12-100298 E.0
--Mechanical
-City of Federal Way D
Community&Econ.Dev.Services r er it #; 12-100298-00-ME
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
lid I .
Project Name: ERICKSON
Project Address: 30471 3RD AVE S Parcel Number: 232970 0130
Project Description: Replace gas furnace.
Owner Applicant Contractor `
KAY K ERICKSON RAM AIR LLC RAM AIR LLC
30471 3RD AVE S 9301 219TH STREET CT E RAMAIAL938NG(8/7/13)
FEDERAL WAY WA 98003 GRAHAM WA 98338 9301 219TH STREET CT E
y GRAHAM WA 98338
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Mechanical Valuation 4600 Is this an Online or O.T.C.Capplication? Yes
Furnaces 1
PERMIT EXPIRES Sunday, July 22, 2012
Permit Issued on Tuesday, January 24, 2012
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
�� t CI of F deral Way.
Owner or agent: 2 Date: l I /02� —
Fl KAU,E /r.c/ .
_ • THIS CARD IS TO EMAIN ON-SITE
CITY OF Construction I ection Record ' . '
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT#: 12-100298-00-ME Address: 30471 3RD AVE S
Project: KAY K ERICKSON FEDERAL WAY, WA 98003:4004 '
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 Dateo'v /OZ
❑ Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
_ L b0p
'my A,� 9
CJPERMIT
ME
Federal W c } Y ED MF CO PL DE EN FP
COMMUNITY DEVELOPMENT EKES PPLI CATI O N
253-8352607-FAX 253$35-2609`' 2 4 201 gO 6
y_j YY
arra ADDRESS CITY F ERA/ WAS
5 sN7ITE/IINIT/
' '(-I i ( '1.54 1` 5 (('&P66,1 022:o--
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL/
$ ‘b00,00 � __f 7 . `- 0 _/ . 0_
TYPE OF PERMIT 0 BUILDING 0 PLUMBING iiit MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeoumer Last Name) A/C 6B/ti
PROJECT DESCRIPTION 4 C,)/i9 L e , s "-`t-ie /o- e
Detailed description of work to
be included on this permit only
NAME PHONE
PRIMAR
PROPERTY OWNER d ��cx 5oe . a7 Y el ' 5.Z'll
e1 ' , S
IP
t/i L way �1-STATE fdZ03
NAME PHONE
ter 1 4,',1_ L L C- - !73>-Z-2-4 _2A0
MAILING ADDRESS
� E-MAIL
CONTRACTOR -� �/ `p/ L J✓4
/pt/L LLG /4zo<wCrDm
CITY STATE ZIP FAX
be/54/4//51-0/1't b(19- 2F)tom ,7,5)--S-Y.57- 9.Y
WA STATE CONTRACTOR'S LICENSE/ EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE/
NAME - i PHONE
0",-/VRE86 /iAfje,c‘/1 i C 5) .- __ _ . - 0 k"
MAILING ADD E-MAIL
APPLICANT q_�®l / 9, / S� Grp �1 y y / 4 /e /�` ht0
l! /X71,11!'/ - J
STATE
14 . ?f!!i FAX d ‘.; ' GAY i
PROJECT CONTACT
(The individual to receive and /xr �i'1 1 _ ,5 -2_24, 02_,
respond to all correspondence y ADDRes / �t _ E-MAIL '' , `
concerning this application) 9�7f�� l 7 T;! J T -Z CITYSTATE �j�yy y ^X' )-5.---a9.)L^S�l �s +G.�L��
67144.1//417 !N// f(/�'/c ,FAX
) �/J �(J / 2
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
❑ OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,TIP PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
out my knowledge, the information submitted in support of this permit application is true and correct.I certify'that I will comply with
all applicable City of Federal Wag regulations pertaining to the work authorised by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
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. /
SIGNATURE ../...,;,,, . ' i �/Ler DATE / /9
PRINT NAME: ,// /
Bulletin#100-April 14,201 I Page 1 of 3 k:\Handouts\Permit Application
r.ry • •
MECHANICAL FIXTURES
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS
BOILERS !' FURNACES HOT WATER TANKS pct.
COMPRESSORS GAS WG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain_
BATHTUBS.a Tab/st Comb* LAVS mood sootal TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS scop oo/utias WATER HEATERS(m....4
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF IMPROVEIMINTS
EXISTING/PREVIOUS USE LOT SIZE(L Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT El
OTHER(describe)
ssxc PROMO® TOTAL
Area Totals
"NEW HOMES ONLY"
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL--NEW/ADDITION
Area #of
AREA DESCRIPTION in Feet Occupancy Groups) Co 1n YPe Additional Information
Stories
Naw Bun.DDIG
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
Area #of
AREA DESCRIPTION in Square Feet Occupancy Groups) Tpe Construction Starless Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-April 14,2010 Page 2 of 3 k_\Handouts\Pern it Application