07-100637City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: HEWITT
Project Address: 4219 SW 325TH ST
Mechanical Permit#: 07-1 00637-00-ME
Project Description: Remove and replace gas furnace
Inspection Request Line: (253) 835-3050
Parcel Number: 8732010460
Owner
Applican
Contractor
MARYBETH HEWITT
AAA HTG REFRIGERATION INC
AAA HTG REFRIGERATION INC
4219 SW 325TH ST
22653 83RD AVE NW
AAAHTR197ILW 6/16/07
FEDERAL WAY WA 98023
KENT WA 98032
22653 83RD AVE NW
KENT WA 98032
Additional Permit Information
Mechanical Valuation ............................................ 2247.56 Over the Counter Pertnit? ...................................... Yes
Mechanical Fixtures
Furnacp*-,, .................................. * 1" 11 1 , -
PEW
,jT EXPIRES Th 09
ursday, February 6, 29
I herebYt0*'th-'4t1h& above iqforrn*W—ts-'66'�r�' J-, th0t'ft)to-'Mtr , 6fto
j�ct atW L4
be in"ic
the occuparicy-an&'the use vo dan*i�*t4laWA ahO,"r,
and the City of ederal Way.
Owner or agent:
V C
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Reco�rd'
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-100637-00-ME
Owner: MARYBETH HEWITT
Address: 4219 SW 325TH ST
FEDERAL WAY, WA 98023-2456
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) 43 Final - Mechanical (4065)
Approved Approved to release test Approved
2-1 -7
P"c '7- jp/o/ FbF By j4�� Date
By Date B, D a t e 7
LN
SID
CITY OF 40*Nk1%1 0-7 - I 3Z
Federal Way stwxsp,�f-
COMMUNnYDEVELOPMEATSERV]aV of .�,IPERMIT SF MF CO 6E)EL PL DE EN FP
33325 8m AVENUE SOLTH - Po BOX
FEDERAL WAY, WA 98063-9718
253-835-2607- FAX 253-835-2609 APPLICATION
Thefollowiqg is nequired information - an incomplete lication will not be accepted. Please print legibLu (in injc) or type,___
PROPERTY INFORMATION
SITE ADDRESS 42,0 SW 3aill S+ 75okkro,(Wav 04A962-3 suiTE/UmT v
ASSESSOR'S TAX/PARCEL # -9— 1- 1- -2C -D- J- - _a 14 6' 0 LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acrne Estates, Lot 1)
(Attach separate pagejbr Wi9thy legal descr(pfforV
PROJECT INFORMATION
TYPE OF PERMIT 13 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed descrip�n of work included on this permit onl
Vf 7r
j i IT'J- M 1 2
PROJECT NAME (Narne of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
ltu�46341
EXISTING USE
NAME PRIMARY PHONE
MarlA641 PevvlA,] � (;2s3) ��-/ -1 - 79*S-
MAILING ADDRE 71,11Apl, ZIP
4t7_ I 3ZE�A S -rg9ef%1 Wh:�j 04- 9902—S
CAWAeA
AA��
(1\C4 + ah
APP
m I ZIP
3 Z-
NAME
Ar"
OFFICE PHONE
(293 &,�b
-9 7-2#
MAILING ADDRESS
'2,-- S 9 3
-i
M
STATE
Ck;;Z;
I
Ljn,- JY63-2--
CELL PHONE
(2A6) -7,qr-
'2;79T
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
(25-3) 65o -
3qS-If
--L3 L
CONTRACTORS REGISTRATION NUMBER (copy of card required with each application)
& & & t+ T P- T'j -7 1 L- VV
EXPIRATION DATE
11 / I 1 /0 -7
COMPANY N4E
A-41
AA��
OFFICE PHONE
h; 0
MAILING ADDRESS -j
3
e
m I ZIP
3 Z-
CELL PHONE
RELATIONSHIP TO PROJECT
11 Architect o Tenant KAgent 0 Other (Describe)
FAX NUMBER Y
(29?0 b ; 6 --
NAME6;k, ()a PRIMARY PHONE E-MAILADDRESS
r
I
tt/
w ........
. . . .... .. ....
I I I
ep ohh'
Of- '�'o
NAME
"WLIN ADDRESS
CITY, STATE, ZIP
PHONE
I ( ) - -
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 1) YES [3 NO
WATER SERVICE PROVIDER [I LAKEHAVEN u MGHLINE o TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE ci PRIVATE (SEPTIC)
P ROJEC T F L 0 OR AREAS
AREA DESCRIPTION
SHOWERS
EXISTING
PROPOSED
TOTAL
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
SQ. FT.
SQ. FT.
BASEMENT
HOSE BIBBS
LAVS ftth—w SWA.)
VACUUM BREAKERS
ELECTRIC WATER HEATERS
FIRST
SECOND
THIRD
FOURrH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS
TMAL
777i��
"NEWHOMES ONLY" NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
type offixture to be installed or relocated as part of this project. Do not include extstingftytures to remain.
MCHANICAL
Value of Mechanical Work $ S'&
AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS FANS
BOILERS FIREPLACE INSERTS
COMPRESSORS FURNACES
DUCTS GAS PIPE OLTMETS
GASLOGS REFRIG. SYSTEMS
HOODS WOODSTOVES
RANGES MISC (Describe)
GAS WATER HEATERS
BATHTUBS for Tub/Sh Cambo)
SHOWERS
WATER CLOSETS poitetj — MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS ftth—w SWA.)
VACUUM BREAKERS
ELECTRIC WATER HEATERS
Z certVy under penalty qfperj-V that the fqformation furnished by me is true and correct to the best of my knowledge, andfurther, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. z 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, andfiled against the City OfFederal Way, but only where such claim
arises out qf the reliance of the city, including its officers and employees, upon the accuracy of the iqformation supplied to the city as a part of
this application. el--,)
NAME/TITLE DATE 7
Mfle)
RELATIONSMPTO PROJECT o04. O'Agent 0 Contractor 0 Architect 0 Other
Bulletin #100 -January 1, 2006 Page 2 of 4 k\Handouts\Pemiit Application