05-106197 City of Federal Way f '
Community Development Services Mechanical Permit #: 05-106197-00-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: BUCKLES e*1 red
Project Address: 2110 SW 349TH PL Parcel Numb`: 176110 0020
Project Description: Extend gas line to new range.
1
Owner Applicant on .ct•
JACOB&STACEY BUCKLES PAT'S PLUMBING INC '• i ' U :ING INC
2110 SW 349TH PL 30459 MILITARY RD S .:,a , A I*0:°N5 (4/8/06)
FEDERAL WAY WA 98023 FEDERAL WAY WA 98003 e i• 9 ' ITARY RD S
/pi,WAY WA 98003 ,
Additional Permit Information f'%
Mechanical Valuation 1385.21 /
Mechanical Fixtures
Ranges 1 Number of Gas Outlets / \\". //11
CONDI NS: /
PERMIT EXPI u'iday, June 4, 2006 .
Permit Issued N. sd'ay, December 6, 2005
I hereby certify that the above info •-tion is ori- . d that the construction on the above described property and
the occupancy and the use will b, in acc• . h the laws, rules and regulations of the State of Washington
- d ;'Ci of Federal Way.
Owner or agent: Se' ,:. i • Date:41-6,-0 S
•
• • R
City of Federal Way Mechanical Permit #: 05-106197-00-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
Project Name: BUCKLES
Project Address: 2110 SW 349TH PL Parcel Number: 176110 0020
Project Description: Extend gas line to new range.
Owner Applicant Contractor
JACOB&STACEY BUCKLES PATS PLUMBING INC PATS PLUMBING INC
2110 SW 349Th PL 30459 MILITARY RD S PATSPI*083N5 (4/8/06)
FEDERAL WAY WA 98023 FEDERAL WAY WA 98003 30459 MILITARY RD S
FEDERAL WAY WA 98003
Additional Permit Information
Mechanical Valuation 1385.21
Plumbing Fixtures
Gas Pipe Outlets 1
CONDITIONS:
PERMIT EXPIRES Sunday, June 4, 2006
Permit Issued on Tuesday, December 6, 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: '7C) �. �/ Date: /`
2 '– —0
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-106197-00-ME
Owner: JACOB & STACEY BUCKLES
Address: 2110 SW 349TH PL
FEDERAL WAY, WA 98023-3071
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 ByQ4 Date _ �S By Date
• RECEIVED
cmoF 7�." . DEC 0 6 2005 0 - o ( g
Federal Way PERMIT PERMIT '�
COMMUNITY DEVELOPMENT SERVOTY OF FEDERAL , SF MF Cox- LPL DE EN FP
3332FEDERAL WAYSWA 9;PO 90718971euILDING DAL 1 LI CATI O N Jr
253-835-2607•FAX 253-835-2609
r
• ,
www.cduo((ederalwau.com •
The ollowin• is r••wired ' ormation-an incom•tete a, •lication will not be acce•to.. Please •rint le'ibl (in ink)or _
•/PROPERTY INFORMATION
SITE ADDRESS A I I 0 SW 317"f ft) P LSUITE/UNIT#
2C)
ASSESSOR'S TAX/PARCEL 8 / / 6 I I - 0 0 .2 O LOT SIZE(sj7
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING I PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
In514-(II1} 443 /rnc5 frc>bi t )C,Sjiby /iic5 -to 'lean/ k,1, iirvl rani c_
PROJECT NAME(Name of Business or Owner Last Name) u N� t��
6aCALLE S
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER ,j..«d 3-- B,«kley ..nJ Sltc / t . IL«/Cf i ( 53 ) (F, ( - to3`f
MAILING ADDRESS CITY,STATE.Z
HO 5w 3' fI
A PL F�1cr..
f`tt,✓hy, t.-/A- 96-oa3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
p„.-f- f3 Pt..., 6 f4, Q 5 3 ) 9 '6 - 3-71-1
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
3°1(59 rt;/;...�/ i�d. 5. Fc.,lc14-1 w '
, , wR lb-co3 ( ) -
CITY OF FEDERAL WAY B INESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
Q - 0 d- I C A a 9" 7"-B L IA / 3l / 05- (a53)9-Kc -0/7._/
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
P AZSPT it a >r3Ns cif / cf" /ace6
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
P.-/ '5 pi,,„, ,„) (as-3 ) 4-1(6 - 5-Ili
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
3oNSq rl ;it.„. led I . S. F,d„;t l w•1(, t,if 9roo3 ( ) -
RELATIONSHIP TO PRO JE 1 FAX NUMBER
❑ Architect ❑Tenant Elp Agent /Other(Describe)Phi-r^b -( (a c3 ) 9'14 - 01?-1
CONTACT NAME
-u.r ,5 Prc..`-5/ (QS-3 )qq4 - CITct turf 3Q j-is/1I...a4,>.c..,
LENDER per 1 '1947495: Lender information is NAME
required(f prqieet value named*$5,000
MAILING ADDRESS CITY.STATE.ZIP PHONE
( ) -
/ • DETAILED BUILDING INFORMATION /
EXISTING USE t c3 r d€ c c- PROPOSED USE c S r e c.1 Ce---
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $__13 i0-
SPRINKLERED BUILDING? o YES /0 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 10
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS
=STOW PROPOSED TOTAL TOTAL 't�C1M TOTALi p tOt41411,
**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 $ . _ i .
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS /I-IOODS(comm<rdan WOODSTOVES
BOILERS FIREPLACE INSERTS L/ RANGES MISC(Describe)
COMPRESSORS FURNAC.: GAS WATER HEATERS
DUCTh • 'IPE OUTLElb
PLUMBING
BATHTUBS(orTLb/Shower Combo) SHOWERS WATER CLOSE1b(mile) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLEIb SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom Sin VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I
am authorized 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,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLEDATE /2 6 —
(Title)
RELATIONSHIP TO PR' ❑ Owner ❑Agent ❑ Contractor ❑Architect ❑ Other
—71.4,'
s•, 11.oi r•;';�7t ui x'36 `L`
a NEW a ADDITION a ALTERATION ci REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application