07-105882i •
Gityrofi Federal Way
Community Dgvelopment Services
P.O. Box 9718
Fedeiaf Way, WA 98063 -9718
Ph: (253),835-2607 Fax: (253) 835 -2609
Mechanical Permit #: 07- 105882- 00-ME
Project Name: THOMPSON
Project Address: 30650 8TH AVE S
Project Description: Installing gas fireplace insert
Inspection Request Line: (253) 835 -3050
Parcel Number: 091800 0075
Owner
Applicant
Contractor
ROSEMARY THOMPSON
ROSEMARY THOMPSON
ROSEMARY THOMPSON
30650 8TH AVE S
30650 8TH AVE S
30650 8TH AVE S
FEDERAL WAY WA 98003 -4115
FEDERAL WAY WA 98003 -4115
FEDERAL WAY WA 98003 -4115
Add%t�wriI` Permlt lnformtion
Mechanical Valuation ................. ...........................3100 Over the Counter Permit ? ...................................... Yes
IVlcl�tiYl "ca Flx>rres
.,
Fireplace Inserts ............................. 1
PERMIT EXPIRES Friday, October 23, 2009
Permit Issued on Tuesday, October 23, 2007
I hereby r1ify ttlat.f above infoNmation is correct and that the construction on the above dev
the occupancy and use will be in accordance with the lags, rules and regulations of the SU
and the City of Federal Way.
Owner or agent:
,��c� •� s z,. �_ f ��= Date:
roperty and -
rashingtott
,
THIS CARD IS TO REMAIN ON -SITE - z
c„, of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105882 -00 -ME
Owner: ROSEMARY THOMPSON
Address: 30650 8TH AVE S
FEDERAL WAY, WA 98003 -4115
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 r
'1
By Date By Date By Date
For inspector_reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
RECENED
� PERMIT QZ ^152��L�
C0MMUMTYDBYS60P1IMffsERYICES or MF CO L PL DE EN 1P
333 ?6 Jim AUSNU, ATH•POeox971IOC'� 2 3 APPLICATION
FBDBRAL WAY, X 98063 -71•
253 -835-2607• PAX 2S3435-2669
CITY of ING DEPT, A�"
The following is require rntation - an incomgtete application will not be accepted. Please print.1eyibly (in"or type.
f
PROPERTY INFORRIATION
SITE ADDRESS 'S ` 'S` �'�- SUITE /UNIT
ASSESSOR'S TAR /PARCEL if — — — — — — — — LOT SIZE (sn
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
■ PROJECT INFORAIATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
% tt
PROJECT NAME (Name of Business or Owner Last Namel M T J((J I
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAM
_Tj
PRIMARY PHONE
MAILING ADDRESS
.� CT`��••:''��
STATE, ZIP �1
EMAIL ADDRESS
�,
L�1
CELL PHONE
_� "C+tfiv --�` '•�C <.t
-'� (mil any
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER ,
xxPiRATxoN DATE
EMAIL ADDRESS
COMPANY NAME
'
APPLICANT NAME
OFFICE PHONE
( j
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
NAME PRIMARY PHONE E-MAIL ADDRESS
NAME
Per RCW 19.27.096:
Lender information is required ((project value exceeds $5,000 .
MAILING ADDRESS
CrrY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? D YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA 13 PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 13 HIGHLINE ❑ PRIVATE (SEPTIC)
t,
PROJECT ••
AREA DESCRIPTION EXISTING
S : FT.
PROPOSED
S . FT.
TOTAL,
S .
BASEMENT
BBQS
FANS
GAS WATER HEATERS
FIRST
BOILERS
FIREPLACE INSERTS
HOOD3lcommereloq
SECOND
COMPRESSORS
FURNACES
RANGES
THIRD
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
ADDITIONAL FLOORS (DESCRIBE)
3•
ONO
PLATTED LOT?
DECK (D COVERED OR ❑ UNCOVERED ?)
BATHTUBS (or Tub /Sbowercombo)
I.AVS le ■m,00m strwl
URINALS
GARAGE ❑ CARPORT ❑
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
NUMBER OF FLOORS
s'OeT016
""ONO
'tO'i'AL
rorasasrnwsr
rormisarcxmx..
for,au
'•NEW NOMES ONLY'• . NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
•, � , „W" J J J—wo W YG MWLU.W{4 V! IO&V{ (�L:114 u -NPurf of uw projeCL LV not include existing fixtures to remain.
MCFIAMCAL
Value of Mechanical Work $ 3) (A COPY OFBID OR ESTIMATE MUS1'•BE INCLUDED WrMAPPLICA770NJ
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS
WOODSTOVES
BBQS
FANS
GAS WATER HEATERS
MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOOD3lcommereloq
T
COMPRESSORS
FURNACES
RANGES
a NO
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
UP /SEPA /SU?
3•
ONO
PLATTED LOT?
a YES a NO
BATHTUBS (or Tub /Sbowercombo)
I.AVS le ■m,00m strwl
URINALS
MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (foiloq
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE B1BBS
SUMPS
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert{jy that to the best of my
knowledgs, the information submitted in support of this permit application is true and correct. I csrtjfy that I will comply with all applicable
City of Federal. Way 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 responsibility for compliance with local, state, or federal laws regulating construction or en.Wronmental laws.
I further agree to hold harmless the City of Federal 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 city, including its officers and employses, upon -the accuracy of the information supplied to
the city as a part of this application.
ISIGNATURE:
a NEW o ADDITION
o ALTERATION
a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. o NO
BASIC PLAN?
o YES
a NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
a NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SU?
a YES.
ONO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
a YES
o NO.
Bulletin # 100 _ August 16, 2007 Page 2 of 4 . k\I IandoutslPennit Application