16-100904City of Federal Way Mechanical
Community & Econ. Dev. services Permit #: 16 -100904 -00 -ME
33325 8th Ave S
Federal Way, WA 98003FILE ec
Instion Request Line:
Ph: (253) 835-2607 Fax: (253) 835-2609 p a (253) 835-3050
Project Name: BISHOP
Project Address: 29207 18TH AVE S Parcel Number: 042104 9205
Project Description: Replacing 80% gas furnace
wn r
A1212licant
Contractor
JOHNNY T BISHOP
A A A HEATING & AIR CONDITIONING
A A A HEATING & AIR CONDITIONING INC
LORI JEAN BISHOP
22641 83RD AVE S 2264183
AAAHEHR975M2 (8/11/17)
PO BOX 98203
KENT WA 98032
22653 83RD AVE NW
DES MOINES WA
KENT WA 98032
98198
Additional Permit Information
Mechanical Work Valuation?................................2500 Is this an Online or O.T.C. application? ................. Yes
Mechanical Fixtures
Furnaces ......................................... 1
PERMIT EXPIRES Tuesday, August 16, 2016
Permit Issued on Thursday, February 18, 2016
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 theCi of Federal Way.
Owner or agent:O-NL 1Date:
Ciro OF .:
Federal Way
PERMIT #:
16 -100904 -00 -ME
THIS CARD IS TO RAWAIN ON-SITE
Construction Ins ction Record
INSPECTION REQUE TS: (253) 835-3050
Address: 29207 18TH AVE S
Project: JOHNNY T BISHOP FEDERAL WAY, WA 98003-3826
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)11
Gas Piping (4125)
Final Electrical
Approved
Final - Mechanical (4065)
�
Approved
By
Approved to release test
Approved
By
Date
By
Date
By
Date (0
Rough Electrical
Approved
El
Final Electrical
Approved
�
Right of Way
!approved
By
Date
By
Date
By
Date
C,Tr°r RECEIVEOERMIT
Federal Way
COMMUNITY
O2 3- 35-260 - FAX 253-835-2609E SJU L 12 ZAP P L I C A T I O N
CITY OF FEDERAL WAY
S
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,IF CO ME PL DE EN FP
SITE ADDRESS
_ v
21occ -� AL,,,
SUITE/UNIT b
PROJECT VALUATION
$Lli►C!0.0CD,
ZONING
ASSESSOR'S TAX/PARCEL M
G 5 73-70C- ® 5 95
TYPE OF PERMIT
❑ BUII.DING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING IRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeoumer Last Name)
1
r )AN LGA 2
✓t�
C CL
PROJECT DESCRIPTION
Detailed description of work to
I S S
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY
PTATi7
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE M
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
NAME j_% 1'�S� Ic
� ��� "`���JYY l Yom...- � � C.�
a O b 1
MAILING ADDRESS
MAIL �+
APPLICANT
CITY w
3'fAT�
d -
21P � �A
FA v U# I
PROJECT CONTACT
individual to receive and
NAME � � �nl� ►�} �C,
vel
PHONE � � � r 3>'?(The
MAILING ADDRESS
E L
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.0951
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 as apart of this application.
SIGNATURE: I DATE
PRINT NAME: MA
Bulletin #100 - January 1, 2011 "-�j Page 1 of 3 k:\Handouts\Pennit Application