09-100408ft
Cily 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: VANDENHEUVEL
Project Address: 3718 S 334TH ST
i M-1 chanical
Permit #: 09 -100408 -00 -ME
Inspection Request Line: (253) 835-3050
Project Description: Exterior piping for conversion from propane to natural gas
Parcel Number: 614360 0190
Owne
Applicant
Contractor
DON VANDENHEUVEL
DON VANDENHEUVEL
VALLEY FURNACE INC
ELEANOR VANDENHEUVEL
3718 S 334TH ST
VALLEFI161R6 (12/26/09)
3718 S 334TH ST
FEDERAL WAY
PO BOX 507
FEDERAL WAY
PUYALLUP WA 98371
Addltlorial Permit Information
Mechanical Valuation............................................250 Is this an Online or O.T.C. application? ................. Yes
.wMermmtlrtit:l[M1=ixtures
GasPiping ...................................... 1
PERMIT EXPIRES Wednesday, July 29, 2009
Permit Issued on Friday, January 30, 2009
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
/-. anfil1he City of Federal Way.
Owner or ag
Date: ! - J43 1 `0 F
THIS CARD IS TO nVAIAIN ON-SITE
CITY OFA tommunityDevelo m nt Ins ection Record
p p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 8353050
PERMIT #: 09 -100408 -00 -ME
Owner: DON VANDENHEUVEL
Address: 3718 S 334TH ST
FEDERAL WAY, WA 98001-9604
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE TMS 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 (40657
Approved Approved to release test Approved
By Date By <,— LAD Date,Z -#'0' 0' (:t By Date 2— 4/_
For inspector reference
❑ Rough Electrical
Approved
By Date
❑ FINAL - Electrical
Approved
By Date
CUTUPA�„
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37326 vX AVMM so= • PO Box Qna J
FXaMWAY, WA 006"7I8
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30 A. PPLI CATI O N
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SUITEtumm #
dssE�soR'S TAVI?ARCEL # G2 c . " . L LOT Sm jsp
U*AL DEMON (&g Aa m RSR^ Lac 1) Ly Ts 37 3 F 3 q llo,- ry Z Vl<c
PROJECT INFOR:d.ATION
Typs or PERIM 13 BUILDM 13 PLUME=
i DEMOLMON ■ ELECTRICAL )E3==O i I= PFXVZXMN SYSTEM
PROJECT DZSCRnvnON (Providedetailed jdesd lion of work inr3uded on olb nerneit ontu)
;• o-
`kp�� Few
0 PEOPLE INFORALITION
a
CRMPpNY NAME
Cs`_
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APPLICANT NAME
i., 11�ii t t r •
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C[f7f. STATE, =P
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CSGLPIiUNE
a
CRMPpNY NAME
Cs`_
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APPLICANT NAME
OFFICE PHONE �7
t Cj V4J
MAZINO ADDI2E3S
RWSO 7 78!$ v% 4. F,
C[f7f. STATE, =P
YAt [ IoO,,! a1
CSGLPIiUNE
CnT OF FEDERAL WAY BUSINESS LICENSE NUMBER
loaqlAmol DATE
>,� -31-of
FAX NUMBER
3) Y� S-71(�
10kgo �. .�
CxRr��pNAWS&TORIILTi
E-MW.ADDRE
1
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CfIY. STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
a Architect a Tenant a Agent a Other
{ "
PiAME PRIMARY PHONE EMAIL ADDRESS
NAME
PerRCW 1427.09&*
--�
Lender Worma don is requbvd if on exaemb "000
MAHMO ADDRESSCfM
STATE, ZIP
PHONE
�.
t j "
EE34TI G USE PROPOSED USE
RaiSTII1Tf3 QED/ li •�y G���. VALM OF PROPOSED WORE � o�•
BUILDING? a YES I�IItE S'MMt= BION SYSTEM PR0POSEDI=Q a YES *NO
WATER SERVICE PROVIDER $(LAKSHAVEN a HIQrRUM a TACOMA i3 PRIVATE (WELL)
SEWER SERVICE PROVIDER 13 LAREffAVEN 13 H GWJNE PRIVATE {SEPTIC)
AREA DESCRIMON
BASEMENT
EI[ISTUM
. FT.
PROPOSED
80. FT.
TOTAL
SQ. FT.
FIRST
SECOND
THIRD
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
r10rallo
u
AD°'
1 mzpxava' .w
Tamer
**NEW FIOMES ONLY" NUMBM OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate mmber of each type off= we to be installed or relocated as part of dtb project. Do rwt &u&ude exlsana flxhvw to rmrraia
I Value of
zecnanicat world ) OF BM OR &%W= MUST BE INCLi W WfMAPPLICATION)
ALR HANDLING U EVAPORATIVE COOLERS am PIPE oun= WOODSTOVEs
BWS FANs OAS WATER HEATERS , R[gC ( )
BOILERS FIREK ACE LNsERTs HOODS (C0.0" q T`
COMPRESSORS FURNACES RANGES
DUCTS GAS LOO SETS REFRIO. SYSTEMS
D
BATHTUBS (orTaty9i,.wec..ey LAVE URINALS mm (per
DISHWASMM RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CWSETS (rn.q
ELZC%WD WATER HEATERS SINKS WASHING MACHINES
HOSE BLEBS SUMPS
I awft mhater Pemft 4f Pw*vv that I tan the propertg owner or aut"r/:ed ag-d of the propmV otm w. I oerl�'r, j that to ow best of nary
knowledge, the iq&mm tion =W&emd in support of this permit apptioatton is true and aorreat. I cert{ fij that I wW compig wlth an appltaabls
Cft of'realest 'Wag regatatons pwtmb Ing tb the work aoutltortsed bg the fammhoe atf a pwnft I W"Ursftmd that the tasaaeume of this pwm t
hoes not remooe the owner's responssbitttg,fbr complia m- with boat, state, orf -brat taws regulating Dont =Mm or ww&onn wdW I=&
I farther agree to hold lwnnUm the Cttg of Federal Way as to ting again ft-* &W costs, OWWWON cued attorneys' fees iaaurred in the
bmestga6ton and tWinse of soak atatm4 which may be made by OW Pwww. fnahuMV the undavigneat, and j W aga but the atty, but ontg
whore such again arises out of the reUmw of the aft& faaW&M ifs gARaers and enploy"-% upon the aca mmy of the b%rarrnaiton supplied to
the eit9 as 'apart of 1110 p" icaaiom
aim a ADDITION
BIIILDING SHELL ONLY?
ZONnfG DESIGNATION
NEW ADDRESS REQUIRED?
PLATTED LOT?
a ALTERATION a REPAIR a TENANT IMPROVEMENT [
CMOs ONO BASIC PLAN? a YES a. NO !
CHANGE OF USE? a YES a NO
a YES a NO IIP/SEPA/SII? a YES a NO
a YES a NO DEMO PERMIT REQ<JIRED? a YES a NO
Bulletin #100 —January 1, 2009 Page 2 of 4 WandoutsTermit Application