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05-104928 • t City of Federal Way Mechanical Permit #: 05 - 104928 - 00 - ME Community Development Services P 0.Box 9718 Federal Way,WA 98063-9718 Ph (253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-3050 Project Name: BAKER Project Address: 30814 1ST,QI 5 Parcel Number: 667265 0450 Project Description: Replace existing gas furnace with like. Owner Applicant Contractor Jarone Baker AAA HEATING AND A/C AAA HEATING AND A/C 30814 1ST PLS 11921 SE 212TH PL 11921 SE 212TH PL FEDERAL WAY WA KENT WA 98031 KENT WA 98031 98003-4081 (253)630-9224 Mechanical Valuation 2306.00 Over the Counter Permit Yes Mechanical Fixtures Description Quantity Description Quantity Description Quantity 1 CONDITIONS: This parcel is located within a Wellhead Protection Area(Capture Zone 10)and must comply with FWCC,Chapter 22, Article XIV"Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable. PERMIT EXPIRES March 22,2006. Permit issued on September 23,2005 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 laws,rules and regulations of the State of Washington and the City of Federal Way Owner or agent: 44 -/G�Ye��'� O Date: '/1.3 a r FINALED S _ Z ( a THIS CARD IS TO REMAIN ON-SITE " CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05-104928-00-ME Owner: JARONE BAKER Address: 30814 1ST PL S FEDERAL WAY, WA 98003-4081 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 Approved By Date By Date By Date RECEIVED CITY OF EP 2 3 2005 5 - / 1 q 0 Federal Way PERMIT l MF C t. L PL DE EN FP COMMUNITY DEVELOPMENT SERVICES CITY OF FEDERAL WA ) 33325 AVENUE WAYWA 9.63973 9718 APPLICATION` 1'r' DEPT. ,,,FEDERAL WA 98063 9718 253 835 2807•FAY 253 835 2609 iett ,n n_rjl_e(leralurnl cuui The ollowin• is re•aired i ormation-an incom•lete application will not be acce•ted. Please .rint le•ibl (in ink)or type. ee��QQ In PROPERTY INFORMATION ✓ SITE ADDRESS CCI'' SUITE/UNIT# ASSESSOR'S TAX/PARCEL# 6 lir l !/ 67,5_- © if 5 0 LOT SIZE(sj) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) \-6,11A-1--- 1600-.0--." Math separate page Jar In,gthy legal des nriplIon) • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING % MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (P�ovidde detailed description of work included on this permit onlu) f4. e c(`s CJ yrtz_ rtAA '-L. PROJECT NAME(Name of Busutess or Owner Last Name) • PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER ._Ico i,NA. 6,---Vol ( 63) 83?' - 33. v MAILING ADDRESS / CITY,STATE,ZIP 3 0 g4 p p/ S f-t'-oil Lllx - :AO CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE AAA HEATING & A/C Cr' , nd rcl4 '9 ( 253) 630- 224 MAILING ADDRESS CITY Sl IE.ZIP CELL PHONE 11921 SE 212th PL KENT WA 98031 (2Q7 -�VC CITY OF FEDERAL"WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NIIMRER / ( ) 0A-1-14)1-1 51-0(}1:1Tr — - s L 25354 CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXP ON A E AAAHTRI 9 71 LW 6/719/06/ APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE SAME AS ABOVE ( ) - MAILING ADDRESS CITY.STATE,ZIP CEI.1.PHONE ( ) - RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) - CONTACT ///lAt._ L PR(20L,IIM�'ARRY) f J PHONE - �J(/ E-MAIL ADDRESS NAM&coi civ....,c LENDER Per RCW 19.27.095: Lender information is NAME Ai rM required(f project value exceeds$5,000 1(� MAILING ADDRESS CITY,STATE.ZIP • DETAILED BUILDING INFORMATION EXISTING USE •' J. 4 /.A PROPOSED USE , /� L / EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ (7‹..5(*.r 00 SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 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 LI CARPORT O EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF NITMBER OF FLOORS t _ "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type off Ixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ (4.24.30(62 AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG SYSTEMS BBQS FANS HOODS(Commercial) WOODSTOVES BOILERS / FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS V FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(orTnb/Shower Combo) SHOWERS WATER CLOSETS(Toiler) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom 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 city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. 1 OAALS9,--- W3-49,N NAME/TITLE DATE ignature) (Title) RELATIONSHIP 4'O PR ECT ❑ Owner ❑ Agent Contractor ❑ Architect 0 Other FOR OFFICE USE ONLY u NEW u ADDITION u ALTERATION u REPAIR u TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES c NO BASIC PLAN? o YES NO ZONING DESIGNATION CHANGE OF USE? ❑YES c NO NEW ADDRESS REQUIRED? c YES o NO UP/SEPA/SU? o YES ❑NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? u YES ❑NO Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Perrnit Application