07-101556q City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: PARK
Mechanical Permit #: 07- 101556 -00 -ME
Project Address: 32807 17TH AVE SW
Project Description: Gas pipe addition for range
Inspection Request Line: (253) 835 -3050
Parcel Number: 010455 0560
Owner
Applicant
Contractor
BRIAN PARK
GRIFFIS HEATING INC
GRIFFIS HEATING INC
32807 17TH AVE SW
402 E MAIN ST SUITE 130
GRIFFHI088DZ (12/27/08)
FEDERAL WAY WA 98023
AUBURN WA 98002
402 E MAIN ST SUITE 130
AUBURN WA 98002
Additional Permit Information
Mechanical Valuation ................ ............................740 Over the Counter Permit?....... ............................... Yes
Mechanical Fixtures
Owner or agent: �-�-� 1 kkr MJ Date: 22 1 Zb�Q
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3
THIS CARD IS TO REMAIN ON -SITE
Y
CITY OF 4A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 101556 -00 -ME
Owner: BRIAN PARK
Address: 32807 17TH AVE SW
FEDERAL WAY, WA 98023 -5410
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
Date L�
CN
Federa� �Y 200 PERM
DE
�2 s IT
33325 8w AVENUE SOUIrf • FO 1 B
&&2X2z2"5.6W n N taP�wAPPLICATION
wim, G
DEPT °
ASSESSOR'S TAX/PAWN, i
V F - d S d LOT SIZE f-ch
W AL DESCRUMON (e.g. Acme Estdbes, Lot 1)
M-^ PWJbr bqWd—"oq
QL - -LQ2 L 5 ti�-
SF MF CO EL PL DE EN FP
surrz/uNM' 0
TYPE OF PERMIT
❑ M=W(; ❑ P7,Ummo dMBCHANICAL
❑ DnKOU ION ❑ ELECTRICAL ❑ ENGINEERING ❑ nn PREVENTION BYSTrum
PROJECT DESCRIPTION (Provide detailed description 4f work included on dUs nenronly)
PROJECT NAME (Name of Business or owner Last Name)
PROPERTY
OWNER
AREA DESCRIPTION
zznn o
69. FP.
PROPOSED
99. FT.
TOTAL
Be. FP.
BASEMENT
o ALTERATION
o REPAIR
o TENANT IMPROVEiOdl"1'
FIRST
T utL0010 WELL ONLY? OYES ONO
Uffic PLAN? o YES
SECOND
ZONING DESIGNATION
THIRD
o NO
149W ADDRESS RZ9UMBD? o YES o NO
FOURTH
o NO
PLATTED LOT? o TLS ONO
ADDITIONAL FLOORS (DESCRIBE)
o NO
DECK(COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
merm
rsaroaso
Torts,
es1 U
TMALrlOtOA•YOr
torYLar
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
of each type
or relocated as Part of this project Do not Include exis&V f fixtures to
AICAIL
Value of MeduuUcW Work $ 1 i{ 0
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS
BBQS FANS HOODS (camnaaaq WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC (Describe)
COMPRESSORS FURNACES GAB WATER HEATERS
DUCTS GAS PIPE OUTLETS
PZAMM NG
BATHTUBS (or Tub/Shower combQ SHOWERS WATER'CL.OSETS MISC (Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
IAVS (Bathroom sww VACUUM BREAKERS ELDCTRIC WATER HEATERS
I cerft under penalty Rf pedr'y that the information iamishsd by me is true and correct to the best of mil knowledge, and further, that 1
am authorised by the Burner of the above promises to perform the am for which the permit application is made. I jkrther agree to hold
harmless the City qj llederal Way Cie to ang claim (including coats expenses6 and attoruys' 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 gf Federal Wog, but only Cohere such claim
arises out of the reliance of the city, including its q,8teers and employees. upon the accuracy of the information supplied to the city as a part of
this application.
NAME/ LY, A,=. DATE
(slgnawre) I m00
RELATIONSHIP TO PROJECT o OwneU 0 Agent t:<'ontrwWr o Architect o Other
FOR OFFICE USE ONLY
o NEW o ADDITION
o ALTERATION
o REPAIR
o TENANT IMPROVEiOdl"1'
T utL0010 WELL ONLY? OYES ONO
Uffic PLAN? o YES
o NO
ZONING DESIGNATION
CHANGN or tlSN? o YES
o NO
149W ADDRESS RZ9UMBD? o YES o NO
i>Ia f Af 8U? o YNS
o NO
PLATTED LOT? o TLS ONO
DEI[O PXRWT REBDIRED? o YES
o NO
Bulletin #100 —January 1, 2006 Page 2 of 4 MandoutslPermit Application