06-100027It
t
City of Federal Way
Community Development Services Mechanical Permit #• 06 -100027 -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: RICE
Project Address: 29604 18TH AVE S Parcel Number: 367440 0106
Project Description: Installation of new freestanding gas fire place.
Owner
Applicant
Contractor
N PAUL RICE
N PAUL RICE
AQUA REC INC
MARIE RICE
29604 18TH AVE S
AQUARI* 110RA 2/19/07
29604 18TH AVE S
FEDERAL WAY WA
1221 REGENTS BLVD
FEDERAL WAY WA
98003-4201
FIRCREST WA 98466
98003-4201
Additional Permit Information
Mechanical Valuation............................................2686.00 Over the Counter Permit? ...................................... Yes
PERMIT EXPIRES Sunday, July 2, 2006
Permit Issued on Tuesday, January 3, 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 accqFdaikce with the laws, rules and regulations of the State of Washington
and t City of Federal Way.
Owner or agent: 1� Date: ) 3 (3 G
THIS CARD IS TO REMAIN ON-SITE
IN
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -100027 -00 -ME
Owner: N PAUL RICE
Address: 29604 18TH AVE S
FEDERAL WAY, WA 98003-4201
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 Q , �7 %Bye+ V". Date a-4 a%
r
CITY or
FederafflayE.
00MMUn TDBIBLOPMWSZRWIW
3332S 81w AVBNUS SOUTH - PO BOX 9718
PBDBRAL WAY, WA 9806"718,
2S343S-2607• PAX 9S3.83S-2609
wimaltupffiederaheamom
Thefollowin_a is reauire
RECEIVED
16 AI 0 3 2006 Q �_; _
PERM ,NG DEP WAYSF MF C
APPLICATION F --
VALUE
-
will not be
LPLDEENFP
FSITE ADDRESS Zq (o C) ` / 7k V JF S • SUITEMNIT 0 .
ASSESSOR'S TAX/PARCEL i 32�—Y -!Y 0 - -0 L j�2 LOT SIZE (sf)
LEGAL DESCRIPTION (e.a. Acme Estates. Lot 1)
or
TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING A MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this hermit onlvl
�rJS�r�LL
PT) GtJ O)= F2ez5 =,z�,j-)0jrJL-
OJECT NAME (Name of Business or Owner Last
PEOPLE• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME j PRIMARY PHONE
MAILING ADDRESS CITY, STATE, ZIP
?-c3 gin A EEL VV2-
COMPANY NAMEAPPLICANT
QUA (Z16c,
IAl�(
OFFICE PHONE '
( ) -
NAME
OFFICE PHONE
NCITY,
LI O� D L V,A
�>o
)3 '
FAX NUMBER
STATE, ZIP
AC � M �� N
CELL PHONE
CITY OF FEDERAL )WAYJB�USSINESS LICENSE NUMBER
-
_ BXPIRA N DATE
FAX NUMBER
-
Z.i
B L
NT OR'S REGISTRATION NUMBER (copy of card ragclrad with "ch application) EXPIRATION DATE
A ik � 10.E
L�
.1 1 (2
.I
CO PANY NAME
APPLICANT NAME
OFFICE PHONE '
( ) -
WNG ADD
CITY, STATE, ZIP
CELL PHONE'
RELATIONSHIP TO PROJECT
❑ Architect 0: Tenant ❑ Agent ❑ Other (Describe)
FAX NUMBER
EXISTING USEPROPOSED USE
EXISTING ASSESSED/APPRAISED,VitLUE i$
SPRINKLERED BUII.DII d YES ❑ NO FIRE SUPPI
W E PROVIDER O LAKEHAVEN O HIGHLINE
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . ❑ HIGHLINE
VALUE OF PROPOSED WOF&
kN SYSTEM PROPOSEAtREQUIREI
❑ �OMA ❑ ZtIVATE (WELL)
0 PRIVA'I'EC)
❑ YES ❑ NO
AREA DESCRIPTION
EXISTING PROPOSED
SQ. FT. SQ. FT.,, -'SQ.
TOTAL
FT.
BASEMENT
RANGES
MISC (Describe)
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOG
smrQu
aa.o.so
Torw.
**NEW ONLY*' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
number of each type of fudure to
oJ1a%.r=1 L -e"- '^
Value of Mechanical Work $ %� �• W
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHT V B3 (. Tub/Sba— Comb.)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVE m tb,—,iniad
or
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
as part of this project. Do not include existing fixtures to - remain.
OAS LOOS
REFRIG. SYSTEMS
HOODS (c...igl)
WOODSTOVES
RANGES
MISC (Describe)
(IAS WATER HEATERS
WATER CLOSETS (reaeq MISC (Deacribe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
I certVy under penalty of perjury that the information furnished by me is true and correct to the beat 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 Foderat 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 ofjtcers and employees, upon the accuracy of the igformation supplied to the city as a part of
this application. n
NAME/TITLE�v DATE
IPature) fns) /\\
RELATIONSHIP TO PROJECT CI Owner O Agent O Contractor O Architect `� Other �(7N
F2uitntin ill nn - Isanum v 1- 2006 Page 2 of 4 Mandouts\Permit ADDlication