08-101802 110 ,
City of Federal Way •
•
Community Development Services Mechanical Permit #: 08-101802-00- E
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: DEMATTEIS
Project Address: 37553 21ST AVE S Parcel Number: 721265 1260
Project Description: Installation of variable speed air handler& heat pump
Owner Applicant Contractor
DANIEL J DEMATTEIS GRIFFIS HEATING INC GRIFFIS HEATING INC
37553 21ST AVE S 402 E MAIN ST SUITE 130 GRIFFHI088DZ(12/27/08)
FEDERAL WAY WA AUBURN WA 98002 402 E MAIN ST SUITE 130
98003-7586 AUBURN WA 98002
Additional Permit Information
Mechanical Valuation 14753.07 Over the Counter Permit? Yes
Mechanical Fixtures
Air Handling Units 1 Compressors 1
PERMIT EXPIRES Friday, April 16, 2010
Permit Issued on Wednesday, April 16, 2008
I hereby certify that the above information is correct and that the construction on the above describes property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
an. 'e City of Federal Way.
. Owner or agent: & wa_i,_ Date:
r \
Cc"
‘Nf
THIS CARD IS TO R MAIN ON-SITE . r
CITY OFi•e. community Developme �t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-101802-00-ME
Owner: DANIEL J DEMATTEIS
Address: 37553 21ST AVE S
FEDERAL WAY, WA 98003-7586
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.
0 Mechanical Rough-in (4165) 0 Gas Piping (4125) El Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Date 21t91;
For inspector reference only {
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
CITY OF A'- '7-CEIVE . _ _
deraiWat �- - -
PERMIT �-0
COMMUNIYDEVELOPMENTSERVICES y qtr SF MF CO<`1GIE EL PL DE EN FP
3.23%233.835.2607•FAX TH53-833•Z609 6 2008
8r.AVERT!
APPLICATION
ID
/ /
W"" t1111"a'elf FEDERAL WAY •
The following is requifFE'i formation-an incomplete application will not be accepted.. Please print legibly(in ink)or type.
■ PROPERTY INFORMATION -
SITEADDRESS 37553 ,2/"04,4 6.. yg .1% t)a1 , k)f) q f et) 3 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 7 A / a 6 I1- / oZ iv O LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attm*eepaiate page for len"le t deeofPHnn)
• PROJECT INFORMATION
•
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
4--n S 779-41- if A-!L[R-A LE SPF_e, AA. An)Lr✓ - ? 1-11.6i•T Pte.,-1LP
PROJECT NAME(Name of Business or Owner Last Name) b6174 A 7T El S
MI PEOPLE INFORMATION
PROPERTY NAME jj�� �-r�
DA"N nt y EM'1 ! / e'(S (CRY PHONE
OWNER (253 )G'20 -36 41S
MAILING ADDRESSCITY,STATE,ZIP E-MAIL ADDRESS
. ?553 o2/ `��"fre Ft Oe-a.,44._w 4y wp? 9('j
CONTRACTOR COMPANY NpA�M 1� , APP CANT NAME OFFICE3PHONE
MAILING ADDRESS CITY STATE,ZIP CELL PHONE
AA44>J Sit_ t Ni"ic, LO4_%Ma ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
0 '— 1.6'3') ZI--6 GL. i d.- 3 l - ® :i.- D•o;3) ') -9gga.
CO CTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
''.4Z1- V"-� 14.L Or..c b 12_- 2.-?-0 _
APPLICANT COMPANY NAME APPLII,�-'�7 f_NAME OFFICE PHONE
f'li`E.--- . ( )
MAILING ADDRESS SIN'ISA-g-
\CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER -
0 Architect ❑Tenant 0 Agent 0 Other ( )
PROJECT NAME PRIMARY PHONE E•MAILADDRESS
CONTACT V3 a 1 f ) o_1JLA �� (`23) >3 --- --S 1
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP • PHONE
( ) -
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
___
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $_
SPRINKLERED BUILDING? ❑YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
-- PROJECT FLOOR AR.C4S
•
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ.FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?) 1
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL WHEWsr TOTAL PROPOSED el TOTALCr
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
■ 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.
MECHANICAL
Value of Mechanical Work$/>/ 77 2.f. (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
V AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
r BOILERS FIREPLACE INSERTS HOODS(Commerda0
COMPRESSORS FURNACES RANGES
DUCTS. GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/shower combos LAVS(B.Ihroom sink.) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
—
DRINKING FOUNTAINS SHOWERS WATER CLOSETS Rao
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 ses out of the reliance of'th city, including its officers and employees, upon the accuracy of the information supplied to
the city as art of application.
/
,'�
SIGNATURE: _ DATE A._ \\
Property I• .er id/or Authorized Agent
- ' 0 ) Ja 1i1,:) (44y,'C
a NEW o ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES o NO m=4124]
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? o YES a NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application