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05-103477 • , City of Federal Why Mechanical Permit #: 05 - 103477 - 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: TOLLOTSON Project Address: 2232 SW 307TH Si- Parcel Number: 416770 0090 Project Description: Install gas fireplace insert and gas piping Owner Applicant Contractor Julia J Sinks SUNDANCE ENERGY SERVICES,INC. SUNDANCE ENERGY SERVICES,INC. 2232 SW 307TH ST SUNDANCE ENERGY SERVICES,INC. SUNDANCE ENERGY SERVICES,INC. FEDERAL WAY WA 10228 MAIN ST 10228 MAIN ST 98023-7876 BOTHELL WA 98011 (425)481-9660 Mechanical Valuation..... .. . ..................4290 Over the Counter Permit...... . . .... . .. .Yes Mechanical Fixtures Description [Quantity Description 'Quantity Description Quantity Fireplace Inserts 1 Gas Piping 1 PERMIT EXPIRES January 14,2006. Permit issued on July 18,2005 I hereby certify that the above formation is correct and that the construction on the above described property aid the occupancy and the us: i '.e f a. .rdance with the laws,rules and regulations of the State of Washington and the City of Federal Way. I srOwner or agent: I Date: v US THIS CARD IS TO REMAIN ON-SITE • CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-103477-00-ME Owner: JULIA J SINKS Address: 2232 SW 307TH ST FEDERAL WAY, WA 98023-7876 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 Date By le Date ///Qf Q( By / Date —01/68--- r- ^ �,� RECEIVED '-, iWN `'" JUL 1 8 2005 '� 5 00 CITY OF FEDERAL WAY `J/ 1I��2 CITY OF ,...,"= • JL — t`T _ 4I �F 7_ Federal Way trAE R Muff""G DEPT. OF FEDERAL F CO 610 EL PL DE EN FP COMMUNITY DEVELOPMENT RRAALL 9SERVCE � N3332F5D EWAATH80P6O3B9718 pA L I CATION 253-835-2607•FAX 253-835-2609 / / u'mu•cuyo(federattnuy corn The following is re.uired information-an incom•lete a.plication will not be acce.ted. Please .rint legibly(in ink)or ty••. / n,,,, /�In PROPERTY INFORMATIONIN SITE ADDRESS 4 2 -. o r,, d O7 ST:• Q SUITE/UNIT# Q ASSESSOR'S TAX/PARCEL# % / (/ �i ) 0- 0 ^0 / 0 LOT SIZE� (sf) O iO LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) < t4 140-✓I / L1S4 0,&S' .S' h V (Attach separate page for lengthy legal descnphon) • • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING ,. ECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onit0 /r1/ taint& 4Ac Pik GA bfead7— MI OfAg /AA/4 PROJECT NAME(Name of Business or Owner Last Name) 1 r LLO1 o . I PEOPLE INFORMATION OWNERPROPERTY NAME W.y/ �� cA) P(1- 1) -4724,2 ) OWNER '�!!!) V�� !!�'L� MAILING ADDRESS CITY,STATE.ZIP 2212- 521 0 '.e/,‘04/t—+ Pt/r/ fry g6ro,?-1 CONTRACTOR COMP NAME APPLICANT NAME OFFICE PHONE 91/1NAc1C- I,(14 / ( 'AZS) �/r/- 96Go MAIL!NG ADDRESS/0?- U M/),A S J CITY iita-/u//r QS6/!c CELLPHONE115'- 535! CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER 2'6° -6)4) -1 © !e ° & 5 -B L 1x / 13 / or (os) qg9 -5997 "[RAC7'OR'S REG STRN ER(c � ared with each application) EXPIRA//DATER .., 031-� / / o s • APPLICANT 444wAPPLNAME OFFICE PHONE za niee tividfif MAILING ADDRESS CSTATE,ZIP CELL PHONE /00 o g irlA Id Vr / 9 *iii..--,P14/ 9�l/ (�p0) -$ - g 'J RELATIONSHIP TO PROJECT ,,����/ FAX NUMBER 0 Architect 0 Tenant .n❑Agent ther(Describe) ��0N�F'"F'i'6�- ( S) Yr - S,Pe/ CONTACT NAME 9/04/47 _, y,I/i ( /A )PRIMARY H4/ ! - 660 Coo S/ivMM?t ttia6y/ems-v.02 , 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? 0 YES C NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO WATER SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE a TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 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 ❑ CARPORT❑ EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL.SF NUMBER OF FLOORS "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. MECHANICALQ 0 00 Value of Mechanical Work $ 1�/ s AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG SYSTEMS sags FANS HOODS)Commercial) WOODSTOVES BOILERS / FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS 3 GAS PIPE OUTLETS PLUMBING BATHTUBS or Tob/Sbowr Combo) SHOWERS WATER CLOSETS ITmlet) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAYS(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. /I (/ f NAME/TITLE .1 I/ kiedf4016 DATE 7_`z—O S r�'t a, re) (Title) RELATIONSHIP TO PROJECT 0 Owner o Agent contractor ❑ Architect 0 Other FOR OFFICE USE ONLY ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? ❑YES a NO ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES ❑NO PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Permit Application