03-100133.-11
City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
A.
Mechanical Permit #:03 -100133 - 00 - ME
Project Name: VURIK
PFoject Address: 1404 SW 306TH ,5+
Project Description: Installing new fireplace insert with associated gas piping.
Inspection request line: 253.835.3050
Parcel Number: 514930 0300
Owner
Applicant
Contractor
Robert J Vurik
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
1404 SW 306TH ST
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98023-3420
(206) 282-4700
Mechanical Valuation..........................................3129.25 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Fireplace Inserts Gas Piping 50
PERMIT EXPIRES July 15, 2003, IF NO WORK IS STARTED.
Permit issued on January 16, 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: ogu2L
Date: �°
01/09/2003 22:36 3609452091 NWPERMIT PAGE 04
RECEIVED
JAN 1 0 2003
CONSTRUCTION PERMIT APPLICATION
CITY OF FEDERAL WAY
BUILDING DEPT,.
"The failov4 g is required infer oration - Please print (in ink) or type*,
Pk%we nota': Ek4;tric:04 fire Pr•"v*gVpn Systems and Engineering permits may require a separate applkatiDn.
►ITE ADDRESS: 1404 SW 306TH ST
ASSESSOR'S TAXI PARCEL 0: 5 1 4 9 3 0- 0 3 0 0
LEGAL DESCRIPTION OF SUN ECT PROPERTY (ATTACH SEPARATE pKSC RVMN IF LE"CiTHY)z
r PROJECT INFORMATION
TYPE OF PROJECT (i'his appitcation). a BUIMING ;1 PLUMBING ca NECHAINW-AL O DEMOLITION
o ELECTRICAL Z ENGMk'F MO CJ FIRE PREVENTIOM SYSTEM
PROJECT DESCRIPTION (Pr0V1dedet81led defiCdpiian): INSTALL FIREPLACE INSERT & PIPING TO INSERT
• • y LLQ III:
PEOPLE INPORMATION
PROPERTY OWNER:
CONTPACTOiL-
APPLICANT:
CONTACT PERsoN
EXISTING USE:
PROPOSED USE:
NAMROBERTJ VURIK
DAYrIMEPHONE,
( 25.3 ) 638 8345
MAO -M ADDRESS MME[ AWRESS, CIM STATE, ZiP):
1404 SW 376TH ST
WESCOWtpe
"EI
(206 )292 4,700
MAIUNGADD RESSCST REET'ADD RESS; CIM'
Ey�j�py�-
2800 THORNDYKE AVE W SEATTLE 98139
( ) -
CCYY Cf FEDERAL WAY SU04E►S LjMfGE NUKWJL-•
FAX NUMWk
—
W
Conlo Tog's REGISMTIM NUMam.
EXPJRATION DATE
(snov urcard nwAgw) WASH 1 E S 9 9 0 C W
02 ! 28 103
DAYTWE PHONE:
ROBERT J VURIK
(253 ) 839 $345
MAILING AllDRE56 f57 AEET ADDR£S5 CITY, STATE, Xaii:
eANM- PHONE_
1404 SW 306TH ST
( )
n ARCHITECT 7 TENANT -1 OTHER ( DESCRIBE):
( )
E A9A A
:OR THIS PROSECT: a PROPERTY OWNER :: APPLICANT C CONTRACTOR
4
SPRINKLERED 003XDIT467
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER.
DETAILED RtJ,7LD1hG INFORMATIOP!
EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED VALUATION FOR IMPROWMEN1'S: f_3129-25 --
J YES u NO FACE SUPPRESSION SYSTEM PROPOSEbiREQUIRED: L YES s NO
-1 LAKEHAVEN -1 HISHLINE n TACOMA - PRIVATE (WELL)
7) LAKENIIYEN z NiamLIJNE 13 PRIVATE (SEPTIC)
01/09/2003 22:36 3609452091 NWPERMIT PAGE 03
"NEW RESIDENTIAL CONSTRUCTION ONLY4*
HU14DER OF BEDROOMS- WIMlATED SELLING PRLCE: ¢- _
PROJECT FLOOR AREAS
FLOOR
BAS1 MIwNT
EXEMNS SQ. FT.
PROPOSED Sq_ FT.
TOTAL
FIRST
—
fix&NAr oN::: ::::::; :' ::. :::::;i:':!o1[C:P�1�.:::::':i3.
—
SECOND
AIR HANDLING UNLT(S)
THIRD
GAS LOG(S)
REFRIG. SYSTEMS)
BBQ(S) �
FOURTH
HOOD(S)
WOODSTOVE(S)
SOLLER(S)
dTh4E1i FLOORS (DESCRISE)
DECK
RANGE(S)
MISC. L—")
COMPRESSOR(S)
GARAGE
HOW 1IANY FLOM52'
DUCT(5) 1
TOTAL:
I
NINO:t?9M"TwAi ::':i ::;::.:;':::::':';::;
Irrdicrrto numborofeachtype offixture
fix&NAr oN::: ::::::; :' ::. :::::;i:':!o1[C:P�1�.:::::':i3.
;. 'FiaR( :::::;:::' t1i lY3�(t> ::::_::iUrNo)=: :: ::: :• �i —M -0s RiEQ R �::;::::;;:i :aiES::•:: _ N :;•::
4i144s::::r7iio
MECHANICAL
AIR HANDLING UNLT(S)
EVAPORATIVE COOLE3t(S)
GAS LOG(S)
REFRIG. SYSTEMS)
BBQ(S) �
FAN (S)
HOOD(S)
WOODSTOVE(S)
SOLLER(S)
FIl4MACE INSERT(S)
RANGE(S)
MISC. L—")
COMPRESSOR(S)
FURNACE(S)
DUCT(5) 1
GAS PIPE OUTLETM
HEAT SOURCE:
ELECTRIC O GAS
PLUMBING
BATHTUBS)
LAVAUWY(S)
URINAL($)
WATER HEATERS)
DX£HWASHER(S)
RAIN WATER SYS.
VACUUM BREAKER(S)
ELECTRIC a iRAS
DRINKING FOUNTAIN(S)
SHOWEIR(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINKS)
WATER CL0SET(5)
Misc.( �
INTERCEPTOR(S)
SUMP(S)
D1SCt,A.1HF.R,,:51GNATt-1RE BLOCK
is certify under Penalty of perJury that the bfoFXWkk= furoWwd by one i9 trur and Oaten to the best of my knowledge6 and
furth',-, that X ant authorized by the owmr of the above premiSW ft prrlform t1W wd1* for whkth the pr*tar;t APPllgtlon is made, I
further agree to bold harmless the City of federal Way as to MW Cl4W (irirlAdin9 aosRs, Oxpimz 5, and attorna"' fear b1curred in the
1nwesbgation and defense of such dalm), which may be made by any persva, i"duding the wWcFagmed, and fled against the City of
FedeeSl WaYr but on17f where such claim arises out of the reliancee� of the dty, bchudidrg !ta offku--m end employees, u" ttra nor-uracy
of the inforn]at4ou guppy dty as a part 1` n.
]NAME/TITLE., DATE 01M0M3
u VROPERTY OWINER J APPLICANT u CONTRACTOR
':�DR�o�9tCE:b1• �nlri�r::::
40£9MMUNa Y DEVELOPMENT SER Wffi . YISM FWST V*Y SOUTH • PO BOX 9716 • FWEFlA1. WAY, WA 991"719.253-651-4000 • FAX: 253-6e1-4129
NINO:t?9M"TwAi ::':i ::;::.:;':::::':';::;
:;:::; •: ilitiitl�llGiSH i 'i 4iY3:.; :'[ 6.: 3�Ci :::.;. .::•':.::::::.
fix&NAr oN::: ::::::; :' ::. :::::;i:':!o1[C:P�1�.:::::':i3.
;. 'FiaR( :::::;:::' t1i lY3�(t> ::::_::iUrNo)=: :: ::: :• �i —M -0s RiEQ R �::;::::;;:i :aiES::•:: _ N :;•::
4i144s::::r7iio
40£9MMUNa Y DEVELOPMENT SER Wffi . YISM FWST V*Y SOUTH • PO BOX 9716 • FWEFlA1. WAY, WA 991"719.253-651-4000 • FAX: 253-6e1-4129