01-104358 City of Federal Way Mechanical Permit #:01 - 104358 - 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: KORPI
Project Address: 4303 SW 321STParcel Number: 873202 0160
Project Description: HVAC-Installing 1 fireplace insert w/associated gas piping
Owner Applicant Contractor
Bobby L Korpi WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
4303 SW 321ST ST 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98023-2415 (206)282-4700
Mechanical Valuation 2000 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description (Quantity Description "Quantity
Fireplace Inserts II 1 Gas Piping 25 Number of Gas Outlets 1
PERMIT EXPIRES May 13,2002,IF NO WORK IS STARTED.
Permit issued on November 14,2001
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: 121 ✓Z. Com— Date: i I (l4(�
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P414-12-01 15:29 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-692 P.01/02 F-811
'"*" RECEIVED BY p,� . • CATION NUMBER: JB1 -1,�( ''Q
.�- `. �,yUNITY DEVELOPMENT DEPARTM - i�•
CATION B% hi
Z0til CATION NUM•: a• - ,.a
,00The following Is required information—please print(in Mk)or tYPC
Please note: Fle tint,Fire Prevention Systems and Engineering permits May require a separate application. ' .
■ PROPERTY INFORMATION
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SITE ADDRESS: L 3 o 3 S w 3 1 ASSESSOR'S TAX/PARCEL#. 3 3 a a _ - d
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• LEGAL DESCRIPTION OF SUB3EECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): - •,
IIIIIINIIIIIIMI ■ PROJECT INFORMATION
TYPE OF PROTECT(This apptig2tlon): 0 BUILDING 0 PLUMBING iieFIECHANICAL 0 DEMOLITION
Cl ELECTRICAL CI ENGINEERING❑FIRE PREVENTION SYSTEM
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p� DESCRIPTION(pro�+lde detailed description): f�$. , ,
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IN PEOPLE INFORMATION
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PROPERTY OWNER: siom Q c.. -. I9v L 1 (30 ) IS -96 Y4P
• MUMS MOMS MOM CM STA1F.ZIP):
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APaLICANT: ( ' )'
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❑ ARCHn ECT' ❑TENANT Ems,MON=
CONTACT PERSON FORTH/IS PRONG!'" 0 PROPERTY OWNER ❑APPLICANT
PcONTItAGTOR
r DETAILED BUILDING INFORMATION
=STING use CPA EXISTING BUILDING ASSESSED/APPRAISED VALUATION $_2-...C2-0132-----
PROPOSED
_2' dPROPO USE - - PROPOSED VALUATION FOR IMPROVEMENTS: B____.-4.-----.
SPRYNIQ.ERED BUILDING? ❑YES 17 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:Cl YES. 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN •O HIGHUNE 0 TACOMA 0 PRIVATE(WELL) t
MAK SERV/CE PROVIDER: 0LAKENAVEN Cl NIGNLINE Cl PRIVATE(SEPTIC)
I�?Vr12-01 15:29 FROM-NORTHWEST-CASSI�IAR 206-374-0834• T-692 P.02/02 F-811
BION ONLYsw
-��W R "�'� ESTIMATED SELLING PRICE: $
pllRER OF BEDROOMS:
IR PROJECT FLOUR AREAS
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FLOOR
FIRST . 1111.1..."111111111111111111.1 .
• SECOND IIIIIIIIIIIM11111.111111111
. THIRD IIIIIIIIIIIIIIIIIIIIIIIIIIIIINIIIIIIIIII
•
OTHeR FLOORS(D S,CRXBE) INIIIIIIIIIIIIMIIIIIIIIIIIII
DECK
. GARAGE 1111111111111111111111111.111
HOW MANYFLOORS? aiiimmomummumumim
TOTAL:
Indicate number of oath type of tix��
• MECHANICAL ,SI(b'l'�fG�
COOLER(S) _1 GAS LOG(S)
EVAPORATIVEHOOD(s) • woo C._.—��
•
HANDLING UNIT(S) —� FAN(S) ._`— RANGE(S)" ___ BOU.E FIREPLACE INSER.T(S) C,A.,
F _—�M SSS 01t(S� � S) HEAT��t O ELECTRIC�� �(t GAs PIg�ourLErt�
PLUMBING WATER HF/1Ti:R(s
LAVATORY(s) __.._._- URINAL(S) S 0 ELECTRIC
Cl GAS
Yom— BASHWA VACUUM BREAKER(S)RAIN WATER SYS. WASH MACHLNE OUTLET
_ D15Ii KING I ($) WATER CLOSET(S) MSc.{�•—^
—,GAS ME CI (s) � SINK(E}R(S) �---.
mow ■ DISCLAIMER/SIGNATURE BLOCK '
by the is true attd ootT+ m the best of ill tte'tion furnished felthettt aoArcitirat::
I txcHfY iaK lar penaiLY P�uN that the htfotttta the We K for wbi and attorneys'teas
agree
stn ldhed by tette City
f of a ea a Ways any
to perfo a and Iliad against pos%the noon
Incurred In
t�ttftac, of Federal ss to any datnt(including,costs.(Amuses, �Seto Ot
teifefurtttr a and hold harmless fooof the d l which may be made by any person,including the undersigned,employees, g
i °N but only where
o r �dab"weis�es out of the reliance of the dty,including Its oftioecs
Ofthe I tKaYi aluppl e d t a of this application.
Of the Information supplied do tete city ss P� DAVE: /1.1.L"--/-22."1-21------,
•a PR WRIER 0 APPLICANT 'a CONTRACTOR
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