00-105310City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #: 00 -105310 - 00 - ME
Inspection request line: 253.661.4140
(3:30pm cut-off for next day inspections)
Project Name: JOHNSON
Project Address: 1906 SW 347TH Parcel Number: 742800 0360
Project Description: MECHANICAL - Install gas fireplace insert and approximately 20 feet of gas piping for single family
residence
Owner
Applicant
Contractor
Kenneth D & Kimberly Johnson
Kenneth D & Kimberly Johnson
AQUA REC INC
1906 SW 347TH PL
1906 SW 347TH PL
FEDERAL WAY WA
FEDERAL WAY WA
1221 REGENTS BLVD
98023-7009
98023-7009
FIRCREST WA 98466
Mechanical Valuation..........................................1500
Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description Quanti Description Quantity I Description Quanti
Fireplace Inserts 1 Gas Piping 1
PERMIT EXPIRES April 22, 2001, IF NO WORK IS STARTED.
Permit issued on October 24, 2000
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 W/l. ,%a -y. L -Z-
Owner or agent: Date: (/ -2-
G CONSTRUCTION PERMIT APPLICATION
OCT 2 4 200 APPLICATION NUMBER: D o-
APPLICATION NUMBER: - CITY
I BUILDING ®EpT A� APPLICATION NUMBER:—
**The following is required information - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS: `O �' th F AC` ' ASSESSOR'S TAX/PARCEL #: 7 c9®- dam" 6.o
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION
• ❑ ELECTRICAL ❑ ENGINEERING IJ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): z:;A5T /% r��s��` 1,&5e?t -/- Aww oe �G �
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
NAME:DAYTIME PHONE:
Kenne-m 6. aAd- Kun kr(y J akn wt (�153 ) W'3t -5566C/
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
/qo)6 - 51J/ 3q-1 ""Ptace. IQ.dA(o& WN WR • OWo X3
NAME:1 /] p %I /)Jq� M� ��j
DAYTIME PHONE:
MAILING AD% ;T ADDRESS; CITY,AP):
EVENING PHONE:��,L'J
>v of , rt,e-js4- 1444 q
) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER.
� /�
EXPIRATION DATE:
/ / 0 /
AoVi4 X x*1t oI- - - - - - - - - - - -
%f
APPLICANT: NAME: DAYTIME PHONE:
15
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ SOO
PROPOSED USE: �PROPOSED VALUATION FOR IMPROVEMENTS: $
11L4
SPRINKLERED BUILDING? YES 1
�0 FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 11 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
FLOOR
C✓oPY OF c ft*Arl2.^eio2S
C-LC40-^JSE
tt }ctZ$O0 03(60
THIRD
FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEMS)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) i FIREPLACE INSERTS) RANGE(S) _ �MISC. ( 6AS fIF146
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC J<GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) _ _ RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ,GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) misc.(
INTERCEPTORS) SUMP(S)
I certify under penalty of perjury that the Information furnished by me is true and correct to the best of my knowledge, and
further, that I am authorized by the owner of the above premises to perform the work for which the permit application Is made. 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 of
Federal Way, 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 part of this application.
NAME/TITLE: "".(' DATE:
PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718.253-661-4000 • FAX: 253-661-4129