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09-100686City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Project Name: OLDHAM Project Address: 400 SW 363RD PL Project.Description: Adding (1) gas pipe outlet for fireplace install 40 Mechanical Permit #: 09- 100686 -00 -ME Inspection Request Line: (253) 835 -3050 Parcel Number: 859490 0060 Owner Applicant Contractor LUKE L OLDHAM GAS SOLUTIONS INC GAS SOLUTIONS INC PO BOX 4988 30421 128TH PL SE GASSOSH966D5 (3/28/10) FEDERAL WAY WA 98063 -4988 AUBURN WA 98092 30421 128TH PL SE AUBURN WA 98092 Mechanical Valuation ................... .........................750.00 Gas Pipe Outlets ............................. 1 PERMIT EXPIRES I hereby certify that the above inform the occupancy arus,r will be in and the City of Owner or agent: Is this an Online or O.T.C. application ? .................Yes day, August 23, iv. February 24. eral Way. Date: 3 \210 THIS CARD IS TEMAIN ON -SITE ` CITY OF Community Development Inspection Record Federal ral Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 09- 100686 -00 -ME Owner: LUKE L OLDHAM Address: 400 SW 363RD PL FEDERAL WAY, WA 98023 -7350 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 By Date By Date z For infector reference only _ ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date arras APay' IV _ o O Fed "q PERMIT 63 SF MF CO ME L PL DE EN FP C7IlMUA97YDEVELOPMEN/ SERVIQ�n 2 4 2009 333Y58THRUWA,WA9•POBOX APPLICATION FEDERAL WAY. X 98063-9778 253 - 8352607• PAX 253.635 -2609 VJ"L-CF FEDERAL WAY The following is r quire Hatton - an incomplete application will not be accepte& please print legibly (tn ivaq or %W- LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) PROJECT .- • / TYPE OF PERMIT 13 B _ UMDING ❑ PLUMBING �CHANICAL LOT SIZE (sp ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide deg ded "enptlon of work included on this Hermit Only) PROPERTY OWNER • " -" IL• : 1 APPLICANT PEOPLE INFORMATION NAME LLk AT7 Nom, PRIMARY PHONE (z5 3) SQ - 19 1 MAQJNG ADDRESS ©O sw CI7Y, A�4 v%- 5`ao9-1 C1TY ATE, P 7 EMAIL ADDRESS COMPANY NAME sb ' O S AT7 Nom, OFFICE PHOCN�E Z - MAILING ADDRESS 3 Z a2 L`` CI7Y, A�4 v%- 5`ao9-1 CELL PHONE 1S3 -7 - 9137 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER CONTRACTOR'S REGISTRATION NUMER �sS ©S 9b`QS 87P1RATION DATE E-MAIL ADDRESS 3 zero c,ssoloilo - CO COMPANY NAME �' 'NE &i i N' O �! HONE - MAILING CITY. STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent ❑ Other PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT _ LENDER EXISTING USE NAME Aw RCW 19. 29.095: Lender fayformation is req" -ad !,f project malts mmoods "000 ADDRESS CITY. STATE, ZIP -T(MAILING PHONE PROPOSED USE EXISTING ASSESSED /APPRAISED VALUE 4 VALUE OF PROPOSED WORK $ SPRnuMERED BUILDING? ❑ YES O NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAREHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 13 PRIVATE (SEPTIC) ia.s�' I rvA AREA DESCRIPTION EXISTING SO. FT. PROPOSED 3 . FT. TOTAL SO. FT. BASEMENT o YES o NO BASIC PLAN? FIRST 0. NO ZONING DESIGNATION SECOND CHANGE OF USE? O YES o NO THIRD o YES o NO UP /SEPA /SU? ADDITIONAL FLOORS (DESCRIBE) o NO PLATTED LOT? o YES o NO DECK (O COVERED OR ❑ UNCOVERED ?) DEMO PERMIT REQUIRED? o YES o NO GARAGE O CARPORT ❑ NUMBER OF FLOORS 30x=— r:avwes WMAL 'MAcs:arawsr TOPAL PROPOSED sr mracsr "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of fixture to be kstaUed or relocated as part of this protect. Do not include existing fuctu s to remain. Value of Medaracal Work $ 77SC-) (A COPY OF BID OR ESTl214ATE MUST BE IlVCLUDED WITH APPLICA770N) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC ( Descnbe) BOILERS FIREPLACE INSERTS HOODS tc, omM COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REMO. SYSTEMS BATHTUBS (-- b/— ..C-W* IAVS M.thMm8W* URINALS MISC (Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS fromq IiLECTRW WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS Z CertVy under penalty of perry that r am the property owner or authorised agent of the properly owner. r ow tVy that to the best of my knowledge, the tq jornmtion submitted in support of this permit application is true and correct, r cw1(& that r will aonipty with all applivable City c;/ ?Federal Wag regulations pertaining to the work authorized by the issuance of a permit I understand that the issuance of this permit does not remove the owner's rssponsibiHty for compliance with local, staty or federal laws regulating construction or environmental taws. I further agree to hold harmless the City of Federal Wag as to my claim (Including costs, expenses, and attorneys' fee: incurred in the where claim mists out o the laln*ce is he be m� by � 1and including � gn� and filed against the city, but only J J city, tnciudtng its o employees, upon the accuracy of the i4ormation supplied to the city as a o SIGNATURE': DATE Z �� Property Owner and /or Authorized Agent o NEW o ADDITION o ALTERATION o REPAIR o TENANT I N[PROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? a YE3 0. NO ZONING DESIGNATION CHANGE OF USE? O YES o NO NEW ADDRESS REQUIRED? o YES o NO UP /SEPA /SU? c YES o NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO Bulletin #100 – January 1, 2009 Page 2 of 4 Mandouts\Permit Application