01-104506 City of Federal Way Mechanical Permit #:01 - 104506 - 00 - ME
Coimnunity 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: FRYE
Project Address: 4231 SW 314TH 54 Parcel Number: 873199 0320
Project Description: MEC-Install gas piping and gas fireplace insert.
Owner Applicant Contractor
JORGINE FRYE JORI ADANK JORGINE FRYE
4231 SW 314TH ST 4231 SW 314TH ST 4231 SW 314TH ST
FEDERAL WAY WA FEDERAL WAY WA 98003 FEDERAL WAY WA
98023-2163 (253)835-4885
Mechanical Valuation 500 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Descriptipr,„ tQuantitYr '' " Description op;: Quantity
Fireplace Inserts 1 Gas Piping 1
PERMIT EXPIRES May 25,2002,IF NO WORK IS STARTED.
Permit issued on November 26,2001
I hereby certify that the above inf tion is correct and that the construction on the above described property and
the occupancy and the use will be n accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date: // 2-6 `— 0/
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• " G BUILDING DIVISION
• 33530 1st Way South
ECIERRL. Federal Way, WA 98003-6210
NW AY 253-661-4000
CONSTRUCTION ALERT
Permit #: J `/P1S-0( Address: 'r23 5 I4/ 3JY'-11L
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Date Inspector
:°` G RECEIVED CONSTRUCTION PERMIT APPLICATION
uV fi IEZf�L APPLICATION NUMBER: OL L O V b-
I41nW 2 6 2001 APPLICATION NUMBER: _ -
Y 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.
' � PROPERTY INFORMATION •
-
SITE ADDRESS: 4231 (.4J 3(4— -C7. ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
1 'PRO]ECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING Fr MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 41)n T<c
5oA/),gi2 y 6/475 C-/A-16- V5&
e7-"A 1 E 77) £E I2C 1 --/ /-ii) ;IV s 7:19 <<9 2 cE
-
PROJECT NAME: l
PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHON
ec/e% y L (7.1-3 )J4
MAILING ADDRESS(STREET ADDRESS;QTY,STATE,ZIP):
42 3( - S4J 3/4W sy
CONTRACTOR: NAME: DAYTIME PHONE:
,T2 f .4,1417.1 (2s3 ) 6S3 -gSS
CG TSN 7, MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
44-2_3 I - Sc.() 3(4- S 7 ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of Card required
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 ❑ APPLICANT ❑ CONTRACTOR
1DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ -52h0-
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
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:
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEMS)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) ?O FIREPLACE INSERT(S) RANGE(S) MISC.( )
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)
=. 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 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 wher such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supplied o the city as a part of this application. /� •
NAME/TITLE: -7c)12 r� G r), /UK DATE: �/ – 2 �' — Ci/
❑ PROPERTY OWNER APPLICANT ❑ CONTRACTOR •
TfOR:VEFICEVSEIDNLT:01
o NEW ,,.0 ADDITION j ❑"ALTERATION Lj REPAIRS . - .3. I TENANTiMPROVEMENT.
CENSUS CODE _` LOT SIZE ,._ '.
ZONINGESIGNATION BUILDING SHELL_ONLY? .:❑YES ❑ NO
COMP PLAN_DESIGNATION BASIC'PLAN? YES < ❑'NO`
SECTIO TOWNSHIP -RANGE NEW`ADDRESS REQUIRED El YES - ❑,NO
PLATTED LOP_' ❑ 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