08-101332 City of Federal Way •
Community Development Services Mechanical Permit #: 08-101332-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 1:1)711Inspection Request Line: (253) 835-3050
Project Name: GUDMUNDSON
Project Address: 30463 3RD AVE S Parcel Number: 232970 0120
Project Description: Installation of gas fireplace insert and 25ft of gas piping.
Owner Applicant Contractor
EDITHA GUDMUNDSON NORTHWEST PERMIT INC WASHINGTON ENERGY SERVICES CO
30463 3RD AVE S 1345 GULF ROAD (WESCO)(General)
FEDERAL WAY WA POINT ROBERTS WA 98281 WASHIES971 OB 9/2/09
98003-4004 2800 THORNDYKE AVE W
SEATTLE WA 98199
Additional Permit Information
Mechanical Valuation 3473.50 Over the Counter Permit? Yes
Mechanical Fixtures
Fireplace Inserts I Gas Pipe Outlets 1
PERMIT EXPIRES Saturday, March 20, 201.0 v.,;
Permit Issued on Thursday, March 20, 2008I
tib. w^
hereby certify that the aboveinformation is correct and that the construction on the above described property and
the occupancy and the use will be in - •-nce with the laws, rules and regulations of the State of Washington
nd e City of Federal Way. /
Owner or agent: -1 * r Y l� Date: r w
' THIS CARD IS TO RAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-101332-00-ME
Owner: EDITHA GUDMUNDSON
Address: 30463 3RD AVE S
FEDERAL WAY, WA 98003-4004
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.
0 Mechanical Rough-in(4165) ❑ Gas Piping(4125) EI Final-Mechanical(4065)
Approved Approved to release test Approved
By Date , By Date By Al, Date 11/1001
For inspector reference only __
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
03.19-' 08 13: 10 FROM- T-390 P002/004 F-668
01/ • '
RECEIVED
G�.>a. ( U 1 732_
Federal Way MAR 2 0 2008 PERMIT
COMMUNITY A$YELOPMENT SEkVMCES SF MF CO. EL PL DE EN FP
3332561"AVENUE SOUTH•PO BOX I A / L I C AT I O N
63-05.2ERAL WAY, X 0.835.71 CITY OF FEDE TO
:53-835.9fi07•PAX3`r3.835.3009
ururr CDS
401 oL 5x1D(pWcacom
The following is required information-an incomplete application Will not be accepted. Please print legibly On ink)or type.
PROPERTY INFORMATION
SITE ADDRESS 30463 3RD AVE S SUITE/UNIT w_
ASSESSOR'S TAX/PARCEL# 2329700120 __ _ LOT SIZE(sf),
LEGAL DESCRIPTION (e.g.Acme E tales,Lot 1)
(.macho arnrr pogofart rkgrky ivai decgroftonl
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ❑ PLUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit oniti)
Installing an Archguard fireplace insert and 25ft. gas piping
Zraf
PROJECT NAME(Flame of Busiriesg or Owner Last Name) = tWGU DM U N D S ON
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER EDITH GUDMUNDSON (206 ) 429-2182
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
30463 3RD AVE S Federal Way, WA 98003
CONTRACTOR COMPANY NAME NAME O FIC )PHONE
WESCO378-6649
MAILING ADDRESS CITY.STATE,ZIP CELL PHONE
2800 Thorndyke Ave W Seattle WA 98199 ( ) -
CITY OP FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE PAX NUMBER
2003104234BL 12/31/08 ( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
WASHIES971 OB 09/02/09
APPLICANT COMPANY NAME APPLICMIT NAME OFFICE PHONE
Northwest Permit Inc. Naida Khan ( 360 ) 945-278-7
MAILINO ADDRESS CITY,STATE,ZIP CELL PHONE
1345 Gulf Road Point Roberts,WA ( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant c1 Agent o Other (360 ) 945-2001
PROJECT NAMENidKh / Ntht Pit PRIMARY PHONE E-MAILADORESS
aa anorweserm
CONTACT (360 ) 945-2787 naida@nwpermit.com
LENDER NAME Per RCW 19.27.09$:
Lender information is required(rpm/cot value extrude$$,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
• DETAILED BUILDING INFORMATION
EXISTING USE Residential PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEPI ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER C LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
03-19-' 88 13; 10 FROM- T-38 P003/004 F-668
•
a PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. PT. SQ.FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS oxlinaro rrwroato TOTM. Tom nwarmo rrr DOTALrsoxoaso 61. TOTAL or
"IVEW 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 2764
Value of Mechanical Work$ (A COPY OP BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
°
AIR HANDLING WitI EVAPORATIVE COOLERS 1 GAS PIPE OUTLETS WOODSTOVES
laSQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS 1 FIREPLACE INSERTS HOODS ICommxn��!
COMPRESSORS FURNACES , RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(orTubie hose,combo) LAVS Isathr oa Sinkal URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
GRINIONG FOUNTAINS SHOWERS WATER CLOSETS mato
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
NOSE HIBBS SUMPS .
SIGNATURE
I certify under penalty of perjury that Yam 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
docs not remove the owner's responsibility for compliance with local,state,or federal laws regulating construction or environmental taws-
. pdrther 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 information supplied to
the city as a part of this application. /1
SIGNATURE; � DATE U-3 o
Property e er and/or Authorized Agent
a NEW o ADDITION ❑ALTERATION 0 REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? 0 YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? a YES 0 NO UP/SEPA/SU? o YES 0 NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? o YES 0 NO
Bulletin#I00—January 1,2008 Page 2 of 4 k\Handouts\Permit Application