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02-103069City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: JONES Q\ Project Address: 3119 SW 319TH�Unit14 Mechanical Permit #:02 -103069 - 00 - ME Project Description: MEC - Install gas piping, one gas fireplace, and one gas log. Inspection request line: 253.835.3050 Parcel Number: 698000 0140 Owner Applicant Contractor Julie E Jones Julie E Jones Julie E Jones 3119 SW 319TH PLACE BU # 3119 SW 319TH PLACE BU # 3119 SW 319TH PLACE BU # FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA ` 98023 98023 Mechanical Valuation..........................................2000 Over the Counter Pen -nit ...................................... Yes Mechanical Fixtures PERMIT EXPIRES January 15, 2003, IF NO WORK IS STARTED. Permit issued on July 19, 2002 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: Qe,Y Date: j M 17escription '' '=Qtaalt Qescri tion-,_ _� .� G2uanti Fireplace Inserts I Gas Logs 1 Gas Piping PERMIT EXPIRES January 15, 2003, IF NO WORK IS STARTED. Permit issued on July 19, 2002 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: Qe,Y Date: j M DECEIVED CONSTRUCTION PERMIT APPLICATION f APPLICATION NUMBER: �2 4, - L03 JUL 1 9 2092 PPLICA1 NUMBER:- ---- -- APPLICATION NUMBER: CJTY OF FEDERAL WAY — - — — - — **The fol oiy[9gNFfMtbin"9formation — Please print (in ink) or type** Please note: Electrical, Fre Prevention Systems and Engineering permits may require a separate application. ,Q PROPERTY •. • SITE ADDRESS: ASSESSOR'S TAX/PARCEL #: LEGAL DESCRIPJION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): v PR03ECT INFORMATION' TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): PROJECT NAME• PEOPLE•• • X PROPERTY OWNER: CONTRACTOR: APPLICANT: NAME"/ %a DAYTIME PHONE: r `�// MAILING ADDRESS (STREET ADDRESS, QTY, _40, ZIP). NAME: DAYTIME PHONE: `EVENING MAILING ADDRESS (STREET ADDRESS; QTY, STATE, ZIP): PHONE: ) QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) NAME: MAILING ADDRESS (STREET ADDRESS; CITY, STAIT, 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 $ cc�� oa PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 4 d P7% SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: 11 LAKEHAVEN ❑ HIGHLINE 11 PRIVATE (SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PR03ECT FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: Indicate number of each type of fixture MECHANICAL lMGW(hb piol' 9 AIR HANDLING UNIT(S) EVAPORATIVE COOLERLOG (S) _��� ` GAS LOS) Y .J REFRIG. SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILERS) FIREPLACE INSERTS) RANGE(S) MISC. ( ) COMPRESSOR(S) FURNACE(S) DUCT(S) — GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS " PLUMBING BATHTUB(S) DISHWASHERS) DRINKING FOUNTAIN(S) GAS PIPE OUTLET(S) INTERCEPTORS) LAVATORY(S) URINAL(S) RAIN WATER SYS. VACUUM BREAKER(S) SHOWER(S) WASH MACHINE OUTLET SINKS) WATER CLOSET(S) SUMP(S) '1TSCL1kTMFR/STGNOTIIRF RLC WATER HEATER(S) ❑ ELECTRIC ❑ GAS 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. �7 c NAME/TITLE: DATE: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL. WAY, WA 98063-9718 •253-661-4000 • FAX: 253-661-4129 www.cbmfiedmlway.com