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06-101171Ir R w City of Federal Way Community Development Services Mechanical Permit #: 06-101171-00-M E 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: CORTEZ Project Address: 28632 21ST AVE S Parcel Number: 422200 0070 Project Description: Install freestanding gas beating stove. Owner Applicant Contractor DAVID & BEVERLY CORTEZ DAVID & BEVERLY CORTEZ AQUA REC INC 28632 21ST AVE S 28632 21ST AVE S AQUARI*110RA 2/19/07 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 1221 REGENTS BLVD FIRCREST WA 98466 Additional Permit Information Mechanical Valuation............................................2000 Over the Counter Permit? ...................................... Yes PERMIT EXPIRES Wednesday, September 6, 2006 Permit Issued on Friday, March 10, 2006 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use wi I be in accordance with the laws, rules and regulations of the State of Washington he City of Federal Way. Owner or agent: Date: THIS CARD IS TO REMAIN ON-SITE ).- T CITY OF 4A Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06 -101171 -00 -ME Owner: DAVID & BEVERLY CORTEZ Address: 28632 21 ST AVE S FEDERAL WAY, WA 98003-3339 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 �� B Date /o� SOF RECEIVE® Federal Way PERMIT OOMAlf1MTY DBVBLOPIIBMr 36RV1��p 999?5 8T* AVRNUE FEDUALWAY,WA77i•PO9718. f{I� Y o "APPLICATION FBDBRAL WAY, WA 98069-9718. Y63-895-a6a7•FAX?59832¢Q OF FEDERAL WAY www.criuoirc6emiwau.•ow —. i SF MFC ME L PL DE 9 FP SITE ADDRESSy , 16 T 4 ( �. SUITE/UNIT # . ASSESSOR'S TAX/PARCEL ti A - D') Q LOT SIZE (sj) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)�� 1Qfr LL9 �ti� ti Li� l�� . /dCach+epawttPW/v IwV4I kaW det WoN PROJECT• ' • TYPE OF PERMIT ❑ BUILDING . X PLUMBING A MECHANICAL ❑ DEMOLITION O ELECTRICAL O ENGINEERING O FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit only /dJ5v LL,4riowa_ 6v v 6TA vhik% C -5 04r - A__ :5 tTk 9A5 &,45 'F31A_l-A-� jr-P-65 (�46 77) .11,1.0 a4l.." /-� 1,1wfI7- ,mm`s PROJECT NAME (Name of Business or Owner Last Name) ( .Tl �!Q 1.6 PEOPLE•• • PROPERTY OWNER CONTRACTOR APPLICANT NAME PRIMARY PHONE o,8 '4'a v TEz (953) 8 31 - MAILING s� � MAILING ODRESS CITY, STATE, ZIP Z�fl. R'8�3 COMPAtTY NAMEAPPLICANT Cl Zr6/ NAME ,D406 4�_tcCVAJ OFFICE PHONE (A-5-3) 9.,VI -75-e7 MAILING ADDRESS ) ^ ` (FI e W yQ . " CITY, STATE, ZIP OFA � L X,4 y 99 R CELL PHONE - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER B L' l lAfe7 P -5-3) q4117,5-07 CONTRACTOR'S REGISTRATION NUMBER (eopy of card required with **ch application)fJ �1 ©RA EXPIRATION DAT+EE � � l�� 1(/L�// y COMPANY NAME IVA A CANT NAME �i�c'1f0 (Jz krr-z . OFFICE PHONE w 3) $34 -T3 MAILING ADDRESS a$� els r ,�o� 51 CITY, STATE, ZIP � � ,Mk k04 CELL PHONE' () - RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect Tenant o Agent o Other (Describe) W ) .5-Y? - 5'32 CONTACT NAME � tv I0 LENDER EXISTING USE X§ -fl la!7 - NAM$ A MAILING ADDRESS CITY, STATE, Zip /PHONE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE VALUE OF PROPOSED WORK SPRINKLERED.BUILDING? d YES � NO FIRE SUPPRESSION SYSTEM PROPOSED%REQUIRED? 13 YES $NO WATER SERVICE PROVIDER L-AKEHAVEN ❑ HIGHLINE a TACOMA a PRIVATE (WELL) SEWER SERVICE PROVIDER LAKEHAVEN . 0 HIGHLINE 0 PRIVATE (SEPTIC) AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL SQ. FT. BASEMENT EVAPORATIVE COOLERS OAS LOOS REFRIG. SYSTEMS FIRST FANS HOODS (cemmer i q WOODSTOVES SECOND FIREPLACE INSERTS RANGES MISC (Describe) THIRD FURNACES GAS WATER HEATERS FOURTH GAS PIPE OUTLETS ADDITIONAL FLOORS (DESCRIBE) DECK(COVERED?) SHOWERS WATER CLOSETS (follaq MISC (Describe) GARAGE ❑ CARPORT ❑ SINKS DRINKING FOUNTAINS NUMBER OF FLOORS SUMPS rwroMM MAI. WASHINO MACHINES URINALS HOSE BIBBS "NEWHOMES ONLY"* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ of each type of fidure to be installed or relocated as part of this project. Do not include existing fix cores to -remain. MECSAMCAL Value of Mechanical Work $ 1 if 00 I certify under penalty of p-JWV that the information furnished by me is true and correct to the best 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 elainq, which may be made by dny person, including the undersigned, and flied against the City of Federal Way, but only where such claim arises out of the reH of the city, inclu its oflieers and employees, upon the accuracy of the liformation supplied to the city as a part of this application. NAME/TITLE DATE Ze- (s eu fritiel RELATIONSHIP TO PROJECT ❑ Owner D Agent ❑ Contractor ❑ Architect [] Other MALI:_ "r AA � r .. _. r IAnt D.,... 1 nfA AnnI1Pafinn AIR HANDLING UMTS EVAPORATIVE COOLERS OAS LOOS REFRIG. SYSTEMS BBQS FANS HOODS (cemmer i q WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC (Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS G BATHT(IBS (oc9Lb/Shouter Combo( SHOWERS WATER CLOSETS (follaq MISC (Describe) DISHWASHERS SINKS DRINKING FOUNTAINS OAS PIPE OUTLETS SUMPS RAINWATER SYST WASHINO MACHINES URINALS HOSE BIBBS LAVS po., shm VACUUM BREAKERS ELECTRIC WATER HEATERS I certify under penalty of p-JWV that the information furnished by me is true and correct to the best 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 elainq, which may be made by dny person, including the undersigned, and flied against the City of Federal Way, but only where such claim arises out of the reH of the city, inclu its oflieers and employees, upon the accuracy of the liformation supplied to the city as a part of this application. NAME/TITLE DATE Ze- (s eu fritiel RELATIONSHIP TO PROJECT ❑ Owner D Agent ❑ Contractor ❑ Architect [] Other MALI:_ "r AA � r .. _. r IAnt D.,... 1 nfA AnnI1Pafinn