12-103632City of Federal Way
Applican
Contractor
Community & Econ. Dev. Services
A A A HEATING & AIR CONDITIONING INC
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33325 8th Ave S
Federal Way, WA 98003
22653 83RD AVE NW
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Ph: (253) 835 -2607 Fax: (253) 835 -2609
KENT WA 98032
22653 83RD AVE NW
Project Name: HARDING
Project Address: 2242 S 287TH ST
0
Mechanical
Permit #: 12- 103632 -00 -ME
Inspection Request Line: (253) 835 -3050
Project Description: Remove /replace existing gas furnace and gas water heater
Parcel Number: 027120 0110
Owner
Applican
Contractor
JANET HARDING
A A A HEATING & AIR CONDITIONING INC
A A A HEATING & AIR CONDITIONING INC
2242 S 287TH ST
22653 83RD AVE NW
AAAHTR1971LW (6/19/13)
FEDERAL WAY WA 98003 -3325
KENT WA 98032
22653 83RD AVE NW
KENT WA 98032
Mechanical Valuation ................. ...........................2968
Is this an Online or O.T.C. application ? .................Yes
Mechanical Fixtures
Furnaces .......... ............................... 1 Hot Water Tanks ............................ 1
PERMIT EXPIRES Monday, February 4,, 2013
Permit Issued on Wednesday, August 8, 2012
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy an a use wipe in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: $ �Z
pffit
THIS CARD IS T1*MAIN ON -SITE
CRY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835 -3050
PERMIT #: 12- 103632 -00 -ME Address: 2242 S 287TH ST
Project: JANET HARDING FEDERAL WAY, WA 98003 -3325
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
y Dee��
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
RECEIVE
Cs" Of PERMIT
Federal Wc*G 0 8 2012
COMMUNITY DEVELOP NT SERVICES APPLICATION
253- 835 -2607• FAX n�- -ZcF FEDERAL
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SITE ADDRESS
SUITE /UNIT#
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PROJECT VALUATION
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ASSESSOR'S TAX /PARCEL #
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TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING WfMCHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeowner Last Name)
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PROJECT DESCRIPTION
Detailed description of work to
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be included on this permit only
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PROPERTY OWNER
NAME
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MAILING ADDRESS
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WA STATE LICENSE #
EXPIRATION DATE
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FEDERAL WAY BUSINESS LICENSE #
NAME
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PHONE
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MAILING ADDRESS
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APPLICANT
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ALTERNATE CONTACT NAME:
PHONE
E -MAIL
PROJECT FINANCING
NAME
OWNER - FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE. ZIP
PHONE
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 cer'tlfy 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 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.
SIGNATURE: DATE
PRINT NAME:
Bulletin #100 —January 1, 2011 Page l of 3 k:\Handouts\Permit Application
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2
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VALUE OF MECHANICAL WORK $ 32 q L l (a copy of bid or estimate must be provided)
Indicate how many of each type offixture to be installed or relocated as part of this project Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (Commcmial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or7Ub /Shower Combo)
LAVS (hand Sinks)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (tCtehen /Utmty)
WATER HEATERS W-trio
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL FIXTURES
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING /PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
Bulletin #100 — January 1, 2011 Page 2 of 3 UHandoutsTennit Application