09-102056_ -*Mechanical
City of Federal Way
Community Development Services /lp Permit #: 09- 102056 -00 -M E
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: SCHNEIDER 11" 1 L M
Project Address: 434 S 309TH ST Parcel Number: 241330 0190
Project Description: Installation of gas fireplace inserta nd associated gas piping
Owner
Applicant
Contractor
DAVID SCHNEIDER
AQUA REC'S INC
AQUA REC'S INC
NANCY SCHNEIDER
1221 REGENTS BLVD
AQUARI *I IORA (2/19/11)
434 SW 309TH ST
FIRCREST WA 98466
1221 REGENTS BLVD
FEDERAL WAY WA 98003 -4026
FIRCREST WA 98466
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Mechanical Valuation .................... ........................2843.74 Is this an Online or O.T.C. application? ................. Yes
........................ 't has Pipt g....... ............................... 1
P , M ' EXPIRES Toesday, December 1, 009 Ag
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hereby' above `. orm ,;.
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the occupancjr` `the use wl 'be in ac enc " " 1e i u4 an' tii�los of the to a
and the City of Federal Way.
Owner or agent: �IrL) t1_ Date: Z,
Fi�A�FO
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THIS CARD IS T MAIN ON -SITE
CITY OF Community Develop ent Inspection - record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 09- 102056 -00 -ME
Owner: DAVID SCHNEIDER
Address: 434 S 309TH ST
FEDERAL WAY, WA 98003 -4026
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 Date[.,
For in_pector reference only _
O Rough Electrical O FINAL - Electrical
Approved Appmved
By Date By Date
r R16ED •
o
JUN 0 4 2009 _ 10 2-
Federal Way — — — — — —
COMMUNITYDEVEI.UP E s I C� � FEDERAL MIT SF MF CO EL PL DE EN FP
33325 ST" AVENUE SO O 9718
253D3�2607FAX253- 8352609 CDSAPPLICATION
v:wu� ciluolf>deraLlt;cw com
The following is required information - an incomplete application will not be accepted. Please print legibly CIn ink) or type.
ASSESSOR'S TAX /PARCEL #
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
SUITE /UNIT #
LOT SIZE (sf)
Alt-h sepwWa PI lengthy legal d—dptbW
PROJECT I • •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING XMECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT NAME (Name of Business or Owner Last Namel tx 11 j":
PEOPLE INFORMATION
PROPERTY N A AY V, I A in (t Y Y X r -21P IJ1 - -I Un
OWNER
CONTRACTOR
01�
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
COMPANY NAME I�
E
p p E
Mpio.
1,21
)
O D
. STATE, IP
/CELL PHONE -
1 )
CITY OF FEDERAL WA S ESS L ENS NUMBER EXPI ON DA
F ER
R
eb "oo _13L 2 1 0
(�
CONTRACTOR'S REGISTRATION NUMBER TION TE
E -MAIL DRESS
v
Y r
COMPANY' NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CRY. STATE. ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
( ) -
NAME PRIMARY PHONE E - MAIL ADDRESS
) -
EXISTING ASSESSED /APPRAISED VALUE $,
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAvEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PR SED USE
FON ALUE OF PROPOSED WORN $
FIRES SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
❑ HIG ❑ OMA ❑PRIVATE (WELL)
❑ HI ❑ PRIVA EPTIC)
•�D"
Ll
AREA DESCRIPTI
EXISTING
5 . FT.
ROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
❑ NEW r- ADDITION
o ALTERATION
E: REPAIR o TENANT IMPROVEMENT
FIRST
BUILDING SHELL ONLY? n YES n NO
BASIC PLAN?
SECOND
r NO
ZONING DESIGNATION
THIRD
CHANGE OF USE?
o YES
NO
ADDITIONAL FLOORS (DESCRIBE)
YES o NO
UP /SEPA /SU?
DECK (❑ COVERED OR ❑ UNCOVERED ?)
o NO
PLATTED LOT? o YES o NO
GARAGE ❑ CARPORT ❑
o YES
o NO
NUMBER OF FLOORS
mc`srnvc
r„ m
rory
-
"TALPROP0 SF
7WAL SF
* *NEW HOMES ONLY** NUMBER OF BED OOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project Do not include existing fixtures to remain
MECHANICAL z 7 j
Value of Mechanical Work $ �r� � 4 . .5. `4 (A COPY OF BID OR ESTTMATE MUST BE INCLUDED WrM APPLICATION)
AIR HANDLING UNITS EVAPORATNE COOLERS �_ GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS (Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG. SYSTEMS
BATHTUBS (or {ub /Shower Tb.) LAVS (Dalhroom smksl
DRINKING OUNTAINS S66WERS WATER CLOSETS trail'
XLECT WATER HEATERS INKS WASHING MACHINES
SUMPS
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 responsibility for compliance with local, state, or federal 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 offwers and employees, upon the accuracy of the information supplied to
the city as a part of this �appl* tion.
SIGNATURE:�r>"C uC DATE
Property Owner and /or Authorized Agent
FOR OFFICE USE ONLY'.
❑ NEW r- ADDITION
o ALTERATION
E: REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? n YES n NO
BASIC PLAN?
n YES
r NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
NO
NEW ADDRESS REQUIRED? o
YES o NO
UP /SEPA /SU?
o YES
o NO
PLATTED LOT? o YES o NO
DEMO PERWT REQUIRED?
o YES
o NO
Bulletin #100— January 1, 2008 Page 2 of 4 k\Handouts\Pennit Application