07-101573C'A�� `I-City of Federal Way Mechanical Permit #: 07- 101573 -00 -M E
lunity Development Services
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: KOSTIN .Z=
Project Address: 37212 20TH AVE S - Parcel Number: 721265 2160
Project Description: Replace gas furnace.
Owner
Applicant
Contractor
ALEX & ELINA KOSTINE
AAA HEATING & AIR CONDITIONING INC
AAA HEATING & AIR CONDITIONING INC
37212 20TH AVE S
22653 83RD AVE NW
AAAHTR197ILW 6/16/07
FEDERAL WAY WA 98003
KENT WA 98032
22653 83RD AVE NW
KENT WA 98032
Additional Permit Information
Mechanical Valuation ................. ...........................2049 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
.............................. 1
PSt 14 1
T EXPIRES Thursday, March 26,
the occupdrl y� t ,-tl b use will, be in A ahbe raftJh &,,I,0 -ru antl�-rpgv
and the City of Federal Way.
Owner or agent:
5i
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 101573 -00 -ME
Owner: ALEX & ELINA KOSTINE
Address: 37212 20TH AVE S
FEDERAL WAY, WA 98003 -7734
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 G_. e-j Date r-:3/ • p
.. cm of RECEIVED
Federal way E RM I T
COMMUNITY DEVELOPMENT SERVICES
MAR 2 6 200 SF MF C(' L PL DE EN FP
33325 AVENUE WA 9 • PO BOX 9718 "D T I CATI O N
FEDERAL Y WA WA 9R063 -971 R
253 835 2607• FAX 153- 835 -2609 CITY OF FE L
murm.Mlvo(Iederaluau.mrn BUILDING DEPT.
The following is required information — an incomplete application will not be accepted `-Please print legibly (in ink) or type.
PROPERTY INFORMATION
SITE ADDRESS 31 U 2 21 +11 AM s' SUITE /UNIT #
7
ASSESSOR'S TAX /PARCEL # 7 [— i 2- - Z ' iQ 0 LOT SIZE (sn
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
INlnch .aePnrde page, leruphy legnt desc*IPltrml
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 onlul
PROJECT NAME (Name of Business or Owner Last Na mel ko S7 i h
PROPERTY
OWNER
CONTRACTOR
COW of ewd mquind
with ewh &PPlicatI_
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAM .
14 /eX
PRIMARY PHONE
U-5) g -'O �l
MAILING ADDRESS
3 72/ Z 20 -14-1 i4Lf-S -T
C1 T TE. ZIP
r G/ y 'qo -3
E -MAII, ADDRESS
COMPA,NY NAME
T7/4 #&,c 17 A-1G
APP CANT NAME
; 12-
OFFICE PHONE
(2j-34.30
MAILING ADDRESS
Z 0 v zoe )W-of—' S .
CITY, STATE. zip
lze' of G/& y poi y
CELL PHONE
L-).o P 179
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION D TE
0 3 — /03/2/ —00 /Z 3) 0`7
FAX NUMBER
(X-3)6`30 3�
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE
/+gA ,0T1..r971 L- 61171--7
E-MAIL ADDRESS
COMyA9'4
-' /�'��� d �} G.
APPLICANT
e/k
(2r-,; 3a I�ZZ-
(?) 6
MAIILL�
I
MAILING AADDRESS
2Z 5' €'3 � Arc f.
CM. STATE. ZIP
����� y�'G3y
CELL PHONE
(V6)-7+r _v7�
RELATIONSHIP TO PROJECT
❑ Architect [:]Tenant ❑ Agent ❑ Other
FAX NUMBER
NAME
PRIMARY PHONE
(2,06) -71C f/
E -MAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender information is required if project value exceeds $5.000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
( l -
EXISTING ASSESSED /APPRAISED VALUE $
SPRINKLERED BUILDING?
PROPOSED USE
VALUE OF PROPOSED WORK
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
a
}j
PROJECT ••'
AREA DESCRIPTION
AREAS
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
FIRST
FIREPLACE INSERTS
HOODS (c.,nn— it
COMPRESSORS _�
SECOND
RANGES
DUCTS
GAS LOG SETS
THIRD
❑ YES ❑ NO
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
❑ NO
PLATTED LOT?
u YES u NO
DECK (❑ COVERED OR ❑ UNCOVERED ?)
DEMO PERMIT REQUIRED?
u YES
u NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
°aSI0"O
eaoeoem
TOTAL
TOTAL 21osrnraer
ToMcreoros®er
TOTAL 8r
" *NEW HOMES ONLY " NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
i ewkimber of each type of fixture to be tnstalled or relocated as part of thts project. Do riot include existing f txtures to renutut.
ecucal Work $� �. �b
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (c.,nn— it
COMPRESSORS _�
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS jnr'(Lb /Sh— rCnmbnl
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
LAVS Math— Sink %)
RAINWATER SYST
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
WATER CLOSETS (Toilet)
WASHING MACHINES
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. �-
NAME /TITLE �t '0 DATE
(Sl�tiaUtrel mtlel
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent fi�ccintractor ❑ Architect ❑ Other
g '
n NEW n ADDITION
n ALTERATION
r REPAIR n TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES r NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
UP /SEPA /SU?
❑ YES
❑ NO
PLATTED LOT?
u YES u NO
DEMO PERMIT REQUIRED?
u YES
u NO
Bulletin #I Ot) – January 1, 2007
Page 2 of 4
k \Handouts \Permit Application