR HANDLING UNITS
FANS GAS PIPE OUTLETS aniER (Describe)
AM CONDITIONER
FIREPLACE INSERTS HOODS (c A
BOILERS
FURNACES HOT WATER TANKS Mao
COMPRESSORS
GAS LOG SETS REFRIGERATION SYST
DUCTING
GAS PIPING WOODSTOVES
GENERAL INFORMATION
PLUMBING
FIXTURES
Mdfcate number of each We
offixture to be btstaUed or relocated as part of this projftt Do not include existing,Jbd res to remain.
BATHIUBS (or'M /Sww" Combo] LAVS M.0 SMk.)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS autch./umm
WATER HEATERS baectrw
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL 1TVrUM
GENERAL INFORMATION
PROJECT VAL MOIN
WATM PORVEYOB
Szw= PURVEYOR
VA= OF 3SISTI N01�A0VJO�IB
FOR OFFICE IISE
BASEMENT!'
Additional Infmmtion
NEW Bvn nn o
xzmTmO/PRSVIOUS USE
LOT an an ft"m Feet)
MWI NO FIRE WmE m awym ?
PROPOSED FIRE SUPPASMONf 8r81lJ[?
ADDIYION
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL
AREA DESCRIPTION (in square feet)
m6=0
PROPOSED
TOTAL
FOR OFFICE IISE
BASEMENT!'
Additional Infmmtion
NEW Bvn nn o
FIRST FLOOR (or Mobile Homo
ADDIYION
SECOND FLOOR
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
COVERED ENTRY
AREA DESCRIPTION
Area Feet
in Square
Occupancy Group(s)
DECK
stories
Additional Informatim
TOTAL Buna KO
GARAGE ❑ CARPORT ❑
TEIIANT AREA OxLY
OTHER (describe)
Area Totals
ann
ROrOWD
TOM
"NEW HOJOES ONLY"
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL
- NEW /ADDITION
AREA DESCRIPTION
in Hare Feet
Occupancy Group(s)
Construction
Stones
Additional Infmmtion
NEW Bvn nn o
ADDIYION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area Feet
in Square
Occupancy Group(s)
Construction
stories
Additional Informatim
TOTAL Buna KO
TEIIANT AREA OxLY
ftomm AREA ONLY
Bulletin #100 - 4/21/2009 Page 2 of 4 k: liandoutsTermit Application