05-101218 City of Federal Way Mechanical Permit #: 05 - 101218 - 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: SMITH et/
Project Address: 32214 7TH'SW Parcel Number: 926492 0110
Project Description: Installing 2 fireplace inserts and associated gas piping
Owner Applicant Contractor
Randall E Smith &Deborah B Smith WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
32214 7TH AVE SW 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98023-5523 (206)282-4700
Mechanical Valuation 7859.5 Over the Counter Permit Yes
Mechanical Fixtures
Description !Quantity Description Quantity Description Quantity
Fireplace Inserts 2
PERMIT EXPIRES September 12,2005.
•
Permit issued on March 16,2005
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 1 ,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: .... .„,-/a/7,51 Date:
FINALED
THIS CARD IS TO REMAIN ON-SITE
CITY OF �.. Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-101218-00-ME
Owner: RANDALL E SMITH
Address: 32214 7TH AVE SW
FEDERAL WAY, WA 98023-5523
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) 0 Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date Date
MAR-16-2005 11:23 FROM: - ' TO:12538352609 P.3
• RECEIVED • - •
4/t Federal Way titAK 1 6 2005 PERMIT __L _ • _i_ al -3 .
COMWUMTYDEVELOPNENFSERVICES
SF MF CO 1 EL PL DE EN FP
""FE EAVENUE WAY, UTH oa-971IQjTy OF FERE:‘' ��' PLICATION 0 \
217435.2607•FAX 253435.2609 BUILDING 3•' + / /
wrvAciluoTr rwou.co„
The onowt • is re•uired in ormation-an Inco •tete a•.lication wit!not be acce•ted. Please •rint le.ibl In in or . .
• / ( �/�y, - PROPERTY INFORMATION
•
SITE ADDRESS 3221 Lf - ! '/` CGS S /� / SUITE/UNIT I
ASSESSOR'S TAX PARCEL I C� ( 2 / l Z i- t:Jl /�
/ � — L —� LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 11
pans'•rn.r.upaaO,4nISILI I do aip4aJ
• I ■ PROJECT INFORMATION
I ^ •
TYPE OF PERMIT 0 BUILDING 0 PLUMBING �J MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on thispermit onlu)
• • .l-firl_kki - till. L- `-Pr.k-e. Lee _____IfriVe "cS
-8.Ohti tot-141 94S (y<rn .
PROJECT NAME(Name of Business or Owner Last Name) Z/1,A_ L '44'1
• ' El PEOPLE INFORMATION • -
PROPERTY NAME PRIMARY PHONE
OWNER R.a vudc,.( 1 S ( P53 )`e7 308,
3211T ` fif STATE,2- _calif,
W `l 2-3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
1,J k k- 7 -i L<r2c[a-- ()2 - -`t4zc
MA/LING ADD
W CI STATE,ZI w am-/r4- ��n CELL PHONE
bo -
I cQ �� �t l ( )
CITY OF FEDERAL WAY BUSINESS LKANSE NUMB R EXPIRATION DATE ' FAX NUMBER
20- 401-_I 0 Z3 - B i. / " / ( ) -
CONTRACTORS REGISTRATION NUMBER(copy of card r caked with capp
th alicatloa) EXPIRATION DATE
• /ISE ( 6511 -1 1 o g C' / 2/ 05
APPLICANT COMPANY NAME i APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CE�L�P,H,.O�NE
(VS)770 -'3z4rr
RELATIONSHIP TO PROJECT • FAX NUMBER
0 Architect ❑Tenant gent 0 Other(Describe) ( ) -
CONTACT NAME L i
" f-f2._ Y PHONED - 7 C.-Y d,F{i E-MAIL ADDRESS
LENDER •'' • •e G' ""�17 pg i 'a „f;,nation is"' ,NNAMM EElt�l
+,: •• JK t.4alu,e a 4cui$S,l-0.9 r�}y
MAILING ADDRESS CITY,STATE,ZIP
s• • • DETAILED BUILDING INFORMATION .
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES 0 NO
. • WATER SERVICE PROVIDER O LAKEHAVEN 0 IIIGHLINNE CI TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN O LUGHLINE a PRIVATE(SEPTIC)
MAR-16-2005 11:23 FROM: ' ' TO:12538352609 P.4
• PROJECT FLOOR AREAS
•
AREA DESCRIPTION EXISTING S•.FT. PROPOSED S•.FT. TOTAL
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
TOTAL=LWT TOTAL rlOPOSW TOTAL LaSf010 MD►RO►O3W
HOW MANY FLOORS? 0
"NEW HOMES ONLY" NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
Indicate:2"111
mberojeach type o;:ttetire to be installed or relocated as part ojthis project. Do not includeexisting facturesto remain
Cf) -
ValueofMechical Work $ LO
EVAPORATIVE COOLERS OAS LOGS REFR[G.SYSTEMS
AIR HANDLING UNITS FANS HOODS(c•s�msalall W000STOVE3
BOILERSB /J FIREPLACE INSERTS RANGES MISC(Describe)
GAS WATER HEATERS
COMPRESSORS FURNACES
DUCTS — 7 OAS PIPE OUTLETS •
PLUMBING SHOWERS WATER CLOSETS(toile) MISC(Describe)
• BATHTUBS pr Top/Sh v<rCowl* DRINKING FOUNTAINS
DISHWASHERS SINKS
SUMPS RAINWATER SYST
GAS PIPE OUTLETS HOSE 8115135
WASHING MACHINES URINALS
VACUUM BREAKERS ELECTRIC WATER HEATERS
LlcVS(Bath»o S�nka1
--...--:-...::::-..'7; :''..--:'!-..---:: -, , f VEIISCLAID'IER/SIGNATURE BLOCK-: - ''`.•':---• --. .-_• - • -
t certify under penalty of perjury that the information furnished by me is true and correct tot
the best of my knowledge,and farther,that I
am authorized by the owner of the above premises to perform the work for which the permit application
ts n the investigation, agree
de to hold
harmless the City of Federal Way as to any claim(including costs, expenses,dand
d for ey the s in of Federal Way,but only ane such se of
m
such claim),which may be made by any person,including the undersigned, fl 9 as apart
arises out of the reliance of the city, •eluding its officers and employees,upon the accuracy of the information supplied to the city of
this application. / / /o3
NAME/TITLE �- I C(c• ' / � "'C 4• 44 -d
DATE L/
(Signature)l
RELATIONSHIP TO PROJECT 0 Owner 0 Agent o Contractor 0 Architect 0 Other
•
n•:•. j,y. ��..isr�""'.t; I `e
rFOI2yOFFICE USE oilLY ';
o NEW a ADDITION o ALTERATION o REPAIR 6TENANT IMPROVEMENT
PLAN? o YES o NO
BUILDING SHELL ONLY? o YES o NO BASICoS o NO
ZONING DESIGNATION CHANGE OF USE?
NEW ADDRESS REQUIRED? o YES ❑NO
UP/SEPA/SU?• o YES o NO
PLATTED LOT? o YES 4 NO
DEMO PERMIT REQUIRED? o YES o NO
?4. (y_ --2._ Tes-)-- ,S1/14_HI- ikarActPucc—Q
[Bulletin#100-March 30,2004
Page 2 of 4 k\Handouts-Revised\Permit Application