05-101832 City of Federal Way j'...Wlechanical Permit #: 05 - 101832 - 00 - ME
Community Development Services F
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax•(253)835-2609 Inspection request line: (253)835-305C
Project Name: TAM (L1
Project Address: 29016 MILITARY'S Parcel Number: 042104 9123
Project Description: Gas furnace changeout
Owner Applicant Contractor
VINCENT TAM ASAP HEATING A/C AND APPLIANCES ASAP HEATING A/C AND APPLIANCES
29016 MILITARY RDS 8011 NE 128TH ST 8011 NE 128TH ST
FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034
(425)825-1540
Mechanical Valuation .... 2400 Over the Counter Permit. .......... ..........Yes
Mechanical Fixtures
Description _ Quantity Description Quantity Description Quantity
Furnaces I
PERMIT EXPIRES October 17,2005.
Permit issued on April 20,2005
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 Iaws,rules and regulations of the State of Washington and
the City of Federal y
Owner ora agent:
g LA/1 Date:_ 14/7405
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Illevelopment Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-101832-00-ME
Owner: VINCENT TAM
Address: 29016 MILITARY RD S
FEDERAL WAY, WA 98003-7914
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.
0 Mechanical Rough-in (4165) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test (If ApprovedjBy Date By Date By Date y 2//d�
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Federal Way PERMIT
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333258 AYDEVEOUm.2=80 f- FEULNA
253-835-2607.
FEDERAL AX 253-835-2609980639 $IJ i LD i N G PLICATION 'U / /
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The L,. , , is -, Trod' orotation-an ' •, , , , t,,lication Will not be ,•• ,ted. Please , • t , !. an ink)or .f, .
/�(� x /
NI PROPERTY INFORMATION
SITE ADDRESS ') !U 1 lP ry t c^ t 'l(2 A SQ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 0, 4 .I- i_ O 1'f - -1 3 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates.Lot 1)
alioch aep.rer~fir k,gduj kV.'dearr4ptlwd
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING LECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
r'tAt-Ma_« C-4f:!-t\gt1 0 L (6"45)
PROJECT NAME(Name of Business or Owner Last Name)
• PEOPLE INFORMATION
PROPERTY NAME t ,,, T PRIMARY PHO/'NE/0,� �'7' (�
OWNER \I)n c e.VA-� 1(--ri- (2�O) (D�O(J (1)c1'
MAILING ADDRESS CITY,STATE.ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
SPr() e0-3rkno. A\L+-AWLA 1 tc (LTL 82-S - 15�fb
MAILING ADDRESS elo t k fq [2°b S-- iLkrtZkp ISA q 034 (20(0)qSTATE.ZIP CELL t/0 - 5c i4
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- -B L / I (4(25 ) $2b -0331
CONTRACTOR'S REGISTRATION NUMBER(copy of card rogdeed with each application) EXPIRATION DATE
A' S .11- 24aa9 ( bCS a2/ /0 /2000
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
5 ( ) -
MAILING ADDRESS n rx. Cr!'!,STATE.ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECTFAX NUMBER
❑Architect ❑Tenant ❑Agent PkOther(Describe) 14-Vk C Coy (. ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
Ak t c.c, 0050 no (41-5) f3-2._S - (S'(-o ASAP meair(p5 AoL.'wt
LENDER Per RGA 10.37.096: Lender is NAME
required Vp gct value exceeds$6.000
MAILING ADDRESS CITY.STATE,ZIP
I DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
. I
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
Sig.FT. SQ.FT. Sq.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE D CARPORT❑
NUMBER OF FLOORS :>m.11AG rm �roTOTAL TOTAL MANKIR6m tork1OAl
P�aeOSr TOTAL
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FLX IL RES
Indicate number of each type offixture to be installed or relocated as part of this project Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ 24b0 •
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commcrcias WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS)ormb/Shower Combo) SHOWERS WATER CLOSETS trona) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS)tiathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. __ Ll (,f
NAME/TITLE OIQ,CJ) � b U S r I ANe- b� DATE "1/2old S
(Signature) Mae)
RELATIONSHIP TO PROJECT ❑Owner ❑Agent Contractor ❑Architect ❑ Other
FOR OFFICE USE OR LY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o 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—January 7,2005 Page 2 of 4 k\Handouts\Permit Application