12-103419City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Mechanical
Permit #: 12 -103419 -00 -ME
Inspection Request Line: (253) 835-3050
Project Name: SCHIEMER m
Project Address: 32914 39TH AVE SW Parcel Number: 873213 0890
Project Description: Install gas piping for (2) fireplaces. Fireplace to be installed by separate contractor.
Owner
ARRlican
Contractor
CHARLES W SCHIEMER
J & K PLUMBING INC
J & K PLUMBING INC
32914 39TH AVE SW
34127 183RD AVE SE
JKPLUI* 159RD (3/24/13)
FEDERAL WAY WA
AUBURN WA 98092
34127 183RD AVE SE
98023-2620
AUBURN WA 98092
PERMIT EXPIRES Su
Permit Issueduu TI
Wormavel WOOF,
Is th OnI' T.C. application?................Yes
, January7& 2013
I hereby certify that the above inform . n15 and that the
the occupancy and the use will be in a n with the laws
he City f ell
Owner or agent: �,-4
\%
y
0
�c
Mdction on the above described property and
and regulations of the State of Washington
.y.
Date: Z Z
CITY CW aM''rrtl
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
12 -103419 -00 -ME Address: 32914 39TH AVE SW
CHARLES W SCHIEMER FEDERAL WAY, WA 98023-2620
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)
Approved
Gas Piping (4125)
Approved to release test �S/
Final - Mechanical (4065)
Approved
, J>
/
By Date
By Date
By Date
t
1:1Right
Rough Electrical
Approved1:1
Final Electrical
Approved
of Way
Approved
By
Date
By
Date
By
Date
RECEIVE
F OF PERMIT
Federal Way
COMMUWTYDEVELOPMENT SERvlc4p 2 4 "APPLICATION
253.835-2607• FAX 253-835-2609
www.dtuoffedemlwa OF FEDERAL WAY
CDS
MF CqlILE:) PL DE ' EN FP
SITE ADDRESS
SUITE/UNIT M
PROJECT VALUATION
ZONING
ASSESSOR'S TAIL/PARCEL N
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
(2L`
PROJECT DESCRIPTION
L u 7�7 � 1 ,',- Al s
Detailed description of work to
be included on this permit only
I -'
PROPERTY OWNER
NAME
PRIlARY PHONE
MAILING ADDR
__31
9
EMAIL
STATE
ZIP
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE M
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
NAME _
�� �? �Yr� Q
J Y �-
PHONE
� ^ — �
APPLICANT
MAILING ADDRESSP
B -MAIL
crr,y
? I
STATE ZIP
Lly9- b
FAX
PROJECT CONTACT
NAME
Al
(The individual to receive and
`gt= 4f—'#
MAuLINa ADDRESS
2 -MAIL
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
Required value of $5,000 or more
0 OWNER -FINANCED
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I 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 apart of this application.
SIGNATURE: DATE
PRINT NAME:
Bulletin #100 -January 1, 2011 Page] of 3 k:\Handouts\Permit Application
VALUE OFMECKANWAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type of re to be installed or relocated as part of this project. Do not include existing res to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (cummereiai)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type
BATHTUBS (or Tub/show rcombo)
DISHWASHERS
DRAINS
DRINKING FOUNTAINS
HOSE BIBBS
'fixture to be installed or relocated as
Do not include
LAVS (Hand siw*
TOILETS
RAINWATER SYSTEMS
URINALS
SHOWERS
VACUUM BREAKERS
SINKS gicebm/unvty)
WATER HEATERS (Etemie►
SUMPS
WASHING MACHINES
ng fixtures to remain.
WATER PIPING
OTHER (Describe)
Bulletin #100 —January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application