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05-101507 , City of Federal Way ' Mechanical Permit #: 05 — 101507 — 00 — ME Community Development Services PO Box 9718 Federal Way,WA 98063-9718 Ph'(233)835-7000 Fax•(253)835-2609 Inspection request line: (253) 835-3050 Project Name: BROWN Project Address: 3626 S 334TH ,5'r Parcel Number: 614360 0215 Project Description: Gas piping from propane tank to home Owner Applicant Contractor Michael C Brown &Stewart Sherry Brown SUBURBAN PROPANE SUBURBAN PROPANE 28203 160TH AVE SE SUBURBAN PROPANE SUBURBAN PROPANE KENT WA 12642 INTERURBAN AVE S 12642 INTERURBAN AVE S 98042-4405 SEATTLE WA 98168 (206)244-1530 Mechanical Valuation 250 Over the Counter Permit Yes Mechanical Fixtures Description Quantity Description ,Quantity Description Quantity [ Gas Piping 1 PERMIT EXPIRES September 28,2005. Permit issued on April 1,2005 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:��6t�/'. Date: (3,3 7 Ow., Vu FI NI.ED -� THIS CARD IS TO REMAIN ON-SITE CITY of Community-1?G velopment Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-101507-00-ME Owner: MICHAEL C BROWN Address: 3626 S 334TH ST AUBURN, WA 98001-9628 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 Bj c Date.4_g $yttz¢ Date q_g , . °�A RECEIVED es- - 1 017 Federal Way PERMIT - altio) S — COMMUNITYDEVELOPMENTSERVICES SF MF CO PL DE EN FP j 33325EERAL UESOUTTI.Po9718 aArjR 1 ,PLICATION � � ` FEDERAL WAY,WA 9EOti3-9718 . / / 253-835-2607.FAX 253-835-2609 www.dtuolkderdwau-oma CITY''lOF FEDERAL WAY The ollowi • is irBed niorrrnanon-:an Inco •fete • • •lication will not be acce•ted. Please •rint le•ibi 'n or NI PROPERTY INFORMATION SITE ADDRESS 36,Z, J 327 5-I4L[iz � , 01) SUITE/UNIT# ASSESSOR'S TAX PARCEL# /a jo - Z LOT SIZE(sJ7 { LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Awad,separate p.9r jar 3..9thY k9.I desaipaonl 1 ■ PROJECT INFORMATION � TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) (77, 6(31k- r/q�►�oce -0 ipVJ ( i2As I. • 72:-,. ,-- -)k . /5O,nei PROJECT NAME(Name of Business or Owner Last Name) j'{01L7 6 • PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE G OWNER ill are-40 $ w 14 (2.-6.)63 / - /`'V/ MAILING ADDRESS CITY STARE,ZIP p 3e, s, 4 S-; / hu (Avg 9�v-962,, CONTRACTOR COMPANY AME APPLICANT AME OFFICE PHONE Su, 6 - R��' -Q w�/6• / )2/./e/ - /5-so MAILING ADDRESS CITY STATE,ZIP CELL PHONE I� �,�.��t61,40---Ai-e-S i3O;f� Ill/��r (7 )7q3 _0/4/ CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER /�/ Zo -© / - / O1 7CL1-B L /Z / 3 / / oS (�(o)2. // -9 '(s CONTRACTORS REGISTRATION NUMBER(copyof card ed with each application) EXPIRATION DATE Li APPLICANT COMPANY NAMEAPPLICANTfNAME OFFICE PHONE SttbW 4/c PAT A _.e W/) ),4,ry-, V )2,4'q /S30 MAILING ADDRESS CITY,STA , IP � / CELL PHONE /2.-6 y7 .VT u-L1w,- S, 7 (7 )793 -0121 RELATIONSHIP TO PROJECT / 1 FAX NUMBER ❑Architect 0 Tenant ❑Agent a Other(Describe)5 L (j l�& 4t (7466. ) 24 - 61(,g( CONTACT NAME ' ) PRIMARY PHONE E-MAIL ADDRESS l�/ / /51(tUi l (Z )2�c/- /5-s ) - LENDER Zr: ; ;a"''%'4" /'., , NAME MAILING ADDRESS CITY,STATE,ZIP • DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ a So 1" SPRINKLERED BUILDING? ❑YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO WATER SERVICE PROVIDER a LAIEHAVEN 0 HIGHLINE a TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 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?) i GARAGE 0 CARPORT 0 1 IIII, EXIS WO PROPOSED TOTAL A"TOTAL 9mansto a �<- .TOTAL PROPOSED SP «',TOTAL sr NUMBER OF FLOORS z;>>• ;y r - : "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 $ 2-5C9 C7C) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(commerm WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(De/scribe) COMPRESSORS FURNACES GAS WATER HEATERS 6-21.0 5--12/91/! /vC-. 1, DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Toilet( MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom Sinks( 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 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,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. / NAME/TITLE / (/, Air -'1) DATE 4/-1- O (Signature) (T RELATIONSHIP TO PROJECT ❑ Owner 0 Agent XContractor a Architect 0 Other • •,-.46. ` ! a 4` " ,, : . ' .:. .- • —.J_ �t�i:' Jr � � �yi f n�X s. �.. z W»y uzY, '• C s>•,._ C _ , l a .+.3...�eF�-- r ,ASti "zi� Q..•. .�, -."':, ""t�;'-�;='�'�rdl�l!J_ �_ 1_". ,• ._ a _.s- x ,�i,� i S�gG41,a 74-( �•_ �,li ' �::a�s3 ��+ssa�� '�''. :cec:.• »� +�`".-�.e Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application