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07-105098
a ..I:y of Federal Way Cornr^ttinity Development Services Mechanical Permit #. 07- 105098 -00 -ME P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax. (253) 835 -2609 Inspection Request Line: (253) 835 -3050 Project Name: KOPERSKI Project Address: 28089 26TH AVE S Parcel Number: 326080 0040 Project Description: Remove and replace gas furnace Owner Applicant Contractor DAVID KOPERSKI AAA HEATING & AIR CONDITIONING INC AAA HEATING & AIR CONDITIONING INC 28089 26TH AVE S 22653 83RD AVE NW AAAHTR197ILW 6/19/09 FEDERAL WAY WA 98003 KENT WA 98032 22653 83RD AVE NW KENT WA 98032 ltt011) P @ri1�1 �ttfl'It1'ctt)OM1 �. .. ...... Mechanical Valuation ................. ...........................3158 Over the Counter Permit ? .......... ............................Yes THIS CARD IS TO REMAIN ON -SITE CITrOF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 8353050 PERMIT #: 07-105098-00-ME Owner: DAVID KOPERSKI Address: 28089 26TH AVE S FEDERAL WAY, WA 98003 This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On -going inspections are logged on the back of this card. ❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065) Approved Approved to release test Approved By Date By Date By Date For inspector reference only ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date CITY OF - RECEIVE Federal way PERMIT COMMUNITY WAY, DEVELOPMENT 98063.9718 SERVICES S 1 �i P LI CATI O N 33325 811 AVENUE SOUTH • PO BOX 9718 E P FEDERAL WAY, FAX 980639718 253- 835 -2607• FAX '153- 835 1609 untw cuua(rederalwn(`g "J CITY OF FEOERAL WAY The following is requirec9MjiF"fWEiPft incomplete application will n SF MF CO M EL PL DE EN FP. pted. Please print legibly (in ink) or type. SITE ADDRESS 91908.8 �` T``� S SUITE /UNIT # ASSESSOR'S TAR /PARCEL # l0 O © - O / -0— LOT SIZE (sfi LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (Attach separate page_fbr lengthy tegat d— ipli —) PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ?(MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlU) PROJECT NAME (Name of Business or Owner Last Name) V I v t CJr--� : % PEOPLE •• • PROPERTY P J RIM�A`R2Y PHOQNE OWNER 'e NAME ( J� QVil, � $1 CONTRACTOR APPLICANT CONTACT LENDER EXISTING USE MAILING ADDRESS _80 q 2(o* S CITY, STATE, ZIP bb3 COMPANY NAME ' - M-ke APPLICANT NAME A OFFICE PHONE (x3) 638 -SILL MAILIN20�3S 3yj 41/t � 2.120 CITY. STA ,ZIP (74 61 PHONE - -4 9T CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE - I _ -B L , FAX NUMBER 49 3) 630 -3gr4 CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE �t Pr T V /[ /0q COMPANY NAME A/6 APPLICANT NAME ftAeAp- OFFICE PHONE ()JS-3) MAILING ADDRESS 27-Cos'3 CITY. STATE, ZIP UJc� CELL PHONE RELATIONSHIP TO PROJECT ❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe) FAX NUMBER 0 3 try NAME PRIMARY PHONE E -MAIL ADDRESS Per RCW 19.27.095: Lender in is required if projectrvalue exceeds $5,000 NAME MAILING ADDRESS CITY, STATE, ZIP PHONE ( EXISTING ASSESSED /APPRAISED VALUE $_ PROPOSED USE VALUE OF PROPOSED WORK SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTION Y4 I %, K. l (, EXISTING PROPOSED TOTAL GAS LOGS BBQS 89. FT. S . FT. S . FT. BASEMENT RANGES COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS (DESCRIBE) DECK(COVERED ?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS rXWM PROP -- IWAL " � BF, "ATEW HOMES ONLY"" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ gate number of each type of ftxhtre to be installed or relocated as part of this project. Do not ind ee3hanical Work $ Y4 I %, K. l (, WATER CLOSETS (Ibtle4 AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS BBQS FANS HOODS (CommerclW) BOILERS FIREPLACE INSERTS RANGES COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS BATHTUBS (or Tub /shower combo) SHOWERS WATER CLOSETS (Ibtle4 DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS )Bathroom Smtsi VACUUM BREAKERS ELECTRIC WATER HEATERS to remain. REFRIG. SYSTEMS WOODSTOVES MISC (Describe) MISC (Describe) I cert(fy 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 claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of Federal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. -7 NAME /TITLE DATE 2 -/Z (Signatu mt(e) RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Contractor ❑ Architect ❑ Other Bulletin #100 —January 1, 2006 Page 2 of 4 MandoutsWermit Application