13-105780 Mechanical
City of Federal Way
Community u Econ.Dev.Services Permit #. 13-105780-00-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: SMILEY
Project Address: 807 S 310TH PL Parcel Number: 081850 0030
Project Description: Gas furnace replacement.
Owner Applicant Contractor
KATHLEEN SMILEY A A A HEATING&AIR CONDITIONING INC A A A HEATING&AIR CONDITIONING INC
807 S 310TH PL 22653 83RD AVE NW AAAHTRI971LW(6/19/15)
FEDERAL WAY WA 98003 KENT WA 98032 22653 83RD AVE NW
KENT WA 98032
Additional Permit Information
Is this an Online or O.T.C.applications 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
` _randtheCity of Federal Way.
Owner or agent: VC71 Date: )
1
,„.,,,,_ _44_\_
• '
THIS CARD IS TO MAIN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-105780-00-ME Address: 807 S 310TH PL
Project: KATHLEEN SMILEY FEDERAL WAY, WA 98003-9008
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.
Ei Mechanical Rough-in(4165) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By C1 � Date ' ,..,j)i—` �,
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF -A. '
Federal Way RECEIVED PERMIT F MF CO ME PL DE EN FP
COMMUNITY DCVEIAPMENT5 2609E i E c 2 7 2.P P L I C AT I O N
253-835-2607•FAX 253-8352609 1.J
u vxu.caw,iederalunq.ram
CITY OF FEDERAL WAY
SITE ADDRESS CDS SUITE/UNIT#
iO1 S (D'— I.
PROJECT VALUATION ZON NG ASSESSOR'S TAX/PARCEL#
$ C 75 D L 1 _ (7) CL _ 3 (_-)
TYPE OF PERMIT ❑ BUILDING El ,
PLUMBING MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT C)
(Tenant Name/Homeowner Last Name)
/'S Ali t
PROJECT DESCRIPTION e,ce_ CP It )G.(i'i,)1 C v)I L
Detailed description of work to
be included on this permit only
P Y PHONE
PROPERTY OWNER NAME . 0‘titr) /Celt
) I�y � �j.g5i_ I' 8LINGADD�ESS E-MAIL
VUU
L G7 J 3iO .PAC
C STATE ZI -5
--erieml • ti,)0 9t)(,)
Uyi
7014 /4-Pekial i-- 14/(-1 P 5 G' 7 X2244
�AD( E-MAIL
CONTRACTOR , / U X'
cry/e 7 TRT ZIP (y�\3• FAX
WA STATE CONTRACTOR'S LICENSE# )lJi IJ(7) EXPIRATIONIDATE FEDERAL WAY BUSINESS LICENSE#
NAME 0,146
-I We % 4/C. /. ,C 2'7
APPLICANT 77ssgJ, ?/' S E-MAIL
CITILyeto !TtIT ZIP()(�7 ` �� FAX
PROJECT CONTACT (( 77 � (�(c�I
(The individual to receive and N V '6.1-
'(� ��Gr I f 7 '73/4)-q)-�"/
respond to all correspondence (�
AIA
concerning this application) Li
(� e • ._ _U vl� e• I'Gh-f G�C.6M-1
CITY1 ' P/i1I" STATE, ZIP (1��.� FAX
/
AL ERNATE CONT,A9 N f1V. JJJ,/,_/j. PHONE(�'(CJJ) E-MAIL
N 9; tJ)1 e .)53-6 .2 -rie aG.a-/w 4p (a.,
PROJECT FINANCING N, OIWNER-FINANCED
Required value of$5.000 or more 1�-{.l 1(e `) �11/hG..j'
(RCW 19.27.095) MAILING ADDRESS.CITY, TATE,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 apart of this application.
SIGNATURE:' F V I I . ....# DATE
PRINT NAME: t VA l ,, PCS U
Bulletin#100-January I.2011 Page 1 of 3 k:\Handouts\Permit Application