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05-100576 City of Federal Way Mechanical Permit #: 05 - 100576 - 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: BARES A vg- Project Address: 34528 8TIW Parcel Number: 132170 0750 Project Description: Replace existing wood-burning zero-clearance fireplace with gas fireplace insert. Owner Applicant Contractor Vera Bares Vera Bares Vera Bares 34528 8TH AVE SW 34528 8TH AVE SW 34528 8TH AVE SW FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA 98023-8402 98023-8402 Mechanical Valuation 2341 Over the Counter Permit Yes Mechanical Fixtures Description Quantity Description ;Quantity Description iQuantity Fireplace Inserts 1 PERMIT EXPIRES August 7,2005. Permit issued on February 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 Way. Owner or agent: G�a. Date: 2/ THIS CARD IS TO REMAIN ON-SITE , CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-100576-00-ME Owner: VERA BARES Address: 34528 8TH AVE SW FEDERAL WAY, WA 98023-8402 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. ❑ Mechanical Rough-in (4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065) Approved /if Approved to release test,�� Approved By Date By Date I=�y�s By P Date Z/fs/Qr •r i -CUYOf + RECEIVED r�— - 1 p O 3 Co Federal Way PERMIT COMMUNITY DEVELOPMENT SERVICES FEB 0 8 2005 SF MF CO L PL DE EN FP 33325d^tAVENUE,WA H•POBOX9714 APPLICA DERAL WAY' FEDERAL WAY,WA 98063-9718 TD / / 253-435-2607•FAX 253-835-2609 N ytww.tituofkderdwayeom BUILDING DEPT. The ollowi • is -•uired in ormation-an Inco •tete • ••lication will not be acce•ted. Please •rint le•ibi in in or • . (J Q�Q IN PROPERTY INFORMATION' SITE ADDRESS �'7'l 5i "� y`fiC ` / i ' KJ t SUITE/UNIT# ASSESSOR'S TAX/PARCEL# / 3 /7 Q 1�- 00 7 . LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) /Attach separate page for lengthy legal desoipthon/ • 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 escription of work included on this permit only) A;4414,a,:zr , >1.-P,A94.1,„ i-e-f.,1„ct.4- ,Cfx--14.9 tir..e_ i'eLe-, e9e.,C, PROJECT NAME(Name of Business or Owner Last Name) '`etef j _Zech' J)6(ii;ce. ,i_ oJ�44 p e _Di. • PEOPLE INFORMATION PROPERTY NAME ,�f /� PRIMARY PHONE OWNER U IK.ec ( ) de/W MAILING ADDRESS ,f.rp cpic �� CITY STA` ce)�-�C,J� /e� ( P i CONTRACTOR COMPANY NAME APPLICANT NAME V OFFICEC/ PHONE .eeei P,o- '6� /1Ja ,- vy (2i ► 94/ -ZfO7 MAILING ADDRESS CITY,STATE,ZIP /V n CELL PHONE 2-113o , d-�t�` (V ll ( ) - CITY OF FEDERAL WAY B SINESS LICENSE MBER EXPIRAT DATE FAX NUMBER B L / / ( ) CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE / / APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE Cte-fLteir" ( ) MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE ( ) RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑Tenant 0 Agent ❑ Other(Describe) ( ) - CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS ( ) - LENDER k•dr.. 5'.457145 nder �rnrct"t;d • NAME a ,k 7" " 3*p , see xcee'ds','a•,f5,,i, MAILING ADDRESS CITY,STATE,ZIP ■ DETAILED BUILDING INFORMATION - EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK'$ SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO WATER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE 0 TACOMA ❑PRIVATE(WELL) SEWER SERVICE PROVIDER a LAKEHAVEN ❑ 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 0 CARPORT❑ NUMBER OF FLOORS t7° "a PROPOSED TOTAL TOTAL LASTING IF Toru PROPOSED sr TOTAL SF �= "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 $ 1©i Qg AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS 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 Q'oil<q 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. p ,� ,, NAME/TITLE V 19610.4 DATE /q�f (Signature) (Title) RELATIONSHIP TO PROJECT 0 Owner ❑ Agent 0 Contractor 0 Architect 0 Other M £.4z'CI. ION i]REPAIR - -, ;_ICjTENANT•IIYIPROVEMENT- •, !i I I w=!NLY? yaw`:` ti�FS-454NO`,1 • BASIC PLAN?-;k' i s='.- a YES rutNO ? s 'LL� i!EBI N X;' CHANGE OFrUSE? =:: O YES, KESS' UIRED? '-;;; n:YFS't(NO1•y' - o YES WD XES' 'NO N - 3•. • .=.i _. �?. =�' ._ DEMO.,PERMIT�QUIREDPXF':° 24OYES*40¢NO:1V �`.' � Y Bulletin#100—January 7,2005 Pagc 2 of 4 k\Handouts\Permit Application