05-105110 City of Federal Way Mechanical Permit#: 05 - 105110 - 00 - ME
Community Development Services
P.O.Box 9718 _
Ph:(253) A 98063-9718
( 53Inspection request line: (253) 835-3050
835-7000Pt,:(253) Fax:(253)835-2609 P 9
Project Name: SPENCER
Project Address: 28815 7TH$A,ie5 Parcel Number: 515292 0060
Project Description: Install gas fireplace and gas piping
Owner Applicant Contractor
Phillip Spencer &Lisa Spencer SOUND HEATING&A/C INC. SOUND HEATING&A/C INC.
28815 7Th AVE S 5526 18TH ST E SUITE A 5526 18TH ST E SUITE A
FEDERAL WAY WA PUYALLUP WA 98375 PUYALLUP WA 98375
98003-3606 (253)875-3350
Mechanical Valuation 2000 Over the Counter Permit Yes
Mechanical Fixtures
:. .°>" M fi lj .a ''. , . t� - ::b: '!.{a"aPlit{� tn..:A:•",i, I , n «; i1inal ti°0 " .. Ga11th
Fireplace Inserts I Gas Piping I 1
PERMIT EXPIRES April 2,2006.
Permit issued on October 4,2005
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: See 1 [SPL(Cern o `.) Date: /pig 16 S
ATHIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE# (253) 835-3050
PERMIT#: 05-105110-00-ME
Owner: PHILLIP SPENCER
Address: 28815 7TH AVE S
FEDERAL WAY, WA 98003-3606
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 Approved to release test Approved
BY _ bU.4.4 Date 10 ^au-tbS By - Date l 10-2_u-d By - Loki Date Z. et ► 06
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.. ••;:.'• li ■ PROPERTYINFORMATION ' '
SITEnnnaE s .:
_ SUITE/UNIT N _
ASSESSOR'S TAX/PARCEL N51 5 - - ”
('�� .. LOT SIZE (v)
LEGAL [)ESCRIRTION (I,q ;1 "I P,t,::, , 1,,' �, x�
.. .h:; INFORMATION:•:. .:• .,..••:-••,•• •;•.....:•... • . • .,• ..• .:•.
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING AIIIF,CEIANICAL
❑ DEMOLITION O ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provtde detailed description of work included on this permit onhl) a
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PROJECT NAME(Name of Business or Owner Last Name) _ _. _ _Allk-1 k __.,r
<•: :; ;, . -. ,i-...,.-.:-.-;;."7•••MI PEOPLE'INFORMATION - :-.:•*-*--•• • •• :. ,:• •
PROPERTY ME -,
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OWNER Lc \rL ,1 I �il\C (PPR�'IIMARY P(7H��OtNIE(x' '�`
LINO ESS' IZ j` YA CITY,STATE,ZIP "-� "L`" ��`�
CONTRACTOR MPANY NAME
APDL( NT NAME OFFICE PHONE
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CITY OF FEDE L WAY BUSINESS LICENSE NUMBER I �7C�ERATION DATE FAX NUMBER
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(,CONTRACTORS REGISTRATION NUMBER(copy of card required with each applctUon(
1--3 �L- U 14 (� ��m g- / /TION DAT �_
APPLICANT MPANY NAME-)` 1 1
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/ APPLICANT NAME OFFICE PHONE
AILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PAOJ E."- --- ------ - -- ( )
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1 FAX',"JMEi_
0 Architect N
[; Tenant C Agent Other (Uescnbe) rjV�). ( I
CONTACT MM E - PRIMARY PH
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LENDER 1 l yy (•'i- -i ME I
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MAILING ADDRESS
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• ,• • . •. .r . • MI DETAILED EUILDING INFORMATION- . . ---
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X[STING USE
PROPOSED [TSE' V
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• �.---- . ' PROJE'TFLOOR
• AREA8
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AREA DESCRIPTION y►
EXISTING PROPOSED
S FT. S FT. TOTAL
BASEMENTSQ
FI RST —
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS C°S"`O -
roi 5;fJ-::s a
..-,j: ,4 •.i:.'_y? '._._..•��°� !� '��.',` ��•_+x=31:-
"NEWHOMESONLY" NUMBER OF BEDROOMS °`'� ++
ESTIMATED SELLING PRICE $
= — -- - FIXTURES. . ..
Indicate number of each type o • -
f fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL L 0
Value of Mechanical Work $' 1 - "T S t kap
•
AIR HANDUNO UNITS EVAPORATIVE COOLERS •
BBQS GAS LOGS
REFRIO.SYSTEMS
FANS HOODS
BOILERS I FIREPLACE INSERTS to...'4 WOODSTOVES
• COMPRESSORS RANGES MISC(Describe)
FURNACES GAS WATER HEATERS
DUCTS 1 OAS PIPE OUTLETS
PLUMBING
BATHTUBS 'Mb/Shower Gmb.t SHOWERS
DISHWASHERS WATER CLOSETS tr•a<q MISC(Describe)
SINKS
OAS P[PE OUTLETS DRINKING FOUNTAINS
SUMPS RAINWATER SYST
WASHING MACHINES URINALS
HOSE BUMS
LAVS(BathroomSialcy VACUUM BREAKERS ELECTRIC WATER HEATERS
•
•
•
_ _ DISCLAIMER/SIGNATURE BLOCK -
••
Icertify ander penalty of perjury that the Gy/ormation - -__ - - .—---------------- __:____ ---_
harmlessm
is true and correct
mutrued by the owner of the above premises to perform tthe work ffor which the permit to the beston ofLsmade.knowledge, and farther, that I
the City of Federal Way as to any claim(including costs, expenses, and attorneys' incicurred in`the investigation and defense of
such claim),which may be made by any person,includingthefurther agree to hold
arisesuchout of the reliance of the city, includingits o undersigned, and filed against the City of Federal Way,but only where such claim
this application. ' officers and employees, upon the accuracy of the information rSf rmation suppiled to the city as a part of
NAME/TIT �d I /
�(Signatures DATE 1 " aj a'�
RELATIONSHIP TO PROJECT 0 Owner O Agent (Title)
g Contractor 0 Architect lY�thercu
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Bulletin II I00-January 7, 2005
['age 2 0(4
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