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06-106220
s [ Comm Deoeervices unity Mechanical Permit #: 06-106220-00-M E -w P.O.Box 9718 e Ph:(253Fed)835-2607ralWay,WA Fax98063-9718(253)835-2609 Inspection Request Line: (253) 835-3050 Project Name: LABRUM i... i �; - Project Address: 1515 SW 320TH CTL -- ` Pa 1 Num.• 010450 0700 Project Description: Installation of gas insert and gas line Owner Applicant / Co ac Iv RANDALL LABRUM AQUA REC'S INCA UA INC 722 REITEN RD 1407 PUYALLUP AVE A I* IRA (12/ 1/06) KENT WA 98031 TACOMA WA 98421 1407 PUPA U E TAC 1t C It •itional Pe it Informs Mechanical Valuation 3 I I Over ount ti‘pYes 111/ica tures Fireplace Inserts PERM PIRES Sunday, December 7, 2008 Permit Issued on Thursday, December 7, 2006 ereby ertify t ' ,he above nformation is correct and that the construction on the above described property and the ancy a he use will be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. er or agent: . _:w. , a 40 , ` td _.;,„;LA_____,„ , / i is i Date: 44- s'' o G,.,J G • C .y of Federal Way Mechanical Perm #: 06-106220-00-illi E »cnmunity 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: LABRUM _ 1 Project Address: /6/.S 5!A) 3 2-(:)111'GT" Parcel Number: 179000 0090 Project Description: Installation of gas insert and gas line Owner Applicant Contractor RANDALL LABRUM AQUA REC'S INC AQUA REC'S INC 722 REITEN RD 1407 PUYALLUP AVE AQUARI*110RA (12/31/06) KENT WA 98031 TACOMA WA 98421 1407 PUYALLUP AVE TACOMA WA 98421 Additional Permit Information Mechanical Valuation 3000 Over the Counter Permit? Yes Mechanical Fixtures Fireplace Inserts I PERMIT EXPIRES Sunday, December 7, 2008 Permit Issued on Thursday, December 7, 2006 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: /(/+�' '/ -j 4/� Date: 144/a6 414161. THIS CARD IS TO AMAIN ON-SITE CITY of PommunitY p Inspection me it Ins ection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 06-106220-00-ME Owner: RANDALL LABRUM Address: 2411 SW 316TH ST FEDERAL WAY, WA 98023 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 Date/2./2. C> /1//I' /2 - //• OCo /(; 2 a Aktzk., THIS CARD IS TO REMAIN ON-SITE CITY OF "' Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 06-106220-00-ME Owner: RANDALL LABRUM Address: 1515 SW 320TH CT FEDERAL WAY, WA 98023-5427 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) 0 Final-Mechanical(4065) Approved Approved to release test Approved By Date By Date By Date M I SITE RECEIVED / } 4411 .- cin of 6 I D _o �t FederalWaPERMIT Way DEC o 7-2006 SF MF CO 0EL PL DE EN FP COMMUNITY DEVELOPMENT SERVICES 33325 8rH AVENUE SD, sF Ggar I C A T I O N FEDERAL WA ^A 9 8 063-9 718 TY O� FEf� TD / / 253-835-260 •FAX 253-835-2609 B U I LD I N www.dt .,e.- • a .co,. The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type. • PROPERTY INFORMATION • SITE ADD• `t:, pAr I i fr % ''� - /, J SUITE/UNIT# ASSESS s -'S TAX/PARCEL# © C 0 1 J 0 017- 0 O LOT SIZE (sf LEG•' DESCRIPTION (e.g.Acme Estates,Lot I) wwwwww I parol- .•.e o I eng(hy legal description) __,/ Al ids ■ PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING , i MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu) /4i7771-4 T/u'Y X11` 24 5 /4/5/71:7—44 1.- 4/LAG PROJECT NAME(Name of Business or Owner Last Name) L 6 2 at '-I • PEOPLE INFORMATION PROPERTY NAME i j r� /. PRIMARY PHONE J�j /� OWNER ./(r1/y/ fZ X4.6 UJ„! aSJ )u•W '-J(/ 7 MAILING ADDRlIsS8 CITY,STATE,ZIPE-MAIL ADDRESS d V// S S W 3/C ,37- FE4404 ' Oto g"ca 3 CONTRACTOR Cy PANY NAEz. APPLICANT NAME OFFICE PHONE 1 M1 G ADDRESS C STATE,ZIP CELL PHONE . ;01 cyvi - CITY OF FEDERAL WAY BUSINESSrf ,INLICENSE NUMBER EXPI TION ATE FAX NUMBER �7• COPY of cud required CONTRACTOR'S-0d - 101966 GISTR1 0 1NU9 6 6 - 0 0-13L PIJ N 06 b1,5,ATE E-MAIL AD 6?f,~t L q/ wdth loch epplloatlon APPLICANTC9• A CANT NAME OFFICE PHONE. 4j1/I/ /l/fl '4 11 Ili LL PHON c)-I MAILING ADDRESS ` i c 8/sv4 SC) . ✓STATE, ,1 1 G7.00.3 CE j3 ) J(/ V 9,23 -RELATIONSHIP TO PROJECT. • FAX NUMBER ❑ Architect 0 Tenant 0 Agent 0 Other 57(.14/5 i hi 64ti yi) ))9(// -7.5'oQ PROJECT N j)7'jv/i) PRIMARYYPHO'E/ E-MAIL ADDRESSlCONTACT c,-j) '7/ 7507 7 LENDER NAME Per RCW 19.27.095: • Lender information is required if project value exceeds$5,000 MAILING ADDRESS/V. DDRESS A /1 CITY,STATE,ZIP PHONE - ■ DETAILED BUILDING INFORMATION • EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ j ti`tom` SPRINKLERED BUILDING? 0 YES 0 • FIRE.SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO WATER SERVICE PROVIDER 0 LA ^'AVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER ■ AKEHAVEN . 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) DECK(0 COVERED OR 0 UNCOVERED?) GARAGE 0 CARPORT 0 NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL Sr **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ ■ FIXTURES Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL 3 Value of Mechanical Work $ '-i'-(/ (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 x` FIREPLACE INSERTS HOODS(Commercial) COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Suits) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Tottery 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 my 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. 7 ie NAME/TITLE PA.1 (AA/t t'1 DATE /02 Q (Signature) t (Tine) RELATIONSHIP TO PROJECT 0 Owner 0 Agent ❑ Contractor ❑ Architect 0 Othet S fd),4 GA 6-7?._ a NEW o ADDITION ❑ALTERATION o REPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES ❑NO ZONING DESIGNATION CHANGE OF USE? ❑YES a NO NEW ADDRESS REQUIRED?. ❑YES o NO UP/SEPA/SU? ❑YES ❑NO PLATTED LOT? ❑YES a NO DEMO PERMIT REQUIRED? o YES o NO Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application