07-1054631 � �
City tl Federal way Mechanical Permit #: 07- 105463 -00 -M E
- C��nmunitybevelopment 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: WILSON
Project Address: 3104 SW 313TH ST Parcel Number: 438801 0100
Project Description: Remove and replace gas furnace
Owner
Applicant
Contractor
JERRY WILSON
AAA HEATING & AIR CONDITIONING INC
AAA HEATING & AIR CONDITIONING INC
3104 SW 313TH ST
22653 83RD AVE NW
AAAHTR1971LW 6/19/09
FEDERAL WAY WA 98023 -7826
KENT WA 98032
22653 83RD AVE NW
KENT WA 98032
FINALED
THIS CARD IS TO REMAIN ON=SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105463 -00 -ME
Owner: JERRY WILSON
Address: 3104 SW 313TH ST
FEDERAL WAY, WA 98023 -7826
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
For inspector reference only
O Rough Electrical O FINAL - Electrical
Approved Approved
By Date By Date
7
nrroc
Federal Way �
o zoos PERMIT
COMMUNITY DEVELOPMENT SERVICES
33325 AVENUE SOUTH • BOX 9718 OC� •. I CATI O N
FEDERAL WAY, WA 98063 63 -9718
253- 835 -2607• FAX 253- 835 -2609
wlnz,. rituofjedera(u,ny_rom 01 ®'� O1N DeP
Thefoilowing is required itation - an incomplete application will not be
Y(
07 - /0 5
SF MF CO ME EL PL DE EN FP
ited. Please print legibly [in ink) or tupe.
SITE ADDRESS �d N Si.d 3�3 �rl ��L/ �f ��OZ 3 SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Allach separate pagefa 1-91hg legal rl— rip(fo,V
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)
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
/M v M2
NAME J. err
PRIMARY PHONE
MAILING ADDRESS
31 A
i,Jc.- i3
��
COMPANY NAME
APPLICANT NAME
Avie,(�
OFFICE PHONE
(7T3) 630 -guy
MAILING ADDRESS
ub�3 83 eel A� d
CITY, STA , ZIP
� l�63y
CELL PHONE
(7.6y ) stir 2- -f 9
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
_ -B L /
FAX NUMBER G
0636 -3 fV
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE
T&1 -i1 L (7 /61
COMPANY NAME ��1
ffGw/1 �- �
APPLICANT NAME
GIG--
OFFICE PHONE
(?-s3) 63a 1V-
MAILING ADDRESS
2 f3 o a S'
CITY, TA , ZIP
%��.- " 1J� Y,03 z-
CELL PHONE
(2%) -?I 2-7 dry
RELATIONSHIP TO PROJECT //►►
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe) (�r►,�yY, 4471r
FAX NUMBER
(u^3) bd d 3
NAM
r �ir►drk-
PRIMARY PHONE
(zb)
E -MAIL ADDRESS
Per RCW 19.27.095: <Lender irtformation is
required if project value exceeds $5,000
NAME
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE $_
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK
FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
number of each type off fixture to be installed or relocated as part of this project. Do not include exist(ng f bctures to remain.
!echanical Work $ .
AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS FANS
BOILERS FIREPLACE INSERTS
COMPRESSORS _ FURNACES
DUCTS GAS PIPE OUTLETS
BATHTUBS (or 1Ub /Shower combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (Bathroom Sinks)
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
REFRIG. SYSTEMS
HOODS (com—mis)
WOODSTOVES
RANGES
MISC (Describe)
GAS WATER HEATERS
WATER CLOSETS (Totleq
MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
I certify under penalty of perjury that the li%formation furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner 4f 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. LJ
NAME /TITLE �+ DATE
(S re) (Iltle)
RELATIONSHIP TO PROJECT o Owner o Agent Contractor o Architect o Other
Bulletin #100 —January 1, 2006 Page 2 of 4 k\Handouts ermlt Application
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