08-104014 • • V r
City of Federal Way Mechanical Permit #: 08-104014-00-ME
Community Development Services
P.O.Box 9718
de , 98063-9718
Ph:(25Fe3)835-2607ralWayWA Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: BUOL
Project Address: 2433 SW 306TH PL Parcel Number: 416730 0210
Project Description: Run gas piping and install gas fireplace Insert
,
Owner Applicant Contractor
LARRY&SHELLY BUOL KLIEMANN BROTHERS HTG&A/C IN KLIEMANN BROTHERS HTG&A/C IN
2433 SW 306TH PL 4703 116TH ST E KLIEMBH021BT(1/27/10)
FEDERAL WAY WA 98023-2339 TACOMA WA 984464703 116TH ST E
TACOMA WA 98446
A of Per I nform n
Mechanical Valuation 31 5 Is this n Online or O.T.C.application? Yes
echanl F tures
Fireplace Inserts 1 Gas Pipin / fi
,.
PERMIT EXPI; ES)S In• , 'e•f' ' dy"`22 2 9
y.
Permit Issu:s T sd /,Aug4t 6 008
I hereby certify that the above information is correct a d that the constr -.ton o the ..• ve described property and
the occupancy and the u - will bein accordance with the laws, rules a 'd .7.,u•:,` s of the State of Washington
/ ' e ,jty of Federal Way
/ . nn
Owner or agent: �? h ._, ,
7' -d Date: v ‘- 08'-
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41k. THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-104014-00-ME
Owner: LARRY & SHELLY BUOL
Address: 2433 SW 306TH PL
FEDERAL WAY, WA 98023-2339
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) El Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By C. C Date6-ZT. 49 By Date
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
c TY OF +na,.-F '� _ ` O D, 4
Federal Way
RECEIR
COMMUNITY DEVELOPMENT SERVICES MIT SF MF CO (DEL PL DE EN FP
33325 8T"AVENUE SOUTH•PO BOX 9718 -
FEDERAL WAY,WA 98063-9718 AUG 2 P LI CAT I 0 N TD / /
253-835-2607•FAX 253-835-2609
unr.0ah ederal•oats.cern
The following i u r fcF ER n (te application will not be accepted. Please print legibly(in ink)or type.
. 0-PROPERTY INFORMATION .. : . :`,.'f. i '
SITE ADDRESS -25.2 C--5•14
P\• -Feel • ki at-SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# \ \ .0 $ V 0 2 \ 0 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 kMECHANICAL
0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
OJECT DESCRIPTION.(Provide detailed description of work included on this permit onlq)
�> � c \\g . c\-, \Q \c, -e)(-1,-
PROJECT NAME(Name of Business or Owner Last Name) ,\CA
• ■ PEOPLE INFORMATION
PROPERTY NAME \` ,( `� PRIMARY PHONE ^
OWNER �J�\\ ( �1�.'�J�\ �( \LJ (` )7 11 - 5 1
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
N•A (� l`o (N�l A,-> . ( ) 52;\- '
MAILING ADDRESS _cCCELL PHONE
I OF WA\BUStN S3 LICEN NUMBER TY,STATE EXPIRATION ���� FAX NUMBER
1°1 -G°\ -DO FAX-too.-'6L- \Z127k l ( ) -
COPY of card required CONTRACTORS REGISTRATIO UMBER EXPIRATION'�/ I (DATE E-MAIL ADDRESS
with each application l / �`�\ ` O.. ♦ \ V271---\0
APPLICANT CO PANY N E APPLICANT NAME OFFICE PHONE
\r4-. '-. \(\ w, _� CY1 (' )•-3 100
M ILING ADDRESS CITY,STATE,ZIP - CELL PHONE
RELATIONSHIP TO PROJECT FAX.NUMB ER
0 Architect ❑ Tenant 0 Agent Vi.,9ther CC(A( W- ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT S \-\ lY
�f \ C);:2,)177,1- Cl
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP -1PHONE
- . . ( . )
4, - :f_;',7.::-.":;..1,•-,:,.... .:';. . .:■r:DETAILED BUILDING`:INFORMATION: - t, .. *;:Y_ /.:.:•. . . .•
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
hrtcti LI,JI.KLrIrun EXISTING I PROPOSED TOTAL
BASEMENT SQ.FT. 0 SQ. FT. SQ. FT. 1
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE) .
DECK(0 COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT 0
EXISTING PROPOSED TOTAL TOTAL EAIST SSr TOTAL PROPOSED Sr TOTAL Sr
NUMBER OF FLOORS •
"*NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ I
• • ' ■.FIXTURES . •
M
•
Indicate number of each type of fixture to be installed or rp$ated as part.of this project. Do not include existing fixtures to remain.
• MECHANICAL )i 5 --
Value of Mechanical Work$ (ACOPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) j
AIR HANDLING UNITS EVAPORATIVE COOLERS %. GAS PIPE OUTLETS WOODSTOVES i
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 honer)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS •
SIGNATURE •
I certify under penalty of perjury that the information furnished by me is true and correct to the best of knowledge, and further, that I
am authorized by the owner of.the above premises to perform the work for which the permit application is made. 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 of Federal Way,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.
NAME/TITLE �.iLkAtv..•, A. .. • DATE 0 L"�
(Signature) (Title)
RELATIONSHIP 0 PROJECT 0 Owner 0 Agent Contractor 0 Architect o Other .
•
•
� a_u1-Pry unite=
❑NEW ❑ADDITION o ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO. BASIC PLAN? o YES n NO
ZONING DESIGNATION CHANGE OF USE? o.YES o NO
•NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? o YES a NO
PLATTED LOT? ❑YES o NO • DEMO PERMIT REQUIRED? o YES ❑NO
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Bulletin#100—April 2,2007 . Page 2 of 4 k\Handouts\Permit Application