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04-102845w City of Federa Way r Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Pb: 253.661.4000 Fax: 253.661.4129 Project Name: WALKER Project Address: 1122 SW 333RD 5-r Project Description: Install A/C system Mechanical Permit #:04 -102845 - 00`- ME Inspection request line: 253.835.3050 Parcel Number: 926495 0850 Owner Applicant Contractor James D Walker & Darcell A Walker AAA HTG REFRIGERATION INC AAA HTG REFRIGERATION INC 1122 SW 333RD ST 11921 SE 212TH PL 11921 SE 212TH PL FEDERAL WAY WA KENT WA 98031 KENT WA 98031 98023-5319 (253)630-9224 Mechanical Valuation..........................................4900 Over the Counter Permit ...................................... Yes Mechanical Fixtures Description Quanti Description Auantity,� Description Quantity, Air Handling Units PERMIT EXPIRES January 16, 2005. Permit issued on July 20, 2004 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 of Federa ay. Owner or agent: Date: -1 1 f2i THIS CARD IS TO REMAIN ON-SITE CITY OF *'AA Community Development Inspectlion' Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04 -102845 -00 -ME Owner: JAMES D WALKER Address: 1122 SW 333RD ST FEDERAL WAY, WA 98023-5319 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 Date8 - ,�� 'Chy OF 10, Federal Way PERMIT t COMMUNITY DEVELOPMENT SERVICES RECEIVED BY 33530 FIRST WAY SO AT$TyMCATION FEDERAL WAY, WA DEVFLOP��IEN 253-6614115• FAX 2536614129 ww'.d(Wffederalwaymm JUL 2 0 RECD The following is —an 0-0�- _ -L C 2, y SF MF COL PL DE EN FP D will not be accepted. Please SITE ADDRESS SUITE/UNIT # ASSESSOR'S TAX/PARCEL # _ - LOT SIZE (sj) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) S )OCs UE7 (Aaach separate page for lengthy Mgd de ipoon) or PROJECT• ' • / TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING O FIRE PREVENTION SYSTEM PROJECT (DESCRIPTION (Provide detailed description of work included on this permit onlUl AAA `1 t PROJECT NAME (Name of Business or Owner Last Name) AAA yQ)Q 4 Dn 14 410)• PROPERTY OWNER CONTRACTOR APPLICANT CONTACT LENDER EXISTING USE NAME AN(�S >ack L w�c. COMPANY PRIMARY PHONE (21cz3) 815 14t53 MAILING ADDRESS 1 SSW 3331-d :5 CITY, STATE, ZIP I% AY- WA-/ wo 17CI7023 RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe) COMPANY NAME APPLICANT NAME AM RF "/ #6 �&owwwplel OFFICE PHONE (2K3) &�O - j,2,?/ MAILING ADDRESS CITY, STATE, ZIP //9.7/ sf 2/2# ,PL� /" ww 9f031 CELL PHONE (A ) 7W - 27o5 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER / ( !XPI CONTRACTORS REGISTRATION NUMBER (copy of card required with each application) A -& DATE s 7// «as_ 20a5-- COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY, STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe) ( ) - NAME PRIMARY PHONE E-MAIL ADDRESS A-ND9-A0A 2Dlo 'gr -.2705 Per RCW 19.27.095. Lender information is NAME required if project value exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP EXISTING ASSESSED/APPRAISED VALUE $ SPRINKLERED BUILDING? ❑ YES ❑ NO PROPOSED USE VALUE OF PROPOSED WORK $ FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) ❑ NO PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT o NEW o ADDITION o ALTERATION o REPAIR ❑ TENANT IMPROVEMENT FIRST BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES SECOND ZONING DESIGNATION CHANGE OF USE? THIRD ❑ NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? FOURTH o NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? ADDITIONAL FLOORS (DESCRIBE) o NO DECK(COVERED?) GARAGE/CARPORT HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED '•NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECELANIC L .¢gd0 ,o a Value of Mechanical Work $ AIR HANDLING UNITS BBQS BOILERS COMPRESSORS DUCTS BATHTUBS (-Tub/Shower Combo) DISHWASHERS GAS PIPE OUTLETS WASHING MACHINES LAVE (Bathroom Sinks) EVAPORATIVE COOLERS FANS FIREPLACE INSERTS FURNACES GAS PIPE OUTLETS SHOWERS SINKS SUMPS URINALS VACUUM BREAKERS GAS LOGS REFRIG. SYSTEMS HOODS (co—miaq W OODSTOV ES RANGES _� MISC (Describe) GAS WATER HEATERS A/k Ci7'4J0/77v"A*,. WATER CLOSETS (roii�q MISC (Describe) DRINKING FOUNTAINS RAINWATER SYST HOSE BIBBS ELECTRIC WATER HEATERS I certify under penalty of perjury that the information 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 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. NAME/TITLE RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Contractor ❑ Architect ❑ Other -1�!%V FOR OFFICE USE ONLY o NEW o ADDITION o ALTERATION o REPAIR ❑ TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? o YES ❑ NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO Bulletin #100 — March 30, 2004 Page 2 of 4 k\I landouts — Revised\Pernlit Application Iffil LJ Qu <1 (L IN - ----- - ---- DEPARTMENT OF LABOR AND INDUSTRIES LICENSED AS PROVIDED BY LAW AS ELEC C0NTR'-_RJ - I ECO2.,-_. m 1.8 EFFECTIVE DAT /1872003 AAA-.HEATIIqG'',&'REFRIG$RATION- 11921 SE 212TH PL KENT IKTA 98031-2120 OMich Ac.d Diylw Corlificaic LICENSED AS PROVIDED BY LAW AS ELEC C014TR i'RESIDENTL LICENSE 0- _-:<,EkP. -DATE ECO2 AAA141ZHR975M2;'-" 3/18/2005 EFFECTIVE bXT,'E AAA HEATING! L'& -R FRIG 11921 SE 212TH PL - KENT WA- 98031 2120!.- I D RTMEN' T OF LABOR A N 1) [INDUSTMES Please Remove And Sign I dell tificati oil Card Before Placing In B111fold �Ir z Please Remove And Sign I dell tificati oil Card Before Placing In B111fold