06-106040City of Federal Way
Community Development Services Mechanical Permit #• 06 -106040 -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: BUELL
Project Address: 3611 SW 332ND PL
Parcel Number: 109961 1210
Project Description: Installation of new freestanding gas fireplace, internal thermostat and misc venting
associated.
Owner
Applicant
Contractor
JAMES & LORI BUELL
JAMES & LORI BUELL
JAMES & LORI BUELL
LORI L BUELL
3611 SW 332ND PL
3611 SW 332ND PL
3611 SW 332ND PL
FEDERAL WAY WA 98023-2900
FEDERAL WAY WA 98023-2900
FEDERAL WAY WA
98023-2900
Additional Permit Information
Mechanical Valuation............................................1382 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
Furnaces ::....................................... 1
PERMIT EXPIRES Thursday, November 27, 2008
Permit Issued on Monday,November 27, 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 will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
7
Owner or agent:; Date:
THIS CARD IS TO REMAIN ON-SITE
CITYOr Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -106040 -00 -ME
Owner: JAMES & LORI BUELL
Address: 3611 SW 332ND PL
FEDERAL WAY, WA 98023-2900
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 C,, Date .,�_ By �,Cj Date Z.6_0 By f �;' Date 51)7,
CIrYOFV�`' RECEIVED O 60 _ -L.0
Federal Way PERMIT
SF MF CO A EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVIC
33325 8rx AVENUE SOUTH • BOX O V 2 7 20�PPLICATION
FEDERAL WAY, WA 9806.763 -9718 TD
253-835-2607• FAX 253.835-2609
www.diyoffederaIw"-- TY OF FEDERAL WAY
QUl DING DEPT.
The following is require information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
M PROPERTY INFORMTION
SITE ADDRESS '��,� 5\0��_ ��Z�Yj1�A PL _ SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # ( D l - z ® LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(A troch separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING }-MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
PROJECT NAME (Name of Business or Owner Last Name) n L
PEOPLE
PROPERTY
OWNER
CONTRACTOR
COPY of card raqulrod
rlth each appllcatlon
APPLICANT
PROJECT
CONTACT
LENDER
NAME - -
PRIMARY PHONE
OFFICE PHONE
MAILING ADDRESS
MAILING ADDRESS
CITY, STATE, ZIP
E-MAIL ADDRESS
EXPIRATION DATE
FAX NUMBER
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP -
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
S \\
OFFICE PHONE
( — -
MAILING ADDRESS
12>Q 33 Z
ITY, STATE, ZIP CAOZI
�
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent WOther i9 t .) r>° C
FAX NUMBER
NAME
ccff\-\�A
PRIMARY PHONE
E-MAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender iikformation is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
( )
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FI UPPRESSION SYSTEM PROPOSED/REQUIRED?
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHL E ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLI E 0 PRIVATE (SEPTIC)
❑ YES ❑ NO
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING
SQ. FT.
PRO PO D TOTAL
S T. SQ. FT.
BASEMENT
o NEW ❑ ADDITION
FIRST
❑ REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
SECOND
❑ YES
❑ NO
ZONING DESIGNATION
THIRD
CHANGE OF USE?
❑ YES
o NO
ADDITIONAL FLOORS (DESCRIBE)
UP/SEPA/SU?
❑ YES
o NO
DECK (❑ COVERED OR ❑ UNCOVERED?)
DEMO PERMIT REQUIRED?
o YES
o NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
EXISTING
PROPOSED
TOTAL
TOTAL EXISTING ST
TOTALPROPO.SEDST
Toru. Sr
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ \3�Z� (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
UMBING
BATHTUBS (-Tub/Shower combo(
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS (eam oom Sinks)
_ WATER SYST
SHO ERS
GAS PIPE OUTLETS WOODSTOVES
GAS WATER HEATERS MISC (Describe)
HOODS (commercial(
RANGES
REFRIG. SYSTEMS
URINALS MISC (Describe)
VACUUM BREAKERS
WATER CLOSETS lroueq
WASHING MACHINES
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized 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, and filed against the City of Federal Way, but only where such claim
arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE
RELATIONSHIP TO PROJECT .Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other_
� t-2Z-pC.p
Bulletin #100—January I, 2006
Page 2 of 4
k\Handouts\Permit Application
o NEW ❑ ADDITION
o ALTERATION
❑ REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
o NO
NEW ADDRESS REQUIRED? o YES ❑ NO
UP/SEPA/SU?
❑ YES
o NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #100—January I, 2006
Page 2 of 4
k\Handouts\Permit Application