17-100053 Mechanical
City Federal Way Permit #:17-100053-00-ME
Community Development
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: CHAPMAN
Project Address: 207 S 317TH PL Parcel Number:337530 0520
Project Description: Install gas fireplace insert
Owner Applicant Contractor
EVA CHAPMAN CECIL CHAPMAN ADVANCED INSTALLATIONS INC
5911 112TH PL SW 5911 112TH PL SW ADVANII033DU(3/13/18)
MUKILTEO WA 98275-4840 MUKILTEO WA 98275-4840 16504 HWY 99 SUITE 101
LYNNWOOD WA 98037
Additional Permit Information
Mechanical Work Valuation? 3500.00 Is this an Online or O.T.C.application? Yes
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Fireplace Inserts I
CONDITIONS:
Manufacturer/installation specifications to be on-site at the time of inspection
PERMIT EXPIRES Monday,3 July,2017
Permit Issued on Wednesday,January 4,2017
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: -e-2,//1 c , ° �L Date: /✓G��/ 7
THIS CARD IS TO REMAIN ON-SITE r
�^�� Construction Inspection Record
Federau Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 100053 00 Address: 207 S 317TH PL
Project: EVA CHAPMAN FEDERAL WAY WA 98003-5259
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 my of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
'El Mechanical Rough-in(4165) 0 Gas Piping(4125) Final-Mechanical(4065)
Approved Approved to release test Approved
By Date -
� „By Date �iBy AA/ Date 'u Zi 111
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0 Rough Electrical Final Electrical
0 Right of Way
Approved Approved Approved
By Date , By Date By Date
A.
PERMITPPLIC. t T ON
CITY OF *•tet.''4 '1' JO'
Federal Way `
JAN , ` ;.,-
PERMIT NUMBER (PI.--_ l V O v 5. _
Ht.,
� , Val?DATE 4111Y: r
SITE ADDRESSSUITE/UNIT#
x, 07 ,��,3/7-z4PL
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 35oO ,0 0 �//_ -
TYPE OF PERMIT 0 BUILDING 0 PLUMBING (.1#MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT C HAMAN
PROJECT DESCRIPTION �� I r'''j�'t bLc� - I a, (c Ii f"�
Detailed description of work to =�rj/ I V—�Y�1``�1
be included on this permit only
__
NAME PRIMARY PHONE
G6G/6 C; CY/A9"*.fri 06- X7 5-967y
PROPERTY OWNER MAILING ADDRESS E-MAIL
207 AC7 3/7- r° - b-1 /7, Cfr4"1744 Ai
CITY �„ STATE ZIP
�'1 4../ - ' U'003 e6r9--( '/h4i1; C'a.9j
NAME PHONE
4dv/a,t/ce - NSi Alc /9 7/0.v.
MAILING ADDRESS E-MAIL
CONTRACTOR /4 5-0 Li '° 't/7' 14//9/ 7V 5'j it" /C/
CITY STATE ZIP FAX
LY�vNz(ieo1, ' ,cf'37
WA STATE CONTRACTOR'S LICENSES # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Ao v1)4///o3_7 1/ / /
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
. . -
NAME .. . ...
PROJECT FINANCING 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 arty 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. > C 7
s G a- DATE J '-r—*/SIGNATURE: � G- � /
PRINT NAME: C �'C/ G t C/6A P m/'ii—
Bulletin#100—February 22,2016 Page 1 of 2 k:\Handouts\Permit Application
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VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS)commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS)Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes D No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**.NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area In Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—February 22,2016 Page 2 of 2 k:\Handouts\Permit Application