08-101944 •
r City of Federal Way Mechanical Permit 8-101944-00-IVB E
Community Development Services •
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: TUCKER
Project Address: 4810 SW 317TH LN UNIT B Parc. . .- 800 0190
Project Description: Gas piping for fireplace insert
Owner Applicant Con tor
ELINORE TUCKER EMERALD AIRE INC RALD • IC
4810 SW 317TH LN UNIT B 5108 D ST NW EMERA 5BL(04/ /09)
FEDERAL WAY WA 98023 AUBURN WA 98001 DST
URN
GO
Additional Pe it Informat
Mechanical Valuation 1675 Over the Counter a it? .. Yes
Mec ure
Gas Pipe Outlets 1
\414
IR Friday, April 23, 2010
m ,n Wednesday, April 23, 2008
I hereby ify that Bove infor 'on is correct and that the construction on the above described property and
the panty and t will bei accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Ow ent: ► Date: q I x.'51 Df --
• THIS CARD IS TO•MAIN ON-SITE
CITY OF `- Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-101944-00-ME
Owner: ELINORE TUCKER
Address: 4810 SW 317TH LN UNIT B
FEDERAL WAY, WA 98023
This card is part of your required inspection documents. Scheduled inspections maybe 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) El Gas Piping(4125) EI Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By - Dater-9_ v By C tij Date t��
For inspector reference only
0 Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
a
CITY OF 4E ✓ l 01 q _Y_14
Federal PERMIT 3332C) SF MF COe EL PL DE EN FP
COMMUN33325 8TM A ENUE OUTH PO BOX DEVELOPMENTsER'E R. 2 t1 9 ,I,p
FEDERAL WAY.FAX
98063-9718-2609 ,�' WpTICATION �
FEDERAL
WAY.
FAX 253-835-2609
ED
www.cittioffederalwau.com of C�
The followi
www.cittioffederalwa.rvu.com
irrb ion-an incomplete application will not be accepted. Please print legibly(in ink)or type.
/, (� • PROPERTY INFORMATION
SITE ADDRESS `i $I O & /5 .A Q 317' ` 0 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# tJ C Cl (7 0 0 — 1 $ 0 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach.separate page for lengthy legal descnpMrU
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING GrMECHANICAL
❑ DEMOLITION C ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
(oas p.P, (A� c h ie p\aLe t RSC.)(4
PROJECT NAME(Name of Business or Owner Last Name) 1(�.t ,e... . K fc5l cv1'`(1C e
NI PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER a 11'e \ 1.),( e,'( (a63) 13$ -6178
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
YDS 10 6 .5G0 c.5\-/A-Y• S* etc e)(ca). c opi 9&oa 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
rnoc'a& t�',ce.sc-.c (as3)8"1a - S G6 s
MMA5AILING�AjV(DDRE(�SSSSS c^\' CITY,STATE,,ux ZIP
� CELL PHONET�
CITYI OFOFEDERAL51s•IN)k k.... SE NUMBER 1 to $X'IR�ATIiDS%co) FAX NUM)ER
IQ— 9$ - I0577a -0o- i- 12- 31-c)13 (as 3) ` -zp -5797
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
'MEAATOSsaL Y- 1-09
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
.rv,c-(cA& p%;,(-c. ss c, 053) b7 -S 665
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(O$ O •It' t -• PCV,N(3.,Kr 1 UW.1 Cl g OO\ ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant ❑Agent 0 Other (as 3) Z57 a - 57c17
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ,v3Qo,.r Yee- CYN CLQ (.25 ) ala - 5 66,5 Cao Js.vC�eXekWn►Aa;rc._rn
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE C TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
t
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑ COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**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.
MECHANICAL00
Value of Mechanical Work$ I O ( �. (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS I GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
ELECTRIC WATER 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. tt
SIGNATURE: DATE d1/? /O
P operty Owne - d/or Authorized Agent
FOR OFFICE USE ONLY
o NEW ❑ADDITION ■ • TERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? YES o NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? ❑YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application