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04-103823 City of Federal Way Communityity Development Services Mechanical Permit #:04 — 103823 — 00 — ME 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050 Project Name: MACDONALD Project Address: 3043610TH;AVG 5 Parcel Number: 091900 0265 Project Description: Installing a new gas F/P insert with associated gas piping. Owner Applicant Contractor Patricia A Macdonald WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO 30436 10TH AVE S 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199 98003-4118 (206)282-4700 Mechanical Valuation 2821 Over the Counter Permit Yes Mechanical Fixtures I Description Quantity Description Quantity Description Quantity rFireplace Inserts 1 Gas Piping 99 PERMIT EXPIRES March 22,2005. Permit issued on September 23,2004 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 f/2 3/0 c� Owner or agent: 5444-415411,--- Date: [b �a , A THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04-103823-00-ME Owner: PATRICIA A MACDONALD Address: 30436 10TH AVE S FEDERAL WAY, WA 98003-4118 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) ❑ Final-Mechanical(4065) Approved Approved to release test Approved dt/ Z By Date By Date d944/S.4, By Date/0 2/4 ., SEP-20-2004 10:29 FROM: TO:12538352609 _ P.3 Federal Way RECENEQ — — PERM IT SF MF CO 4g,EL PL DE EN FP COMMUNITY DEVELOPMENT SERVICES 33325 an'RVENUE7H•63 BOX719718 SE p 2 }3i211,1 P LI C AT I O N — TO FEDERAL WAY.WA Ed06J•f 7 0 / / 253.1354607•/AX?53-83S-7609 www eil w/lederdnw tt.cwn CITY OF FEDERAL WAY The ollowin• is re•utred iii • 5• • I Ean tncom'tete a••lication will not be acce•ted. Please •rint 1e•My(in ink(or • , ' :. . • I• PROPERTY INFORMATIONC SITE ADDRESS '�j' D 43 e LO A V E- ,SSUITE/UNIT# t ASSESSOR'S TAX/PARCEL# q f` l 3 U O- 2 5 LOT SIZE(sf) LEGAL DESCRIPTION (e.g.Aeane Estates,Lot 1) (Attach separate page far lengthy legal deaayrBonl ■ 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 onlu) ) -l(rl s cel 1inn, tY-e. cp 1a . s--1V1 s-2 Can �v o G PROJECTNAME(Name of Business or Owner Last Name) nil 4 T) Y C L (.3 , - . • I PEOPLE INFORMATION PROPERTY + PRIMARY PHONE� -colOWNER r,..+-,..e:la cZ vva Zt 313 MAILING ADDRESS CITY.STATE.ZIP 3b43L0 1 a ,S -e1 1 La.' q8 003 CONTRACTOR COMPANY NAME APPUCANT NAME OFFICE PHONE Lat 3 Irt I)1(0).‘% °419119 41 0*/)24/1-'?- -q7Cle_) MAILING ADDRESS �•/—'y_��JJ (`�� STAT C /{i t CELL PHONE CITY OF FEDERAL WAY BUSINESS U 'H MB CENSEDanir--c.1(6 DATE VV�,�` FAX NUMBER Z -63-1 6. (4 ?3 B L I / ef' /ar ( ) - CO CTOgSISTRA�NUMBER(copy of card required with each application) EXPIRATION DATE L06-- 1 _ 7106 � / L / err APPLICANT M?ALLY NF�u `.6 -ns-v AP LICANT NAME i OFFICE PHONE - LI DDRESS ivN�X 2a3 4 � . 44.4) Lae._ )770 - 3z� RELATIONSHIP TO PROJECT \ / FAX NUMBER O Architect 0 Tenant �'f Agcnt a Other(Describe) ( ) - CONTACT NAME "`��` PRIMARY PHONE E-MAIL ADDRESS ( ) - LENDER `,1=4.4ifRCW 19.97.095:.Lender information-is NAME "regirli7ed if proft:ct value exceeds$5,000 ' - MAILINO ADDRESS CITY,STATE.ZIP •• -. ■ 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? 0 YES 0 NO . WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE O TACOMA a PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE a PRIVATE(SEPTIC) SEP-20-2004 10:29 FROM: ",-':-.1:717..-- T0:12538352609 P.4 ;•ry; ~+Vs" PROJECT FLOOR AREAS • AREADESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT'. ' TOTAL 7-1—RST SECOND . THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) . GARAGE/CARPORT tarwaosraews e TOM so*u w rnssa AID rRweos HOW MANY FLOORS? "NEW HOMES ONLY"' NUMBER OF BEDROOMS. _� ESTIMATED SELLING PRICE S - , _ " .. ; : FIXTURES ; Indicate number of each type offodure to be installed or relocated as port of this project- Do not include existing furfures to remain. MECHANICAL 2-€3 2.-(. ©O Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LAGS REFRIO.SYSTEMS FANS HOODS gaelea dao WOODSTOVES BSQB RANGES _____ MISC(Describe) BOILERS —�- FIREPLACE INSERTS GAS WATER HEATERS COMPRESSORS FURNACES DUCTS �- GAS PIPE OLrnZIS PIAMBINGMISC(Describe) BATHTUBS torT.byh...ra.wy SHOWERS - WATER CLOSETS(mooDISHWASHERS SINKS DRINKING FOUNTAINS OAS PIPE OUTLETS SUMPS RAINWATER SYS'P WASHING MACHINES URitiALs HOSE SIDES IAVS Bathroom • _ VACUUM eREAKERS _ ELECTRIC WATER HEATERS _ , -_ - . .•DISCLAIMER/SIGNATURE BLOCK - `- • . - . I certify under penalty of perjury that the lnformatten furnished by nee is true and correct to thelest el ow knowledge,and further, heldat1 further am authorized by the owner of the above premises to perform the work for which the permit application Is made. I agree 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 trade 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,span the accuracy of the information supplied to the city as a part of this application. �` fo NAME/TLTLE � DATE 9 � RELATIONSHIP TO PROJECT O Owner Agent 0 Contractor 0 Architect. 0 Other 'FOR OFFICE USE O$LY • o NEW a ADDITION O ALTERATION a REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? 0 YES o NO ZONING DESIGNATION CHANGE OF USE? a YES o NO NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? o YES o NO PLATTED LOT? O YES ONO DEMO PERMIT REQUIRED? o YES a NO r [-2S T1° —43 6 • Bulimia 0100-March 30,200044I:U- Page 2 Klandauts-RcvistdTemtit Application