10-103371w
City of Federal Way •
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: ATKINS
Project Address: 29310 3RD AVE SW
Project Description: Installation of gas fireplace and insert
•Mechankal
Permit #: 10 -103371 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 119600 1460
Owner
Applican
Contractor
TIMOTHY K ATKINS
TIMOTHY K ATKINS
ADVANCED INSTALLATIONS INC
SHANNON LITTLE
29310 3RD AVE SW
ADVANII033DU (3/13/12)
29310 3RD AVE SW
FEDERAY WA
16504 HWY 99 SUITE 101
FEDERAY WA
98023
LYNNWOOD WA 98037
98023
614
�,.
Mechanical Valuation............................................980.00 Is this an Online or O.T.C. application? ................. Yes
Fireplace Inserts ............................. 1
PERMIT EXPIRES Tuesday, February 1, 2011
Permit Issued on Thursday, August 5, 2010
1 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 accgrdance with the laws, rules and regulations of the State of Washington
the, City of Federal Way.
Owner or agent: - J Date:
P4049b s/rho
. •'! THIS CARD IS TOAIN ON-SITE
CITY OF Construction In ction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #:
Owner:
10 -103371 -00 -ME Address: 29310 3RD AVE SW
TIMOTHY K ATKINS FEDERAL WAY, WA 98023-3536
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 DateIA 1
By �41 "oj/ Date 1 Q
EJ
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
4k
eral Way
COMMUNITY DEVELOPMENT SERVICES
253-835-2607- FAX 253-835-2609
*PERMIT
APPLICATION
MF CO ME Pl, DE EN FP
ECEMED
AUG 0 5 2010
SITE "DRESS CITY OF FED iMMEWAY
G, /,�,lCD�
PROJECT VALUATION
$
ZONING
ASSESSOR'S TAX/PARCEL #
re 00
TYPE OF PERMIT
0 BUILDING 0 PLUMBING 19 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
-hum-- i,-,
be included on this permit only
PROPERTY OWNER
NAME
PR]31ARY PHONE
1
MAMING ADDRESS
E-MAIL
�mlyaju (bA
CITY STATE ZIP
[�QLL)J,A
NAME
PHONE
�q
NAILING ADDRESS
--Z-KAIL
CONTRACTOR
CITY
STATE
\,",% A
ZIP
e n 7�, -1 - i
FAX
liz, .-) -11 t:i t 1-,144
WX STATE CONTRACTOR'S LICENSE # F-XPU;MTION DATE
FEDERAL WAY BUSINESS LICENSE #
ADVA i�A
NAME
MAH DIG ADDRESS
EMAIL
APPLICANT
CITY STATE ZIP
FAX
PROJECT CONTACT
NAME
PHONE
(Me individual to receive and
01'�
1,4 1
MAILING ADDRESS
E-MAIL
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME: PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of .$5, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE fAl
(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. r 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.
rfiirther 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 arisiv.<—'out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as 9,pin of this application.
SIGNATURE: DATE
N
PRINT NAME:
Bulletin #100 — April 14, 2010 Page 1 of 3 k:\Handouts\Pemiit Application
0
•
VALUE OFMZCRAffZCAL WORK (a copy of bid or estimate must be provided)
Indicate how many of each type offtxture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS PANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER N FIREPLACE INSERTS HOODS (Commercial),
BOILERS FURNACES HOT WATER TANKS
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
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/show Combo)
LAVS JHd SmI.)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (kitchen/utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
CRITICAL AREAS ON PROPERTY? WATERPURVEYOR SEWERPURVEYOR, VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
Ei Yes o No Ei Yes ci No
. ................. 1.10 ..... ................ IM:%.
. -
WON.'
-%r
i.
fr
1 1," 11 - -
......
Stories
.0-01", �Nll . . . . . . . . . . . ............. .
AREA DESCRIPTION (in square feet) EXISTING PROPOSED
TOTAL
FOR OFFICE USE
- 0-1,11,411*0
xx
.
. . . . . . . . . . . . . . . .Construction
onal Information
---------------- ---
Area Occupancy Grou
I
FIRST FLOOR (or Mobile Home)
Stories
COVERED ENTRY
..... ................ .. . . .
X:
GARAGE 0 CARPORT 0
PROPOSED
TOTAL
Area Totals
ESTIMATED SELLING PRICE $
#OF BEDROOMS
AREA DESCRIPTION
Area Occupancy Group(s) Construction.
# of Additional Information
in Square Feet Type
Stories
AMDITION
- 0-1,11,411*0
xx
.
. . . . . . . . . . . . . . . .Construction
onal Information
AREA DESCRIPTION
Area Occupancy Grou
I
in Square Feet Type
Stories
TENANT AREA ONLY
Bulletin #100— April 14, 2010 Page 2 of 3 k:\Handouts\Permit Application