11-103236• City of Federal Way
Community Devalopment Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: STOUT
Project Address: 2410 SW 317TH ST
Project Description: Install gas fireplace insert to replace gas logs
0 Mechanical
Permit #: 11 -103236 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 193840 0240
caner
Applicant
Contractor
MICHAEL R & MARY E STOUT
KIRKLAND FIREPLACE
KIRKLAND FIREPLACE
2410 SW 317TH ST
12700 NE 124TH ST SUITE 11
FIREPSI088LA (10/12/11)
FEDERAL WAY WA 98023-2202
KIRKLAND WA 98034
12700 NE 124TH ST SUITE 11
KIRKLAND WA 98034
Actdtt �Zlrn
21 �:�.
Mechanical Valuation............................................3945 Is this an Online or O.T.C. application? ................. Yes
Fireplace Inserts ............................. 1
PERMIT EXPIRES Monday, February 6, 2012
Permit Issued on Wednesday, August 10, 2011
1 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 egulations of the State of Washington
and the C ay. 1
Owner or agent: Date:
N,edt� V/1
q/I
r _
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Rection Record
INSPECTION REQU TS: (253) 835-3950
11 -103236 -00 -ME Address: 2410 SW 317TH ST
MICHAEL R & MARY E STOUT FEDERAL WAY, WA 98023-2202
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 9- /1-
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
A�CEIVE*
Federal Wa�UG PERMIT
COMMUNf1YDEVEIAPMENf SERVICES APPLICATION
253-835-2 Q% '253-835-2609
FEDERAL WAY
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SF MF CO �M:j) PL DE EN FP
SITE ADDRESS
#
liuITE/IINIT�
PROJECT VALUATION
ZONING
ASSESSOR'S TAB/PARCEL #
$3qy-15 ----
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TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING IN MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Menant Name/Homeoumer Last Nanie)
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PROJECT DESCRIPTION
Detailed description of Mork to
f
be included on this permit only
PROPERTY OWNER
NAME
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PRIlIARY PHONE
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MAnJNG ADDRESS
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CONTRACTOR
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ZIP
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FAX
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WA STATE CONTRACTOR'S LICENSE #
F,Re P5.C6
EBPnun0N DATE
FEDERAL WAY BUSDNESS LICENSE #
1:1 or -
89L
4oaci3 000
NAM �,
PHONE
5 `5 • Q`8a4
MAH"GADDREW �"
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APPLICANT
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
PHONE
S ' q
rHw individual to receive and
A' Q
53
MAH"G ADD
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E-IIAH,
respond to all correspondence
concerning this application)
W
CPIR
(STATE
ZI(P'�
FAB
ALTERNATE CONTACT NAME:
PHONE
E -MAH.
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
NAMING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I cert(fy under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(fg that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certVy 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 lawns regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim rtncl ousts, expenses, and attorneys' fees incurred in
the investigation and defense q%such claim), which may be made by any pers govItheluding the undersigned, andJiled against the city,
but only where such claim arises out of the reliance of the city, incl ng its gficers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
Q, 1
10, `
SIGNATURE: DATE ZJ
PRINT NAME:
Bulletin #100- January 1, 2011 Page 1 of 3 k:\Handouts\Perniit Application
a
1
0
4
GENERAL INFORMATION
MECHANICAL FIXTURES°
VALUE OF MECHANICAL WORK $
la copy of bid or estimate must be provided)
Indicate how many of each type of facture to be instaUed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS
FANS GAS PIPE OUTLETS OTHER (Describe)
DRAINS
SHOWERS VACUUM BREAKERS
AIR CONDITIONER _
FIREPLACE INSERTS HOODS (Commercial)
BOILERS
FURNACES HOT WATER TANKS (c—)
COMPRESSORS
GAS LOG SETS REFRIGERATION SYST
DUCTING
GAS PIPING WOODSTOVES
GENERAL INFORMATION
PLUMBING FIXTURES
Indicate how many of each type of fiwture to be installed or relocated as part of this project. Do not frlclude existing fixtures to remain.
BATHTUBS (or 7Lb/Shower Combo)
LAVS (Hand Sinks) TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS
SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (lutche /utllLLy) WATER HEATERS (elecbtc)
HOSE BIBBS
SUMPS WASHING MACHINES TOTAL FEKTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF IMSTING IMPROVEMENTS
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
EXISTING/PREVIOUS USE
LOT SIZE (In Stp— Feet)
FMWMG FDSE SPRUMLZR SYSTEM?
PROPOSED FRSE SUPPRESSION SYSTEM?
FIRST FLOOR (or Mobile Home)
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL
- NEW OR ADDITION
Hare Feet
in SqNaw
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COMMERCIAL - REMODELMENANT IMPROVEMENTS
AREA DESCRIPTION
Area Arte Feet
in SqTOTAL
COVERED ENTRY
Construction TypeStories
Additional Information
Bujwmci
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
Paojzc'T AREA ONLY
Area Totals
PROPOSM
TMA
"NEW HOMES ONLY"
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Hare Feet
in SqNaw
Occupancy Group(s)
Construction TypeStories
Additional Information
BUD.DnrG
ADDITION
COMMERCIAL - REMODELMENANT IMPROVEMENTS
AREA DESCRIPTION
Area Arte Feet
in SqTOTAL
Occupancy Group(s)
Construction TypeStories
Additional Information
Bujwmci
TENANT AREA ONLY
i
Paojzc'T AREA ONLY
Bulletin #100 -January 1, 2011
Page 2 of 3
k:\Iiandouts\Permit Application