19-105603 r h .+- % r
•
Mechanical
City of Federal Way Permit #:19-105603-00-ME
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: DUFFY
Project Address: 33802 31ST AVE SW Parcel Number:954280 1540
Project Description: Installation of gas fireplace insert and gas piping.
Owner Applicant Contractor
KELLY DUFFY CHARLES DUFFY OWNER IS CONTRACTOR
33802 31ST AVE SW 33802 31ST AVE SW
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
Additional Permit Information
Mechanical Work Valuation? 4117 Is this an Online or O.T.C.application? Yes
Fireplace Inserts 1 Gas Piping 1 Gas Pipe Outlets 1
PERMIT EXPIRES Wednesday,20 May,2020
Permit Issued on Friday,November 22,2019
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
Owner or agent:
r.. /.77 : ngton and the City of Federal Way. �I
0
i Date: /I ".07A7 /0
1 �
Fr%ze-'
l
THIS CARD IS TO REMAIN ON-SITE
FrOf Construction Inspection Record
ederal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 19 105603 00 Address: 33802 31ST AVE SW
Project: CHARLES DUFFY FEDERAL WAY WA 98023-7797
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) 0 Gas Piping(4125) ® Final-Mechanical(4065)
/ Approved Approved to release test Approved
By G�J. Date /p? CJ /�j .' By'0 Date - By'tO, Date / b .,20,2 O
•
0 Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
CITY OF NOV�.f 2 2 1019
PERMIT APPLICATION
Federal Way CITY OF FEDERAL PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
WAY 253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
•:;OMMUNrTY DEVELOPMENT
/
PERMIT NUMBER / 9 _ / O 5 (' ® � - Ail E TARGET DATE
SITE ADDRESSSUITE/UNIT#
-�
\--,'<3g(1; / 14011. �6 '��,� 6gc / 1 eize / IVA
PROJECT VALUATION i �� ZONING ASSESSOR'S TAX/PARCEL# I
$ \ _
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL D DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT -N11/a// - 5 :Ti /X C e /L,(d'E74 . -4 f ,/
Re e/pc,a e �c-,/c ' tOo fa%/gc.c 4 4/ /4( iA/.31-4 Y )" :/1/l5'�ee r/
PROJECT DESCRIPTION J` 1
Detailed description of work to Nle i.0 �J1 h /4 C-l®e .S 7u' /4 1%V Vi
be included on this permit only / ` i /
e' Pr i C -/ G/4 r c c.,V
/N i PRIMARY PHONE
PROPERTY OWNER ( L/t'45 y.-A-il �" f j 'e6 ��G S )
MAILING ADDRESS
?3 cc' 3/ ,4t e SGC) cXX /,7o?(6). .o/Il t AJe
CITY /7 I41tt{k / W4 ino?3
NAME PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME , PRIMARY PHONE
aw/r/ e /'
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAMEPRIMARY PHONE
PROJECT CONTACT Qti/-e41
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 1❑ OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,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 arty 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 city as a p• his application. �. `
M
SIGNAi` , fJ�(//
/97 ► DATE /
PRINT NAE °I., k.5 / /• fir 014
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Bulletin#100–January 29,2016 Page 1 of 2 k:\Handouts\Permit Application