06-103168P.
City oevelopmentS Mechanical Permit #: 06 -103168' -00 -ME
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: BROOKS
Project Address: 27892 25TH PL S Parcel Number: 326080 0430
Project Description: Remove & replace gas furnace & install a new heat pump
Owner
Applicant
Contractor
BEVERLY P BROOKS
AAA HEATING AND A/C
AAA HEATING AND A/C
27892 25TH PL S
11921 SE 212TH PL
AAAHTR1971LW 6/16/07
FEDERAL WAY WA 98003-2723
KENT WA 98031
11921 SE 212TH PL
KENT WA 98031
Additional Permit Information
Mechanical Valuation............................................8961.12 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
Furnaces ......................................... 1.00
PERMIT EXPIRES Saturday, December 23, 2006
Permit )issued on Monday, June 26, 2006
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 6fWashington
and the City of Federal Way.
Owner or agent:A-neZ_ ' Date: r?
•
THIS CARD IS TO REMAIN ON-SITE
C1, of Community Development Inspectioir Record.
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -103168 -00 -ME
Owner: BEVERLY P BROOKS
Address: 27892 25TH PL S
FEDERAL WAY, WA 98003
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) Jai Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By i Date
arrov G��' V ��
Federal Way 1R6.- PERMIT
COMMUNITY DEVELOPMENT SERVICES
33325AVENUE SOUTH • BOX 8718 I' 2 AZ C ATI O N
FEDD ERAL WAY, WA 9806363 -9718 � " N ""
253-835-2607• FAX 253-835-2609
wwwAtmoffederatwauxom IT.Y Ot-FEDERALWA
The_followina is reautre ;)Ehpn tncomvlete application will n
SITE ADDRESS ;?7 91 Z
ASSESSOR'S TAIL/PARCEL # 3 2, O f— 0- D
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
SF MF COME L PL DE EN FP
ted. Please print ieniblu (in ink) or tupe.
SUITE/UNIT #
-3.o LOT SIZE (s,)
(Aaach separate page for L.9thy Lgai descrfpaoN
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING CHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on
tits Permit onl��!L . /9il1/le— .644l�l /
�%/ Lr / ,�(/� �✓rU�l�✓J
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
ZE PRIMARY PHONE
IN ADD?qRESIC A . ZIP
Z
COMPANY NAME
APPLICANT NAME
APPLICANT NAME
MAILING ADDRESS
OFFICE PHONE
CELL PHONE
d'Ne,
4,141 Ok q 031
( ) -
(.2o 1?2-Z
MAILING ADDRESS
j
CIT . TATE.
�11)3/
CELL PHONE
ZlL
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application)
EXPIRATION DATE
COMPANY NAM I
Ig, d- f}
APPLICANT NAME
OFFICE PHONE
(2) 3) 36 - ZL
MAILING ADDRESS
CITY. STATE. ZIP
CELL PHONE
i112'( Si
4,141 Ok q 031
( ) -
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
( ) -
NAM • ( � HONE — E-MAIL ADDRESS
71f
Pei ItCW 29 Z7 095 rehdCr ir(jarms
NAME
,.;required-'prbfect fiairte earceerl3,� Op1M
MAILING ADDRESS
CITY. STATE, ZIP
PHONE
EXISTING ASSESSED/APPRAISED VALUE
SPRINHLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK $
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES ❑ NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
PROPOSED
TOTAL
SQ. FT.
SQ. FT.
SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
merna
raoroe�
rare'
xaarm°per
Toru rn°ru�a'°r
mru °`"
""NEW HOMES ONLY" NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
each type of f fixture to be installed or relocated as part of this project Do not include existingfUtures to remain.
AML2L1UY1L;aL
Value of Mechanical Work $J
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or Tub/Shower Combo(
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (Bathroom Sink.)
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
_L FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS REFRIG. SYSTEMS
HOODS (commercial) WOODSTOVES
RANGES MISC (Describe)
GAS WATER HEATERS 44m f &M-0
WATER CLOSETS (roaet) MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
I certWy under penalty of perjury that the information furnished by me is true and correct to the best 4f 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. A
NAME/TITLE y L^%� G�-v DATE
(Sfgnawrn) (title)
RELATIONSHIP TOP OJECT ❑Owner ❑Agent ❑Contractor ❑Architect ❑Other
Bulletin #100 —January 1, 2006 Page 2 of 4 k\Handouts\Permit Application