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09-103945 w • Mechanical City of Federal Way • Community Development Services ��©q Permit #: 09-103945-00—ME P.O.Box 9718 Federal Way,WA 98063-9718 I Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050 q Project Name: PARTLOW Project Address: 1959 SW 352ND ST Parcel Number: 787960 0080 Project Description: Installation of wood stove • Owner Applicant Contractor \ JOCELYN PARTLOW JOCELYN PARTLOW PARTLOW FAMILY TRUST PARTLOW FAMILY TRUST PARTLOW FAMILY TRUST 1979 SW 352ND ST 1979 SW 352ND ST 1979 SW 352ND ST FEDERAL WAY 98023 FEDERAL WAY 98023 FEDERAL WAY 98023 WA WA WA 4 �,. " .. 4,0,,14:0641 Permit in ' 6 1'. ' 1 il .. Mechanical Valuation 4096 Is this an Online or O.T.C.application' Yes ��‘-':',A,,.6 hanical Fixtures � ,� Wo - ... , ERM,I PIRES u �y A � � 20 'Tsda 0 er8#1 I hereby certify'4�4he'above ormat� or ., ,. th�catconstructionon t above crib�prdperty the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington zop#$ and the City of Federal Way. � Owner or agent: 'i` ` ' ter `sem"� Date: ! %/�Y`" / 00 ie Pte- n fluAu0eb ,. .,_ _ ,_.y City of Federal Way • • Meclranial Community Development Services Permit #: 09-103945-00-ME P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050 Project Name: PARTLOW Project Address: 1979 SW 52ND ST Parcel Number: 787960 0100 Project Description: Installation of wood stove Owner Applicant Contractor JOCELYN PARTLOW JOCELYN PARTLOW PARTLOW FAMILY TRUST PARTLOW FAMILY TRUST PARTLOW FAMILY TRUST 1979 SW 352ND ST 1979 SW 352ND ST 1979 SW 352ND ST FEDERAL WAY 98023 FEDERAL WAY 98023 FEDERAL WAY 98023 WA WA WA AdditionalAddltionaIROorftlltxInformation �E Mechanical Valuation 4096 Is this an Online or O.T.C.application? Yesz Mechanicalu� W oodstoves.., I PERMIT EXPIRES`Tuesday, April 6, 201,0 .i .r Permit issued on Thur9dy,October 8,' 09� hereby certify that-the above information corgi and that tee construction on the above Scribed property and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington ,-1,_I,,11-1 the City Federal Way. -_ Owner or agent: Vt"--1--11r1-- I'll • IC"`'-1----I/ ►VV Date: /'6.-' - P- C r' ` THIS CARD IS TO AIN ON-SITE• ry7 CITY Construction In ction Record Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT #: 09-103945-00-ME Address: 1979 SW 52ND ST Owner: JOCELYN PARTLOW FEDERAL WAY, WA 98023-3156 Scheduled inspections may he 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) ID Gas Piping(4125) 0 Final-Me hanical (4065) Approved Approved to release test proved By Date By Date By Date id/Of 0 Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date IF; CITY OF A 2-cez(eo 4iiig_ - _,Z2%., 9 5 Federal Way PERMIT SF MF CO 410 EL PL DE EN FP COMMUNITY DEVELOPMENT SERVICES APPLICATION / / 253-835-2607•FAX 253-835-2609 www.aituofedem(wau.Com •„', k�Tf � us £ � SITE ADDRESS � 1(777 sw 35?Nn 2 . fL) Ti€A- �� , w 3(3- S SUITE/UNIT# ZONING ASSESSOR'S TAR/PARCEL 0 � r , y,1y",'� �."1--'"- r' ^', —'7- -'—"r.�,.` 77-7-77-T rm � Te' jr,N ---,,,,,,,,41,,, �6 ,,=; .. .,,,-.. NAME OF PROJECT (Tenant or Homeowner Name) �� (�(,(� 0 BUILDING 0 PLUMBING MECHANICAL TYPE OF PERMIT ❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FI�I ""�.r 1 EEOIF r cco 570\16 VED PROJECT DESCRIPTION Detailed description of work to �CT O 2QrlG be included on this permit only C r lTT�or , ,,b.,„a.,.a— , ,, �; .. Y 3 j ,,,,,j',,,, r q u A�� NAME PRIMARY PHONE PROPERTY OWNER 76 LE/r4 P/4-K- O''%1 (e)0/,) .c:17 I /7L v'1 MAILING ADDRESS,C STATE,ZIPE-MAIL // � OWNER IS ALSO: O CONTRACTOR t7i APPLICANT 0 PROJECT CONTACT NAME PRIMARY PHONE ( ) - CONTRACTOR MAILING ADDRESS,CITY,STATE,ZIP FAX ( ) - WA STATE CONTRACTOR'S LICENSE I EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 0 / / NAME`�//-- (EP Y PHONE APPLICANT O � P it C ( ) tf MAILING ADDRESS,CITY,STATE,ZIP FAX 5-44'11 E ( ) - PROJECT CONTACT NAMEe. PRIMARY PHONE (The individual to receive and S t. ( ) - respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX concerning this application) ( ) - ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL ( ) - PROJECT FINANCING NAME 0 OWNER-FINANCED Required for projects with value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY 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 authorised 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 const action or environmental laws. I further agree to hold harmless the City of Federal Way as to grey claim(including costs,expenses,and attorneys'fees incurred in the investigation and defense of such claim), which may bet made by any person, including the undersigned, and filed against the city,but only where such c •. arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to city as a part of this application. SIGNATURE: k it` PC4' -1•- e.:70,- DATE /0 - 7 -o'l PRINT NAME:f 'To ` 1,4 #. /912-rcaki Bulletin#100-4/17/2009 Page 1 of 4 k:\Handouts\Permit Application 4SI,.)-7,,)2/ ilib l IJIZOI Value of Mechanical Work " . '. i (A COPY OF BID OR ESTIMATE MUST BE PROVIDED) Indicate number of each type of fixt -to .e installed or relo . ed as part of this project. Do not include existing fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(comm BOILERS FURNACES HOT WATER TANKS(Gaq COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING / WOODSTOVES PLI, ING FIXTURE Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. BATHTUBS(or Tub/Shower Combo) LAVS(HandSinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS $ $ EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑Yes❑ No ❑Yes n No RESIDENTIAL, AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR(or Mobile Home) SECOND FLOOR __.-.-- COVERED ENTRY DECK GARAGE ❑ CARPORT 0 OTHER(describe) Area Totals ` ° TOTAL **NE'llr 1/011fES-o » ESTIMATED SELLING PRICE$ #OF BEDROOMS COMlt ':ERCIAL—NEW/ADDITION. ,. AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square FeetType Stories ANEW BUILDING ADDITION COMMERCIAL RErODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area #of Occupancy Group(s) Cons etion Stories Additional Information in Square Feet TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin 4 100—4/17/2009 Page 2 of 4 k:\Handouts\Permit Application