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15-103933 f 0 • Mechanical City Econ.D Way Permit #: 15-103933-00-ME Community&Econ.Dev.Services 33325 8th Ave S Federal Way,WA 98003 y 4° Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050 s Project Name: KOEHNKE Project Address: 29914 2ND PL SW Parcel Number: 720530 0080 Project Description: Install gas line for fireplace insert and barbeque grill install Owner Applicant Contractor DEE ANN KOEHNKE DEE ANN KOEHNKE OWNER IS CONTRACTOR 29914 2ND PL SW 29914 2ND PL SW FEDERAL WAY WA FEDERAL WAY WA 98023-3571 98023-3571 Additional Permit Information Is this an Online or O.T.C.application? Yes Mechanical Fixtures Fireplace Inserts 1 Gas Piping 1 PERMIT EXPIRES Tuesday, February 2, 2016 Permit Issued on Thursday, August 6, 2015 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy . the use ill b in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. \\\,' \\(— Owner or agent: ' _} '\\NG./-.--- Date: dr AIL THIS CARD IS TO .MAIN ON-SITE CITY OF �"" • Construction In ction Record Federal Way INSPECTION REQU TS: (253)835-3050 PERMIT#: 15-103933-00-ME Address: 29914 2ND PL SW Project: DEE ANN KOEHNKE FEDERAL WAY, WA 98023-3571 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) El Final-Mechanical(4065) Approved Approved to release test Approved By Date By Date By Date - Rough Electrical 11n Final Electrical Right of Way Approved Approved Approved By Date By Date By Date 1 I c,r oF : . • PERMIT 'PLICABI,�'NEDN Federal Way ,�� c y 3 AUG 06 2015 PERMIT NUMBER ( 5 _ 10 3 c J _ m f� CITY OF FEDERAL WAY TARGET DATE CDS SITE ADDRESS C.�._ L\ A./ 1 X►•A SUITE/UNIT# `-AC\\4 Z VI—AU- ,W . �qP ' ---7? PROJECT5 ''''''BSI ZONING ASSESSOR'S TAX/PARCELCD 5 ,3 O 0 0 8 TYPE OF PERMIT 0 BUILDING g PLUMBING KMECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT IO \ ( 1,. \ PROJECT DESCRIPTION N. r-AL-i__ ClAci L\NAL AOR. V-tRr.1 O `)I. r Detailed description of work to 7. ) � Z Lc , S I ?LJ\ E )'t� r be included on this permit only . t I,\5_TA LL Ott�5 u NE F,_ 2 c LE- EiLL NAME� L, ``(� , Imo. PRIMARY PHONE L� PROPERTY OWNER 1/t- Yo'.-1-'�'�t Y\ )17/-mi) +JO}-INJC7N' ��j��l`�- `� 1 MAILING ADDRESS v1-. _ E-MAIL CITY STATE ZIP -- n RL \kA `ceoz-3 NAME PHONE \k(1 As Aeov MAILING ADDRESS E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / NAME PRIMARY PHONE urAPP1\'4L- AS 456)(1a— APPLICANT LICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX NAME � PRIMARY PHONE PROJECT CONTACT 7� e (\S A `YF (The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence concerning this application) CITY STATE ZIP FAX NAME ❑ PROJECT FINANCING OWNER-FINANCED Required value of$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 Iaws 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 slied to the city as a part of this application. tii DATE 1 1 SIGNATURE: �1� �� t� _ PRINT NAME: *.\--)6N Ir_ a 0I' t,1,_...* Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application A • • MECHANICAL PERMIT VALUE OF MECHANICAL WORK Indicate how many of each type offacture to be installed or relocated as art 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 X 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(latches/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❑ 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 `m AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square Feet Type Stories NEW BUILDING ADDITION COMMERCIAL—REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information in Square Feet Type Stories TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application