10-104882 Mechanical
City of Federal Way •
Community Development Services
Permit #: 10-104882-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q ( 1
ti
Project Name: POPICH
Project Address: 29604 4TH AVE S Parcel Number: 186270 0040
Project Description: Replace gas furnace.
Owner Applicant Contractor
CHRISTOPHER&CHRIS POPICH GRIFFIS HEATING INC(GENERAL) GRIFFIS HEATING INC(GENERAL)
29604 4TH AVE S 402 E MAIN ST SUITE 130 GRIFFHI088DZ(12/27/10)
FEDERAL WAY WA 98003-3668 AUBURN WA 98002 402 E MAIN ST SUITE 130
AUBURN WA 98002
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Mechanical Valuation 4825 Is this an Online or O.T.C.application? Yes
Furnaces 1
PERMIT EXPIRES Wednesday, May 18, 2011
Permit Issued on Friday, November 19, 2010
I hereby certify that the above information is correct and t t the construction on the above described property and
the occupancy and the u will be in accordance with t ` laws, rules and regulations of the State of Washington
a d •- C %f Federal Way.
Owner or agent: . tr Lam/I Date:
THIS CARD IS TO REMAIN ON-SITE
Cmr OF • Construction Ins ction Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 10-104882-00-ME Address: 29604 4TH AVE S
Project: CHRISTOPHER & CHRIS POPICH FEDERAL WAY, WA 98003-3668
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) 0 Final-Mechanical(4065)
Approved Approved to release test
Approved
By Date By Date By Date
Cam.,,f t l— .3—t%.
•
Rough Electrical 0 Final Electrical
Approved El Right of Way
A pp roved
By Date By Date By Date
• — � �
•
CITY OF • RMIT SF MF CO ME EL PL DE EN FP
Federal Miy
COMMUNITY DEVELOF'MEN"I's9 C �•+K y ICATION
253-83.5-2607•FAX 25 �Sti 6 LLL iii
_icii�ciigoQeilr•. m
. M . . ,5 _ PROPERTY ..` .., • . a „ , �� ��"'°'�, , . , ° � �,x._
SITE ADDRESS �EDER'/ry.�C(,1��},' ����
,1A • \ l
' V
SUITE/UNIT# t"rNG ASSESSOR'S TAX/PARCEL#
1 to t� - v u 4 b
j
NAME OF PROJECT
(Tenant or Homeowner Name)
❑ BUILDING ❑ PLUMBING [MECHANICAL
TYPE OF PERMIT
❑ DEMOLITIONS❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
P PL
NAME ",. PRIMARY PHONE
PROPERTY OWNER fLl S Po (as3)94-1I )awl
MAILING ADDRESS. -MAIL
SS.CITY,STATE,ZIP
9 P% 4. it ibto S
OWNER IS ALSO: ❑ CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAMES/�,1 PRIMARY PHONE
C,'12� �5 —�•�c. . ( -S )�d��' 36-Fro
CONTRACTOR MAILING ADDRESS.CITY,STATE,ZIP S FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
arPc LIZ>�Fstr D ?- l) ".)-? 7/ o
NAME PRIMARY PHONE
APPLICANT ( )
MAILING ADDRESS,CITY,STATE,ZIP)J)-�`--� FAX
( )
PROJECT CONTACT NAME PRIMARY PHONE
(The individuni to receive and ( ) -
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) ( ) -
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
( )
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required for projects with
value of$5.000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
IRCW 19. 7.05;•5/ ( ) _
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
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 a part of this application.
SIGNATURE: ` DATE /I I V/t)
PRINT NAME: • j„"(i .' J 6 e
Bulletin#100—Jar Limy 1,2010 Page I of 4 k:AHandouts\PermitApplication
• • • •
CHANI L FIXTURES
�/
Value o Mechanical Work O C✓S-- A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of fixture to be . ,ted as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLEIb OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commemlaI)
BOILERS I FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BAYMI'I.i 13S(or Tab/Shower combo) LAVS(Hand Stoical TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS ueiehen/Utnuy) WATER HEATERS(Electric)
HOSE I3I3BS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No n Yes ❑ No
RESIDENTIAL
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT _.._.._.............._......................-................................__..-.._._............._.........................._........ .._....__._.
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED EN E-ZY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
Area Totals EXISTING PROPOSED TOTAL
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ _ #OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Group(s) Type Stories Additional Information
NEW BUIL-DING —
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Group(s) Type Stories Additional Information
TOTAL BUILDING
TENANT .'AltE'.A ONLY
1 r
PROJECT AREA ONLY
Bulletin#I00-January 1,2010 Page 2 of 4 k:AHandouts\Permit Application