13-105779 Mechanical
City of Federal Way • •
Community&Econ.Dev.Services Permit #: 13-105779-00-ME
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: SCHULTZ
Project Address: 420 S 302ND ST Parcel Number: 064300 0030
Project Description: Gas furnace and heat pump installation
Owner Applicant Contractor
MARY ELLEN SCHULTZ DARLYN VOYVODICH A A A HEATING&AIR CONDITIONING INC
420 S 302ND ST A A A HEATING&AIR CONDITIONING INC AAAHTRI971LW(6/19/15)
FEDERAL WAY WA 98003 22641 83RD AVE S 22653 83RD AVE NW
KENT WA 98032 KENT WA 98032
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Furnaces 1
PERMIT EXPIRES Wednesday, June 25, 2014
Permit Issued on Friday, December 27, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City Federal Way.
Owner or agent: V, Date: 12_ 27— / 3
cejcV L�
THIS CARD IS TOMAIN ON-SITE ' ' . .
art OF
^`-'' •
Construction Intection Record
Federal Way INSPECTION REQUTS: (253)835-3050
PERMIT#: 13-105779-00-ME Address: 420 S 302ND ST
Project: MARY ELLEN SCHULTZ FEDERAL WAY, WA 98003-4052
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.
0 Mechanical Rough-in(4165) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date `By Date ,By Date G 23 l y,
❑ Rough Electrical Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
A to - i 0 5 _2 i 7
CITY OF •
Federal Way ReceivEp PERMIT MF CO I0 PL DE EN FP
COMMUNDY DEVELOPMENT SERVICES APPLICATION Al
253-835-2607•FAX 253-835-26Q9
www.cituofEC DD 2 7 2013 ')--, '\
SITE ADDRESS CITY OF FEDERAL W Y
SUITE/UNIT#
q 20Rt.)
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V
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
, 291 0 61 1-1— -3 O 0 - O
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 1 IECHANICAL
❑ DEM LITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT NZ-
PROJECT
(Tenant Narne/Homeowner Last Name) �/ / /DESCRIPTION '' l i✓.z"P' re.'P/�C t'J i e IJ)�-L 12Pf T /0d,/1/1 ad.,./d✓t
Detailed description of work to
be included on this permit only
nn PRIMARY PHONE
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PROPERTY OWNER
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WSTATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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NAME
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APPLICANT MAIIIN /7grc/I4 s E-MAH"
6.-Iiiii STATE ZIP FAX
PROJECT CONTACTG ^�
(The individual to receive and V ` c,-1--h`.- \(-1)y aP i iCD 57
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respond to all correspondence P I
concerningthis application) nv L/ /7Ur I UI P A. :(..Ce
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PROJECT FINANCING m
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Required value of$5,000 or more
(RCW 19.27.095) MAILING ADpRESS,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 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 this application.
SIGNATURE: (1< l • ak 10 1 DATE L 21 -
PRINT NAME: -..�cLC -- \/1 J di c-41 L
Bulletin#100-January 1,2011 Page 1 of 3 k:AHandouts\Permit Application
• •
MECHANICAL FIXTURES
VALUE OF MECHANICAL WORK $ I�))4/ (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(Commercial)
BOILERS I FURNACES HOT WATER TANKS(Gall
I COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate how many of each type of future to be installed or relocated as part of this project. Do not include existing fixtures to remain.
_ BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Uuhty) WATER HEATERS(electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
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
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
................................................................................................................................................................................................
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
Area Totals EXISTING PROPOSED TOTAL
**NEW HOMES ONLY"
ESTIMATED SELLING PRICE S #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of
in Square Feet Type Stories Additional Information
NEW BUILDING
•
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area Occupancy Group(s) Construction #of
in Square Feet Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#I00-January I,2011 Page 2 of 3 k:\Handouts\Permit Application