12-104897Mechanical
of Federal Community & Econ. Dev. Services Permit #: 12 -104897 -00 -ME
33325 8th Ave S = k
Federal Way, WA 98003' Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax (253) 835-2609
LJ k 3 `
Project Name: SAVINO
Project Address: 36319 14TH AVE SW Parcel Number: 218000 0980
Project Description: Installation of State certified wood stove in accordance with manufacturer's installation
instructions.
Additional Permit Information
Mechanical Valuation............................................2000 Is this an Online or O.T.C. application? ................. Yes
Mechanical Fixtures
Woodstoves.................................... 1
PERMIT EXPIRES Wednesday, April 24, 2013
Permit Issued on Friday, October 26, 2012
I hereby certify that the above information is correct and that the construction on the above described properly 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 R.c�� r Date: /OA 6 Z 2-
IZ �� Z
Owner
Applican
Contractor
PAUL SAVINO
PAUL SAVINO
OWNER IS CONTRACTOR
3631914TH AVE SW
3631914TH AVE SW
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Additional Permit Information
Mechanical Valuation............................................2000 Is this an Online or O.T.C. application? ................. Yes
Mechanical Fixtures
Woodstoves.................................... 1
PERMIT EXPIRES Wednesday, April 24, 2013
Permit Issued on Friday, October 26, 2012
I hereby certify that the above information is correct and that the construction on the above described properly 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 R.c�� r Date: /OA 6 Z 2-
IZ �� Z
AN
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO MAIN ON-SITEIr
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
12 -104897 -00 -ME Address: 36319 14TH AVE SW
PAUL SAVINO FEDERAL WAY, WA 98023-7286
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
0
Mechanical Rough -in (4165)13
Gas Piping (4125)
Final Electrical
Approved
Final - Mechanical (4065)
1:1
Approved
By
Approved to release test
Approved
By
Date
By
Date
By
Date T
Rough Electrical
Approved
EJ
Final Electrical
Approved
1:1
Right of Way
Approved
By
Date
By
Date
By
Date
QTY OF 1 ® PERMIT
Federal Way �v e
COMMUNITY DEVELOPMENT SER Ce ppLICATION
253-835-2607• FAX 253-835-26
uww.dluo ederatuIau.con+ A 16 2®
C
/-Lo -'2
4MF CO F
PL DE EN FP
SITE ADDRESS OF fe
346 3 /� �m / �'® xVe ✓ /SERF t
SUITE/UNIT $
PROJECT VALUATION
$ Z000
ZONING
ASSESSOR'S TAR/PARCEL @
�? / 9 6 d &
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
�AI P WIF
PROJECT DESCRIPTION
w0 o D 5 To VE /.✓ Sh'o
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
J57 f �/ Al V
PRIMARY PHONE
A S 3- S/% s q 8
MAILING ADDRESS
363/ / y/�✓E S w
E-MAIL
MAR�/I�✓.vESA✓i�o9� Gf+Ai�.
CITY
1`E PtKf1 Z
STATE
ZIP
9 6,0d 3
NAME _
O I/✓ ,v E J2
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE 9
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE 9
NAME f
PHONE
APPLICANT
MAILING ADDRESS
E -
CITY
8TATE
ZIP
FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
✓ L
?(d R S 1 y H 4 o
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
(RCW } 9.27.095)
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 fusther 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 asQapart of this application.
SIGNATURE: zi�e DATE /O 12 P
PRINT NAME: ��I �% L S %J ✓ /.s/ Com%
Bulletin #100 — January 1, 2011 Page 1 of 3 k:lHandouts\Permit Application
^oH
0 •
VALUE OFMECEAMCAL Wo 00 (a Apy of bid or estimate must be provided)
Indicate how many of each type of fixture to be sated as part of this project. Do not include existing res to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commemiaq
BOILERS FURNACES HOT WATER TANKS (G—)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING Z 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.
ATHTUBS [or Tub/shower combo) LAVS lHandsink*
TOILETS
WATER PIPING
D WASHERS
RAINWATER SYSTEMS URINALS
THER (Describe)
D S
SHOWERS
VACUUM BREAKERS
DRIN G FOUNTAINS
SINKS (mtchen/utibty)
WATER HEATERS (mecuic)
HOSE B BS
SUMPS
WASHING MACHINES
CRITICAL AREAS OR PRO7
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF MSTDtG IMPROVEMWTS
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
MUSTING FIRE SPRINKLER EM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ N
D Yes D No
AREA DESCRIPTION
ADDITION
AREA DESCRTrION
TENANT AREA ONLY
EXISTING I PROPOSED Y TOTAL
# OF
Area Occupancy Groups)
ware Feet
TMAs
Area I Occupancy Groupls) Construction
in Sauare Feet ( I T"e
FOR OFFICE USE
# of Additional Information
Stories
Additional Information
Bulletin #100 - January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application