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