07-100676City of Federal Way
Community Development Services Mechanical Permit #: 07-100676-00-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: OSBORN
Project Address: 3029 SW 346TH PL Parcel Number: 279150 0530
Project Description: Remove and replace gas furnace.
Owner
Applican
Contractor
LINDA KAY OSBORN
AAA HTG REFRIGERATION INC
AAA HTG REFRIGERATION INC
3029 SW 346TI-I PL
22653 83RD AVE NW
AAAHTR197ILW 6/16/07
FEDERAL WAY WA
KENT WA 98032
22653 83RD AVE NW
98023-3108
KENT WA 98032
Additional Permit Information
Mechanical Valuation ............................................ 1858.05 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
.....................................
PERMIT EXPIRES
I her
the
use Will- be in
Owner or agent:
and
turday, February 7, 2009 ,,
V _. THIS CARD IS TO REMAIN ON-SITE
CITY OF 4A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-100676-00-ME
Owner: LINDA KAY OSBORN
Address: 3029 SW 346TH PL
FEDERAL WAY, WA 98023-3108
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 mustnot
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
Date By Date
By j % I % By
RECEIVED
C" oil
FederalWay FEB 07 2007 PERMIT
c0'vmU`vI7y DE"E"o
333218 A I'EwEv so=rPWb F A
FED"PAL wAy, wA 9"00- FEDER
253-835-2607- PAX 253'835.9276'OVU ILD ING DEPIPPLICATION
6 -2 - � -7 to
SF MF CO C!�)EL PL DE EN FP
Thefollowigg is required information - an incomplete a lication will not be accqpted. Please print kgibly in ink) or ft
f�_ jpe
PROPERTY INFORMATION
SITE ADDRESS 302-1 4AJ 3474 SUITE/UNIT
ASSESSOR'S TAX/PARCEL # 2- -1 41 5� jo - o 5-3 0 LOT SIZE (sfi
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 11
tAtt=h sep�ate pagef� lengthy legcd descVtOnl
1 0 PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING C3 PLUMBING )KMECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on dits Permit onl
MWt -Z A e C el
PROJECT NAM (Name of Business or Owner Last Name) o�,bcrj
CONTRACTOR
APPLICANT
CONTACT
LENDER
C;W
AAP UW NAME
OFFICE PHONE
&41
C
MAILING ADDRESS
2124F 53 919 11a
A" S -
W,
CELL P E
lZT-Mr- 2,-7 Ar
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRA71ON DATE
FAX NUMBER
0- 1-1 �--! L
v 0 -1
1- 1
— --B L
CONTRACTORS REGISTRATION NUMBER (copy of card requiredp1th each application)
L41� &.L4 ffT I I I ;d
EXPIRATION DATE
�/1-1 lo-7
NAM;�� PRIMAR PHONE E-MAILADDRESS
aS73
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE VALUE OF PROPOSED WORK
SPRUqKLERED BUILDING? o YES 0 NO -- pIjE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEK--' o HIGHLINE o TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER o LAKERAVEN o HIGHLINE o PRIVATE
------- -11 P I ROJ E I CT F I L - OOR AREAS 1 -71
AREA DESCRIPTION
BASEMENT
SECOND
THIRD
FOURTH
�k� 101101*0-m"
NUMBER OF FLOORS
1"NEWHOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELL ING PRICE $
number of each type offixture to be installed or relocated as part of this project Do not include extsttngftxb.Lres to remain.
ANICAL
of Mechanical Work $
oc�-S' o_57-
AIR HANDLING UNITS
EVAPORATIVE COOLERS
BBQS
FANS
BOILERS
FIREPLACE INSERTS
COMPRESSORS
FURNACES
DUCTS
GAS PIPE OUTLETS
BATHTUBS (or Tub/Sho—r Combo)
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS (Bathroom Sinks)
VACUUM BREAKERS
GASLOGS
HOODS (CommerdaQ
RANGES
GAS WATER HEATERS
WATER CLOSETS rroiie)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMSs
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certLfy underpenalty ofperjurg that the iriformationfurnished by me is true and correct to the best ofing knowledge. andfurther, 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 ofFederal Way as to any claim (including costs, expenses, and attorneys'fees incurred In the investigation and defense of
such clainV, which may be made by any person, including the undersigned, andfiled against the City ofFederal Way, but only where such claim
arises out of the reliance of the city, including Its officers and employees, upon the accuracy of the iriformation supplied,to the city as a part of
this application.
NAME/TITLE 12Z415ke 64a4dxol� DATE 2V-7 0/ 7
Mignature) (Title) r
RELATIONSMP TO PROJECT 0 Owner XAgent ci Contractor c3 Architect o Other_
Bulletin #100 — January 1, 2006 Page 2 of 4 MandoutsTerinit Application