08-102877City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Mechanical Permift: 08- 102877 -00 -ME
Project Name: STABBERT frm�" I L
Project Address: 29821 1ST AVE S
Project Description: Install heat pump to existing HVAC system.
Inspection Request Line: (253) 835 -3050
Parcel Number: 513710 0070
Owner
Applicant
Contractor
TREVOR & JOYCE STABBERT
GRIFFIS HEATING INC
GRIFFIS HEATING INC
29821 1ST AVE S
402 E MAIN ST SUITE 130
GRIFFHI088DZ (12/27/08)
FEDERAL WAY WA 98003 -3642
AUBURN WA 98002
402 E MAIN ST SUITE 130
AUBURN WA 98002
Additional Permit-IMOrMation
Mechanical Valuation ..................... .......................12181.62 Is this an Online or O.T.C. application? ................ Yes
Mechanical Fixtures
Air Handlip8 Units ......................... 1
PERMIT EXPIRES Wed
I hereby cer :that a move in
the occupancw• I ; 'rU90 will
Owner or agent:
` THIS CARD IS TO PWAIN ON -SITE
CITY OF Pommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 102877 -00 -ME
Owner: TREVOR & JOYCE STABBERT
Address: 29821 1 STAVE S
FEDERAL WAY, WA 98003 -3642
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 1 - 2 0'&
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
AIL
ctin or
� IV A
Z J ' REC H �g
PERMIT
c3258N VE1RUB a0rtB- POBRVress JUN 1' 3 ,,n � SF MF CO ME LPL DE EN FP
99925 •►rAFBAUY, WA ! • PO9OR 9 ". `iJlt1� LI C AT I O N
PBDBRALWAY,WA 98061.9718 /
299495.2607• PAR 2934354609
CITY OF FEDERAL WAY
The following is required fgforz"n -an incomplete application will not be accepted. Please print legffibj (in inky or type.
SITE`ADDRESS
ASSES60RIS TAX /PARCEL t S- L 3 - L � - O [) _? 0
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
PROJECT • •
TYPE OF PERMIT O BUILDING O PLUMBING W16='
KANICAL
SUITE /UNIT i
LOT SIZE (sn
O DEMOLITION O ELECTRICAL ❑ ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this gamdt onlu�
PROJECT „� Owner a
m PEOPLE I ;ORIUATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME ��
PRIMARY PHONE
Uoe , o,
MAILING ADDRESS
A-,) e-
CITY, STATE. ZIP
_,4 _� s - gfroo3
E-MAIL ADDRESS
COMPANY N i
C �Ne—
NAMB
`I+iLJ
OFFICB PHONE
.
CrrV STATE, ZIP
CELL PHONE
MAIEJNO ADDRESS r
CK
CITY STA , ZIP , . n
1A2� NJA.
CBE-, PHONE -
CPIY OF FBDBRAL WAY BUSINESS LICBNSS NUMBER
EXPIRATION DATE
FAX NUMBER
H's RBONITRATIOR NUKMM EXPMATION PATE
°5�1P 411 owb2:.
E-MAIL ADDRESS
COMPANY
NAME
�v�- .
OFPICB PHONE
-
MARJNO ADDRESS
CrrV STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
0 Architect 0 Tenant O Agent 0 Other
( ) -
LPC
NAME PRIMARY PHONE &MAq.ADDRZSS
NAME
Per RCW 19.27:096:
Lender tr{/ormati*n is regrind ifprojeet wait* ammds ;6,000
MAUMO ADDRESS
CfIT. STATE, ZIP
PHONE
(• ) -
PROPOSED USE
Z=TING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRIRIILERED BUILDING? t] YES O NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? O YES 13 NO
WATER SERVIC)t PROVIDER O LAKEHAVEN 0 HIOHLINE 0 TACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN O 1UGHLINE 13 PRIVATE (SEPTICI
AREA DESCRIPTION
EXISTING
$ . FT.
PROPOSED
$ . FT.
TOTAL
S . FT.
BASEMENT
FIREPLACE INSERTS
COMPRESSORS
FURNACES
FIRST
OAS LOO SETS
G
SECOND
LAVS (eeeuaom smke)
DISHWASHERS
i
THIRD
SHOWERS
ELECTRIC WATER HEATERS
SINKS
ADDITIONAL NnORS (DESCRIBE)
SUMPS
PLATTED LOT?
o YES a NO
DECK (O COVERED OR ❑ UNCOVERED?)
DEMO PERMIT REQUIRED?
U VES
a NO
GARAGE O CARPORT O
NUMBER OF FLOORS
�e
r' "am
7O7ia
rer�u s:mra+oer
ror�srsorosassr
��
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SWING PRICE $
Indicate. number of each type of fucture to be installed or relocated as part of this project. Do not include existing Judures to mnabL
Value of Mechanical Work $ (A COPYOFBID OR ESMfATE MUST BB INCLUDED WITHAPPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
BBQS
FANS
BOILERS
FIREPLACE INSERTS
COMPRESSORS
FURNACES
DUCTS.
OAS LOO SETS
G
BATHTUBS (ertub /skower cem"
LAVS (eeeuaom smke)
DISHWASHERS
RAINWATER SYST
DRINKING FOUNTAINS
SHOWERS
ELECTRIC WATER HEATERS
SINKS
HOSE BIBBS
SUMPS
OAS PIPE OUTLETS
GAS WATER HEATERS
HOODS ic..dq
RANGES
REMO. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS Vewq
WASHING MACHINES .
WOODSTOVES
I_ MISC (Describe)
MISC (Descn'be)
I cert fg under penally of perjury that 1 am the property owner or autherlaed 'agent of the pmptrtl/ owner. I slut{ that to the best of any
knowledge, the b{formation submitted in support of this permit application is true and cornreR I eortUk that r will comply with all applicable
City of Aedend Way, regulations pertaining to the ww* authorised by the issuance qr 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 clabn), which may be made by any person, including the undersigne4, and filed against the city, but only
where each claim arises out qr 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. J 1
SIGNATURE:
o NEW o ADDITION
o ALTERATION
o REPAIR o. TENANT IMPROVEMENT
BU MI)ING SAELL ONLY?
a YES a NO
BASIC PLAN?
0138
o NO
ZONING DESIGNATION
CHANGE OF 1188?
a TES
o NO
NEW ADDRESS REQUIRED?
o TES o NO
UP /SEPA /SU?
o YES
o NO
PLATTED LOT?
o YES a NO
DEMO PERMIT REQUIRED?
U VES
a NO
Bulletin #100 —January 1, 2008 Page 2 of 4 MflandoutsNPertnit Application