04-105001 City of Federal Way Mechanical Permit #: 04 - 105001 - 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: TANGYE
Project Address: 319 SW 372ND Parcel Number: 218820 3925
Project Description: Installing a new gas fireplace,with associated gas piping
Owner Applicant Contractor
Jim Tangye &Joy M Tangye AQUA REC INC AQUA REC INC
319 SW 372ND ST 1221 REGENTS BLVD 1221 REGENTS BLVD
FEDERAL WAY WA FIRCREST WA 98466 FIRCREST WA 98466
98023-7305 (253)565-4763
Mechanical Valuation 1430 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Gas Logs I
PERMIT EXPIRES June 8,2005.
Permit issued on December 10,2004
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.
Owner or agent: Cts Date: — `(, — V
THISLARD IS TO REMAIN ON-SITE ._ ''
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-105001-00-ME
Owner: JIM TANGYE
Address: 319 SW 372ND ST
FEDERAL WAY, WA 98023-7305
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 arc 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 By /`%Date /zz Or
'Federal
` 2�j' 3- • i a,
_�" 04 _ ( .1500 I
Federal Way R - CE1 � —
COMMUNITY DEVELOPMENT SERVICES RM IT SF MF CO ogr L PL DE EN FP
33325 8'"AVENUE SOUTH.Po BOX 9718 DEC )J TI4LI C AT I 0 N
FEDERAL WAY,WA 98063-9718 �rp
253-835-2607.FAX 253-835-2609 I / / /O / ay
www atgo/%demlway corn
ITY OF FEDERAL WAY
The following is reguirea tnfL, 'rr41!., D R eompiete ap•lication will not be accepted. Please print legibly(in ink)
N PROPERTY INFORMATION or type.
SITE ADDRESS 3 1 l Q 5, W. •3 7am) 5,. r £iv-A I-
r y SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# _ - LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desrnpoon)
- ■ PROJECT INFORMATION - -
TYPE OF PERMIT 0 BUILDING 0 PLUMBING Itit MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
FAQ 5+OVe, i 1115 40 1144-7 Vit
PROJECT NAME(Name of Business or Owner Last Name) C
.. 10 PEOPLE INFORMATION _ . -
PROPERTY NAME '`
Tv ! TANG-YE PRIMARY PHON
E
OWNER V �253) 6O -SSS 7
MAILING ADDRESS CITY,STATE,ZIP
3 r 7 sL 31 .NL) s{ 1---�9 dL.. %um L.4),4 q/0a3
CONTRACTOR COMPANY NAME
APPLICANT NAME OFFICE PHONE
GEi0 4t,4m (4NWTr (2-53)7701--Py7 MAILINDR
CITY,STATE,ZIP
- CELL PHON
ErESq ✓y6.14u1/4e
CIT/04415- W S S•LICENSE NUM E,_XPfiATIgbATE 3 5 FAX NUM( BER
B L / /
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
/ /
APPLICANT COMPANYNYNAME
^ APPLICANT
/`��NAME /�' OFFICE PHONE
MAILING Ag KESS 6`y CITY,STATE,ZIR 1-k _ iCw2 U-1- (2c3)770 994-7
1[((��9 �r�� 'Vin/ IAA CELL PHO( )NE
RELATIONSI11P TO PROJECT _ �kr 1 ���/ -
4
FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE
E-MAIL ADDRESS
/
LENDERNAME
Per RCW 19.27.095: Lender information is
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
- - - .■ DETAILED BUILDING INFORMATION - -
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ \ 'KALUE OF PROPOSED WORK $ l Lk a9 . (73
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO
' WATER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE 0 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 EXISTING AND PROPOSED -
•"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 $ /
AIR HANDLING UNITS EVAPORATIVE COOLERS v GAS LOGS REFRIG SYSTEMS
BBQS FANS HOODS(commore 1) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS or Tub/Shorn rCombo) SHOWERS WATER CLOSETS(Tod<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
_. ,_: --.i'� -, -_ `= - -_;DISCLElllitER/SIGNATURE BLOCK- - --- - _ -. 2-. --;-r-=--; _ -
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. /
dS_ _�14r DATE
NAME/TITLE !� _�iii"�"� ��"'" � ��Y
`%�ignatt-c) (Ink)
RELATIONSHIP TO PROJECT 0 Owner ❑ Agent ❑ Contractor 0 Architect 0 Other
f
1
( FOR OFFICE USE ONLY
o NEW ❑ADDITION ❑ALTERATION o REPAIR o TENANT IMPROVEMENT
'1 BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? o YES a NO
1 ZONING DESIGNATION CHANGE OF USE? o YES a NO
t NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU? o YES o NO
PLATTED LOT? a YES ❑NO DEMO PERMIT REQUIRED? o YES o NO
f
Bulletin#100-March 30,2004 - Page 2 of 4 k\I Iandouts-Revised\Permit Application