07-106136City
ity De Federal pram y Mechanical Permit #• 07- 106136 -00 -ME
y 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: NGUYEN
Project Address: 1617 SW 330TH PL - Parcel Number: 010457 0410
Project Description: Replace existing gas furnace with new.
Owner
Applicant
Contractor
YEN NGUYEN
AAA HEATING & AIR CONDITIONING INC
AAA HEATING & AIR CONDITIONING INC
1617 SW 330TH PL
22653 83RD AVE NW
AAAHTR197ILW 6/19/09
FEDERAL WAY WA
KENT WA 98032
22653 83RD AVE NW
98023 -6432
KENT WA 98032
Additional Permit Information
Mechanical Valuation .................... ........................2388.45 Over the Counter Permit ? ...................................... Yes
Mechanical Fixtures`
and the City of Federal Way.
Owner or agent:
F ir ".ACED
THIS CARD IS TO REMAIN ON -SITE r
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 106136 -00 -ME
Owner: YEN NGUYEN
Address: 1617 SW 330TH PL
FEDERAL WAY, WA 98023 -6432
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 B Date% /-�
For inspector reference only __ _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
RECEIVEn
SITE ADDRESS 16 0 SW 3 3®-71, f L
ASSESSOR'S TAR /PARCEL # Cf L V —q - 2 - D
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
Dom- ( o (0 ( 3L
SF MF CO(P EL PL DE EN FP
ted. Please print leaiblu fin ink) or tupe.
SUITE /UNIT #
LOT SIZE (sfi
(Attach separate page far lengthy Lga1 deacrlptb V
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ 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) 1 uD y y f ay
PEOPLE •' •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE ��
e� n L 1
MAILING ADT� S C , ST , ZI'4./�..
co M NAME /' ,
..
CITY OR
Federal Way
NOV U S 200 PERMIT
COMMUNITY DEVELOPMENT SERVICES
�✓� �63Z
33325DERA AVENUE SOUTH )
"
FEDERAL WAY, WA 9806397/8
A980639718
®u�i��Na ICATION
253- 835 -2607• FAX 253 - 835 -2609
.D -L L
u +1au�. r.7iuoffetlsralumu. cxrm
E -MAIL ADDRESS
The_followinv is required information - an incomplete application will n
SITE ADDRESS 16 0 SW 3 3®-71, f L
ASSESSOR'S TAR /PARCEL # Cf L V —q - 2 - D
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
Dom- ( o (0 ( 3L
SF MF CO(P EL PL DE EN FP
ted. Please print leaiblu fin ink) or tupe.
SUITE /UNIT #
LOT SIZE (sfi
(Attach separate page far lengthy Lga1 deacrlptb V
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ 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) 1 uD y y f ay
PEOPLE •' •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE ��
e� n L 1
MAILING ADT� S C , ST , ZI'4./�..
co M NAME /' ,
APP NAME
OFFICE PHONE
MAILING
2� S 3 JD�il�.�
C , STATE,
�✓� �63Z
CELL PHONE
(20 -7f f 2� Y"
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
�- % � - 3 1 da_ -B
EXPIRATION DATE
/` ,/ �/ /07
FAX NUMBER
(;�53' 634 :31
.D -L L
PRIMARY PHONE
E -MAIL ADDRESS
CONTRACTOR'S REGISTRATION NUMBER (copy of cud required with each application)
k4-I V I k 15 2 I L cv
EXPIRATION DATE
I/ /y,
COM
uW u
APP M
OFFICE PHONE
( G
MAILING ADDRESS
CITY. STA ZIP
CELL PHONE -
RELATIONSHIP PROJECT
o Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
FAX NUMBER
NAME
PRIMARY PHONE
E -MAIL ADDRESS
PerIZW= 2� U ., er il}jo attOlt iS �,<
C
NAME
„r utr nro etiet tf ire e c��`6 UO9
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? O YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGBLINE ❑ PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
EXISTING
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (I
DECK (COVERED ?)
GARAGE Ci CARPORT
PROPOSED I TOTAL
NUMBER OF FLOORS E7[1ffrM PROPOSM Tarns xoret is vra sr 3o)tet PwwPpersP er mcevsP
-NEW HOMES ONLY- NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
�J tuber of each type of fixture to be installed or
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE COOLERS
BBQS
FANS
BOILERS
FIREPLACE INSERTS
WASHING MACHINES
URINALS
COMPRESSORS
FURNACES
DUCTS
GAS PIPE OUTLETS
BATHTUBS (.,Tub /Shower Combo)
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS 1Bathr m $mks)
VACUUM BREAKERS
as part of this project.
GAS LOGS
HOODS (Comme,clal)
RANGES
GAS WATER HEATERS
existingJtxtures to remain.
WATER CLOSETS (rotleo _.
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
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 gfFederal Way, but only where such claim
arises out of the reliance f the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application. p
NAME /TITLE DATE / �3
(Signature) (11tie)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
Bulletin #100 —January 1, 2006 Page 2 of 4 MandoutsTermit Application