01-103084 •
Community Development Services �Federal Way
CMechanical Permit #:01 - 103084 - 00 - ME
Com
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax 253.661.4129 Inspection request line: 253.835.3050
Project Name: BELVIN
Project Address: 2222 SW 308TH 51- Parcel Number: 416790 0300
Project Description: MEC-Install gas fireplace and 2-4 feet of gas piping.
Owner Applicant Contractor
Steven J&Laura K Belvin Steven J&Laura K Belvin Steven J&Laura K Belvin
2222 SW 308TH ST 2222 SW 308TH ST 2222 SW 308TH ST
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-7819 98023-7819
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Mechanical Valuation 2000 Over the Counter Permit Yes
Mechanical Fixtures
-_� Description Quantity ', " '. Description Quantity Description Quantity
Fireplace Inserts 1
PERMIT EXPIRES February 2,2002,IF NO WORK IS STARTED.
Permit issued on August 6,2001
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 ag nt: `> 16`1`k/q,k, Date: g 0 •0 J
4O\ II�� � r ;i
rA)41-- •l
CITY OF G CONSTRUCTION PERMIT APPLICATION
V �EJZ1 � AUG Q 6 ?OMAPPLICATION NUMBER: C1 - 103 I)t1
Y OF FEDERAL WAY APPLICATION NUMBER: _ - _
,BUILDING DEPT. APPLICATION NUMBER: - - -
**The following is required information — Please print(in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: 2222 Sri) 3o8 ' S► ASSESSOR'S TAX/PARCEL #: 6 q U — (o 3 0 Q
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): L. * 30 Lal4JO.1ex.c*'�j�.
TYPE OF PROJECT (This application): o BUILDING o PLUMBING s%IECHANICAL ❑ DEMOLITION
❑ ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): Ty-1540J( a5 fveVace_,
ciao
pi r Z -4- PM-
PROJECT
fPROJECT NAME: BEL\J IN]
PROPERTY OWNER: NAME: DAYTIME PHONE:
5{ZJ e o 1-0.31,1 COL E06 ri (2s3) - 0302
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
2222 S w 3084'' S+ -Fe cue Iia( wO (MI 70 z
CONTRACTOR: NAME: DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
APPLICANT: NAME: DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT TENANT ❑ OTHER ( DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER o APPLICANT o CONTRACTOR
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ LOGO
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES ❑ NO
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WATER SERVICE PROVIDER: r/LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER: /LAKEHAVEN ❑ HIGHLINE o PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) ✓ FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S) (c,10.47)DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MIgC. ( )
INTERCEPTOR(S) SUMP(S)
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 apart of this application. (/ ^ fa
}
NAME/TITLE: da.,u/.a. (`(VtVU rte
DATE: 01010 1
o PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR