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05-104703 jor .1111 City of Federal Way Mechanical Permit #: 05 - 104703 - 00 - ME Community Development Services P O.Box 9718 Federal Way,WA 98063-9718 Ph-(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050 Project Name: JARVIS Project Address: 30219 7TH1SW Parcel Number: 039580 0540 Project Description: Installation of new gas furnace. Owner Applicant Contractor Kaye A Jarvis AAA HEATING AND A/C AAA HEATING AND A/C 30219 7TH AVE SW 11921 SE 212TH PL 11921 SE 212TH PL FEDERAL WAY WA KENT WA 98031 KENT WA 98031 98023-3920 (253)630-9224 Mechanical Valuation 2322. Over the Counter Permit Yes Mechanical Fixtures Description Quantity Description _ Quantity Description Quantity] FurnacesL. q 1 PERMIT EXPIRES March 13,2006. Permit issued on September 14,2005 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: / 1 a/A4Z Date: 9/,V/i'. \ ``� ,... ` THIS CARD IS TO REMAIN ON-SITE �` CITY OF • Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-104703-00-ME _ Owner: KAYE A JARVIS Address: 30219 7TH AVE SW FEDERAL WAY, WA 98023-3920 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) 0 Gas Piping(4125) lig Final-Mechanical(4065) Approved Approved to release test Approved By Date By Date `By iii Date a y�J�b lilt isib RECEIVE - =-ii1,1 '=—' D SEP 1 4 2005 S ==�"'`iIIS CITY OF ,ANS,....,. p 5 - / q .1- V 3 Federal Wa9ITYY OF FEDERAL WAY PERMIT ia COMMUNITY DEVELOPMENT SERV/ sUILD(NG DEPT. SF MF CM, LPL DE EN FP 33325 D AVENUE LAITI.P397X9718 APPLI CATI ON .�__� ,c-_ • FEDERAL WAY.WA 98063 9718 2.5.3 835 2607•FAY 253 835 2609 tutru'.i:go1,(e(lerult earl runt The ollowin• is re,aired in ormation-an incom.(etc a..lication will not be acce.ted. Please .rint ie.ibly(in ink)or t .e. IIPROPERTY INFORMATION SITE ADDRESS 302-11 ilv-t' 5 ,t� SUITE/UNIT# ASSESSOR'S TAX/PARCEL# O '2) q, 1 5 2)/ V - 0 5 4- 0 LOT SIZE(sj) LEGAL DESCRIPTION (e.g.Acme Estates,Lot I) (Attach separate page for lengthy legal desnipllon) • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECTESCRIPTION (Prov' e detailed description of work included on this permit only) ftc tde tSnaCJe_. PROJECT NAME(Name of Business or Owner Last Name) • PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER Kt G LvC3tt. 1-traS ( 2. 3)C/4-( - 3315 MAILING ADDRESSCITY STA ZIP 3©2tq 7,h Aw- ( I1/ . stf760.13 -CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE AAA HEATING & A/C (,rV �.cLtL ( 253) 630-9224 MAILING ADDRESS CITY.s ATE.ZIP CELL PHONE �t - 11921 SE 212th PL KENT WA 98031 (2PL�) 5--271 ► CITY OF FEDF.RA3.WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER / / ( ) -20 A41-0 1-15 4-n A-RTT - B-- L IRATT CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) 2 5 3EXP O7,0E54 AAAHTRI 9 71 LW 6/19/06/ APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE SAME AS ABOVE ( ) - MAILING ADDRESS CITY,STATE.ZIP CELT,PHONE RELATIONSHIP'I O PROJECT I FAX NUMBER 0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) - CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS kwal4y�► ( 2f3) 616 - 92- LENDER Per RCW 19.27.095: Lender information is NAME required if project value exceeds$5,000 ie/11' MAILING ADDRESS CITY,STATE,ZIP • DETAILED BUILDING INFORMATION EXISTING USE - (d ]d PROPOSED USE -R (,del'l'J/dlf f EXISTING ASSESSED/APPRAISED VALUE $ • VALUE OF PROPOSED WORK $ &.54./s7--t CJ 1- SPRINKLERED BUILDING? 0 YES [�NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 2410 WATER SERVICE PROVIDERLAKEHAVEN 0 HIGHLINE 0 TACOMA o PRIVATE(WELL) SEWER SERVICE PROVIDER EHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) 1111 41o, 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 0 CARPORT 0 EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF NUMBER OF FLOORS 1**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL as'72 tD Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG SYSTEMS BBQS FANS HOODS IConrmrrrian WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS V' FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS lorThb/Sbowcr Combo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom Slobs) 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 b any person,including the undersigned,and filed against the City of Federal Way,but only where such claim arises out of the ance of the incl % its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. �( NAME/TITLE DATE ` 13-Or ignalure) (We) RELATIONSHIP T PROJECT ❑ Owner ❑ Agent C4tractor 0 Architect ❑ Other FOR OFFICE USE ONLY u NEW u ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES c NO BASIC PLAN? c YES o NO ZONING DESIGNATION CHANGE OF USE? a YES a NO NEW ADDRESS REQUIRED? r:YES ❑NO UP/SEPA/SU? ❑YES c NO PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application