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09-101810 City of Federal Way • • Mechanical 6 Community Development Services Permit #: 09-101810-00-M E P.O.Box 9718 Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050 Ph (253)835-2607 Fax (253)835-2609 P q ( ) c � c l 04- Project Name: HAYNES Project Address: 31912 31ST PL SW Parcel Number: 698000 0040 Project Description: Install gas fireplace insert in existing fireplace Owner Applicant Contractor CHARLES HAYNES CHARLES HAYNES AQUA REC'S INC 31912 31ST PL SW 31912 31ST PL SW AQUARI*110RA (2/19/2011) FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 1221 REGENTS BLVD FIRCREST WA 98466 0 ,. , •4..,h 4 „sue.. --_. w. ,,4 �. Mechanical Valuation 2864 Is this an Online or O.T.C.application Yes i= Fireplace Inserts 1 PERMIT EXPIRES Saturday, November 14, 2009 Permit Issued on Monday,May 18, 2009 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 Washington and the City of Federal Way. Owner or agent: Date: _. Ft kAuEI 49(e/ • — • THIS CARD IS TADEMAIN ON—SITE dip . CITY OF Community Development Inspection Record' Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 09-101810-00—ME Owner: CHARLES HAYNES Address: 31912 31ST PL SW FEDERAL WAY, WA 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 /ate Wal By ? Date Z—/// • • For inspector reference only ❑ Rough Electrical ❑ FINAL-Electrical Approved Approved By Date By Date �, A a cll._ _ /-a / / o Federal Way MAY 1 8 2009 PERMIT C n5vswrmEm SERVICES SF MF CO VIE EL PL DE EN FP 333258mAI,RIZ. ATI7IJ,Ig r -ED ,I CATI O N 283465-2 WAY,lYA 1 x rs / /. 253.8.?S-Z6D7•AAX Y53.835-T609 mm Andratenh n.m C®S The following is required information-an incomplete applicatbm will not be accepted Please print legible(in ink)or type. MI PROPERTY PIFORMATION SITE ADDRESS , \a. . 1 � ?L. ). . D 'i 0 I /UNIT# ASSESSOR'S TAX/PARCEL# - -— —— LOT SIZE(sfi LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) /�ika F PltOad+�FinaerPeielb(�tlryred dwdPeiow/ lt' al PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING a PLUMBING kMECHANICAL 0 DEMOLITION a ELECTRICAL 0 ENGINEERING a FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed desciiption of work budrded on this cernnit onla) L- GiOs C_•lec.LL_ 1. l (IQ 41<,l CJ'.LJC• . 2.61k-PSC-.- PROJECT BAYS(Name of t assn or Owner Last Hamel '\,P)1OE-S. • PEOPLE INFORMATION PROPERTY I. PRIMARY PHONE 1 OWNER i16. `n la\c ■. MAILING ADDRESS a�'• ) �''� - a , Li 1 r`• S. w. �C t/d ]" 1 ©� 3 E-MAIL ADDRESS CONTRACTO R O ANY e , 4.04246} tk�� G_ NAME OFFICE PHONE MAILING ADD CITY,STATE,ZIP 10ELL PHONE CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER - ( ) - COATRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS APPLICANT COW NAME APPLICANT NAME OFFICE PHONE 1 1 a ADDRESS CITY,STATE,ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER a Architect a Tenant a Agent a Other ( ) - PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT ( ) - LENDER NAME per RCW 19.27.095: Lender is regrdrvd if P%/ect value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP PHONE ( ) - 111 DETAILED BUILDING INFORIL9TION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO WATER SERVICE PROVIDER a LAKEHAVEN a ERMINE a TACOMA 0 PRIVATE(WELL) • SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC) • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND • THIRD • ADDITIONAL FLOORS(DESCRIBE) DECK(0 COVERED OR ❑UNCOVERED?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS I tea�a I 'a I Torte, TOTAL u reeeesosr SOUL **NEW HOMES ONLY"' NUMBER OF BEDROOMS. ESTIMATED SELLING PRICE $ • FIXTURES 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 O.9 Value of Mechanical Work$ 6 : (A goy OFBID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UMTS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC(Describe) BOILERS - FIREPLACE INSERTS HOODSK .ew1 COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIO.SYSTEMS PLUMBING BATHTUBS(sr TUb/9bower Combo) LAVS warms Saki URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS Ian's ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS SIGNATURE • I certify ender penalty of perjury that I am the property owner or authorised agent of the property owner.I cats 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 Adenal Wag regulations pertaining to the work authorised 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 lams regulating construction or environmental laws. I further agree to hold harmless the City of Federal Wag as to any claim(including coots, 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 ., of reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this) ii • SIGNATURE: ice. . DATE Pro. • . and/or Authorized Agent . i a NEW o ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a.NO V ZONING DESIGNATION CHANGE OF USE? a YES a NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? a YES o NO PLATTED LOT? a YES o NO • DEMO PERMIT REQUIRED? a YES a NO a i Bulletin#100—January 1,2009 Page 2 of 4 lAHandouts\Permit Application