01-103483 City of Federal Way
Community Development Services Mechanical Permit #:01 - 103483 - 00 - ME
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: BARNET 7J 3 2 Co f S 6.44,,,t, (--c,„,
Project Address: -3464131ST S Unit214 Gs Parcel Number: 169730 1170
Project Description: MECH-Install gas fireplace insert and approx. 100 feet of gas piping in existing unit(aka 32615-2nd
PL S#214).
Owner Applicant Contractor
Tony R Barnett Tony R Barnett Tony R Barnett
32615 2ND PL S UNIT 214 32615 2ND PL S UNIT 214 32615 2ND PL S UNIT 214
FEDERAL WAY WA 98003-5775 FEDERAL WAY WA 98003-5775 FEDERAL WAY WA 98003-5775
(253)838-1545
Mechanical Valuation 1936.04 Over the Counter Permit Yes
Mechanical Fixtures
'Description Quantity Description ' Quantity Description Quantity
Fireplace Inserts 1 Gas Piping 100
PERMIT EXPIRES March 4,2002,IF NO WORK IS STARTED.
Permit issued on September 5,2001
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: iQ, Date: 5/ s` j
'1--'49-5 / o //a, D /
_ RECEIVED CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER: ®'/ - La kl3 -E'er_-IAL-"
• uv � 0SEP APPLICATION NUMBER: _ _ - _ _
CITY OF FEDERAL WAY APPLICATION NUMBER: _
BUILDING DEPT. —**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.
JN
SITE ADDRESS: S Llc,is- Z."-Q PC_ S• rid L�7 ASSESSOR'S TAX/PARCEL#: / 7 - 1/ .7��✓
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING klECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): /.75,¢,rte//' d 74 as: -4iG Jp la.c_s_ j�L4 _,-,¢..
-Q
PROJECT NAME:
PROPERTY OWNER: NAME: DAYTIME PHONE:
-----77;,-....., R . /2 a.. *+ e--77"-- (2c?) 8'3p-"4.3 al
MAILING ADDRESS( ET ADDRESS;CITY,STATE,ZIP):
Z s.I S .2."t e poi- £ r.-P (A-J..) J 9S'm E.,
CONTRACTOR: NAME: DAYTIME PHONE:
452c•,..sem ( )
-
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): /EVENING PHONE:
)
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
- - ( ) -
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: DAYTIME PHONE:
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
i RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: B ROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
*ANEW RESIDENTIAL CONSTRUCTION ONLY** l
1 NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
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
„`. ._ /q3k,,, ,
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) I FIREPLACE INSERT(S) RANGE(S) (00' MISC.(s-"; F',P: 46_. )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ` GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
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 daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such claim arises ou th of the city,induding its officers and employees,upon the accuracy
of the information supplied to the city a art th application.
NAME/TITLE: _' DATE: 9/ S/or
LU.PROPERTYOWNER ❑ � ', CANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:',
CI NEW .' ❑ADDITION ❑ ALTERATION ❑ REPAIR • ❑ TENANT IMPROVEMENT
CENSUS CODE: , LOT SIZE:
_ZONING;DESIGNATION!: BUILDING SHELL ONLY? -❑ YES ❑ NO
COMP AN`DESIGNATION BASIC PLAN? CI PLYES ❑ NO
•
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑YES 0 N
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129