05-100820 •
a
City of Federal Way Mechanical Permit #: 05 - 100820 - 00 - ME
Community Development Services
• P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: WEST
Project Address: 308 SW 322ND 5f Parcel Number: 926490 1290
Project Description: Install fireplace insert with gas piping
Owner Applicant Contractor
Hans P Chambers WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
308 SW 322ND ST 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98023-5631 (206)282-4700
Mechanical Valuation 4326 Over the Counter Permit Yes
Mechanical Fixtures
L Description iQuantity Description Qftentity Description Quantity
Fireplace Inserts 1 Gas Piping 1
CONDITIONS:
This parcel is located within a Wellhead Protection Area(Capture Zone 5)and must comply with FWCC,Chapter 22,
Article XIV"Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable. •
PERMIT EXPIRES August 21,2005.
Permit issued on February 22,2005
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 _ '
z-72,--Liar-
ds.or agent: ds. Date:
1?)
,
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-100820-00-ME
Owner: S
Address: 308 SW 322ND ST
FEDERAL WAY, WA 98023-5631
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.
0 Mechanical Rough-in (4165) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By fr/ -
Date 0—23-6C By fti Date 2 -23 -Ctr
0/are Or --411 ' " LD 1 L a a rzo
Federal Way CE`VED PERMIT
irCl� MMUNYIUEVELOPMENTSEM SF MF CO LPL DE EN FP
JJJZFEDERA AVENUE WAY.WA 910 D H01t,7J. . ,APPLICATION –4p
FEDERAL IVAY,WA 9f063 97Uf / 1
253435-2607.FAX 253.835- r i;
The onowi • is re•, _ ...;u1; :Qa ttLikit incomplete a••lication will not be acce•ted. Please •rint le•ibly(In in or type.
• PROPERTY INFORMATION
SITE ADDRESS ?(18 ye.e..) 322-kJ J SUITE/UNIT E
f
ASSESSOR'S TAX/PARCEL I 1( 6
I - L2----(:?n LOT SIZE(s})
LEGAL DESCRIPTION(e.g.Acme Estates,Lot l)
Nmolk aafa ete popefor imgthytel dram nj
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 'MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
-/I(1S-6-1( -4 rt? pffre --ttile--ri- 41/ VV,111l t17
PROJECT NAME(Name of Business or Owner Last Name) Le_.ut
U PEOPLE INFORMATION
PROPERTY
PRIMARY PHONE
OWNER a T.�/ /"!` (2"c;)V �7
4/g-- 0
OM_
30oDsw 32 '2) St- ` ,ZI Li cAJA `lam22
CONTRACTOR COMPANY NAME APPIlCA�NT NAM OFFICE PHONE
C11c�'1� �zGcA-I-� jell,/ L A- (am) 21?. .A - Ila)
Cl ,STAT Z CELL PHONE
C TTY F FEDERAL AY BUSINESS LCEN NUM EXPIRATION DATE FAX NUMBER
o3 1.oq 23 /2J31 105- ( ) -
8 L
CONTRACTORS rt nol E7 lc /�card required with each application) 4XPIRATION /E f."
tl�//Vl—}+('rL /�il{Id1U —S (il/ ./L/ /21
APPLICANT COMPANY NAAS APPLICANT NAME OFFICE PHONE
MAILING ADD ESS CI STATE,ZIP (CELL PHONE
�-06.000Gc% �Vicf t -
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect a Tenant 0 Agent CI Other(Describe) ( ) -
CONTACT NAME t-I l/I k-_--Ir/ h 1(� 1 e iq -,0 - 3741 E-MAIL ADDRESS
LENDER Per RCW 19.97.095:'Lender information is NAME„ /�
1
required if project value eieeeds$5,000 /J�
MAILING ADDRESS /v /n CITY,STATE,ZIP Al/ 1
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
. EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ _
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? Cl YES 0 NO
I' WATER SERVICE PROVIDER D LAXEHAVEN a RIGHLINE O TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE a PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ,FT. TOTAL
BASEMENT —
FIRST
• SECOND -
THIRD -
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT -
HOW MANY FLOORS? TOTAL COSTING TOTAL,PROPOSED TOTAL COSTING AND PROPOSED
"NEW HOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL 2
Value of Mechanical Work $ 32-1 c ely
---AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commuciat) WOODSTOVES
BOILERS i FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS / GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Showercombe) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sink VACUUM BREAKERS ELECTRIC WATER HEATERS
• DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the informaition furnished by me is true and correct to the best of my
knowledge,and further, that I am authorized by the owner of the abor/e 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 d employe&upon the accura o the information sup lied to the city as a part of this application.
I.
NAME/TITLE: Vv! t_ DATE: 2--72–Z-701—
(Signature) (Title
RELATIONSHIP TO PROJECT: 0 Property Owner Applicant 0 Contractor ❑Architect 0
,FOROFFICE_USE,ONLY:;' .;
p NEW - a ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES o NO
ZONING DESIGNATION: CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? a YES a NO
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