05-101604 City of Federal Way Mechanical Permit #: 05 - 101604 - 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: COLVIN '1'R"
Project Address: 32034 26THISW Parcel Number: 873190 0010
Project Description: Install gas fireplace insert
Owner Applicant Contractor
Roger M Colvin &Wanda L Colvin WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
32034 26TH AVE SW 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98023-2509 (206)282-4700
Mechanical Valuation 2944 Over the Counter Permit Yes
Mechanical Fixtures
Description ua `itg Description ',Quantity - . liplicn IIQuantit
Y
_ _
Fireplace Inserts 1
-- —
PERMIT EXPIRES October 5,2005.
Permit issued on April 8,2005
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 Wa . I/
Owner or agent: jr .4 _ Date: (CJ /��
FINALED
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-101604-00-ME
Owner: ROGER M COLVIN
Address: 32034 26TH AVE SW
FEDERAL WAY, WA 98023-2509
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.
•
ElMechanical Rough-in(4165) ❑ Gas Piping(4125) ❑ Fina -Mechanical(4065)
Approved Approved to release test Approved
By Date By Date y G� Date/0 l L 6
APR-5. 2005 16:23 FROM: TO:1253 2609 P.3
• Federalway PERMIT
COMMUNITYDEVELOPMENT SERYKER EC E I V E D SF MF CO ME L PL DE EN FP
33550 FIRST WAY SOUTH•PO BOX 9718 p p LI CAT I O N ° —
• FEDERAL WAY,WA 91063.9718
257-661-11 15.FAX 253.66,4129 / /
yww.dtuotrcderd �.
uweom P R 0 A 2 0
The ollowin• is re.aired i_ .v:.c • - inco -iete a••Ucation will not be aeee•ted. Please •tint le•tbl in i or
PROPERTY INFORMATION
SITE ADDRESS 3 D r j L 2-11.1-11 a4(„C l�
ASSESSOR'S TAX/PARCEL * V -1 3 1 e D_ o D ( �S SUITE/UNIT#
V LOT SIZE 1sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
Mooch separate page for lengthy t gal dpotpusn)
PROJECT INFORMATION
TYPE OF PERMIT O BUILDING 0 PLUMBING XMECHANICAL
0 DEMOLITION O ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
n 's re L -itfe...r Jr d - 9Q Pim
PROJECT NAME(Name of Business or Owner Last Name) COI Vile)
PEOPLE INFORMATION
PROPERTY NCO
/� /�
OWNER I / I� r1/U/ / /�/1/,yam /PRIMARYPHONE ��...e/�
M 1 O ADDRESS vV Y ' 1 (+/ `253 • �l�sr
D3 / � 4ua J LJ CIT ,ZIP
1-1-A- ?cP0 23
CONTRACTOR COMPANY NAME APPLICANT NAM
WASHS J I i F" __ _ c{�Q��( OFFICE PHONE
MAILING ADDifirvIci 9 V � � -(`flf
2436r) Fp � ez, CsgTT� �iL. to
` LO l 49 ELL PHONE
CITY OP FEDERAL WAY BUS NCENSE NUMBER IRATION DATE )
'2'4D'- O 3- i a 4,23 V`QV-B L / FAX NUMBER _
CONTRACTORS REGISTRATION NUMBER(copy of oar{required r.Ith each application(
, r YL !`rt /c`-r q^ 0/3._
EXPiIRATION DATE
1
APPLICANT COMPANY NAME
APPLICANT ME
? �( - Grav A `/ /Ida_
/OFFICE PHONE
MAILING ADDRESS 7 �/ yC=7/`! �f 1 -
ePQ R6X �3� l �CIT•,Y,,�STATE,�� ZIP/ �%1`pU� /CE PHONE y� �r��p�
RELATIONSHIP TO PROJECT �" 4�W A iti ( 2f) 7lv - 3'�d
O Architect O Tenant O Agent O Other(Describe) FAX NUMBER
CONTACT �' NAME// +/y��/ n PRIMARY PHONE '� Q
( , �"�' �jrj;�• ►_ �,� V 1�� ! rC�/7 �./( ( ) 770 -7 . a I E-MAIL ADDRESS I
LENDE ` 'Per ROW 19.27.095: Lender inforiitatioii°ts''' . NAME 1
required ii;Prefect value exceeds;5,000 '
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES O NO
WATER SERVICE PROVIDER O LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL
SEWER SERVICE PROVIDER ❑ LAKEHAVEN )
O HIGHLINE 0PRIVATE(SEPTIC)
r
APR-5-2005 16:24 FROM: TO:12538352609 P.4
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 TAMING TOTAL PROPOSED TOTAL S D TTD(O MD PROPOSED
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
__ FIXTURES
Indicate number of each type of fueture to be installed or relocated as part of this project. Do not include existing factures to remain.
b1ECKANICAL
Value of Mechanical Work $ t
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS _ REFRIG.SYSTEMS
BBQS , FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS / GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS
MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(>aaa.,.amn:,.><.) VACUUM BREAKERS £CLECTRIC 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/TITLE GC..- L�Y4 C DATE r'
(Sisnature, isle) (llS
RELATIONSHIP TO PROJECT 0 Owner 0 Agei o Contractor O Architect 0 Other
FOEt.,O�FF'ICE'�TSExOI�IiYJu�`�'
O NEW O ADDITION o ALTERATION O REPAIR a TENANT IMPROVEMENT
BUILDING SHELL•ONLY? a YES O NO BASIC PLAN? DYES ONO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? O YES ONO UP/SEPA/SU? a YES o NO
PLATTED LOT? DYES ONO DEMO PERMIT REQUIRED? ❑YES ONO
?a0f- •Z Cr>'-- 32-6-7Y 26*74\
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Bulletin tl 100—March 30,2004 Pagc 2 of 4 k\Handouts—.Rcvised\Perrnit Application