08-103622 1110
:ityof Federal Way Mechanical Permit. 08-103622-00-M E
wnity Development Services
P.O.Box 9718
ederal Way,WA 98063-9718
1253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: MELTON
Project Address: 32069 41ST PL SWParcel Number: 873196 0580
Project Description: Remove and replace gas furnace L.
Owner Applicant Contractor
GARY MELTON A A A HEATING&AIR CONDITIONING INC A A A HEATING&AIR CONDITIONING INC
32069 41ST PL SW (GENERAL) (GENERAL)
FEDERAL WAY WA 22653 83RD AVE NW AAAHTRI971LW (6/19/09)
98023-2403 KENT WA 98032 22653 83RD AVE NW
KENT WA 98032
Additional Permit Information
Mechanical Valuation 3116.49 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Furnaces. 1
PERMIT EXPIRES Tuesday, January 27, 2009
1 errnit Issued on Thursday, July 31, 2008
I hereby certify that the above information is correct and that the construction on,the above described property and
the occupancy and the u will be in accordance with the laws, rules and regulations of the State of Washington
a City of Federraa Way.
Owner or agent: /� Date: 773/1
c�
a 1
THIS CARD IS TO AMAIN ON-SITE _
CITY OF 44116o mmunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-103622-00-ME
Owner: GARY MELTON
Address: 32069 41ST PL SW
FEDERAL WAY, WA 98023-2403
This card is part of your required inspection documents. Scheduled inspections maybe 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.
0 Mechanical Rough-in(4165) E3 Gas Piping(4125) Final-Mechanical(4065)
Approved Approved to release test pproved
By Date By Date By %? 7/DatelA-4,
For inspector reference only
0 Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
REC I D411
CRT OF QI O. &_ A a 3 i a
Federal Way JUL3.1
20 D3 P E RM IT SF MF CO IE EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
333258THEAVENWEYSWH• X9718
-
OF FE i( •'P A ATI O N To
253-835-2607•FAX 253 9 / /
WWII',rtlimf(edernitua.bcrm C®S
The ollowin• is re•uired i ormation-an incom•lete a• lication will not be acce•ted. Please .rint le•ibi (in ink)or .e.
2 f' O n
III PROPERTY INFORMATION
✓
SITE ADDRESS 32-0 6/ 74
f - J //d rte/ 4/4,, *023 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ _ _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach seperate page for lengthy legal descrtpttoN
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING XMECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only{)
- d- r fes- 9 4,4 .- ,vi .4.c-e_
PROJECT NAME(Name of Business or Owner Last Name) f ' `6(4- y
• PEOPLE INFORMATION
PROPERTY NAMEA
. PRIMARY PHONE
OWNER kr 1 ?)47)t t (246 ) r o --7 77((
MAILING ADDRESS C STATE,ZIP
324&'? L/1 PL fc/ k/Ij 4r .— 77oZ5
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
A-PrAe (-1- In) 4-A/C Angela. (A:3)4 gt) LI2 )f
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
22-153 g3e4 IIVIS (erg f '1kJo. 9r034- 2.0() )1(43"--2.78,6'
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
0 3.-1 0 -1 1 2 L & 0 -B L IT/ 31 /08 (X3) 630 -345`f-
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
6A- a- artL11 W 4 //9 /09
APPLICANT COMPANY NAM. APPLICANT NAME OFFICE PHONE
A M Hea li rii d- Pr/G f t-iw I a (253) too -R2--4
MAILING ADDRESS CnY,STKIE,ZIP CELL PHONE
22053 4?3 £d *XS 1:64'4" lila u 4go31- ( 74C. -2-.264')
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent 0 Other(Describe) ( 3) b h -3 q,rid.
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( )
LENDER ''' fi 4 s ." NAME
�PerBCW'�`2 '3'Lc0:9S, � fJ a�it�€�
"Y quirt p Fdt
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• * •
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE LI CARPORT ❑
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
■ FIXTURES
I,•' -number of each type offlxture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL /
Value. - anical Work$ 3 ' // (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS)Co m,erioa
COMPRESSORS ' FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS)mT„b/sbo,vorcombo LAVS(aomrrnro,Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYS r VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS rad)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 certify 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 th' plication.
SIGNATURE: !!� DATE 7/co/a e.
r ty Owner and/or Authorized Agent
w„.**,
o NEW o ADDITION o ALTERATION c REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES c NO BASIC PLAN? [1 YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? r YES n NO UP/SEPA/SU? n YES n NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? a YES o NO
Bulletin#100—August 16,2007 Page 2 of 4 k\Handouts\Permit Application