03-100242City of Federal Way
Community Development Services Mechanical Permit #: 03 - 100242 - 00 - ME
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 2.53.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: BRULE -
Project Address: 32912 4TH�S Parcel Number: 926871 0350
Project Description: Fireplace insert and piping
Owner
Applicant
Contractor
James R Brule
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
32912 4TH LN S
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98003-7308
(206)282-4700
Mechanical Valuation..........................................3000 Over the Counter Permit...................................... Yes
Mechanical Fixtures
Descrl fl
s6n Ilan a Quanti
. .., , I3 -
Fireplace Inserts 1 Gas Piping 1
PERMIT EXPIRES August 2, 2003, IF NO WORK IS STARTED.
Permit issued on February 3, 2003
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: Date:'��` �3
el
jai 0//
011;2012003 18:10 3609452091 NWPERMIT PAGE 10
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aff
�• CONSTRUCTION PERMIT APPLICATION
*"The foBomsing Is m4ulfed infomtatlon - Please print on Ink) or type**
Please not�-: ek'Ct'WW, Fine PF0Ventlon 5ystanS and F,ngineering p etmits may Fegafre a aepatate appti3�tion.
PPQPtRTY INFORMATION
SITE ADDRESSc 32912 4TH LANE S ASSES SOWS TAX/ PARCEL 9 2 8 8 7 1° 0 3 5 0
LEGAL DESCRIPTEON Of SUBIECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LEpG'i V);
PROJECT INF OPMATION
TYPE OF PROJECT (This applld:atior): 0 BUILDING = PLUMBING ❑ MECHANICAL I] DEMOLrrWN
❑ ELECTRICAL = ENGINMING D FIRE PREVENTION SYSTEM
PROJECT DESCRIPTDON (Prorldv detailed description):
INSTALL FIREPLACE INSERT AND PIPING TO INSERT
PROJECT NAME: —20 C i
PEOPLE INFORMATiON
PROPERTY OWNER; iAkME 3AiitES BRULE w�nzME aranE:
Mott urnYxracCc nruFcr wtvnuc.��. rrry er.er (2�3 ) 838 i762�4
32912 4TH LANE S
CONTRACTOR: j e
I WE5G0
(206 ) 282 4-700
2800 THORNDYKE AVE W SEATTLE 98199
CITVOFFB)ERALWJ,TYir1 63id 5LKENSEMJMBCdL---_-..._...................._--.
FN:NUtaBER:
0ONTPAA-7GR'v,RE61STiAAT;0N Num ER;— — w — — — — — UYNATI R W,rE:
(c cc caro require) - W A S H I E 5 9 9 0 C W— —— 02 ! 20
APMICANT4 NAME: -- - -
JAMES BRIJ�.E P�.4'T1ME PHOh&:
( 263 ) 838 0624
NU11d a IG ADDRESS (STAEETAMAW!3S CTPl S"fATE, ZIP); E6 9dlfdfa P4�P1E:
22912 4TH LANES _
REtATUMM19 TO R8QO---T; UM —
L2_ARCHITECT -1 TENAINT n OTHER (DESCEtXsg): ( )
CONTACT PERSON FOR THIS PROJECT: i7 PROPERTY OW14ER Z APPLICANT ❑ CONTRACTOR
ENLISTING USE: EXISTING RUMOING ASSESSWJ IPPRAISiD VALUATION �............: ... _ --
PROPOSED USC: PROPOSED VALUATION FOR IMPROVEMENTS: S 3Q(i0.00
SPRINKLERED BUU-DI14947 , YES u NO FIRE SUPPRESSION SYSTeM PROPOSED/REQUIRED° L V1�5 J NO
WATER SERVICE PROVIDER: -1 LMEHAVEN -i HIGHLINE R TACOMA - PRIVATE (WELL)
SEWER SERVICE PROVIVERA z) LAKIENAVEN _I HXGHLtNE ❑ PRIVATE (Si PTtQ
01/,20/2003 18:10 3609452091 NWPERMIT PAGE 11
r
I .
—NEW RESIDENTIAL CONSTRUCTION ONLYWIt
NUMBER Of BEDROOMS: _ EST24ATED SELI_iNG PRICE: ¢
PR0.'1ECT FLOOR ARFAa'
FLOOR
p(ISTING Sia. FT,
PROPOSED S¢ I"T.
TOTAL
BASEMENT
W r-MMACE ENSERT(5)
HOOD(S)
RANGE(&)F4TSC.
WOODSTOi/E(S)
(.
COMPRESSORS)
FURNACES)
)
SECOND
1 GAS PIPE OUTLETS)
MEAT SOURCE:
:1 ELECTRIC o GAS
THIRD
PLUMBING
fOURTIi
- LAVAT'ORY($)
URINAIL(S)
WATER HF:ATER(S)
OTHER FLOORS (DESCRIBE)
RAIN TMATER SYS. �
VAwuM SREAKE3t(S)
-3 ELECTRIC D C.As
DECK
_ 'SHOW-ER(S)
WASH MACHINE OUTLET
6AfdA6S
sit qs)
WATER CLOSET(S)
MISC. (- )
SHOW MANY FLOOR'S:
SUMPI;s)
—
TOTAL:
{
ZndlCm*e number of each type of fixture
MECHANICAL
Alia MANDLIN6 UNITS)
T 1 EVAPOiRATrVr CYOOLER(S)
CA's LfDG(S}
[tSfRIG. SYbTED7(S)
BOTLERCS)
W r-MMACE ENSERT(5)
HOOD(S)
RANGE(&)F4TSC.
WOODSTOi/E(S)
(.
COMPRESSORS)
FURNACES)
)
OUCT(G)
1 GAS PIPE OUTLETS)
MEAT SOURCE:
:1 ELECTRIC o GAS
PLUMBING
SATHTUR(S)
- LAVAT'ORY($)
URINAIL(S)
WATER HF:ATER(S)
_..... _ DRINKING
RAIN TMATER SYS. �
VAwuM SREAKE3t(S)
-3 ELECTRIC D C.As
FOUNTAIN(S)
PIPES
_ 'SHOW-ER(S)
WASH MACHINE OUTLET
GASPIPE TOR(E)(S)
OUTLET(5)
sit qs)
WATER CLOSET(S)
MISC. (- )
INT
_ INTERCtFTOR(S)
SUMPI;s)
—
IMSCLAIr-IERISIGNATURE BLOCK
I Certifp -Rder Penalty of pesjurY that Me information furnished by me is true and correct to tlae lest of my knowledge, and
further, that I am authorized by the owner of the above pmnksm to perforin the Work for wh5ch the peanit app(ic=tian is macre. I
further agree to hard harvnk ss the CKy of Federal Way a8 to any dalm (IMIU ihng costS, ezynerrses, and attorne"' forts incurred in the
investigatlon and defense of such dalm), which may tie made by any Person, including the undersigned, and f4ed against the City of
Federal Way, but only Whets such datTn adhe reliance of tho city, including Its offlce q& and employccs, upon uw 4wcurax y
of the Information suplrl' dty as amogakoAk apps Lan.
NAMIEITITLE: DATE. 01/21103
U PROPERTY OWNER J APPLICANT U alNTRA1=TOR
7)IlSNI3'is:'::::RA6IC::
T��l7
itiA�f'��Std iR�:i?�: � �'���'��;�rt:s ::'•.�:Flr� :;:.:::
MF 4UNCFY C)EVELCIPWNT 5CR l;_r 5 • 33530 FIRST WAY °SOUTH • Ail BOX 9115 • F RIEPAL WAY; WA 96Ca63 97h8 •X53 Sb1�tTD • FA�c; 153 E61.4129