05-105198 City of Federal way Mechanical Permit #: 05 - 105198 - 00 - ME
Community Development Services
P.O.Box 9718
Federal25 Way,WA 98063-(253 Inspection request line: (253) 835-305C
Ph:(253)835-7000 Fax:(253)835-2609 P 9
Project Name: NERGES p39-1
Project Address: 30040 24TH SW Parcel Number: 893750 0160
Project Description: Installation of a gas insert into both fireplaces and run gas piping for both from meter.
Owner Applicant Contractor
JOHN NERGES HERITAGE ENTERPRISES INC HERITAGE ENTERPRISES INC
30040 24TH AVE SW 9001 PACIFIC AVE 9001 PACIFIC AVE
FEDERAL WAY WA 98023 TACOMA WA 98444 TACOMA WA 98444
(253)539-8709
Mechanical Valuation 3500. Over the Counter Permit .Yes
Mechanical Fixtures
Description _ Quantity Description _Quantity Description_ Quantity
Fireplace Inserts j; 2 Gas Piping 1
JI
PERMIT EXPIRES April 5,2006.
Permit issued on October 7,2005
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
Owner or agent: c,
4 , (1 <e/ � i Date: /0/0
FINALE
ID .---/ ,
V ((°11
C
THIS CARD IS TO REMAIN ON-SITE - - 4
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105198-00-ME
Owner: JOHN NERGES
Address: 30040 24TH AVE SW
FEDERAL WAY, WA 98023-2313
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) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Date//_ / h
ate • Ds - . S (7
I
derat way PERMI ED
ITYDEVELOPMENTSERVICES CTQZOOS SF MF CO L PL DC EN FP
APPLICAERALWA FAX eder& BUILDING DEPTnm.til uotlederd uau.eom
The following is required information-an incomplete application Will not be accepted. Please •rint legibly(in ink)or type.
-r.;... :,-. ,'•,;•• - . III- "I• • .l-4 • s% '• -Mi. • .
SITE ADDRESS 30OTO 6Z
�J Y" Ave S SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 'D q 3 -1 S `O - 0 ( Co 0 LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
. ."-1,1'3 ..U.' . = - ■.PROJECT INFORMATION _. - , . - .- _ -
TYPE OF PERMIT 0 BUILDING 0 PLUMBING IKMECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
/Ai 674t,A4t/o A) o•- A- 6-ovs i,v_SEar , ,i /7'o ex:rA 16i163P/A-ceS 4-Aio eu,,t/
PROJECT NAME(Name of Business or Owner Last Name) A e Q G'E,S
..=`_y .. : --_. - -.:---..,•;.:::-:,:::-....':;.1.,,:-.: - . .-II PEOPLE INFORMATION •-- - •-- . --•-• . - - -
PROPERTY NAME PRIMARY PHONE
OWNER Z'OAM/ Ng2GE5/ i, hA/A1e - - ( ) -
MAILING ADDRESS - CITY,STATE,ZIP
300 4Fo 42,41#4 •9-vs sw P-6,064•44 w47 91(02,3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Ilea t 7.-4-6£ N7, ie/6k , ,,zTi,c) ( sz) S zz - zzi/
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
200/ PAciric, ,4-we ric/C /44 W/i- 5'�/446,4(Z-53) 37? - 954/5
OF FEDERAL WAY BUSINESS/LICENSE NUMBER EXPIRATION DATE FAX NUMBER
9 - L
5-1 Q k 6 cL-B L / / (253 ) 539 - a7ap
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each applications EXPIRATION DATE
W f.- 2 .rf fiL `lIll 6 o? / 2- / e4
APPLICANT COM ANY NAME APPLICANT NAME OFFICE PHONE
/E/Ei rA't E,— /Q/Ca eri / ( 253 ) ,"22. - 22/7
UNG ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT • FAX NUMBER
O Architect ❑Tenant O Agent O Other(Describe) ( ) -
CONTACTN PRIMARY PHONE E-MAIL ADDRESS
I uL re ( z53 ) 9ZZ - 22//
LENDER 'erg CWf19 27.0951 Lender infermatiori`is+,� NAME
.Vq ogprjeet-vaiu 'ezceeds$5.0°°::':'c.'.);
MAILING ADDRESS CITY,STATE,ZIP
_ .. , :.: :-:'.t.."7::*',a:7*. ■ DETAILED BUILDING INFORMATION - . _ -
EXISTING USE PROPOSED USE• �
•
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 3 t yv
� , b-0
SPRINKLERED BUILDING? 0 YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES O NO
i WATER SERVICE PROVIDER 0 LAKEHAVEN O RIGHLINE O TACOMA O PRIVATE(WELL)
•
1
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) `
• ..•- PROJECT FLOOR AREAS
-�-- .
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. _ TOTAL
.ASEMENT •
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE) _
DECK(COVERED?)
GARAGE/CARPORT
TOTAL rASTtXG TOTAL rROpSLD TOTAL rASTDIG AND PSOrOSLD
HOW MANY FLOORS?
'"NEW HOMES ONLY NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
l.t is I•te number of each*type of fixture to be installed or'relocated as part of this project. Do not include existing fixtures to remain.
Indica
MECHANICAL CO
t
Value of Mechanical Work $ 1 7J
EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
AIR HANDLING UNITS FANS HOODS(comWOODSTOVES
•
Bas FIREPLACE INSERTS RANGES MISC(Describe)
BOILERSAS (corn...J.4 ui)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS _ __ GAS PIPE OUTLETS
PLUMBING SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS
(.,T�bisn«comeol SINKS DRINKING FOUNTAINS
DISHWASHH ERS RAINWATER SYST
GAS PIPE OUTLETS SUMPS
URINALS HOSE BIBBS
WASHING MACHINES ELECTRIC WATER HEATERS
LAVS(Bathroom Sinks] VACUUM BREAKERS
—- _ W-- _ --_ ._::DISCikillr iitiGNATIIRE BLO - - =__ _=.. :--_ :::"--:i
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
mers the City ofm Federal Way ato any claim including the undersigned,and filed against thees City of Federal Way,but only where such ed in the investigation and defense
m
such claim),which may be made by any person,
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
�i/Z�G'L4•E, �llr�_ DATE 1 D S
NAME/TITLE ��-= • (Title'
i (Signature'
I RELATIONSHIP TO PROJECT o Owner 0 Agent Contractor 0 Architect 0 Other
l
I
1 FOR OFFICE ONLY-
o NEW o ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT
( BUILDING SHELL ONLY? o YES o NO
BASIC PLAN? o YES o NO
IZONING DESIGNATION CHANGE OF USE? o YES o NO
iUP/SEPA/SU? a YES a NO
NEW ADDRESS REQUIRED? a YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
J....
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l Bulletin 11100—March 30,2004
— Pagc 2 of 4 k Handouts—Rcviscd\Pcnnit Application
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