07-104015r
City of Federal Way
Community Development Services
P.O. Box 9718
Fisderal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
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1
Mechanical Permit #: 07- 104015 -00 -ME
Project Name: STENDAHL
Project Address: 3313 SW 323RD ST `° z
Project Description: Remove and replace heat pump.
Inspection Request Line: (253) 835 -3050
Parcel Number: 873190 0890
Owner
Applicant
Contractor
E E STENDAHL
AAA HEATING & AIR CONDITIONING INC
AAA HEATING & AIR CONDITIONING INC
H M STENDAHL
22653 83RD AVE NW
AAAHTRI971LW 6/19/09
KENT WA 98032
22653 83RD AVE NW
KENT WA 98032
Additional Permit Information
Mechanical Valuation ................. ...........................6000 Over the Counter Permit? ............................... ....... Yes
Mechanical Fixtures,
THIS CARD IS TO REMAIN ON -SITE `
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CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 104015 -00 -ME
Owner: E E STENDAHL
Address: 3313 SW 323RD ST
FEDERAL WAY, WA 98023 -2525
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 - MechanicaI (4065)
Approved Approved to release test Approved
By Date By Date By4Z:�:, C-4) Date _7 , v%
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
RECEIVED
PHONE
(9.5) 3Ir - NO
MAILING ADDRESS � � L
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Federal way
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PERMIT SF MF
CO MMUNITYDEVELOPMEyt�l�E$Vt�dy'�
CO MFG EL PL DE EN FP
FEDERAL. W lf'
3332FE FEDERAL
9 B 18 APPLICATION
PNOerust,wnr, un 98o63- 9��11L_DING DEPT
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253- 835 -2607• FAX 253.835.2609
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CIT 'E.
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The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
.L• • •
FAX NUMBER
(v5'3 ) bia 3�t�
ii q � ((
SITE ADDRESS _ 3 ! S � J Z {�GY S7
SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # -7- -1 -& -L � O - (5-- J- D
LOT SIZE fs))
LEGAL DESCRIPTION (e.g. Acme Estates, Lot I)
APP (CANT NAME
�t �1�
(Attach separWe page ror lengthy legal des pd)
MAILING ADDRESS
zz4s3 Pafd ov� s.
PROJECT • •
CELL PHONE
cw4 ) -74T _ 7--70
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING Y44IECHANICAL
FAX NUMBER
(U' ) a - 3 ffy
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING
❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit oniu)
PH ON
� ^ (� ) S
dAt'Wv��� fI.✓i'h�1�t.1- Q1-
�
NAME
Per RCW 19.27,095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
PROJECT NAME (Name of Business or Owner Last Name) V 11"d" I
PEOPLE • •
PROPERTY
OWNER
CONTRACTOR
COPY of card ragtd -d
with each application
APPLICANT
PROJECT
CONTACT
LENDER
NAME
_11
�1 S- rer,Aa
PHONE
(9.5) 3Ir - NO
MAILING ADDRESS � � L
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E -MAIL ADDRESS
COMPANY NAME
r1 f1,1t i-
APPLICAANNT NAME
OFFICE PHONE
(2�- )
MAILING ADDRESS
114 s'3 93 W �e S.
CIT 'E.
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CELL PHONE
("(p)
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
403 Cyr -00 i'V 3/ 0`
FAX NUMBER
(v5'3 ) bia 3�t�
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE
tfi (L- Ld itte 'f
E -MAIL ADDRESS
COMPANY NAME
Aft- �(���irr 1 Ip
APP (CANT NAME
�t �1�
OFFICE PHONE
(1�'S) b3 4
MAILING ADDRESS
zz4s3 Pafd ov� s.
C S A ZIP
l�� i�o 3 �
CELL PHONE
cw4 ) -74T _ 7--70
RELATIONSHIP TO PROJECT /
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
(U' ) a - 3 ffy
NAME � /
_eX F��
PH ON
� ^ (� ) S
E -MAL ADDRESS
�
NAME
Per RCW 19.27,095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY. STATE, ZIP
PHONE
EXISTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ N FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED?
WATER SERVICE PROVIDER ❑ LAKEHN;N o HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
❑ YES ❑ NO
PROJECT ••• AREAS
AREA DESCRIPTION EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
SO. FT.
BASEMENT
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIRST
HOODS (Cori —miap
COMPRESSORS
FURNACES
SECOND
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
THIRD
BASIC PLAN?
o YES
ADDITIONAL FLOORS (DESCRIBE)
ZONING DESIGNATION
DECK (O COVERED OR ❑ UNCOVERED ?)
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
GARAGE ❑ CARPORT ❑
UP /SEPA /SU?
a YES
NUMBER OF FLOORS
eLnsru+c
PRON08ED
TOTAL
TOTAL EXISTING SF
TOTAL. PROPOSED SF
TOTAL SF
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
numoer qI eacn ajpe oJJtxatre to De tnstaitea or retocatea as part of mis project. uo not i nctuae existing Jixtures W remain.
Value of It A ntcal Work (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBgS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (Cori —miap
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (.1 TIb /Shower C.mbo( LAVS (Liam,- Smks) URINALS MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS (miio)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
I cert(jy under penalty of perjury that the Wormation 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 Federat 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. n
NAME /TITLE
7ZL�17
RELATIONSHIP TO PROJECT
❑ Owner ❑ Agent
contractor ❑ Architect ❑ Other
FOR O'iCE 13 �'7C'
n NEW n ADDITION
n ALTERATION
r REPAIR -i TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES C NO
BASIC PLAN?
o YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
c YES ❑ NO
UP /SEPA /SU?
a YES
o NO
PLATTED LOT?
a YES u NO
DEMO PERMIT REQUIRED?
a YES
a NO
Bulletin #100 - April 2, 2007 Page 2 of 4 k \Handouts\Permit Application