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07-106405City of Federal Way Mechanical Permit #• 07- 106405 -00 -ME Community Development Services • 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: VANMEERTEN� Project Address: 36510 9TH AVE SW 4d x ` Parcel Number: 302104 9137 Project Description: Install gas fireplace and gas piping. Owner Applicant Contractor DIRK & DARLENE VANMEERTEN DIRK & DARLENE VANMEERTEN AQUA REC'S INC 36510 9TH AVE SW 36510 9TH AVE SW AQUARI *110RA (02/19/09) FEDERAL WAY WA 98023 -7229 FEDERAL WAY WA 98023 -7229 1407 PUYALLUP AVE TACOMA WA 98421 Additional Permit Information Mechanical Valuation ................. ...........................3707 Over the Counter Permit? ............................ .......... Yes Mechanical Fixtures Fireplace Inserts .............................1 1 1. Gas Piping ...... ............................... 1 Gas Pipe Outlets ............................. 1 PERMIT EXPIRES Sunday, November 29, 2009 Permit Issued on Thursday, November 29, 2007 I hereby certify that the above Information is correct and that the construction on the above described property and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of WashhVton and the City of Federal Way. Owner or agent: 27� V /� J Date: % m, /af Z-0 :z 9 e THIS CARD IS TO REMAIN ON -SITE CITY of Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 07- 106405 -00 -ME Owner: DIRK & DARLENE VANMEERTEN Address: 36510 9TH AVE SW FEDERAL WAY, WA 98023 -7229 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 / 9_,2,7 By Date For inspector reference on!y Rough Electrical O FINAL - Electrical Approved Approved By Date By Date RECEIVED ' NOV 2 9 ?.QQ7 0-7- riTy Fe " , -5 Federal Way CITY IL ING DE MIT BUILDING DE x COMMUNITY DEVELOPMENT SERVICES SF MF CC4 E L PL DE EN FP 33325 8TM AVENUE SOUTH • PO BOX 9718 WAY, WA 98063-9718 253-835-2607- FEDERAL AX 253-835-2609 APPLICATION tUl.il Ill. ('tl ilallf.Ilf.'ra(tl�fl rl.lYlrti The following is required irtformation - an incomplete application will not be accepted. Please print legibly (in ink) or type. �J t'AOPERTT IIIFORITIAiTIOTV 3 SITE ADDRESS (0 O _I 44iA ye, , 6 , I.C. SUITE /UNIT # ASSESSOR'S TAR /PARCEL # 3 O -2-- --L Q q - 7 �r LOT SIZE (sj) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) Lot � r k C 5 P # —1 0 50 41 (Attach separate page for lengthy Legal descrlptlonl PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu) ( PROJECT NAME (Name of Business or Owner Last Namel PEOPLE •• • PROPERTY OWNER CONTRACTOR APPLICANT PROJECT CONTACT LENDER EXISTING USE NAME Y k cr►e- a v) e v-1 eY, PRIMARY PHONE (25'j) 8'7d/ - 11 MAILING ADDRESS 4 CITY, STATE, ZIP E -MAIL ADDRESS Io e.S, F a W" _3 ADDRESS COMPANY NAME APPLICANT NAME OFFICE PHONE 11 2e- ' MAILING ADDRESS (253) 682 -/ 2- ADDRESS CITY, STATE, ZIP ELL PHONE ZG ©� l - CITY OF FEDERAL WAY BUSINESS LICENSE UMBER EXPIRATI DATE FAX NUMBER 20-Op- /0l 8(o8 -00 - j5L- 12 - 3/ -Zoo -7 CONTRACTOR'S REGISTRATION NUMBER E13'UUTION DATE E -MAIL ADDRESS 14 d G A A-r 4 110 AA 2 2 vo COMPANY NAME APPLICANT NAME OFFICE PHONE CITY, STATE. ZIP 11 2e- (2531 ?6L/- MAILING ADDRESS CITY, STATE, ZIP CELL PHONE 80 ( ) - RELATIONSHIP TO PROJECT Ili FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent ❑ Other QLA3 n'Ly- NAME PRIMARY PHONE w k E -MAIL ADDRESS i.., n ( 253) 8(04 - NAME t N I& Per RCW 19.27.095: Lender irtformation is required if project value exceeds $5,000 MAILING ADDRESS CITY, STATE. ZIP PHONE EXISTING ASSESSED /APPRAISED VALUE PROPOSED USE VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE e C- G • TACOMA ❑ PRIVATE (WELL) • PRIVATE (SEPTIC) E K , -Da;rz I AREA DESCRIPTION EXISTING 89. FT. PROPOSED S . FT. TOTAL S . FT. BASEMENT VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS FIRST ELECTRIC WATER HEATERS SINKS WASHING MACHINES SECOND SUMPS ❑ YES ❑ NO THIRD ❑ YES ❑ NO ADDITIONAL FLOORS (DESCRIBE) CHANGE OF USE? o YES c NO DECK (❑ COVERED OR ❑ UNCOVERED ?) UP /SEPA /SU? ❑ YES GARAGE ❑ CARPORT ❑ • YES o NO DEMO PERMIT REQUIRED? NUMBER OF FLOORS ❑ NO rnoros® � mrwEZIRTMW 711TALMWOSMW rorwse **NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include extsting ftvtures to remain. MECHANICAL Value of Mechanical Work $ 3 D (A COPY OF BID OR ESTIMATE MUST BE INCLUDED W17H APPLICATION) AIR HANDLING UNITS EVAPORATNE COOLERS _� GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC (Describe) BOILERS FIREPLAC NSERTS HOODS (commerdal) COMPRESSORS CES RANGES DUCTS GAS LOG SETS REFRIG. SYSTEMS BATHTUBS (or Tub /shower Combo) LAVS (Bathroom sinks) URINALS MISC (Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS rronet) ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS ❑ YES ❑ NO I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct. I certify 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 responsibilityfor compliance with local, state, orfederal laws regulating construction or environmental 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 employees, upon the accuracy of the irtformation supplied to the city as a part of this application. SIGNATURE: o NEW ❑ ADDITION BUILDING SHELL ONLY? ZONING DESIGNATION NEW ADDRESS REQUIRED? PLATTED LOT? Bulletin #100 -August 16, 2007 Udevl= iY Ll DAZ� DATE U Property Owner and/or Authorized Agent ❑ ALTERATION c REPAIR ❑ TENANT IMPROVEMENT ❑ YES ❑ NO BASIC PLAN? ❑ YES ❑ NO CHANGE OF USE? o YES c NO • YES o NO UP /SEPA /SU? ❑ YES ❑ NO • YES o NO DEMO PERMIT REQUIRED? ❑ YES ❑ NO Page 2 of 4 k\Handouts\Permit Application