10-100365r
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Is FILE
Project Name: VONDOE,�OFF
Project Address: 1414 S 20EK ST
Mechanical
Permit #: 10- 100365 -00 -ME
Inspection Request Line: (253) 835,3050
Project Description: Replace existing boiler with 98000BTU boiler w/ Riella burner
Parcel Number: 322104 9063
Owne
Applicant
Contractor
ROGER & JAYNE VONDOENHOFF
GRIFFIS HEATING INC (GENERAL)
GRIFFIS HEATING INC (GENERAL)
1414 S 376TH ST
402 E MAIN ST SUITE 130
GRIFFH1088DZ (12/27/10)
FEDERAL WAY WA 98003 -7506
AUBURN WA 98002
402 E MAIN ST SUITE 130
AUBURN WA 98002
Mechanical Valuation ................. ...........................9100
....... ............................... 1
PERMIT EXPIF
hereby certify that the above informi
the occupancy and the use will be in
Owner or agent:
Is this an Online or O.T.C. application ? .................Yes
nday, July 26, 20
a
Dai
F 2/4/l0
CITY OF
Federal Way
THIS CARD IS TO AIN ON -SITE `
Construction Ins ction Record
INSPECTION REQU TS: (253) 835 -3050
PERMIT #: 10- 100365 -00 -ME Address: 1414 S 73533!t'ST
Owner: ROGER & JAYNE VONDOENHOFF FEDERAL WAY, WA 98003 -7506
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.
i I
Mechanical Rough -in (4165)
Gas Piping (4125)
Final Electrical
Approved
Final - Mechanical (4065)
Approved
By
Approved to release test
Approved
By
Date
By
Date
By jQjr
Date 2 a
i I
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
clrr or A R E C E D %ift D O 2�7
FedemiWay PERMIT
COMMUNi7YDEVELOPMENT3ERVIC� 2 '� ��< SF MF CO EEL PL DE EN FP
3332E 81e AVENUE , WAN . Po 971 I APPLICATION TD
FEDERAL WAY, WA 98063.9718
253.8352607. ° t FEDERAL WAY
The following is requiree r*mation -an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY INFORMATION
SITE ADDRESS I '� �^� L1)7A ��03 SUITE /UNIT iF
ASSESSOR'S TAX /PARCEL N o? % - _SQ �2 LOT SIZE (sn
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach ..p t. page for lwWft 1.pW d—ipd.,q
PROJECT • •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING x1 MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only
w'j D00 C�TLlt e� i�otl�( �L2r�lla �urner
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
PEOPLE INFORMATION
NAME
R09 or r S 7 ne � o e n h���
PRIMARY PHONE
(aS3) 9a7- 37s-Z,
MAILING ADDR SS
)u14 S 37(,-Ek ST
CITY, STATE, ZIP
- ekef W V �63
E -MAIL ADDRESS
COMPANY NAM�(( `�
APPI CANT NAME6
OFFICE PHONE
MAILING ADDRESS
q c)' ✓ m r-' 1J i t s
CITYnn , STATE ZIP
tq-i- .�.1Z
CELL PHONE
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
-- 0 S -- lb _: '—) -b LS - 3 i _ 011�1
FAX NUMBER
( > )') ' s {i4g2.
COnIRACTOR'B REGISTRATION NUMBER � �. EXPIRATION DATE
E-MAIL ADDRESS
COMPANY NAME
APPLI NAME
OFFICE PHONE
MAILING ADDRESS (� _ V i
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
NAME '1
PRIMARY PHONE
E- MAIL ADDRESS
NAME
Per RCW 19.27.095 -
Lender Wormation is required (f project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE 1$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? o YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
SO. FT.
TOTAL
SO. FT.
BASEMENT
a YES a NO
BASIC PLAN?
FIRST
o NO
ZONING DESIGNATION
SECOND
CHANGE OF USE?
o YES
a NO
THIRD
a YES ONO
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
ONO
PLATTED LOT?
a YES ONO
DECK (O COVERED OR ❑ UNCOVERED ?)
DEMO PERMIT REQUIRED?
o YES
ONO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
*�Q11T1ao
raorosw
TOTAL
TOTAL suerrNO or
TOTAL paoposLO sr
TOTAL er
"NEW HOMES ONLY " NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHAMCAL
Value of Mechanical Work Q d (A CQPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (Commerdaq
RANGES
REFRIG. SYSTEMS
PLUMBING
BATHTUBS (or Tub /sho"rCombo) LAVS (Bathroomslnk3l URINALS
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS (Tou.q
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certify under penalty of peryury that I am the property owner or authorized agent of the property owner. I cert(fy that to the best of 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 Way regulations pertaining to the work authorized 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 ap,Qd_gf this application. „A I
SIGNATURE:
or Authorized
TE 1- 9 1 �0
o NEW o ADDITION
o ALTERATION
o REPAIR a. TENANT IMPROVEMENT
BUILDING SHELL ONLY?
a YES a NO
BASIC PLAN?
a YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
a NO
NEW ADDRESS REQUIRED?
a YES ONO
UP /SEPA /SU?
a YES
ONO
PLATTED LOT?
a YES ONO
DEMO PERMIT REQUIRED?
o YES
ONO
Bulletin #100 -January 1, 2008 Page 2 of 4 k\HandoutslPermit Application