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07-106134t ` C:!y-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: MELTON Project Address: 4017 SW 329TH PL r: Mechanical Permit #: 07- 106134 -00 -ME Project Description: Replace existing gas furnace with new. Inspection Request Line: (253) 835 -3050 ,a Parcel Number: 873204 0530 Owner Applicant Contractor RONALD MELTON AAA HEATING & AIR CONDITIONING INC AAA HEATING & AIR CONDITIONING INC 4017 SW 329TH PL 22653 83RD AVE NW AAAHTR]971LW 6/19/09 FEDERAL. WAY WA KENT WA 98032 22653 83RD AVE NW 98023 KENT WA 98032 Additional Permit Information Mechanical Valuation .................... ........................4001.84 Over the Counter Permit ? ...................................... Yes ' •--- `•:`ate ��,__. THIS CARD IS TO REMAIN ON -SITE ir CITY OF Community Development Inspection Record' Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 07- 106134 -00 -ME Owner: RONALD MELTON Address: 4017 SW 329TH PL FEDERAL WAY, WA 98023 -2621 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 Date —1 r For inspector reference onlx ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date w ' Cl" OF � 11'SC SL XL Federal way NnV PERMIT 8 ��p� SF MF C EL PL DE EN FP COMMUNITY DEVELOPMENT SERVICES 33325 DEPAL WA , WA 9. PD 1TI 0 UAR P L I C ATI O N l FEDERAL. WAY, WA 980 3`� ®F FEDERA 253-835 -2607• FAX 253 - 835 -26 wunuritt�ederalu)au.com BUILDING DEPT. The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type. LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (Aitwh sepo we page,(or lengthy legs! descriptbn) PROJECT • • TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 4MECHANICAL ❑ 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 Name) Me, 1 -10", PEOPLE •• • PROPERTY OWNER CONTRACTOR APPLICANT PROJECT CONTACT LENDER EXISTING USE NAME PRIMARY PHONE c 3� 3g- MAILING,ADt RESS r /(Jry � TATS P E -MAIL ADDRESS COM NAM APP ANT N E OFFICE PHONE ( a3) 631) - z MAILING ADDRESS CI . STA Ip - h ����� `ELL PHONE �` Z� Se CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE 03 -/0 3 It 1 - ©o 4 1-511P--7 FAX NUMBER (-r5) 6 D -59(7 CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E -MAIL ADDRESS COMP ^� J f ri 71 IPA (i APP CANT N E OFFICE PH NE (05 r Ikv MAILING ADDRESS Z7-% �3 �'� �. CI T ZIP , CELL PHONE - RELATIONSHIP TO PROJECT [--I Architect ❑Tenant ❑Agent ❑Other FAX NUMBER 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 PROPOSED USE VALUE OF PROPOSED WORK SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) M PROJECT FLOOR AREAS ...,.LL . , a.m.. .._ AREA DESCRIPTION EXISTING S . FT. PROPOSED S . FT. TOTAL S . FT. BASEMENT HOODS (CommerciaU FURNACES RANGES FIRST — REFRIG. SYSTEMS FOR OFFICE USE ONLY ' ❑ NEW ❑ ADDITION SECOND a REPAIR ❑ TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑ YES n NO THIRD BASIC PLAN? ❑ YES ❑ NO ZONING DESIGNATION ADDITIONAL FLOORS (DESCRIBE) CHANGE OF USE? ❑ YES ❑ NO NEW ADDRESS REQUIRED? o YES ❑ NO DECK (❑ COVERED OR ❑ UNCOVERED ?) UP /SEPA /SU? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO GARAGE ❑ CARPORT ❑ DEMO PERMIT REQUIRED? ❑ YES ❑ NO NUMBER OF FLOORS ERI8TMG PROPOSED TOTAL TorAL - 0, -118r TO"a 1*10"O SD SF Twat sr "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. of Mechanical Work $ `t obo , IA COPY OF BID OR ES77MATE MUST BE INCLUDED VVWH APPLICATION) AIR HANDLING UNITS BBQS BOILERS COMPRESSORS DUCTS BATHTUBS (or Tub /Shower Combo) DISHWASHERS DRINKING FOUNTAINS ELECTRIC WATER HEATERS HOSE BIBBS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES FANS GAS WATER HEATERS MISC (Describe) FIREPLACE INSERTS HOODS (CommerciaU FURNACES RANGES GAS LOG SETS — REFRIG. SYSTEMS LAVS (Bathroom Sinks) URINALS MISC (Describe) RAINWATER SYST VACUUM BREAKERS SHOWERS WATER CLOSETS (Toilet) SINKS WASHING MACHINES SUMPS I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. 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, but only where such claim arise 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 ofpplication. SIGNATURE: >/ DATE // 1 0 7 operty Owner and /or Authorized Agent FOR OFFICE USE ONLY ' ❑ NEW ❑ ADDITION o ALTERATION a REPAIR ❑ TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑ YES n NO BASIC PLAN? ❑ YES ❑ NO ZONING DESIGNATION CHANGE OF USE? ❑ YES ❑ NO NEW ADDRESS REQUIRED? o YES ❑ NO UP /SEPA /SU? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO DEMO PERMIT REQUIRED? ❑ YES ❑ NO Bulletin #100 — August 16, 2007 Page 2 of 4 k\Handouts\Permit Application