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01-104298 City of Federal Way Mechanical Permit #:01 - 104298 - 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: GARDNER b`' Project Address: 31619 36TH/SW Parcel Number: 873198 0820 Project Description: MECH-Install fireplace insert and associated gas piping for existing residence. Owner Applicant Contractor Robert D Gardner WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO 31619 36TH AVE SW 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W FEDERAL WAY WA 98023-2105 SEATTLE WA 98199 SEATTLE WA 98199 (206)282-4700 Mechanical Valuation 2500 Over the Counter Permit Yes Mechanical Fixtures Description Quantity 'Description: 0 ;. [Quantityq, --- ::Description !Quantity rFireplace 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. 1 /Owner or agent: C'...6L9-_ ' Com— Date: N ��v ( Gs I� lelkV7 o l<z, F Ild / N0V-05-0.1 21:18 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-629 P.07/12 F-706 :177. 4'; =we Er i1� APPLICATION NUMBER: - '•_ APPLICATION NUMBER: L/ 4 .= : ..#6 r , APPLICATION NUMBER: • , ,•. {{:,..-7.1.''..,, .,Y,. • **The following is required information—Please print(in ink)or type** +:. y .; #€•Odors mite Eleltd011l,Fire Prevention Systems and Engineering permits may require a separate application. I ■Q,P,PROPERTY R,TY INFORMATION S3TE ADDRESS: ` i 0 L M 3 R.. ASSESSOR'S TAC/PARCEL#: 1 t r� 3 _1 `715 - Q dc) • LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • _, ` .1111111111111.1. N PROTECT INFORMATION , . TYPE OF PROJECT(This appii,ation): - 0 BUILDING 0 PLUMBING 121ECHANICAL 0 DEMOLITION • 0 ELECTRICAL. 0 ENGINEERING❑ FIRE PREVENTION SYSTEM i. • YPRNECi'•DESCRUP1YON(Provide detailed description): -^ ._,t..1n�W ' . , 0 I 4P • ■ PEOPLE INFORMATION ' PROPERTY OWNER: NAME: AO /g2q Gr9�4aAmME PHONE: ,f N . (DS3 ) 3$ -01 ,g I(AILDIG ADORNS(STREET ADDS CRY,STATE,ZIP): . �4,,,ka 9S1)42 3 GONTitll4ruR: AAI� � ' - PHONE: �1 MA." (ehb )�$a- -1-1- 0 MAILING MOMS Rei Om SPA EVENING PHONE: '' •..• •• aglop -rbArt Pn� vJ '3-a..4 �J • q%1 ( ) - : ctrlor [DERALWAY Iu�LOQFl�NEMER: - FAX miaow, - - ( ) - t ars"SUMMON MINIM EXPIRATION WE: raAnE. GU Its' - C zcuJ u� DAYTIME PHONE; (alr4e -of 24CD HARMS/MIMS(MEET, ME TE �1�U0* ATE,ZIP): V U EVENING PHONE; ( ) . - ❑ARS❑TENANT OTHER(DESCRIBE):17-(/ ( - e9 AIL AOORFIZ: „F001!f!*PERSONFORTHISPRCUECT: 0 PROPERTY OWNER ID APPLICANT ►41!NTRACCOR N DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION F PROPOSED USM PROPOSED VALUATION FOR IMPROVEMENTS: $ ,P-$7)0•.c50 SPRINKLERS)BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN •❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER$ERVI PROVIDER 0 LAIKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC) t:, ` NOV-05-0q 21:19 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-629 P.08/12 F-706 0 • 1 OF 8E065001 Sa ESTIMATED SELLING PRICE: $ 'IIIIMMIIIII _. ■ PROJECT FLOOR AREAS y{I0OR_ EXISTING SQ FY. PROPOSED SQ.FT. TOTAL, —FIRS' - • S60�KD ` "X.frr±y s - Or flat RS(DIESCRIBE) _;,... . .„..,0„,k-C:'; r ;.:_.•'r' ' 'HOW MANY RAGES? _ — . >.> •• . • TOIAL: ,_ ' 1111111111111111 ■ FIXTURES - P/0 2 ( /_,d, NW Indicate number of cad:type of fixture 1.! �l' MECHANICAL • AIR HANDLUNCI UNIT(S) EVAPORATIVE COOLER(S) ___ GAS LOG(S) REFRIG.SYSTEM(S) FAN(S) HOOD(S) WOODSTOVE(S) • BOILER(S) V FIREPLACE INSERTS) RANGE(S) MISC. • • commREsooRl,$) FURNACE(S) Dom( l/ GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC PLUMBING r ,,. BATlITJBS , .fLAYATORY(S) URINAL(S) WATER HEATER(S) .DISHWASHER RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 GAS ORTInuCING FOUNTAU4(s) . SHOWER(S) WASH MACHINE OUTLET K. ,GAS PIPE OUTLET(S) �K(S)• WATER CLOsEr(s) MISC.( , r —+INTERCEPTOR(S) _. SUMP(S) �� ■ DISCLAIMER/SIGNATURE BLOCK I certify under(,enaity of perjury that the information furnished by me Is true and correct to the best of my knowledge,and farther,that I am authorized by the owner of the above premises to perform the work for which the permit application Is made. I further agree to hold harmless the Qty of Federal Wa as to any claim(including costs,expenses,and attorneys'fees Incurred In tate investigation and def deign),whi• -y • ade by any person,Including the undersigned,and filed against the City of Federal Way,but if-where su- claim arms out o + reliance of the city,induding its officers and employees,upon the accuracy of the WorutaU supplied to the ••ty : --a part • - . is application._ '/ DATE: C(/CZ(' 1 ) y` © PROPERTY OW II APPLICANT ' CONTRACTOR�,nr t 1 , 1 { ,i e),,11ej I, rf 11;11 ,,,.(e,:r C 1 rlp•,),vl ,`C. ;r 4 1.1 1i!i$,'•1.111 i; Iri.,b.: l 1,111 ti 1 { 1 �i __ y • Ti l7- F ` 1 �S C� j 1 1 lam, j j 1k Le lI: CF 1C< I ';r_sm.:'- a l; Irl elf}11t� �1 4� fi�" r��� l '� Ty �J 1 t 1 ',d ,._;;:(? k. ; 1._`f ti': 't1'_(f /.) �? ` . LL-1,- ii�I.�..�ilA ri lE 1f+, y=l��yy,Li..' !) 7 ''}�. C��i ‘. » 0 ',r..VI: f„, gyri Y' r f rYr itt,) /.".ti ��,l Ci.1A-`..4#” �1 il, IC f VA_ rIl�-) �•�iI [ •�.S 1.{J\l I F l 1 t.F 1 L. L�f,�.+r, t t��L a.� .r... :1L•,�r.L 1? f Y:' i('a'!i �,.'Li.Atir C I�L„, 111x. '•'.aha:.lrSEISH' Til L ��i•�.r.�.. .'' 1,E�.�°l_117d4.a. '..nl ,1 commumtypele I 1'rrsERym•33530 Four wow SOUR•PA.Box 9718•FBS.WAY,WA 98063-9710.29.661.4000•FAX:253661'4129 ti. .