03-100603City of Federal way
Community Development Services Mechanical Permit #: 03 - 100603 - 00 - ME
33530 lst Way S
Federal Way, WA 98003-6210
Ph: 253:661.4000 Fax; 253.661.4129 Inspection request line: 253.835.3050
Project Name.' WILKINS �,r1
Project Address: 31717 48TH SW UnitB Parcel Number: 784300 0140
Project Description: Install approx. 35' of gas piping and fireplace insert in existing condominium unit.
Owner
Applicant
Contractor
Larry w & Carole L Wilkins
Lary w & Carole L Wilkins
GODFREY'S PLUMBING
31717 48TH LN SW UNIT B
31717 48TH LN SW UNIT B
15015 88TH ST E
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
PUYALLUP WA 98372
Mechanical Valuation..........................................2600
Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Fireplace Inserts T7711
Gas Piping 35
PERMIT EXPIRES August 10, 2003.
Permit issued on February 11, 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:
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Y ` RECEIVED CONSTRUCTION PERMIT APPLICATION
CITY OF PPLICATION NUMBER: 3 - 0 (e!) - O D F'«
Federal Way FEB 1 12003 APPLICATION NUMBER: _ _ - _ _ _
CITY OF FEDERAL WAY APPLICATION NUMBER: — — - — — — — — — -
- —
—The follow&"LddWaiDMi6ormation - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
j�,` ,
PROPERTY fJ (� /
SITE ADDRESS: 311 l T - tf i- 4H '54) • ASSESSOR'S TAX/PARCEL #: 6 �7 v ( 3 z90
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
•• •
TYPE OF PROJECT (This application): ❑ BUILDING o PLUMBING vtMECHANICAL ❑ DEMOLITION
❑ ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): -zwStktL• a+< 1'1A1L � �/2L-�L. C.t_F ZNS�✓Z
PROJECT NAME: l�lCl�'/itl�
PROPERTY OWNER:
NAME:
1,4p -Ay , CA-AOLe- Wi c.,c,,us
DAYTIME PHONE:
' (Za' ) 839- 0'140
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
I
3 -) I
CONTRACTOR:
NAME:
I DAYTIME PHONE: i
iMAILING ADDRESS (STREET ADDRESS; CITY, STATE. ZIP):
EVENING PHONE:
isO�s' E Aug A vJ -k 9Y3?z
I
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
i FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER:
I EXPIRATION DATE:
(oWy of card required)
APPLICANT:
NAME:
I DAYTIME PHONE:
MAILING ADDRE (STREET ADDRESS; Cf TY, STATE, ZIP):
EVENING PHONE:
3 ( -11-) - '4 5 41 li � 13 FGA I,uS�l Sk'()1L3
; ( ) -
RELATIONSHIP TO PROJECT:
I FAX NUMBER:
❑ ARCHITECT dTENANT ❑ OTHER ( DESCRIBE):
-
E -MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: IPROPERTY OWNER VAPPLICANT o CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
$
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/
REQUIRED: o YES o NO
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑ TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE 0 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
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) 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: o ELECTRIC o 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) SINKS) 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 Cityof Federal Way as to any claim (including costs, expenses, and attomeys' 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: kr- DATE: 2 — 1 % " O.3
❑ PROPERTY OWNER 9APPLICANT o CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 •253-661-4000 • FAX: 253-661-4129
www.dtvoffederalway.corn