04-103083 C 111
comm of Federal Way
Community Development Services Mechanical Permit #:04 - 103083 - 00 - ME
33530 1st Way S
Federal Way,WA 98003-6210
Ph.253 661.4000 Fax.253 661.4129 Inspection request line: 253.835.3050
Project Name: BOCKH
Project Address: 1336 SW 348TH St Parcel Number: 542242 0260
Project Description: Install freestanding fireplace and associated gas piping.
Owner Applicant Contractor
Gregory P Bockh AQUA REC INC AQUA REC INC
1336 SW 348TH ST 1221 REGENTS BLVD 1221 REGENTS BLVD
FEDERAL WAY WA
98023-7026 \FIRCREST WA 98466 (253)565-4763
Mechanical Valuation 2800 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity)
Woodstoves 1 Gas Piping 1
PERMIT EXPIRES January 31,2005.
Permit issued on August 4,2004
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. a
Owner or agent: Q Date: -
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I
THIS CARD IS TO REMAIN ON-SITE 4
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103083-00-ME
Owner: GREGORY P BOCKH -
Address: 1336 SW 348TH ST
FEDERAL WAY, WA 98023-7026
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
P-By Date By f/ Date d -el-(J q By C CA) Date " i 3-a
4111.
IVSD _
Federal PERMIT 'M MF - c�
CarCOMMUNITY PL DE EN FP
33553-661-1RST�/5•�AX2532� ° 4 200APPLI CATI O N
FEDERAL WAY,WA 98063-971 p � /
unow.dtuofederdwa corn
CI 1 Y OF FEDERAL WAY
The ollowin• is re.7,U'i k •r1St 'tion-an inco •lete a.•lication will not be acce.ted. Please •rint le•ibi (in ink)or . .
c 6// PROPERTY INFORMATION
SITE ADDRESS 13 34 5 . 39 Sr- 98'ô�3 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# S 92 7. L/ 2 - O 4 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desmpoon)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING o PLUMBING MECHANICAL
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onli!)
6a s 1/yt,P 740r 6 4 57-0ve
ven4-i L1 AHpt &as 5'1ove /)257' `1
PROJECT NAME(Name of Business or Owner Last Name) igQ G/L /\
PEOPLE INFORMATION
PROPERTY NAME �Q��� PRIMARYP HONE
OWNER �-'//tee G) o r -
MAILING ADDRESS(J �`, } P.
CITY,STATE,ZIP
133g 'S 39 $/-- -�,,a 1 u/Cf v Wet t fRC7 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
44_0 Re 5,vli
',4 nt iN Li, jDc (53 ) 5XC-- 97�3
MAILING ADDRESS- P AA. CITY,STATE,ZIP CELL PHONE
CITY"O/36 FEDERAL WAY BUSINESS UCENSUMBER /drV. 1 i 4 yPIaN,p9'�3ATE (AX NUMBER
2 Q-0o_--1 O I_ fc 6 g- B L 1 / 31 /off t
CONTRACTOR'S REGISTRATION NUMBER(coPy of card required with each application( EXPIRATION DATE
� CPUA R14 .1 1 L EA / /
APPLICANT COMPANY NAME / j APPLICANT NAME OFFICE PHONE
S50 wt Lee H riVae 7-!J// ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB ER
❑ Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE
E-MAIL ADDRESS
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE a PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
_
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL FASTING ARD PROPOSED
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offucture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL `9
Value of Mechanical Work $ �. WN
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) 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(Tokt) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
X 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.
t- < I//0g
NAME/TITLE DATE /
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect 0 Other
FOR OFFICE USE ONLY
a NEW ❑ADDITION ❑ALTERATION ❑ REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? a YES ❑NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO
V
Bulletin#100—March 30,2004 Page 2 of 4 k\l-tandouts—Revised\Permit Application