07-101652c City of Federal Way Mechanical Permit #• 07- 101652 -00 -ME
Community 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: DARNBROUGH
Project Address: 2324 SW 325TH ST Parcel Number: 638660 0220
Project Description: remove and replace gas furnace and hot water tank.
Owner
Applicant
Contractor
ROBERT M DARNBROUGH
AAA HEATING & AIR CONDITIONING INC
AAA HEATING & AIR CONDITIONING INC
PATRICIA L DARNBROUGH
22653 83RD AVE NW
AAAHTRI97ILW 6/16/07
KENT WA 98032
22653 83RD AVE NW
KENT WA 98032
Additional Permit Information
Mechanical Valuation .................... ........................4388.32 Over the Counter Permit ? ...................................... Yes
FINALED
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record,
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 101652 -00 -ME
Owner: ROBERT M DARNBROUGH
Address: 2324 SW 325TH ST
FEDERAL WAY, WA 98023 -2529
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 C DatQ4 -2-E
0('�?
to
mac, �7
RECEIVED
CiTI' GP
Federal Way SAAR 3 0 2007 PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF C EL PL DE EN FP
33325 8111 A VENUE SOUTH • PO BOX 97I
FEDERAL WAY. WA 98o63 l�Y OF FEDER
253- 83 ,5- 2007•FAX153- 8352009BUILDINGD LICATION
www. eituofl ederalwau. com r--777
The following is required irtformation - an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY •. •
SITE ADDRESS t,�5 ;44 3 71r-ti' S) SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # -1- o i � 0-
LOT SIZE (s])
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
011-1, .cep -wo pagq(w 1-g1hy 1ega1 d— ipff —)
PROJECT • ' •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING / MECHANICAL
11 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 Na mel -Dar n o r(7 ct!F,
PROPERTY
OWNER
CONTRACTOR
COPY of card - quirad
with euh application
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAM b .L.t� w �e
PRIMARY PHONE
(M) 97 4 -3"
MAILING ADDRESS
2 3 �' 2r► �i"
ATE, P
(ck� t'dZ3
E -MAIL ADDRESS
C Y N Afk�
4_ ,t
V
APP CANT NAME
40-
OFFICE PHONE G
an) (0-30- /
MAILING ADDRESS
C , ST . ZIP
�j D
CELL
CEJLLL�PHONE
CM OF FEDERAL AY BUSINESS LICENSE NUMBER EXPIRATION DATE
e5r,
FAX NUA4BER
(?.dam) �3o -3�s
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE
Mff�4T(i-��� t L{,ti (0/17 o _7
E -MAIL. ADDRESS
COMPANY NAME .
& A- e-
APP (CANT NAME
�,
OFFICE PHONE
( 3) 6 3a - 9
MAILING ADDRESS
711 -�S3 83 tZf S.
CI . ST ZIP
cZln U4� 48632
CELL PHONE
(,W )
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
(,E3) 638 -3g
NAME
PRIMARY PHONE
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
EXISTING ASSESSED /APPRAISED VALUE
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK $
FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
o HIGHLINE o TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
f
PROJECT •••
AREA DESCRIPTION
AREAS
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
3 . FT.
BASEMENT
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
FIRST
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
SECOND
FIREPLACE INSERTS
HOODS (Comn.erciall
COMPRESSORS (
THIRD
RANGES
DUCTS
GAS LOG SETS
ADDITIONAL FLOORS (DESCRIBE)
PLUMBING
DEMO PERMIT REQUIRED? u YES
u NO
DECK (❑ COVERED OR ❑ UNCOVERED ?)
LAVS (Rath mm SMks)
URINALS MISC (Describe)
DISHWASHERS
GARAGE ❑ CARPORT ❑
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
NUMBER OF FLOORS
e>usTVrc
FnoFOSFn
race
mrnc�vsrnvasF
70reLFxoroer9SF
TacfLSF
"NEW HOMES ONLY — NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Ica umber of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
n ALTERATION
r REPAIR -1 TENANT IMPROVEMENT
ue o echanical Work $ $ �.
(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 (Comn.erciall
COMPRESSORS (
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
PLUMBING
DEMO PERMIT REQUIRED? u YES
u NO
BATHTUBS
LAVS (Rath mm SMks)
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (T ik')
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
I certify under penalty of perjury that the information furnished by me is true and correct to the best of mg 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 / DATE
(Wature) ('title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Contractor ❑ Architect o Other
F7 NEW n ADDITION
n ALTERATION
r REPAIR -1 TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES c NO
BASIC PLAN? ❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE? ❑ YES
❑ NO
NEW ADDRESS REQUIRED?
EYES ❑ NO
UP /SEPA /SU? ❑ YES
❑ NO
PLATTED LOT?
a YES u NO
DEMO PERMIT REQUIRED? u YES
u NO
Bulletin #IW — January 1, 2007 Page 2 of 4 k \Handouts \Permit Application