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15-1062621%W4 - Mechanical City of Federal Way Community& Econ. Dev. Services Permit. #: 15 -106262 -00 -ME 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 FILE Inspection Request Line: (253) 835-3050 Project Name: BALLESTA Project Address: 32811 4TH AVE SW Parcel Number: 926491 1090 Project Description: Run gas line for gas logs. Owner Aonlicant Contractor CLARK F BELLESSA ANGELA DOANE ALL AMERICAN CHIMNEY SERVICE & 32811 4TH AVE SW ALL AMERICAN CHIMNEY SERVICE& REPAIR INC FEDERAL WAY WA 98023-5614 REPAIR INC ALLAMCSO44NK (11/9/16) 29222 112TH AVE SE 29222 112TH AVE SE AUBURN WA 98092 AUBURN WA 98092 Additional Permit Information Mechanical Work Valuation?.................................811 Is this an Online or O.T.C. application? ................. Yes Mechanical Fixtures GasLogs ........................................ 1 Gas Piping ...................................... 1 PERMIT EXPIRES Tuesday, June 7, 2016 Permit Issued on Thursday, December 10, 2015 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: Date: CITY OF Federal Way PERMIT #: THIS CARD IS TOAIN ON-SITE Construction In ection Record INSPECTION REQUE TS: (253) 835-3050 15 -106262 -00 -ME Address: 32811 4TH AVE SW Project: CLARK F BELLESSA FEDERAL WAY, WA 98023-5614 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 Right of Way Approved Approved to release test Approved By Date By Date (Z - 11— L BDate 2 Rough Electrical Approved Final Electrical Approved El Right of Way Approved By Date By Date By Date All American Chimney Sery -- WCEIVED 833-6975 p.2 c"op *.74%".DEC 10 2015 PERMIT APPLICATION Federal Way CITY OF FEDERAL WAY CDS PrAmaT Nunose 0 � IY � �- _ M Z TARGET DATE SITS AMMAS lb SurrstivurT e PROJECT VALUATION 20HRQG A86E630R'6 TAX(PARCEL$ 4 t TYPE OF PERMIT ❑ BUILDING ❑ PLUMI31NG MECi-MNICAL ❑ MwOLITION ❑ ENGINEERING ❑ MRE PREVENTION NAME OF PROJECT f Ili-NEArNvC PROJECT DESCRIPTION Detailed desrnption of work to t _ of �4 W 2, OD 51rJtR r -4/1 -LL . < be included on this permit only RAM No—,,t, & PRffiABY PHONE PROPERTY OWNER MA1LISiO ADD 8 BrMAIL C1TY_4Q t G` � t / CC f J STATS ZIPS L NAME rotiPHONIC c7W ZG-� %�.s� 6 ADD S C,.�r 1M`� a �` ^ E-MAIL Q� i�C-1 c, .�( CONTRACTOR CItn� STATIC p . �''�� i/IQy�C.'1— _ IEXP �r 8 GvJ 7 Zf UV 1 + % ry WA STATS CO CTOR'S LICENSE M LLQ Iff/--+ PAAT10N DDATE 1 0`7/ A0 F8D RAL WAY INESS LICENSE 4 - NAME ,I l (.+� {� PRIMARY PHONE MAILING ADDREss S-MAtL APPLICANT CITY STATE ZIP FAX PROJECT CONTACT NAME t p I 1 o j �1 _ �[•� rj PRn�In? PHO� r �1J MAILING MAI1LLG ADDRIt,6S �L r XA= (The individual to receive and respond to all correspondence I h i Gcirvie�Cctrt • . CI 1rtJ�j 111 i sTATs IrAX concerning this application) PROJECT FINANCING NAME ❑ OWNER -FINANCED Required rmiue of $5,000 or more (RCW 74.27.095) MAILING ADDRESS, CITY, STATE, ZIP PHONE 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 1VOrmation submitted in support of this permit application is true and correct, I cert(& that I will comply with all applicable City of Federal Wag regulations pertaining to the work authorised by the issuance of a permit. I understand that the issuance of this permit does not remove the owners responsibib?ty, for compliance with looal, state, or federal laws regulating construction or enviroamentat taws. I further agree to hold harmless the City of FederaZ 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 amployees, upon the accuracy of the information supplied to the city as apart of this application. SIGNATIIItE: l jl DATE PRINT FLAME: fit &'l- � t� Bulletin #104—October 26; 2015 Page 1 of k:U-Iandouts'PtrmitApplication 6�1 "C", ;j— Ga J + a- All American ChirIey Sery __ � w MECHANICAL PERMIT 833-6975 p.3 VALUE QFMBc_rrAWICAL WORK Indicate how rnan o each e o to be installed or relocated as art o this ro'ect. Do not include exis'WjWures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(C_.,.;w) BOILERS FURNACES HOT [NATER TANKS pa* COMPRESSORS GAS LOG SETS REFRIGEReirION SYST DUCTING GAS PIPIAG WOODSTOYES RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) VALUE OF PLU140MG WORK PLUMBING PERMIT TOTAL � Indicate how many of each type offtrture to be installed or relocated as art of this ro ect. Do not include existiN-Axtures to remain. BATHTUBS (Wr b/Sho Combol LAVE (ii..a sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS (Kitchen/ualkm WATER HEATERS IEj..oic) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURIM # of Stories Additional Information DECK GENERAL INFORMATION CRMCAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING iMPROVEKENTS OTHER (describe) PROJECT AREA ONLY EXISTING/PREVIOUS USE LOT SIZE (In Squ—e Feat,) EXISTING FIRE SPRIMMICR SYSTEM? PROPOSED PIRG SUPPRESSION SYSTEM? TOTIa "*NEW HOS$ ONLY"* ❑ Yes ❑ No ❑ Yes o No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT NEW BUILDnio FIRST FLOOR (or Mobile Horne) ADwT[ON I SECOND FLOOR COMMERCIAL — RE, MODELITENANT IMPROVEMENTS AREA DESCRIPTION COVERED ENTRY Occupancy Group(s) s P(!Type Construction # of Stories Additional Information DECK GARAGE O CARPORT 0 TENANT AREA ONLY OTHER (describe) PROJECT AREA ONLY Area Totals PADPOSFa TOTIa "*NEW HOS$ ONLY"* ESTIMATED SELLING PRICE $ # OF BEDROOMS COMMERCIAL — NEWIADDITION .AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction # of Stories Additional Information NEW BUILDnio ADwT[ON COMMERCIAL — RE, MODELITENANT IMPROVEMENTS AREA DESCRIPTION Area In Square Feet Occupancy Group(s) s P(!Type Construction # of Stories Additional Information TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin ?#100 —October 26.20 L5 Page 2 of 3 k:1lHandoutskPertnit Application