06-101197Cfityof De FederalWayy Mechanical Permit #• 06 -101197 -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: MERRYFIELD
Project Address: 32513 36TH AVE SW Parcel Number: 873195 0930
Project Description: Remove and replace existing gas furnace with a new gas furnace.
Owner
Applicant
Contractor
DANIEL I MERRYFIELD
AAA HEATING AND A/C
AAA HEATING AND A/C
32513 36TH AVE SW
11921 SE 212TH PL
AAAHTR197ILW 6/16/07
FEDERAL WAY WA
KENT WA 98031
11921 SE 212TH PL
98023-2601
KENT WA 98031
Additional Permit Information
Mechanical Valuation............................................2464.54 Over the Counter Permit? ...................................... Yes
MIT EXPIRES' Sunday, September 10, 2006
Permit Issued on Tuesday, March 14, 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 of Washington
and the City of Federal Way.
Owner or agent: Date: /L
THIS CARD IS TO REMAIN ON-SITE
C17Yor Community Development Inspection Record
Federal -My IVR INSPECTION REQUEST PHONE # (253) 835-3050 r
PERMIT #: 06 -101197 -00 -ME
Owner: DANIEL I MERRYFIELD
Address: 32513 36TH AVE SW
FEDERAL WAY, WA 98023-2601
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 G Date3 o -
DECEIVE®
CfFTO MAR 1 4 2006-0(�--L QJ 1 J1
� Federal Way ER�XT F MF C EL PL DE EN FP
COMMUNTTf DEVELOPMENT SERVICES FEDERAL yyAys
33325 BTM AVENUE SOUTH • PO BOX 9718 I DEPT.
253-835-2607- WAY, WA AX 2!53-835-2609 AP P LI CA
1'�
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The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS n & _ �jAV SUITE/UNIT #
ASSESSOR'S TAR/PARCEL # 3 I A - Q 1— 3 O LOT SIZE (sn
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Alfnrh sep-0 pVefa iwWft le8d desalpt rV
PROJECT• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING XMECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit onlu)
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
«•NOCsO a
LENDER
EXISTING USE
PEOPLE INFORMATION
e. ` / �i-AW,/�7�7W/WSW, 12A M'
i
COMPANY NAME/ r APPLICANT NAM
OFFICE PHONE
MAILING ADDRESS JCITY, STA
2,1 S �- 6�4- ' -3 I
CELL PHONE
04) ?1I-- 2785'
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
Ica -Q3-1(2---3 L-2- L -B l� /3( /Q
FAX NUMBER
i�C3)63o -3-7rV
L
CITY, STATE, ZIP
CONTfR�A.CTOR'S REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE
Z 2/bid
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
!moo - yZZ
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
Z 2/bid
to 3 /
) -
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect O Tenant ❑ Agent ❑ Other (Describe)
(2j-3) 6
I NAW PRIMARY PHON E-MAILADDRESS
a ) i12r- 2,7 8s
a
NAME
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
.-1
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $_ O`.7 O �1 7
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAEEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAEEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EI ISTING
PROPOSED
TOTAL
EVAPORATIVE COOLERS
GAS LOGS
SQ. FT.
SQ. FT.
SQ. FT.
BASEMENT
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS _�
FURNACES
GAS WATER HEATERS
FIRST
GAS PIPE OUTLETS
PLUMING
BATHTUBS (or7ub/Shower Combo)
SHOWERS
SECOND
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
THIRD
URINALS
HOSE BIBBS
LAVS (Bathroom Smka)
VACUUM BREAKERS
ELECTRIC WATER HEATERS
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS`
�ermo
raoroeID
aoret
A7gAb11 �GMpP
1Y9�i1Grxorasep4r
TaM&P
In
**NEW HOMES ONLY** NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
FIXTURES I
Indicate number of each type of fixture to be installed or relocated as part of tits project Do not include exLsttng fixtures to remain.
MECHANICAL _
Value of Mechanical Work $� S
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (Commeraaq
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS _�
FURNACES
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
PLUMING
BATHTUBS (or7ub/Shower Combo)
SHOWERS
WATER CLOSETS trotlet)
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS (Bathroom Smka)
VACUUM BREAKERS
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 uwrk 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,Jiled against the City of Federal Way, but only where such claim
arises out of the reliance of the city, including its gatcers and employees, upon the accuracy of the information supplied to the city as a part of
this application. /
NAME/TITLE DATE
St —twe) Mde)
RELATIONSHIP TO PR CT er ❑ Agent ❑ Contractor ❑ Architect o Other
Bulletin #100 -January 1, 2006 Page 2 of 4 MandoutsTermit Application