08-100016 w • • ,
r City or Federal Way Mechanical Permi!#: 08-100016-00-ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 ti',0-2,b Inspection Request Line: (253) 835-3050
Project Name: HUGHES
Project Address: 31221 9TH AVE S Parcel Number: 858220 0090
Project Description: Installation of gas fireplace insert and assoc gas piping
Owner Applicant Contractor
CHRISTINE HUGHES CHRISTINE HUGHES LADDER CO ELEVEN
22547 SE 298TH ST 22547 SE 298TH ST LADDECE935L5(6/25/09)
BLACK DIAMOND WA BLACK DIAMOND WA 3922 224TH ST E
98010-1278 98010-1278 SPANAWAY WA 98387
Additional Permit Information
Mechanical Valuation 3508.30 Over the Counter Permit9 Yes
Mechanical Fixtures
Fireplace Inserts 1 Gas Piping 1 Gas Pipe Outlets 1
PERMIT EXPIRES Sunday, January 3, 2010
Permit Issued on Thursday, January 3, 2008
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 th5 City of Federal Way. fj / 7
Owner or agent: lQ� Date:_G'( t�/
THIS CARD IS T +:MAIN ON-SITE -
CITY OF two'' ¶ ommunityDevelopmentInspection Ins ection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-100016-00-ME
Owner: CHRISTINE HUGHES
Address: 31221 9TH AVE S
FEDERAL WAY, WA 98003-5304
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) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By -_ Date/. [, 0E5 By cjp Date 3
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
=,r0
Feral WayGE) e - O 6L 7 0
PERMIT SF MF COM EL PL DE EN FP
'COMMUNITY DEVELOPMENT SERVICES 1
333258THAVENUE SOUTH• BOX 9718 Q APPLICATION TD
FEDERAL WAY,WA 9806363 �A.9718 N 0 `r
i 253-835-2607•FAX 253-835-2609 /
wuo.dtuolTrrlemlwnu.ram - /
TY df FEDERAL WA',
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
) q- •le
INFORMATION -
SITE ADDRESS /2Z i - I Ti 5. / /- t�r/ W � SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# F 5-, ` __ - 2 G C_ LOT SIZE(sf
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION •
•
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlq)
e Clxi F1'c12/d[c 1/),W/4 1 . 5Iai ?0(
*s PROJECT NAME(Name of Business or Owner Last Name) r ai !1 1Jti _ Io , 1 4
I.
PEOPLE INFORMATION
OWNER PROPERTY
NAME,r / r� ( - , / P ARY PHONE /Z% [
MAILING ADDRESS V- CIyL�CMATE,Z( �7�A6),�/✓ E-MAIL AD kc l '4.1.6`77
CONTRACTOR COMPANY AM / APPLICANT NAME OFFICE NE iir"�f let`�i
L7 c L �G l (-7/ NI,r /) /
TYL!C'.. �V-,,.5 ) , b5.1 eel
bvI/�N/, DRESS t/` - �/�lPit /o)- 12'LLY�P�H') �J,7 h 6 73
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER 6 EXPIRATION L/ 'FAX NUMBER
0 I t � -3- OE [ ( ) -
'CONTRACTOR'S REGISTRATION NUMBER 4/ I • TIO, DATE E-MAIL A D S
`APPLICANT COMPANY NAME APPLICANT �/ FICE PHO 1
MAILING ADDRESS CITY,STATE,ZIP L PHOAIE
,�/"��f P.�' I ''(-�--_
RELATIONSHIP TO PROJECT FAX MB
` ❑ Architect 0 Tenant 0 Agent 0 Other eifJh ( ) -
PROJECT NAME' �� , �� � PRIMARY PHONE _ E-MAIL ADDRESS
j CONTACT c///l iiA���n L 5 )4i,5-,�Di �/ri-c-(____
LENDER N E ,..._....k......_...,/ Per RCW 19.27.095:
Lender information is required if prof value exceeds$5,000 ,
771:13D CITY, ATE,ZIP PHONE ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED Ute-
` „
EXISTING ASSESSED/APPRAISED VALUE$ UE OF POS' . WO: $ "--_
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM`PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS , •
•
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
....„.„,../.......- . Ns
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0 �r //
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SP TOTAL PROPOSED Sr TOTAL Sr
*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.
N MECHANICAL ' Q`
Value of Mechanical Work$ ;/✓'CJD (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS / GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS r FIREPLACE INSERTS HOODS(com a:maw
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
P (TAMING
UBS(orTub/S LAVS(Bathroom Sinks( URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKINe FO AINS 1111. SHOWERS WATER CLOSETS Qonet)
/ ELECTRIC "ATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 officers and employees, upon the accuracy of the information supplied to
the city as a part of this application.
�, /CO T
SIGNATURE: 'v�" C C/ DATE
Property er and/or Authorized Agent
i,4a,M0L ' y ,4.
mm
a NEW o ADDITION a ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? a YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? a YES o NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? o YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application