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01-104297 City of Federal Way Mechanical Permit #:01 - 104297 - 00 - ME Community Development Services 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: BELANGER P� Project Address: 30522 12TH SW Parcel Number: 178850 0080 Project Description: MECH-Install free standing gas fireplace and associated gas piping for existing residence. Owner Applicant Contractor John N&Mary L Belanger WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO 30522 12TH PL SW 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W FEDERAL WAY WA 98023-8229 SEATTLE WA 98199 SEATTLE WA 98199 (206)282-4700 Mechanical Valuation 3000 Over the Counter Permit Yes Mechanical Fixtures Et r _ Quantity i 1:*. tiOt ctu i''. ...F 0anti DEscri t►On ascription � ' � � i � ��' F � P Fireplace Inserts 1 Gas Piping 1 PERMIT EXPIRES May 6,2002,IF NO WORK IS STARTED. Permit issued on November 7,2001 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 agent: GALS:(/) CJS- Date: I((1/4 I r � �+ s. /> ' L4 2 NI-1 7 ."-.1. -714. / 2f / 2 - / 7- c.`/ SV-0`- '1 21:18 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-629 P.05/12 F-706 T•• �' - \\V �r.� � -. .. vv.-rum-JAI WVS1 IwI•UJ !'. r r - _ >FQCGV APPLICATIONNUMBER: ,. _Lry :?:r. i 00"-%4/45- . APPLICATION NUMBER: _ _ii•;:. '.. Imi NS R, ` l' **The foltov Ing is required information_Please print(in ink)or type** I - -please Ilona Fleipiall,Rye Prevention Systems and Engineering permits may require a separate application. IIIIMIIIIIIM ■ PROPERTY INFORMATION SITE ADDRESS: ?06- CT t"):04- QL s ASSESSOR'S TAX/PARCEL#: j,--) 6 L (: -0o 8-0_ • LEGAL pESCRIPnON OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • ,'1' [ ■ PROJECT INFORMATI�fONff • • . TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING MECHANICAL ❑ DEMOLITION • 0 ELECTRICAL 0 ENGINEERIN FIRE PREVENTION SYSTEM - •• 1 PRRW6CI'•DF�CRIPT1ON(Pr rvktedetsued ptlon): c4 _# _,L.,a� t_ /"...6r -__i r l,� �e-e� IA, r„.. . iir „. _ ...__ .,,,i, J, .;,...,,I.. . 'T\ P S. ■ PEOPLE INFORMATION , PROPERTY OWNER: : DAYTIME PHONE: 41 htFa fM/G E� • ( ,ic4l q�j47i r NAIUNG WORMSET ADDRESS:QTY,STATE.ZIP): CONTRACTOR: -- a�YrrME FHO lE: KAINJ44 ,i r4- (mob )>$&- -OD o • NARRIG ADDRE4S�S1 tl ,QTY,STA ' � � EvENING IPHOME: 't ' Thaa� {eve VI ' . . • 61:=M� k ( ) QTY O! SAL WAY LICENSE NURSER: FAX*MOD w - �' i,'• RJ TORS REGISTRATION MISER: PR •••- r EXP/RATION DATE; WftS4-(gS ga GIti) / / ' APPLICANT: NUMDAYTIME PHONE: NAILING ADDAfSS(STREET •CITY,STATE,W) MERINO PHONE: ( RI ATIOIRRIP•TbP11DIECf: FAX NUMBER: C ARCHITECT 0 TENANTc ` aTHER(DESCRIBE). ��G1Alte r1- ( ) - E.MAIL ADDRESS:, CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT ' NTRACTOR ■ DETAILED BUILDING INFORMATION ANG USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ O (-DA ' BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO WATER seRv CE PROVIDER: ❑ LIUCENAVEN •Q HIGHLINE 0 TACOMA 0 PRIVATE(WELL) • SEWER SERV=PROVIDER: ❑ L AKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) . .,. t"•, 4uUV-0: U 21:16 FROM—NORTHWEST—CASSIMAR 206-374-0834 T-629 P.06/12 F-706 r oFisE0110014S; ESTIMATED SELLING PRICE; ~F ■ PROJECT i LOOR AREAS FLOOR EXISTING SQ.ET. PRoPOSED SQ.FT. j TOTAL BASEMENT _ `FIRST • - • , • SECOND is . 'ry{ptD •.. lilt''..4• ,i,4. J• •M' ..�.� ,,I AA,,,..• K fa ,� i t.,`t `° "r� OTHEtt FLOORS(DESCRIBE) �, „iii •z Vii'. F • r �r ,. • `. ,�: .('�'• ;GARAGE ` '';: '?' 'How MANY R.00RS? • ' TOTAL . • • ■ FIXTURES . ti V\--(el ,�_f , 5� E-c-•t-3 6��- Indicate number of each type of fixture �/V l lr� �`^'� h MECHANICAL . _ - AIR HANDLING UNITS) . EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) FAN(S) HOOD(S) WOODSTOVE(S) . „ BEIQ(S) ' 0 S) , FIREPLACE INSERT(S) - RANGE(S) MISC.(___ _ DDMPRESSORki) FU ) HEAT SOURCE: ❑ ELECTRIC AS r • DUCKS) GAS PIPE OUTLETS) PLUMBING •`''`';'•• BATIMAKsli.,! LAVATORY(S) URINAL(S) WATERHEATER(S) �— RAIN WATER SYS. VACUUM BREAKERS) 0 ELECTRIC 0 GAS DP!NIQNG FOUNTAIN(S) SHOWERS) WASH MACHINE OUTLET ' „_,GAS PIPE 011�i'IET(S) SIMKG(S). •___ WATER CLOSETS) MISC.( ...•.......��Ni�t+CEPTORi;� ' SUMP(S) • .1111M111 - ■ 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'ant 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 Wa as to any daim(including costs,expenses,and attorneys'fees blamed In the investigation and defense• - • • claim),whi- •y ' - ade by any person,including the undersigned,and filed against the City of Federal Way,but 9nty'were s - claim arises out o + a reliance of the city,including its officers and employees,upon the accuracy of the Information supplied to the •.ty as-a part• • : is application. t: :� .00 • DATE: lJl0 ©PROPERTYO a APPLICANT CONTRACTOR 4: f • �• ` ;r .••, ”, c','11,',,•,,.-.• _I. I ' ,'1 ! 1•�FI�.StC.:1 [,I X11? '\Pt_:!-it G M i�r .T.q.A.:, .+ Ji) Y�$11 A (r:i.��).`l:{M1�??, 1��� ! ,. ..c ($• J., i., --,?..;•• ' ; FI jI' ct J'_� .� � ib:°Vr+„u1� W T 1. �4 r `..L I r L( � �' �y,� _y 1 't l .-...! 6f -i �fJ�-I,iT g_IZo '- a � 1 1tf, ti)-;t�l.,,,i_1 1l. �•11���A. i ,V- [i ��� •c. �,'t . p.-_-_--< ._6;;j! {;:1+r ir',(r - .}•6.),',j i•'' •-i-i'' -, "r; F ,•t7-l. y ,•••'�j Y,.rra t r( l/ i 7� '..`� • L 6•��'� i v�4h�:.. 'l. - 4 .�,i.� 1. •.� [ {�.ti:t _ t[ `r`C ,y� +� r '7.�.•\'1�1,/..�; [ `� ,..,F�`.� r f.. [ t,i Y F)�.�( Y. -: i..). t...J ,r�,:c +` , 4 I is L,i.aJ.r`l g, ,Rf,o1., aJ.K'1 , .7 I x:31 0.i.l e. r,{k :i �1Mr. . OOtIUITY teditatier1T 913l mes•33530 f7RST WILY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 980674718.2434661-4a00•FAX;253.661-1129