05-100637 •
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City of Federal way Mechanical Permit #: 05 - 100637 - 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) 835-305C
Project Name: LAUGHLIN y
Project Address: 32532 3RD S '(G, (Ani a` Parcel Number: 701681 1000
Project Description: Install gas fireplace insert, gas hot water tank and gas piping.
Owner Applicant Contractor
C Al Laughlin C Al Laughlin C Al Laughlin
32532 3RD PL S 32532 3RD PL S 32532 3RD PL S
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98003-5715 98003-5715
Mechanical Valuation 3000 Over the Counter Permit Yes
Mechanical Fixtures
Description- 'Quantity L Description Quantity Description 'Quantity
rFireplace Inserts 1
L _
PERMIT EXPIRES August 9,2005.
Permit issued on February 10,2005
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.
See A
Owner or agent: Application . Date:
THIS CARD IS TO REMAIN ON-SITE
CITY OF ICommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-100637-00-ME
Owner: C AL LAUGHLIN
Address: 32532 3RD PL S
FEDERAL WAY, WA 98003
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) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date y/2.03--
" " Qs By fry'! Date 06/4),..1—
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QUIET FOREST erza 7 O. I 451k- a
S 328TH &3RD PL S Phone: UNKNOWN
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Type: Condominiums Units: 120 I0 I70 1140 Feet N . `
71 Kroll Page: 726 Patrol District: FW5 Tile: 61 Scale:1 inch=140 feet > ` ;
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A. .
Federal Way RECEIVED 0, - ( 0063
PERMIT SF MF CO ME L PL DE EN FP
`
CO MMUNIIY DC I'dWPMENT SER VICES
3332FEDERAL WAY 8063-97189718 FEB 1 °APPLICATION TD
253-835-2607•FAX 253-835-2609
tututu.cittplfederdtuaaaom CITY OF FEDERAL WAY
The ollowi . is re.uireg ,41' ' •' ,'EP&rrt Inco •Tete a••tication will not be acce•ted. Please •rint le.ibi in i or
• PROPERTY INFORMATION
SITE ADDRESS 3,2532_ 3,10 pjv s"0 Ta-id SUITE/UNIT 1
ASSESSOR'S TAX/PARCEL 1 7 D ' 6 / - l 0 0 0 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
IN PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION ' .vide •etailed description . work included on this permit on , .
r ,/r -- / . Aer L ,/ ��_ e AA _-____A- ' , at, Ai Cc.O / , ,
PROJECT NAME(Name of Business or Owner Last Name) L i v1/4._
• PEOPLE INFORMATION
PROPERTY NAME4.16R1.13 I . PRIMARY PHONE
OWNER /7, LEL)6E)./N/ ( -
MAADDRESS I CITY,STATE,ZIP
.3253,2 -30 EA, So SDE, JI,L liky /1,
CONTRACTOR COMPANY NAME ,,f APPLICANT NAME OFFICE PHONE
MAILING ADDRr V CITY,STATE,ZIP C ELL PHONE
( ) -
' CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - -B L / / ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
I / /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESd��F CITY,STATE,ZIP - CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect 0 Tenant 0 Agent ❑ Other(Describe) ( ) -
CONTACT NAPRIMARY PHONE E-MAIL ADDRESS
PRIMARY
.f i L J1hi//' ( 3) 9,21-t37 /
LENDER '._y , ') tide NAME
���. ,/�,�,ro . :1#exc �,e,,t;,w ,�
MAILING ADDRESS CITY,STATE,ZIP
1 30Z
is DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES 0 NO
WATER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE ❑TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER o 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?)
GARAGE 0 CARPORT 0
WSTIDo PROPOSED TOTAL TOTAL T USTRO IF TOTAL PROPOSED SF •"*• TOTAL it
NUMBER OF FLOORS
"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 $ pe.)1)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS ( FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES I GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Tolley _ MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(BathroomSloirsl 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 dill10/112.4 11 , = Q(L/J)EX= DATE 2 Ye—05—
(Signature) (Title)
RELATIONSHIP TO PROJECT o Owner 0 Agent 0 Contractor 0 Architect 0 Other
e}" c CEz t f F7K7
• a l J . TIU I.' I TERATION O REPAIR .TEN 't'TMP,fO,VEMENT �•�`r :y F
3�� NLY? ,. � �ct'?1!iU�.:> .BASTKC.PLAN? ' . a��;.;�:• ..:� o YES
a`,�"�- r' � ';_>- CHANGE OFfIISE'?� k��; +'� o YES,=14;,V1i0`'1,:.�;'. .-
%,"i'-! ;•• •UIRED? "" • 'x?NO z'.: : . UP/SEPA/SU?, _' , ` ..;a YES,:,;~p)NQy.`
7,14- 1 r. ..� ' ' .DEMO, 'ERMIT. 2F,QUIRED ;L c, a YES .. •_'O s:,
Bulletin I100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application