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06-103950City of Federal Way Mechanical Permit #'• 06 -103950 -00 -ME Community�Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 8355-3050 Project Name: NOVAK Project Address: 28710 13TH AVE S Parcel Number: 720300 0660 Project Description: ALT - installation of a new gas fireplace. Owner Applicant Contractor TONY F NOVAK TONY F NOVAK AQUA REC INC 28710 13TH AVE S 28710 13TH AVE S AQUARI*110RA 2/19/07 FEDERAL WAY WA FEDERAL WAY WA 1221 REGENTS BLVD 98003-3155 98003-3155 FIRCREST WA 98466 Additional Permit Information Mechanical Valuation............................................2709 Over the Counter Permit? ........................ :............. Yes 4 RECEIVED o 6 - -act -!!--a PERMIT RR GO�IPPLICATION SF MF COQW ELPLDEENFP ' 3258MAV IUESOPTH-PSBOX9 333x5 � AVENUE SOUTH • PO BOX 9 I � FEDERAL WAY, WA 980639.118 2s3a3sa6o�• FAX 'tffY OF FEDERAL W Y BUILDING DEPT. -------------- ----- -------- The oilorui is sir+•d ormation - an inoo lets lication wi11 not be PIMMadnt laffiWip inktgrjune- PROPERTY INFORMATION SITE ADDRESS Z 5' 7/c 13 ±4-,4 v'F, S, r,-:- a, A A'L W,a y, s^wR, � 3'103 8UITz/UN1T ASSESSOR'S TAIL/PARCEL # r 0 3 0 0 - V �% ® LOT SIZE (S,i LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) PROJECT IINFOMNIATiON TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING CKMECHANICAL ❑ DEMOLITION O ELECTRICAL O ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit only) N5'if1LA r/ vv o.r Q 9 25 �.rtp le,ce !A/s e, # PROJECT NAME (Name of Business or Owner Last Name) /" 0 ✓o PEOORMATION PROPERTY OWNER CONTRACTOR APPLICANT CONTACT LENDER EXISTING USE NAME PRIMARY PHONE -%n/ /= NO -7( 253) 939 -3277 MAILING ADDRESS C77Y, STATE, ZIP 87/0-13'� Avc. s. 1=racA98'003 COMPANY NAME APPLICANT NAME OFFICE PHONE /qc;A REC-'S A czu, Rees (253) 9yl - 7S07 MAILING ADDRESS CITY, STATE, ZIP CELL PHONE 29130 PocIFIG Hwy So. =ideARI. WAY WA `18x'3 { ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER 2 0- 0 0-� 0 1 Sf _b-g0L ►L / 31 /06 (u3) ('S'? - 179C CONTRACTOR'S REGISTRATION NUMBER (copy of eard required with each appyeWJo* EXPIRWION DATE R Q u A t T 9 1 1 Q B A OZ -10Z /07 NAME_ PRIMARY PHONE E-MAIL ADDRESS AVJ r KWIAI I (ZS3) 9111 - -7S07 Per RCW 19.27.095.- Lender information is NAME required if project value *=eeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE ) ( / DETAIT • BUILDING INFORNIATION PROPOSED USE _----_-_--_- - -- EXISTING ASSESSED/APPRAISED VALUE *_ SPRINKLERED BUILDING? ❑ YES ❑ NO VALUE OF PROPOSED WORK FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE (WELL) COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY, STATE, ZIP (CELL PHONE t ) - RELATIONSHIP TO PROJECT ❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe) FAX NUMBER { ) - NAME_ PRIMARY PHONE E-MAIL ADDRESS AVJ r KWIAI I (ZS3) 9111 - -7S07 Per RCW 19.27.095.- Lender information is NAME required if project value *=eeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE ) ( / DETAIT • BUILDING INFORNIATION PROPOSED USE _----_-_--_- - -- EXISTING ASSESSED/APPRAISED VALUE *_ SPRINKLERED BUILDING? ❑ YES ❑ NO VALUE OF PROPOSED WORK FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE (WELL) � 1 I 1 CITY OF Federal Way THIS CARD IS TO REMAIN ON-SITE s , Community Development Inspection Record IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06 -103950 -00 -ME Owner: TONY F NOVAK Address: 28710 13TH AVE S FEDERAL WAY, WA 98003-3155 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) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065) Approved Approved to release test % Approved By Date By Date /� J �j 1(lG� By C Date -2t- b AREA DESCRIPTION WUSTING . FT, PROPOSED 90. FT. TOTAL 90. FT. BASEMENT REFRIG. SYSTEMS BBQS FANS HOODS fComii rrw) FIRST BOILERS FIREPLACE INSERTS RANGES MISC (Descnbe) SECOND GAS WATER HEATERS ZONING DESIGNATION DUCTS GAS PIPE OUTLETS THIRD ❑ YES PLUMBING NEW ADDRESS REQUIRED? FOURTH BATHTUBS (Or Tublslu mrcombof SHOWERS WATER CLOSETS rr a q MISC (Describe) ADDITIONAL FLOORS (DESCRIBE) DRINKING FOUNTAINS DRMO PERMT REQUIRED? GAS PIPE OUTLETS SUMPS DECK(COVERED?) WASHING MACHINES URINALS HOSE BIBBS GARAGE ❑ CARPORT ❑ LAVS (Bathroom si,tu) VACUUM BREAKERS ELBCTRIC WATER HEATERS NUMBER OF FLOORS memo rRorosso Tom zarer.smsm w TmALrRopcomw 'TALw "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ type of fifure to be installed or relocated as part of this project Do not include a mfing fixtures to remain. AfNCHANICAL Value of Mechanical Work $ a x7 or,. AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS BBQS FANS HOODS fComii rrw) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC (Descnbe) COMPRESSORS FURNACES GAS WATER HEATERS ZONING DESIGNATION DUCTS GAS PIPE OUTLETS CHANGE OF USE? ❑ YES PLUMBING NEW ADDRESS REQUIRED? o YES o NO BATHTUBS (Or Tublslu mrcombof SHOWERS WATER CLOSETS rr a q MISC (Describe) DISHWASHERS SINKS DRINKING FOUNTAINS DRMO PERMT REQUIRED? GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS (Bathroom si,tu) VACUUM BREAKERS ELBCTRIC WATER HEATERS I cerWy under penally of perjury that the information furnished by me is true and correct to the beat of my knowfedgeq and farther, that I am authorised by the owner of the above premiers 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 &wkuding cods, expenses, and attorneys' fees incurred in the investigation and defense of such claim] which may be made by any person, iaebuding the undersigned, and filed against the Ctty of Federal Way, but onlg where such claim arises out of the reHance of the city, including its of f kwa and employees, upon the accuracy of the information supplied to the eity as a part of this applicatton. A/ NAXZ/TITLE yr s c/✓ DATE (signature) tTtk) RELATIONSHIP TO PROJECT X Owner G Agent o Contractor o Architect D Other. FOR OFFICE USE ONLY a NEW ❑ ADDITION o ALTERATION o REPAIR a TENANT IffiPROVEIAENT BUILDING SHELL ONLY? c] YES o NO BASIC PLAN? a YES a NO ZONING DESIGNATION CHANGE OF USE? ❑ YES o NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? n YES o NO PLATTED LOT? o YES o NO DRMO PERMT REQUIRED? 0 YES 11 NO