05-100673 t
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City of Federal Way Mechanical Permit#: 05 - 100673 - 00 - ME
Community Development Services
P 0 Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: MURRAY it%
41/
Project Address: 31624 8THISW Parcel Number: 072104 9214
Project Description: Install pellet burning stove in detached garage.
Owner Applicant Contractor
Kenneth Murray Kenneth Murray Kenneth Murray •
31624 8TH AVE SW 31624 81H AVE SW 31624 8TH AVE SW
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-4627 98023-4627
•
Mechanical Valuation 500 Over the Counter Permit Yes
Mechanical Fixtures
Description tQuantity Description Quantity Description 'Quantity
Woodstoves 1
PERMIT EXPIRES August 13,2005.
Permit issued on February 14,2005
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 wjth the laws,rules and regulations of the State of Washington and
the City of Federal Way. L/
Owner or agent: /// `�'� Date:
FINALED
• �I
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-100673-00-ME
Owner: KENNETH MURRAY
Address: 31624 8TH AVE SW
FEDERAL WAY, WA 98023-4627
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 y ��j Date ;j�
i
`cmtor A RECEIVED 3 5- l 0 0 6 7 3
Federal Way PERMIT
' COMMUNTIY DEVELOPMENT SERVICES FEB 1 4 2005 SF MF CO lME L PL DE EN FP
333253 AVENUE FAX •Po BOX 9718 LI C AT I O N TD
FEDERAL WAY,WA 96063-97
253-835-2607•FAX 253-d35-26wITY OF FEDE q
www.eituoffederalway.00m BUILDING DEPT. _
The ollowi • is re• ired in ormation-an inco •fete a••lication will not be acce•ted. Please •rint le•ib1 (in in or -.
INPROPERTY INFORMATION
SITE ADDRESS 3 / //�U 2 `- aril Go e- ...SC-LJ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ _ _ LOT SIZE(sj) Y7( 00
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
' I. PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING X MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
/N S 741 L PELL e_7 57 v e- i ,C,‘) T Cd-..0-1.,041 (2-
PROJECT NAME(Name of Business or Owner Last Name) /V) £4 RR/9
NI PEOPLE INFORMATION
PROPERTY NAME Q PRIMARY PHONE
OWNER it eAJ/U ex-4L ill i`- ITY,STATE,ZIP (A ) 99/ - r/ep
ADDRESSMAILING
7/62 y 0 T`' Ave.. 5c,,, ie221e., z9-L G...2/41. , C�.o, FSoZ3
CONTRACTOR COMPANY NAME APPLI NT NAME OFFICE PHONE
/40 rv, Q waw e.R— e..K. .er4 L (-133 ) ?V/ - y/E3Z__-
MAILING ADDRESS ide C=.117' ZIP CELL PHONE
Y/G0e-.5. -: ewet.. C (Ina)
f
/- We
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CITY OF FEDERAL WAYLICENSE TI FAX )E
CONTRACTORS REOISTRAT N NBER(copy of card required with each application) / ( EXPIRATION DATE
/
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
• , er// i /1I[dee', iw.ver-X/L Awe" (AG') g W - s/l82__
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
�//2V/ v 7 ,e--6.:Gce e,e,526 w� (.44'6 )6/z- 6 49'
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent Iii Other(Describe) , ?Ce!/V Gfe— ( ) -
CONTACT N"y�E PRIMARY PHONE E-MAIL ADDRESS
�Ce viv erg' L /ke4,e e ( ) QS/ - /' Z- �'¢NG/N is /ie
LENDER '.? - •t;:/1. "', "t: .. .,y„»tt� NAME
� fldEry ,45!9,•4° ,i 1 n
r:':.� ,,'�.�TittlKC ��5,000, /dlVp/,/t//f/-
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE ir-.ga'Ga.t QJ? CT''. -s 'r :6;C PROPOSED USE S/)/'Y/42.-
v
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ •
SPRINKLERED BUILDING? ❑ YES li(NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES )(NO
WATER SERVICE PROVIDER 'LAKEHAVEN O HIGHLINE a TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER %J AKEHAVEN 0 HIGHLINE a 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 Ic. CARPORT❑ /v a
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL=STUDS Sr•:, •TOTAL PROPOSED Sr 'OPAL iF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each ty of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICALS v�` J LI ,A/?/
Value of Mechanical Work $ i/( '
AIR HANDLING UNITS EVAPORATIVE COOLERS _ GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercul) j WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(a-Tub/shower combo) SHOWERS WATER CLOSETS(role) 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 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 . 2 o tap e te- DATE
(Signature) (Title) ✓
RELATIONSHIP TO PROJECT Owner ❑ Agent o Contractor 0 Architect o Other
FSS?E7 '. l.X
V 1'11 .,.' a REPAIR R ., , ,TEN�, u:II1SPROVEMENT .,
+l�11;!?`� :k-=�`'.:- �'�DT'�TON,';�*.. :�"�iALTERATION
IC PLAN?.(?iojNO>_ -• BAS ^,,'�i�0:,•'s'44C. -o YES ;.:�'�pNOm1-:: ,.,•`,7141141:_
11' 4:010. ra CHANGE OFUSE? ;s a YES,°*iii NO ' k
Pp UP/SETA/SU?,=;��::��•.'.�� =,-' =o YES
0 ;`irk s Vii? O 1 w DEMO PERMIT:REQUIRED?X'r
4
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application