08-104129 • • Mechanical
Ci�D velopal tS Permit #: 08-104129-00-ME
Communi Develo ment Services
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
Project Name: CAMPBELL
Project Address: 1239 SW 354TH PL ;, Parcel Number: 502860 2050
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Project Description: Installation of gas furnace
Owner Applicant Contractor
DION CAMPBELL GRIFFIS HEATING INC GRIFFIS HEATING INC
1239 SW 354TH PL 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 5711 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Furnaces.,,... 1
PERMIT EXPIRES Monday, March 2, 2009
Permit Issued on Wednesday, September 3,2008
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
and the City of Federal Way.
Owner or agent: V.L.L__ .1 _ Date: Ug
yl
FINALED
• THIS CARD IS TO 1114AIN ON-SITE .--
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-104129-00-ME
Owner: DION CAMPBELL
Address: 1239 SW 354TH PL
FEDERAL WAY, WA 98023-6965
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 Date��•-�"vU
•
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
RECEI 2
COWBOY �oP rLSEp Q 3 2008 E R M I T 2' SF MF CO, " EL PL DE EN FP
asaatwTMAFB1YlJBSOt/17l•PDBOX„'°9P9E3D49B4:01•Y,F
0p FA
PPLICATION 1
...me FEDERAL
WAY
The following is required n-an incomplete application will not be accepted. Please print legibly(in ink)or type.
C\ • PROPERTY INFORMATION
•A
SITEDDRESS 7—3 -\ SL '. .-C-(4.1 - l SUITE/UNIT#
ASSESSOR'S TAX/PARCEL S S^ d l0 .b - _a O LOT SIZE(sj
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
;_ • PROJECT INFORMATION
•
TYPE OF PERMIT O BUILDING O PLUMBING S'ISF.CHANICAL
0 DEMOLITION O ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this nennit onlu) •
PROJECT NAME(Name of Business or Owner Last Name)
• PEOPLE INFORIIIATION
PROPERTY NAME �t 0, \ A-�p[Q.LI ( -1)9.71 - S1 S
OWNER
MAILING ADDRESS • CITY.STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME OFFICE PHONE
I. •
N q�J �� CC S 0'3)735'' 3&Fs®
MAILING ADDRESS
a. ` t #* ) s�G t� + �CR ZIP CELL PHONE
u,-,J
bOA.43StA2( ) -
CIPY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
— CO Z— L63.--) 75-6 GI_ /a.- 31 -- 6 fr (?).7 -434q2.
Cri°1-V°4": 14 I-1 OW b`a /2..-2°7—0 T
R'S REBIS'ITRATION IIRMEIR EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME A }r NAME - OFFICE PHONE -
..
MAILING ADDRESS SN-A^JZ- tv.` ( )
(xly,gTATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
D Architect D Tenant a Agent D Other ( ) -
PROJECT NAME �� � PRIMARY PHONE E-MAIL ADDRESS
fL
CONTACT t -s I (23) X33 •3Fs
LENDER NAME PerRCW 19.27.095:
Lender Gformation is required if project value exceeds$5,000
MAILING ADDRESS CITY.STATE,ZIP .
I (PHONE
)
M DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINICLERED BUILDING, O YES D NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED, Cl YES 0 NO
WATER SERVICE PROVIDER D LAKEHAVEN a HIOHLINE D TACOMA D PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
•
•
_! - i FF.3JECT FLo3a Aa AJ
AREA DESCRIPTION EXISTING PROPOSED TOTAL
• SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
•
THIRD
ADDITIONAL FLOORS(DESCRIBE) •
DECK(D COVERED OR D UNCOVERED?)
GARAGE D CARPORT 0
NUMBER OF FLOORS
_, I .. TOTAL M.L 1321117110 Ir TO'HirleM=er TOTAL el
•
•
'!NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
•
• FIXTURES
•
Indicate.number of each type of future to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL •
Value of Mechanical Work$ ) t(. °2-) (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
• • BOILERS FIREPLACE INSERTS HOODS(p.mma q
COMPRESSORS • I FURNACES RANGES •
DUCTS. • OAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(.r run/Bhow.rCombo) I.AVS(e.uru. BMW URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS mass
ELECTRIC WATER HEATERS SINKS WASHING MACHINES .
HOSE BIBBS SUMPS •
SIGNATURE •
I certify under penalty of perjury that I am the property owner or authorised agent q f the property owner.I certify that to the best of my
knowledge,the information submitted in support of this permit application is bite and correct.I art*that I will amply with all applicable
this
City of Federal Way regulations pertaining to the work authorised by the issuance of a permit.I understand that the issuance of pe rmit
s l laws construction or environmental laws.
doss not remove the owner's responsibility for compliance with local,state,erj federal regulating P tdlJ rAP
I further agree to hold harmless the City of Federal Wag as to any claim(including costs,fxpenses, and attorneys'fees incurred in the
the M but on
investigation and defense of such claim), which may be made by any person, including the undsraigned, and flied against tdl, 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 p application. ,
SIGNATURE:
• M.4�► DATE I
•_• , • '`.'1',- •• or Authorised Agent
o NEW o ADDITION o ALTERATION a REPAIR a.TENANT IMPROVEMENT
DUMDUM SHELL ONLY? a YES o NO BASIC PLAN? • o.YES a NO
•ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? o YES a NO UP/BEPA/SU? a YES a NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? o YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\iandoutskPermit Application
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