07-106135City of Federal Way
Community Development Services Mechanical Perm #: 07 -106135 -00 -ME
P.O. Box 9718
Federal Way, WA 98063-9718 �1 f i ���
Ph: (253) 835-2607 Fax: (253) 835-2609 P Inspection Request Line: 253 835-3050
Project Name: NUEBEL
Project Address: 2611 S 287TH ST Parcel Number: 746690 0440
Project Description: Replace existing gas furnace with new and install a heat pump.
Owner
Applicant
Contractor
PHYLLIS NUEBEL
AAA HEATING & AIR CONDITIONING INC
AAA HEATING & AIR CONDITIONING INC
2611 S 28TH ST
22653 83RD AVE NW
AAAHTRI971LW 6/19/09
FEDERAL WAY WA 98003-4627
KENT WA 98032
22653 83RD AVE NW
KENT WA 98032
Additional Permit Information
Mechanical Valuation............................................7500 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
'omprsors................................... 1 Furnaces......................................... 1
F�NpLED
THIS CARD IS TO WAIN ON-SITE
CITY OF �Ommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -106135 -00 -ME
Owner: PHYLLIS NUEBEL
Address: 2611 S 287TH ST
FEDERAL WAY, WA 98003-3326
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)
Approved
By Date
❑ Gas Piping (4125)
Approved to release test
By Date
❑ Final - Mechanical (4065)
Approved
Date
For rector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
RECEIVSI►
NOV Q g 2ov 7
—
Federal Wales' OF FEDERAL WAY P
BUILDING DEPT ERMIT SF MF CO EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES r
33325 8m AVENUE SOUTH • PO BOX 9718
WAY, WA 98063-9718
2F53-835-2 607 FAX 253-835-2609 APPLICATION
rnu: ur, ciivo((e:deraluxvt.mm
The ollowirt is re uired i ormation - an incom fete a lication will not be accented. Please Tint le ibl (in ink) or
PROPERTY INFORMATION
SITE ADDRESS _;ILS f S t 'FQd 11 odd In/c,,� W� X 00 3 SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # 1 (' & (a / D- D q qD LOT SIZE (sfi
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate pagefm lengthy legal description)
PROJECT• ' •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
&aaineL ice,
PROJECT NAME (Name of Business or Owner Last Name) ! y UG—6c C
PEOPLEi • • •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
NAMEI PRIMARY PHONE
pAV s X39
MAILIN AD CITY, .
TA ZIP (b-3
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COMPANY NAME
n c
APPLICANT NAME
e lA
OFFICE PHONE
(zs 3 )63
MAILING ADDRESS
2 53
CELL PHONE
( 2" )'(q' S- - 27 Zy
CITY, STATE, ZIP
wk � COD 3
CELL PHONE
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
OIL- 9! 3- o_2_ (_Off -B
EXPIRATION DATE
31 /d?
FAX NUMBER
(?s-3 )63-a �4(�
L
CONTRACTORS REGISTRATION NUMBER (copy of card required with each application)
L k- & l+ T k L R? L L W
EXPIRATION DATE
'j / t� / Z0,0',
COMPANY NAME
jorprp- 46A41!4 4- A G
APPLICANT NAM
A#tle t��
OFFICE PHONE
( 3) /0171-
0278-MAILING
MAILINGADDRESS
Z�C g GQ A�� S
CITY, STATE, ZIP
e A_ %8'a3Y
CELL PHONE
( 2" )'(q' S- - 27 Zy
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
(u-5 )faf7b 3 el, ry
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
LENDER
EXISTING USE
Per RCW 19.27.0951 Lender itlformation is
required (fprojectvalue,exceeds.$8,000
NAME
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ 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 0 PRIVATE (SEPTIC)
� wJ
urrwer of eacn type of jtxture to be installed or relocated as part of this project Do not include existing fixtures to remain.
'CAL
SHOWERS
WATER CLOSETS (Toney MISC (Describe)
DISHWASHERS
ical Work $�'
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (Commercial)
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
—L_ FURNACES
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
��
f Ii'&Pt V—Q
BATHTUBS (or7hb/Shower Combo)
SHOWERS
WATER CLOSETS (Toney MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS (Bathroom SlriW
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I certffly 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 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 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. I —
) / /7
NAME/TITLE DATE ( / �// r
RELATIONSHIP TO PROJECT ❑ OWner ❑ Agent ❑ Contractor ❑ Architect ❑
Bulletin #100 — January 1, 2006 Page 2 of 4 MflandoutsTermit Application