14-1044500 1* .- Me&anlical
City of Federal Way .* �j
Community & Econ. Dev. Services Permit #: 14 -104450 -00 -ME
33325 8th Ave S FILE
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 p q
Project Name: GARDNER
Project Address: 30052 6TH AVE SW Parcel Number: 039600 0160
Project Description: Fireplace inserts for basement and living space area
Owner
Agnlicant
Contractor
LEON R GARDNER
WENDY S GARDNER
AQUA QUIP (GENERAL)
WENDY S GARDNER
30052 6TH AVE SW
AQUAQ**O11C2 (2/5/16)
30052 6TH AVE SW
FEDERAL WAY WA 98023-3520
730 SW 34TH ST
FEDERAL WAY WA 98023-3520
RENTON WA 98057
Additionat'Permit Information
Is this an Online or O.T.C. application?.................Yes
Mechanical Fixtures
Fireplace Inserts ............................. 2 Gas Logs........................................ 2 Gas Piping ...................................... 2
PERMIT EXPIRES Wednesday, February 25, 2015
Permit Issued on Friday, August 29, 2014
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:
THIS CARD IS TO IN ON-SITE
CITY OF 1A Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 14 -104450 -00 -ME Address: 30052 6TH AVE SW
Project: LEON R GARDNER FEDERAL WAY, WA 98023-3520
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 ,4 Date Q _k lm
By <,, W_,_ Date q—Lk— v ir
By M Date " }�
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF 4A
Federal Way
• 0
PERMIT APPLIC4VMN
AUG 292014
PERMIT NUMBER 14— _ l 0 4 4— 5-0 _ M I/
TARGET DATE
CITY OF FEDERAL WAY
CDS
SITE ADDRESS
SUITE/UNIT #
30p S21 (OTH AVE SO
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
W51 -ALL Z GAS rleCPLACC W509TS
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PROJECT DESCRIPTION
Detailed description of work to
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TT
62
be included on this permit only
PROPERTY OWNER
NAME
WVQL)GAi2DUef2-
PRIMARY PHONE _
W6 -,3o-Lltoo�
MAILING ADDRESS
2 TH Ave 5O
E-MAIL
m uxval (off 0, q6tv'
CITY
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STATE
WA
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X023
NAME
nVf1NF.
425 - ZbLl -23
UA 1
MAILING ADDRESSE-MAIL
72 3y11 � _ l
CONTRACTOR
•SW,
C....., 17 .- -- A STATEFZd
FAX
WA STATE CONTRACTOR'S LICENSE #
ATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
t L_)-, C1A9-DQ&Z_ 20 to -3- - 91POS,
PRIMARY PHONE U'''T% -
2 Ote -. _,; q . Ll tv
MAILING ADDRESS
,
APPLICANT
E-MAIL
60
C2_ T ESUS
OAt • (O
CITY
S
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F AIE 91
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I" i..lJ�.kAL vV �i'�
LOA
._
PROJECT CONTACT
NAME
lu l) ,� C'I H1 %L3L12
PRIMARY PHONE
�0l9 ` 3
MAILING ADDRESS
E-MAIL
b8
(The individual to receive and
respond to all correspondence
39M52- &114 AVF,
Mow
CITY
i= L-b0Z.AL A y
STATE
U) i
ZIP
q W23
F
concerning this application)
PROJECT FINANCING
NAME�-17" f -W&t �
�
(�� OWNER -FINANCED
T
"�M�AIILLING ADDRESS, /CITY, STATE, ZIP ��AA . 1 �1
,30DS2 6TH AVt SLID !'"l"{ t9AQ 11)P'( ii $v23
` _ PHONE^ Loos
�()(� " _ q - t4 Laos
Required value of $5, 000 or more
(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 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 parts of this application.
SIGNATURE: DATE
PRINT NAME:
Bulletin #100 - January 1, 2013 Page 1 of 3 k\Handouts\Pernlit Application
•
0
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Additional Information
$
Indicate how many of each type offixture
$ -7( 32-0v
Indicate how many of each type offixture
to be installed or relocated as
part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS
WATER PIPING
FANS
GAS PIPE OUTLETS
OTHER (Describe)
AIR CONDITIONER
2
FIREPLACE INSERTS
HOODS (commercial)
'JR4
BOILERS
SINKS Kitchen/Utility
FURNACES
HOT WATER TANKS (Gas)
HOSE BIBBS
COMPRESSORS
—77
GAS LOG SETS
REFRIGERATION SYST
DUCTING
Z
GAS PIPING
WOODSTOVES
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
# of
Additional Information
$
Indicate how many of each type offixture
to be installed or relocated as
part of this projeCL 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
'JR4
DRINKING FOUNTAINS
SINKS Kitchen/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
# of
Additional Information
is Square Feet
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
„`
❑ Yes ❑ No
[-]Yes ❑ No
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
# of
Additional Information
is Square Feet
a
Stories
„`
MOO,.
�4 MEW BUILD iaiO
:.;WM
'JR4
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
TENANT AREA ONLY
Bulletin #100 — January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application