07-105934Cily of Federal Way �/� * ..{{jj QQ QQ //�� n
Community Development Services Mechanical Permit #: 07-10593 00-Mt�
P.O. Bbx 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2601 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3 '050
Project Name: ASINAS
Project Address: 33624 5TH PL SW - Parcel 729805 0530
Project Description: Replace gas furnace
Owner Applicant acontMdor
JIMMY ASINAS AAA HEATING & AIR CONDITIONING INC A & AIR 1 NING INC
33624 5TH PL S 22653 83RD AVE NW AAHTR1971L 19/09
FEDERAL WAY WA 98023 KENT WA 98032 22653 83 NW
KE 9803
Additt t 11 01OrmtiOn
' A
e r
Mechanical Valuation ................. ...........................2070 ver the Counter .................Yes
MeC Itlite.
Furnaces ......... ............................... 1
I Sunday, Octo , 2009
i on hursdaly, October 25, 2007
y ce thattlii ve in ation is correct and that the construction on the above descried pro erty..and
he occ anoi the will n accordance with the laws, rules and regulad6ns of the Stote of W it on
nd th City f Federal Way.
Own agent: Date: ! d Z �f—
J
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way I IVR INSPECTION REQUEST PHONE # (253) 835 -3050 `
PERMIT #: 07- 105934 -00 -ME
Owner: JIMMY ASINAS
Address: 33624 5TH PL SW
FEDERAL WAY, WA 98023 -8306
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
arc 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
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
RECEIVE[
Federal way PERMIT
CoMMUIMDEVELONIENrSERVICES 0 C 2 5 2001 SF NIF cod�j EL PL DE EN FP
9992 RA F, WA 9� 971L97I8 &PwjPLI CATI O N
FEDERAL WAY, WA 98069 -9718
www.cftuotTederalwau.co ITY OF t~EC?lw Y
_ BUILDING DEPT.
The following is reauired inform udon - an incomolete amUcaiion wiU not be accented. Please mint to Uft (in inkJ or tame.
WMADDRESS 1�1�T_ �1��lL� IZ+I:+i[�sr/l��I�IG�I�/L�� SurmflmT LOT Sin (sfi
•.; a, Estates, Lot 1)
PROPERTY
OWNER
CONTRACTOR
CONTACT
COMPANY NAME <
AF211CANT
APP NE NAME
CA
OFFICE PHONE
-
(Zr3 ),6 o - 5L
MAILING ADDRESS
CrJY. STATE , ZIP
7L
MAII.INGADDRESS
1
7! , ST io
03
CELL PHONE
_
2-AY
CrrY OF DERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
3- 0 -3 z
-B L / /
( ) -
CONTRACTOR'S
6-t-& 5T t T t 1 L L w
EXPIRATION DATE
/If /2,m
COMPANY NAME
AF211CANT
OFFICE PHONE
"4 ` c - C
(Zr3 ),6 o - 5L
MAILING ADDRESS
CrJY. STATE , ZIP
CELL PHONE
kfk AV 3L
a -
RELATIONSHIP TO PROJECr
FAX NUMBER
❑ Architect ❑Tenant Q Agent O Other (Describe) �Tl�
(2a _ (, 3.0 39 S
NAME PRIMARY PHONE E-MAIL ADDRESS
ERIsmo USE PROPOSED USE
EZISTI G ASSESSED /APPRAISED VALIIE $ VALiTE OF PROPOSED WORK $
SPRIINKLERED BU11MING? ❑ YES ❑ NO ' FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGH12M ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN o HIGIHAYE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
WaSTUM
FT.
PROPOSED
SQ.FT.
TOTAL
89. FT.
BASEMENT
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
FIRST
BBQS
FANS
HOODS(cumm Mn
SECOND
BOILERS
FIREPLACE INSERTS
RANGES
THIRD
COMPRESSORS
FURNACES
GAS WATER HEATERS
FOURTH
DUCTS
GAS PIPE OUTLETS
ADDITIONAL FLOORS (DESCRIBE)
PLUJtIBIIIT(i
BATHTUBS WlVb /shower Comm)
SHOWERS
WATER CLOSETS (Colkp
DECK(COVERED ?)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GARAGE ❑ CARPORT ❑
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
NUMBER OF FLOORS
INUrab
POOPOM
TMAL
aorV.%Z1VWnam
ToTen.wcoaasroer
lore.or
"NEW HOMES OA "" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
of each type of jixture to be installed or relocated as part of this project. Do not lnchide existing j dares to rernain.
of Mechanical Work $ d --7O v
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS(cumm Mn
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
PLUJtIBIIIT(i
BATHTUBS WlVb /shower Comm)
SHOWERS
WATER CLOSETS (Colkp
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
KANS (eathroom sinks)
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I certyk wider penalty of perjury that the ipformation 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 ef Flederal Way as to any clahn suck d�Ul which m ads by any person, including gtthee undersigned, and jUed the City of Fbderal Way, where such @ ccllaim
arises out of the reliance of the city, including its gjficers and employees, upon the accuracy of the igformattou supplied to the city as a part of
this application.
NAME /TITLE DATE . lo 1785'/ o:2
17(Sti9tiam TT
RELATIONSHIP TO PROJECT ❑ er ❑Agent Contractor ❑ Architect ❑ Other
Bulletin #100 — January 7, 2005 Page 2 of 4 MandoutsTermit Application