06-102407w
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Mechanical Permit #: 06 -102407 -00 -ME
Project Name: POWERS
Project Address: 2507 SW 323RD ST
Project Description: Install gas fireplace and gas piping.
Inspection Request Line: (253) 835-3050
Parcel Number: 8731801050
Owner
Applicant
Contractor
LEO POWERS
ERIC NELSON
BURIEN NATURAL GAS
2507 SW 323RD ST
BURIEN NATURAL GAS
BURIENG0270D 8/19/07
FEDERAL WAY WA 98023-2520
153 SW 154TH ST
153 SW 154TH ST
BURIEN WA 98166
BURIEN WA 98166
Additional Permit Information
Mechanical Valuation............................................3201 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
Fireplace Inserts ............................. 1 Gas Piping ......................................
PERMIT EXPIRES Saturday, Novemb
Permit Issued on Monday, May 15,
I hereby certify that the above information is correct and that the construct
the occupancy and th e will be in accordance with the laws,, rules and
/end the City of Federal Way.
Owner or agent:
1 Gas Pipe Outlets ............................. 1
Date: /zC
a
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -102407 -00 -ME
Owner: LEO POWERS
Address: 2507 SW 323RD ST
FEDERAL WAY, WA 98023-2520
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 By % Date
RECEIVED
CITY op
MAY i 5 2006
Federal way PERMIT
C030f JNnYDEVSLOPAKWSERVICES
=zsen+AVEnrvasourtr•Posox���Y OF FERE
F1�ERALWAY.WA98083.9718 BUILDING
. ICATION
263.m FAx 253-835.209
www.cituoffederahvati.com
Q4- - __l 0 � -D 7
SF MF CO ME L PL DE EN FP
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
WaLft m7arMpMeiarbryOarUjalro
TYPE OF PERMIT d BUILDING 0 PLUMBIIIGi OZ(AMCHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESC ON (Provide detaged. de c f Mork htduded on this permit onluT
PROJECT NAME (Name of Bmkwss or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
-�, � 09 .-,:"7
CONTACT
LENDER
NAME PRIMARY PHONE
EA-�81C - a�S
MALENGADDRESS
COMPANY NAME
n
APPNAME
OFFICE PHONE
CrrY. -g—EAM ZIP
CELL PHONE
REIA NSHIP TO PROM=
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Desalbe)
FAX NUMBER
I ( ) -
MAII INADD
( 5 Z-11 c�
c,� �,,
C STATE. Z[P
G��i��(o(�
CELL PHO
( ) -
rIY OF FED Exp ON DATE
FAXNUMBER
c6) 71�
CO ICS REGISTRAWN NUMBER Ropy orwd mgmu A with emu
EXPIRAZON DATE
COMPANY NAME
APPLIC NAME
OFFICE PHONE
MAILING ADDRESS
CrrY. -g—EAM ZIP
CELL PHONE
REIA NSHIP TO PROM=
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Desalbe)
FAX NUMBER
I ( ) -
NAMEPRMUIRYONE E- SS
ADDRE
C,1- , C � r� D"- - )
Per BCW 19.27.096: ImiWW iVbrmadm is
vpgdect vahm Lim aeds $6.000
NAME
MAILING ADDRESS
Crit. STATE. ZIP
PHONE
Z338TINGi USE 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 ❑ HIGSHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGIHLAIE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EZISTUIG
. FT.
PROPOSED
89. FT.
TOTAL
80. FT.
BASEMENT
MISC (Describe)
QAS WATER HEATERS
o REPAIR o TENANT I1dPR04►E1l�IT
FIRST
MISC (Describe)
DRINKING FOUNTAINS
o TES ONO
SECOND
o YES
HOSE BIBBS
ZONING DESIGNATION
THIRD
CHANGE OF USE?
o YES
o NO
FOURTH
o TZ8 ONO
UP/SEPA/W?
o TES
ADDITIONAL FLOORS (DESCRIBE)
PLATTED LOT?
o TES ONO
DEMO PMT REIIUIRED?
DECK (COVERED?)
o NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
ONO"
mmew
"2"TOMsssrrsro
r
sar�r raora+s9 r
Tara w
•NEW HOMES ONLY"' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE ffi
aara nnnacam,
Value of Mechanical Work $ c a - L�
AIR HANDLING UNITS
DDgS
BOILERS
COMPRESSORS
DUCTS
BATHTUDS (mlbb/86o CbmW
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS wnuwm swo)
or relocated as
EVAPORATIVE COOLERS
FANS
Z FIREPIACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
REFRIG. SYSTEMS
HOODS (wmm..i4
WOODSTOVES
RANGES
MISC (Describe)
QAS WATER HEATERS
o REPAIR o TENANT I1dPR04►E1l�IT
WATER CLOSETS abibq
MISC (Describe)
DRINKING FOUNTAINS
o TES ONO
RAINWATER SYST
o YES
HOSE BIBBS
ZONING DESIGNATION
ELECTRIC WATER HEATERS
CHANGE OF USE?
I ow tyy under penalty qr perjury that the irL4x motion fiw%Ished by me is true arm correct to the beat Qr my knomledgs, and fi trther, that I
am authorised by the owner 4r the abuse premiss to perjbrm the work jbr which the permit application is made. I jbrther agree to hold
harmless the City 4r PWmui Way as to any chairs Rncluding coats, expenses, and attoraeys' fees incurred in the investigation and d4Jbnse Qf
such claim), which mop be mode by any person, including the undersigned, and jUed against the City QrFederal Way, but only where such claire
arises out Qf the reliance Qr the city, including its g81cers and employees, upon the accuracy Qf the iNbrmation supplied to the city as a part Qf
this application.
NAME/TITLE 'Z DATE �s
_r ( ems � 1 rnue)
RELATIONSHIP TO *ROJIDCT o Owner o Agent
o Architect o Other
FOR OFFICE USE ONLY
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT I1dPR04►E1l�IT
BUILDING SHIMZ ONLY?
o TES ONO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o TZ8 ONO
UP/SEPA/W?
o TES
o NO
PLATTED LOT?
o TES ONO
DEMO PMT REIIUIRED?
o YES
o NO
A
Bulletin #100 —January 1, 2006 Page 2 of 4 MHandoutsTermit Application'