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14-100327City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S • Mechanical Permit #: 14 -100327 -00 -ME Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 8355-3050 Project Name: MAXWELL Project Address: 31454 47TH PL SW Project Description: Installing a new gas fireplace insert Parcel Number: 211572 0310 Owner ARRIlcant Contractor DONNA M MAXWELL SUNDANCE ENERGY SERVICES INC SUNDANCE ENERGY SERVICES INC 31454 47TH PL SW (MECHANICAL) (MECHANICAL) FEDERAL WAY WA 98023-2093 10228 MAIN ST SUNDAES063J9 9/12/15 BOTHELL WA 98011 10228 MAIN ST BOTHELL WA 98011 Additional Permit Information Is this an Online or O.T.C. application? ................. es Mechanical Fixtures Fireplace Inserts ............................. 1 PERMIT EXPIRES Monday, July 21, 2014 Permit Issued on Wednesday, January 22, 2014 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the usj-16 be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. L� Owner or agent: Date: `FINALED .6 CITY OF Federal Way PERMIT #: • THIS CARD IS TOAIN ON-SITE Construction InOUE Record INSPECTION REQUE TS: (253) 835-3050 14 -100327 -00 -ME Address: 31454 47TH PL SW Project: DONNA M MAXWELL FEDERAL WAY, WA 98023-2093 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. E] Mechanical Rough -in (4165) Gas Piping (4125) Final - Mechanical (4065) Approved Approved to release test Approved By Date B Date Z —'L_�w' G� By Date �. r Rough Electrical Approved 1:1Approved Final Electrical 1:1Approved Right of Way By Date By Date By Date Cr" r.& 0 Ric PERMII*PPLICATION Federal Way JAN 2 2 2014 CITY 01 FEDERAL WAY ��va- � CD PERMIT NUMBER _ — - - TARGET DATE SITE ADDRESS SUITE/UNIT # PROJECT VALUATION s1yq.�0 ZONING 15FA ASSESSOTAX/PARCEL # TYPE OF PERMIT ❑ BUILDING ❑ PLUMBINGMECHANICAL I]DEMOLITION El ENGINEERING El FIRE PREVENTION NAME OF PROJECT MA,JCWEL L PROJECT DESCRIPTION /A1s�R �-1 � A Alg b`l Iqf� - 11LA � Detailed description of work to be included on this permit only NAME A I ' , ,6,� d �(�/ PRIMARY PHONE PROPERTY OWNER 2 —s•6 MAILINGADDRESS ` E-MAIL _ CITY /66" L �P I STWA W ZIP /��O Z—I J NAME PHONE �1� _ / gj _ 6& o MAILING ADDRESS 0 la -!n IkA I N 5� E-MAIL 54ybANCf—EAj F_" CONTRACTOR CITY %fIl �.L�- STAT A ZIP 4 0 ! FAX e- {J . ga_gq-I-Sj)y WA STATE CONTRACTOR'S LICENSE # 5(4"bAES'C�&3-S4 EXPIRATION DATE 1/ 11-/ 15 FEDERAL WAY BUSINESS LICENSE # Z6-oo-11*0&5- NAME 50 AADAA.ICl fN fA.11 ICE S PRIMARY PHONE APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX NAME PRIMARY PHONE PROJECT CONTACT AJ tJQF- , -(The MAILING ADDRESS EMAIL (Theindividual to receive and respond to all correspondence CITY STATE ZIP FAX concerning this application) PROJECT FINANCING NAME OWNER -FINANCED Required value of $5,000 or more MAILING ADDRESS, CITY, STATE, ZIP PHONE (RCW 19.27095) 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 suppliedto"14 apart of this application. »� �f 1-2-2--/ ` SIGNATURE: DATE --/ PRINT NAME: Bulletin #100 - January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application GoM flo 10 GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR VALUE OF MECHANICAL WORK MECHANICAL PERMIT FOR OFFICE USE BASEMENT /� 0<1 NEW BUILDING EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) , Indicate how mart o each type o ixture to be installed or relocated as art o this project. Do not include existing fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial) OTHER (Describe) BOILERS FURNACES HOT WATER TANKS Gas) DECK COMPRESSORS �� GAS LOG SETS REFRIGERATION SYST DUCTING 1 1 1 GAS PIPING WOODSTOVES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR VALUE OF PLUMBING WORK PLUMBING PERMIT FOR OFFICE USE BASEMENT Additional Information NEW BUILDING EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) $ Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing utures to remain. BATHTUBS (or Tub/Shower combo) LAVS (Hand Sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DECK DRINKING FOUNTAINS SINKS (Kitchen/utility) WATER HEATERS (Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS FOR OFFICE USE BASEMENT Additional Information NEW BUILDING EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ADDITION ❑ Yes ❑ No ❑ Yes ❑ No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT Additional Information NEW BUILDING FIRST FLOOR (or Mobile Home) ADDITION SECOND FLOOR' COMMERCIAL - REMODEUTENANT IMPROVEMENTS COVERED ENTRY Area In Square Feet Occupancy Group(s) Construction Type # of Stories DECK TOTAL BUILDING GARAGE ❑ CARPORT ❑ TENANT AREA ONLY OTHER (describe) PROJECT AREA ONLY Area Totals EXISTING PROPOSED TOTAL — "NEW HO&M ONLY" ESTIMATED SELLING PRICE $ 1 # OF BEDROOMS COMMERCIAL - NEW/ADDITION AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction Type # of Stories Additional Information NEW BUILDING ADDITION COMMERCIAL - REMODEUTENANT IMPROVEMENTS AREA DESCRIPTION Area In Square Feet Occupancy Group(s) Construction Type # of Stories Additional Information TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin #100 -January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application