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06-100021City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 1V echanical Permit #: 06 -100021 -00 -ME Project Name: MATTSON Project Address: 2412 SW 307TH ST Project Description: Extend existing gas pipe 9' to provide gas to laundry Inspection Request Line: (253) 835-3050 Parcel Number: 416770 0110 Owner Applicant Contractor WESLEY P MATTSON WESLEY P MATTSON WESLEY P MATTSON 2412 SW 307TH ST 2412 SW 307TH ST 2412 SW 307TH ST FEDERAL WAY WA 98023-7848 FEDERAL WAY WA 98023-7848 FEDERAL WAY WA 98023-7848 Additional Permit Information Mechanical Valuation............................................50.00 Over the Counter Permit? ...................................... Yes Mechanical Fixtures GasPiping ...................................... 1 r Ca THI'LCA" IS TO REMAIN ON-SITE CITY OF Community ]MVelopment Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06 -100021 -00 -ME Owner: WESLEY P MATTSON Address: 2412 SW 307TH ST FEDERAL WAY, WA 98023-7848 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 B3Q �, Date 6 Bye Date 6 un or A ITTE� Federal Wait RESUBM P E R M I T C0MWX I9 DBVBLOF=ff SBRWCBS 33345 8- AYBNUB SOUiH • PO SOX 9718 P, I C AT I O N FBDBRAL WAY, WA 98063-9718 , JAN " O 253 -US -2607- PAX 20 -WS -4609 „,.••.�� CITY OF FED - - , sit niNG DEPT. -0--� - -1 -040fl 2-j SF MFC M EL PL DE EN FP r r . . / -1 SITE ADDREsS �2 V/ 3w 3 © 7 77f ,rT ft?�s;p& WA>' A/A 9810�3 SUITE/UNIT # _ q ASSESSOR'S TAX/PARCEL i l_ 6 7 7 O- G I LOT SIZE (sf) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) IA�+Twc1rP�l��YNW �dewfptlon) PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING YMECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit only) X 7yD t�C 7t�/G o /Ar4 24-L— G i4 -4 -Alf— 9' • —0 PROJECT NAME (Name of Business or Oumer Last Name) PEOPLE•- • PROPERTY OWNER CONTRACTOR APPLICANT NAME�O't, PRIMARY PHONE M1 , MAILING ADDRESS CMT, STATE, ZIP 3 ° 7P"' COMP/ANY NAME APPLICANT NAME OFFICE PHONE y� CMT, STATS, ZIP CELL PHONE' MAILING ADDRESS CITY, STATE, ZIP CELL PHONE CMT OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER CONTRACTOR'S REGISTRATION NUMBER (copy of card required with etch application( EXPIRATION DATE COMPANY NAME APPLICANT NAME OFFICE PHONE ' MAILING ADDRESS CMT, STATS, ZIP CELL PHONE' RELATIONSHIP TO PROJECT FAX NUMBER 11 Architect 13. Tenant o Agent 0 Other (Describe) AREA DESCRIPTION EXISTING SQ. FT. PROPOSED TOTAL s . FT. SQ. FT. BASEMENT BBQS FANS FIRST WOODSTOVES BOILERS SECOND RANGES MISC (Describe) THIRD FURNACES GAS WATER HEATERS FOURTH DUCTS GAS PIPE OUTLETS ADDITIONAL FLOORS (DESCRIBE) PLUMBING DECK(COVERED?) GARAGE 0 CARPORT ❑ s wma morose "TAA NUMBER OF FLOORS "NEWHOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ of each type of fixture to be installed or relocated as part of this project. Do not include existing fud4res to -remain. Value of Mechanical Work $ 5 % --It AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS BBQS FANS HOODS (commerdn WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC (Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS (.Tub/mbovercombu) SHOWERS WATER CLOSETS (T.&q MISC (Deacribe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAV3Ieeb, quo VACUUM BREAKERS ELECTRIC WATER HEATERS Z cert{& under penalty of perjury that the irormadon famished by me is true and correct to the best of my knowledge, and further, that 1 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 claim), which may be made by any person, including the undersigned, and filen 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 ( V DATE 01-03,06 RELATIONSIiIP TO PROJECT _ Owner O Agent o Contractor O Architect O Other D..11eti.. 4;1 M — T.—..—, 1 9iVli Poop 7 of A k\Naminntc\Permit Annlicmtion