12-104800City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Mechakical
Permit #: 12 -104800 -00 -ME
77 =3 Inspection Request Line: (253) 835-3050
.=.
Project Name: HILDEN
Project Address: 33808 33RD PL SW
Project Description: Install gas fireplace insert and associated piping
Owner
KRISTINA HILDEN
GUY HILDEN
33808 33RD PL SW
FEDERAL WAY WA
Additic
Mechanical Valuation ........ ......... ..................4200.00
Mech
Fireplace Inserts ............................. 1 Gas Pipi
nlicant
KRISTINA HILDEN
33808 33RD PL SW
FEDERAL WAY WA
Parcel Number: 954280 0520
OYR
I Permit Infonr i�
Is this an line T.C. application?................Yes
al Fixt
.`....... ......... 1`
PERMIT EXWVWe
di 2013
Permi n F O2
I hereby certify that the abo e informacorr and that thn the above described property and
the occupancy and the use' I b in Gorda with th4bovslations of the State of Washington
the City offt4pral Way. ll
Owner or agent: Date: &
4z� �
CITY cw
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUE TS: (253) 835-3050
12 -104800 -00 -ME Address: 33808 33RD PL SW
KRISTINA HILDEN FEDERAL WAY, WA 98023-7747
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.
Mechanical Rough -in (4165)11
Gas Piping (4125)
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By Date.
S Date I' _ e-)_ ( Z_
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
4;�A�L Federal Way
Building Division
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: ev
/G,�g -�12 FLSPERMIT#: / Z-
G
IF YOU HAVE QUESTIONS C 53) 835- 2 G Z F
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
DATE
DO NOT REMO
NSPECTOR
HIS NOTICE t
Page of
ary Of
,.. -PERMIT
Federal CEIVED
COMMUNITY DEVELO 25 S VICES APPLICATION
253-835-2607• FAX 253-835-2609 /�
unuic. flYlAgffrrieratuvzr.r. T 19
2012
MF CQ E PL DE EN FP
SITE ADDRESS
SUITE/UNIT #
PROJECT VALUATION
/�6,0Do
ZONING
ASSESSOR'S TAX/PARCEL # - `
'9 -4 Z - - - -- Z —
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING `MECHANICAL
/
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION
s 41OZAeL 2-D
_
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME�
F �5T l7 �t��C�
PRIMARY PHONE r
-Z
MAILING ADDRESS �J `
E-MAIL I (IdO
CITY
y
STATE
ZIP n�a�
Y
NAME
MEW
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATEFAX
WA STATE CONTRACTOR'S LICENSE #
r�EXPIRATIONDATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
respond to all correspondence
MAILING ADDRESS
EMAIL
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
EMAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. 1 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 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,
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.
SIGNATURE: DATE hD
—14&9
PRINT NAME: t,/ /N14- 141 a .
Bulletin #100 –January 1, 2011 Page 1 of 3 k:Wandouts\Permit Application
VALUE OFMECHAMCAL WORK Y (a copy of bid or estimate must be provided)
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.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING 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.
BATHTUBS (or Tub/Shower combo)
LAVS (Hand Sinks)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES 3 kt;Aa
CRITICAL AREAS ON PROPERTY? I WATER PURVEYOR I SEWER PURVEYOR I VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USEI LOT SIZE (In Square Feet) I EXISTING FIRE SPRINKLER SYSTEM? I PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
Bulletin #100— January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application