05-105866 City of Federal Way Mechanical Permit #: 05-105866-00-ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
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Project Name: SCHROEDER
Project Address: 32222 8TH AVE SW Parcel Number: 926492 0460
Project Description: Installing a new Gas fireplace insert with 20' of gas piping
Owner Applicant Contractor
DALE J SCHROEDER LINDA THORNQUIST WASHINGTON ENERGY SERVICES CO
MICHELE ANN SCHROEDER PERMIT GROUP,THE WASHIES971OB (9/2/06)
32222 8TH AVE SW PO BOX 2034 2800 THORNDYKE AVE W
FEDERAL WAY WA KIRKLAND WA 98083 SEATTLE WA 98199
98023-5521
Additional Permit Information
Mechanical Valuation 3990.25 Over the Counter Permit
Yes
Mechanical Fixtures
Fireplice In&erts 1 Gas'Piping 20
3
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PERMIT EXPIRES Sunday, May 14, 2006
Permit Issued on Tuesday, November 15, 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. /
Owner or agent: Date: 1 ((c/o r
,o
0% -i''
THIS CARD IS TO REMAIN ON-SITE 44'
CITY Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105866-00-ME
Owner: DALE J SCHROEDER
Address: 32222 8TH AVE SW
FEDERAL WAY, WA 98023-5521
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) 10 Fina echanical(4065)
Approved Approved to release test Approved
By Date By Date (.--/'3e , y Date /_/
iJOV 14:,,C005 09: 15 FROM:PERMIT 4257756315 TO:12538352609 P.3
CUT OF ir, SEC:IVDA
Federal Way PERM IT — — —'
COMMUNITY DEVELOPMENTSERVI�, {1Y 1 4 2.005SF MF CO �EL PL DE EN FP
33325 S.AVENUE SOUTH•PO BOX 9771i
FEDE253.83RAL5•2607WAY•,FAx259�WA 9:635-
8063-9s-2,gp,A, RAL:���7 p L I CATION ?°
9 �F��D� / /
www.rilwfl'ederalwau.t''ilr� flD)FLDtN3 DEPT.
The ollowi • is re•wired i ormation-an Inco •lets a••Iication will not be acce•ted. Please •tint le•ibi in in or •e.
(� el-14E44AD
• PROPERTY INFORMATION
SITE ADDRESS S2-2-z-2, S C� /j�/� SUITE/UNIT d
ASSESSOR'S TAX/PARCEL 1i v Zv D / < O LOT SIZE(sfi
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Amah separatepogo far WWW legal dasar tlo,V
N 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 onlul
•
4 kurialt i�1 t��.J ,r / /ti -7�
Li f 9af ftp `l
PROJECT NAME(Name of Business or Owner Last Name) SCA rel-Pd r-
• PEOPLE INFORMATION
E
OWNER
PROPERTY NAME n ` r� L �f 7(
OWNER �`LJ'/^[I (�/��N7 L� `/
MAILING ADDRESS
�2 e ,/ ^ CITY,STATE__P ZIP � t'o _ 3
CONTRACTOR COM ME APPLICANT NAME t OFFICE PHONE
C�-� � £4J LChcd� (?llo) � -�zcc�
`MAILING ADD R 1 /., �j CITY,ST E,ZIP Q �j�/ CELL PHONE
CITY OF FEDERAL WAY BUSINESS UC E NUMBE
R EXPIRATION DATE FAX NUMBER
o3_ cocfZ3c1?� / / ( ) -
CONTRACTOR'S � A
REGISTRATIONMBER(l e �card required with each applieatiord EXPIRATION DATE
/4'75 H ..r l0� l
APPLICANT CONY�A C- C^w 1 414.yrr r�AME`}`� OFFICE PHONE -
('� `{/r/!` Zvi �•^!-CI�7V1 Gt..� J/� � r
MULLING A RFSS STAT Z CEL P E
o� 203 y ���� ( 0275...._.,p15.7
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I.ATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant ❑Agent a Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER j k-iZPi 1(9,:q/l(, 14 '" : RYnia•-'mss t3 NAME
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? Cl YES o NO
WATER SERVICE PROVIDER ❑ LAKEILAVEN O HIGHLINE ❑ TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑LAKEIIAVENN a HIGHLINE 0 PRIVATE(SEPTIC)
(0(J-1?. 005 09: 15 FROM:PERMIT 4257756315 TO:12538352609 P.4
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
. BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDfONAL FLOORS(DESCRIBE)
•
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS morrowraorcaso t TOTAL is it ..._
"NEW HOMES ONLY"' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL ��
Value of Mechanical Work $ 7'j t
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS
REFRIO.SYSTEMS
BBQS FANS HOODS(camoereiaq WOODSTOVES
_ BOILERS it - FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORSFURNACES 0A8 WATER HEATERS
DUCTS I OAS PIPE OUTLETS
PLUMBING
BATHTUBS( b , ,mho) SHOWERS _ WATER CLOSETS(r.ueq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
OAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathos.®Sides VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMIER/SIGNATURE BLOCK
I certi;/y under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further, that I
ant 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 filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,incl ling its officers and employees,upon the accura
this application. / {/� cdl of the information supplied to the city as a part of
NAME/TITLE DATE //! / L` A i
(Signature) mom)
RELATIONSHIP PROJECT ❑ Owner Agent ❑ Contractor O Architect a Other
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Bulletin#100—January 7,2005
Page 2 of 4 k'tHandoutslPcrmit Application •