18-105705 • s
Mechanical
Com; tyDevelopment Permit #:18-105705-00-ME
33325 8th Ave S
Feder Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: SCHOLZEN
Project Address: 34415 15TH PL SW Parcel Number:666491 0170
Project Description: Installation of gas fireplace insert and gas piping.
Owner Applicant Contractor
JEFFREY W SCHOLZEN JEFFREY W SCHOLZEN OWNER IS CONTRACTOR
34415 15TH PL SW 34415 15TH PL SW
FEDERAL WAY WA 98023-7055 FEDERAL WAY WA 98023-7055
Additional Permit Information
Mechanical Work Valuation 2354 Is this an Online or O.T.C.application Yes
i'
Fireplace Inserts 1 Gas Piping 1 Gas Pipe Outlets 1
PERMIT EXPIRES Sunday,2 June,2019
Permit Issued on Tuesday,December 4,2018
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: c` -�—d Date: —I
, If•'
•
ii
t • .
THIS CARD IS TO REMAIN ON-SITE
CITY OF IA Construction Inction Record
Federal Way INSPECTION REQ :(253)835-3050
PERMIT#: 18 105705 00 Address: 34415 15TH PL SW
Project: CYNTHIA SCHOI.7F.N FEDERAL WAY WA 98023-7055
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. Wont 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 J Date / 7 A . - Date
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date ,By Date
RECEIVED PERMIT APPLICATION
CITY OF
DEC 0 4 2018 PERMIT CENTER+ 33325 8th Avenue South+ Federal Way,WA 98003-6325
Federal Way 253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
C17Y OF FEDERAL WAY
g
COMM .NrryD�EVELOpMENTPERMIT NUMBER / _ // / 5 7 0 �j _
(/ TARGET DATE
SITE ADDRESS SUITE/UNIT#
3'�L- l5 (5-rp, PL._ s (J rEti;eral_ ti��
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
X zsy, 4 ( . I- - Q—I — 0
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT As PIP P LvacE_
._►.>>i KL-L £ S Ll1JLs C-
PROJECT DESCRIPTION
Detailed description of work to
be
included on this permit only
NAME PRIMARY PHONE
SG
M
PROPERTY OWNER
AILING ADDRESS E-MAIL
34L415 151-4- PI- 5 w
Y CITY STATE ZIP
NAME PHONE
O u)3 r4 e r�
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
0U0Ke
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME - _ -
- . PRIMARY PHONE
PROJECT CONTACT O (A) (A e k
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
-- NAME
PROJECT FINANCING J �' ❑ OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CI STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
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.
SIGNATURE,,,,/ / DATE I I 16-
XPRINT NAME: (, L r 5c NOL—Z.Etu
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated asart of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS I GAS‘PIPE OUTLETS OTHER(Describe)
T
AIR CONDITIONER t , FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING 0 GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type offixture to be installed or relocated as part of�is project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand sinks) ,/'TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS ' URINALS OTHER(Describe)
DRAINS SHOWERS ° VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(K,tchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
/
GENERAL INFORMATION �-�-11
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR /SEWER PURVEYOR VALUE OF EXISTING IMPROVEMEry1'S
$ /
EXISTING/PREVIOUS USE ' LOT SIZE)In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
,/
RESIDENTIAL — NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR Q(FFICE USE
Ar�B T ......
/�
FIRST LOOR(or Mobile Home) // /
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COVERED ENTRY
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GARAGE ❑ CARPORT ❑ /
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EXISTING PROPOSED TOT
Area Totals /
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ESTIMATED SELLING PRICE$ ( # OF BEDROOMS /
COMMERCIAL—NEW/ADDITION ,/I
AREA DESCRIPTION Area Occupancy Group Construction #of Additional Information
S.uare Feet Tye Stories
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COMME r'CIAL—REMODEL/TENANT IMPRO MENTS
AREA II CRIPTION Area in Occupa.cy Group(s) Construction #of Additional Information
uare Feet • .e Stories
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TENANT AREA ONLY
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Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application