08-101622 City of Federal Way • Mechanical Permit #68-101622-00-ME
Col•-munity Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Requ 5-3050
Project Name: MILLER
Project Address: 32653 9TH PLS P Numb 0 0290
Project Description: Install 15 ft of gas piping for fireplace gas insert into existin ace
Owner Applicant ontractor
LEOTA M MILLER FIRESIDE HE RTH&HOME FI DE HEARTH&HOME
32653 9TH PLS 7818 S 212T SUITE 109 SH3 11/8/09)
FEDERAL WAY WA 98003-5921 KENT 032 818 121iUITE 109
A 98032
Add' it In ion 11
Mechanical Valuation 2324 Over th elTlfit? Yes
• echa al Fixtures
Fireplace Inserts e Outlets 1
MIT EXPIRES Sunday, April 4, 2010
Permit Issued on Friday, April 4, 2008
Ic that the ab e information is correct and that the construction on the above described property and
th ncy and the use I be in accordagge with the laws, rules and regulations of the State of Washington
ee We/Vann eral Way.
Owner gent: ape Application
APR 0 4 2008
APR 0 4 2008
• THIS CARD IS T REMAIN ON-SITE
CITY OF ��� - Community Developent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050.
PERMIT #: 08-101622-00-ME
Owner: LEOTA M MILLER
Address: 32653 9TH PL S
FEDERAL WAY, WA 98003-5921
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 By 7/7 Date it/0746,
For inspector reference only _
0 Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
FROM IP FAX NO. :2533516098 .Apr. 04 2008 07:380M P1
�ilrOr I` RECEIVES �"to 0 g" / is' / (7 �9
Federal Way PERMIT'
CDMb4I/xIT1'DEVELUPMISNI'.SfG'KVIC%tom`+ SF MF C ME L PL DE EN FP
33325NUE 7 il {r p o 4 z ppLICATION
' /
iP6,DERAL TAY,WA 96063-9716
253.835.2607•FAR 253-8;35-3a(y) O , D / Dk"
eneaw,dbollerWAlunu,aonl
uJ � �� 1
�'hesallou,ing is requireorrlplete application will not be accepted. Please print legibly(in ink)or type.
Mi PROPERTY INFORMATION
SITE ADDRESS_ Gj • '/ —.t rd ' 1, A. 7 SUITE/UNIT #_
. ,II
ASSESSOR'S TAX/PARCEL# .- - _-- LOT SIZE(,c)
LEGAL DESCRIPTION(e.g.Acme Estates, Lot 1) rj '11-,.07-e?R44e.�S1
0ttae,mxtrrpr.few(ll0 l.cj(l q'" ')
• PROJECT INFORMATION
TYPE OF PERMIT BUILDING ❑ PLUMBING II MECHANICAL
CJ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION ov(cie detailed cieser[ption of work 17{-1iu)er1 on. .ili erzrdi Oriltj)
g- 2s,--- a "--1;teZ ."1 el-) la,r A__ q_.,4 C /7
1 .C_, 4,,y1 S ✓j pp 4..g-,___,,," Ay-)kr?e- 4,7-4 C0"�4 J� /7 S
2'G1 (fidt !r V
PROJECT NAME(Nance Of Business or Owner,Last Ivarrte1 /')/e-r
■ PEOPLE: INFORMATION
PROPERTY NA.11PRIMARY PHONE
OWNER P_ A/ '� (46-3) #Sq -6 3
MAILING ADDRESS (MIN,M' IV,ZIP EL MALL ADDRESS
32 53 914-'�f/ P � l i4 .... /1 /i4--
CONTRACTOR
�
CONTRACTOR t:COMF'A:NAME • i APPLICANT NAMK O1,•MICK 1 ONE
F-t res (4e 1-k-'1• 466a... t'., a. - 9_
MAILINGAIH)Hic.9 CITY STATE,ZIP CELL HONK
7e l� ia �>L`'�6-, -- �v /re� 4 .3�. _ ( )
crre OF,NKI)KkAY_WAY DUSINESS LIC FNHF NI AMll H RN'1RA'1'I(1N IlATE FAX NUMHFCH
H2O—0( -- / 9 /�j --- 00 � /0� /3/ZO& l ^5.0 8'3. -,,,; 6o9
CONTRACTOR'S REGISTRATION NIM EIt EEPuu44AATIO TE K-MAf1,ADDRESS
5 "H 95,3F zit/ Py�po9
APPLICANT COMPANY NAME APPLICANT NAME OTPTCE PHONE
MAILING ADDRESS C:I'll,,N I'A U I.ZIP c ELI.PI TONE
( )
RELATIONH1.11F''1'(1 PN().12CL' FAX NI EMBER
n Archltcct LI Tenant n Agcn1. ❑ Other ( )
PROJECT NAME PRIMARY PHONE E-MAOI,AI)I)RESS
CONTACT nit) it �r ( ) -
LENDER NAME, Per,ttCW 1/1.27.0•5:
Lender lrytbr matikn is required(f project Value exceeds$15,000
MAILING ADDRESS CITY,STATE,ZIP –, r'HONk ~✓
( ) —
■ hhTAI.EU BUILDING JNL'(II MATION
EXISTING USE i ✓001 / a ILY)i t..'.l / PROPOSED USE —.. .-- —
EXISTING ASSESSED/APPRAISED VAL E$ _ VALUE,OF PROPOSED WORD $ __.. __
SPRINKLERED UUILDINGT L YES -NO FIRE SUPPRESSION SYSTEM PROPOSED/RE$UIRED? J YES ❑ NO
WATER SERVICE PROVIDER j LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 4..i LAKERAVEN 0 HIGHI.INE ❑ PRIVATE(SEPTIC)
FROM FAX NO. :2533516098 •flPr. 04 2008 07:39AM P2
PROJ.1•:.c r FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST �f+ �1n/ qn JI
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(I J COVERED OR ❑UNCOVERED?)
UARAGI!' ❑ CARPORT I I
nxImmuo r 1140P.A7.n TOTAL IVTAI.IfFra'nus cam rurrALPROP.9EO Ar 'ITYI L SN'
NUMBER OF FLOORS
"NEW 110MES ONLY"" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ ..._.
pi FIXTURES
Indicate number of each type offixture to be.installer]or relocated as part of this project. Do not include existiriy_flxLwres to remain.
,I4ECHANIC.AL
VVBie q f Mechanical Work 4.5..E24 911, .15 (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR IIANDL.ING I JN1'I:S ICVAPORATIVE COOLERS }� GAS PiPF OtTELETS WOODOTOVES
BBQS _ .,_ FANS GAS WATER 111E:ATh:IS MISCO(Describe)
BOILERS I FIREPLACE INSERTS TTOODS Icommanaaq
COMPRESSORS FtTRNACF S RANGES
DUCTS GAS I.OG SETS REFRIG,SYS1'ICMS
PLU lIBMG
BATHTUBS prc 11,h/Showr:rCombo) LAVS(Bathroom si tie) URINAT,S ,• MTSC(Describe)
DISIIWASI TF.ItS V ALN WA7 ER SYST VACUUM FIREAKERS
DRINKING FOUNTAINS SI-COWERS WATER CLOSETS frotct
ELECTRIC WA'r[Sli HEATERS SINKS WASHING MACHINES
HOSE I11131-IS 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 hest of aw
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 ap'float on. / �}
SIGNATURE: /..!/ DATE 4p/1!
Property Owner and/or Authorinrcd Agent
i4,FIV:174'.Ir4PNYINIRIMPIP1447,101,13 't1)",
4f$tlf Ii IiVGi Phil ii lI I6 `:al
U NEW n ADDITION n ALTERATION u REPAIR. a TENANT IMPROVEMENT
BUILDING SHELL SHELL ONLY? u YES� w.,.,,�... ,,.,....,.,,�...... ..,,,.� ,,...,...,_a....•.�,�
❑NO BASIC PLAN? ❑YES n NO
ZONING DESIGNATION CHANGE OF USE? u YES n NO
-
NEW ADDRESS REQUIRED? ❑YES 1.1 NO UP/SEPA/SU? n YES i.i NO
PLATTED LOT? n YES o NO DEMO PERMIT REQUIRED? u YES
NO
Bulletin#100—Js
nuury 1,2D08 1'agc 2 of 4 klHuniloucs\l'crmit Application