06-104646A
z '
` City of Federal Way
Community Development Services Mechanical Permit #• 06 -104646 -00 -ME
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: HUBNER
Project Address: 29007 7TH PL S
Project Description: Replace fireplace insert
Parcel Number: 515270 0100
Owner
Applicant
Contractor
GORDON HUBNER
ALLISON SZABO
WASHINGTON ENERGY SERVICES CO
29007 7TH PL S
NORTHWEST PERMIT
(WESCO)
FEDERAL WAY WA 98003-3826
1574 GULF RD SUITE 1512
WASHIES9710B (9/2/06)
PT ROBERTS WA 98281
2800 THORNDYKE AVE W
SEATTLE WA 98199
Additional Permit Information
Mechanical Valuation............................................4231.23 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
epla Inserts ........................... 1
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON-SITE
Community Development Inspection Record
IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -104646 -00 -ME
Owner: GORDON HUBNER
Address: 29007 7TH PL S
FEDERAL WAY, WA 98003-3607
This card is part of your required inspection documents. 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)
El Gas Piping (4125)
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By
Date
By
Date
LByMb\ Date 1�
R C 1VED
'Federal way SEP 1 3 2006 PERMIT
COMMUMWDEVEWPIKENf SERVICE7�Sg SF MF CO 1 [E EL PL DE EN FP
33325 81K
DEIUL AY, W IIi•POBO)�!i l i of FEDEAPPLICATION
FEDERAL way, X53-83 -2
253-s35-aso�•Faxzss-sae-asos BUILDING r I
www. cituoffederalwau.com
The of Is muired inAwmatim - an lete application will not be bed. Please print WhbuU inkLo-r-Ow—,
PROPER'ry INFORMATION
SITE ADDRESS 29007 7th PI S SUITE/UNIT #
ASSESSOR'S TAR/PARCEL # 5 1 5 2 7 0_ 0 1 0 0 LOT SIZE (sl
LEGAL DESCRIPTION (e -g. Acme Estates, Lot 1)
Mai. rW.ror "ft fiVd
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING +i MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Prou(de deta(led description of work included on this permit onlu)
Replace Vermont Fireplace Insert
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PEOPLE INFORMATION
IAM PRIMARY PHONE
Gordon Hubner 1 ( ) M - 5087
MAILING ADDRESS CITY, STATE, ZIP
29007 7th Place S Federal Way,WA 98003
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
WESCO
Melissa Croda
(206 ) 378 - 6608
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
2800 Thorndyke Ave W
Seattle WA 98199
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAR NUMBER
2 .Q - .D -3- —1 -0 4 2 3 -4- B
L 12 /31 /06
( ) -
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each appDcation)
EXPIRATION DATE
W A S H I E S-9— 7 1 0 B
09 /02 /07
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
Northwest Permit Inc
Melissa Croda
(360 ) 945 -2787
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
1345 Gulf Road
Point Roberts, WA 98281
( 206) 388 - 9357
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant Agent ❑ Other mescrt )
( ) -
CONTACTPRIMARY PHONE E-MAIL ADDRESS NAME
Melissa Croda (360 ) 945 - 2787 meiiswQnwpermit.com
LENDER
Per RCW 1a27.095: Lender bVWwaNen is
required Vprgfeet value exceeds $6+000
NAME
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
(70,) -
EXISTING vsE SFR
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLOR ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
SQ.FT.
PROPOSED
SQ.FT.
TOTAL
SQ.FT.
BASEMENT
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT 1MPROVZ=NT
FIRST
BUILDING SHELL ONLY? o TES o NO
BASIC PLAN?
SECOND
o NO
ZONING DESIGNATION
THIRD
o YES
o NO
NEW ADDRESS REQUIRED? o YES ONO
FOURTH
o YES
o NO
PLATTED LOT? o YES o NO
ADDITIONAL FLOORS {DESCRIBE)
o YES
o NO
DECK (COVERED?)
GARAGE O CARPORT ❑
NUMBER OF FLOORS
®�
rooroesn
:or�r
�orscsisis�um
�vr�.aa.asmsr
mum
"NEWHOMES ONLY- NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of bdure to be installed or relocated as part of this project. Do not include existing ftetures to remain.
AmWiLAWCAL V Mechanical Work $ ' __"' _ _
AIR HANDLING UNITS
BB(QS
BOILERS
COML'RESSORS
DUCTS
BATHTUBS (or7Ub/showercombo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
IAVS (Bathroom sma
EVAPORATIVE COOLERS
FANS
7 FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS (e mmmdaq
RANGES
GAS WATER HEATERS
WATER CLOSETS (roueq _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
1 cert(fy under penalty of perjury that the btformation furnished by me is true and correct to the Lest of my knowledge, and further, that I
am authorised 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 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, andfilled against the City of Federal Way, but only where such claim
arises out a the reliance of the cIV, including Its q,Qk— and employees, upon the accuracy of the 6VW-ation supplied to the dty as a part of
this application.
NAME/TITLE
1 C4, %.
RELATIONSHIP TO PROJECT ❑ Owner gent
❑ Contractor ❑ Architect ❑ Other
FOR OFFICE OSE ONLY
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT 1MPROVZ=NT
BUILDING SHELL ONLY? o TES o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED? o YES ONO
UP/SEPA/SU?
o YES
o NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #100 — January 1, 2006 Page 2 of 4 Mflandouts\Permit Application