17-101047 I ! 4
Mechanical
City of Federal Way Permit #:17-101047-00-ME
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: SITES
Project Address: 4325 SW 323RD ST Parcel Number:873202 0640
Project Description: Install heat pump to existing furnace
Owner Applicant Contractor
THOMAS F SITES G F R HEATING AND COOLING LLC G F R HEATING AND COOLING LLC
4325 SW 323RD ST 36027 56TH AVE S GFRHEHC958CM(12/31/17)
FEDERAL WAY WA 98023 AUBURN WA 98001 36027 56TH AVE S
USA AUBURN WA 98001
USA
Additional Permit Information
Mechanical Work Valuation? 7000 Is this an Online or O.T.C.application? Yes
Compressors/Heat Pumps 1
PERMIT EXPIRES Saturday,2 September,2017
Permit Issued on Monday,March 6,2017
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 wit the laws, rules and regulations of the State of
Washington an - o Federal Way.
Owner or agent / Date: 3--c<-/7
THIS CARD IS TO REMAIN ON-SITE
QTY - Construction Inspection Record
Federal Way INSPECTION REQUESTS :(253)835-3050
PERMIT#: 17 101047 00 Address: 4325 SW 323RD ST
Project: NANCY T SITES FEDERAL WAY WA 98023-2496
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE TRIS 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) Q Gas Piping(4125) Final-Mechanical(4065)
Approved Approved to release test Approved
.By Date ��By Date ��By 14.4 Date 3107117
•
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
..,,,,..,._ _A. • PERMIPAPPLICATION
CITY OF
Federal Way PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 +permitcent ' e ralway.com
PERMIT NUMBER ( _ ��_ .n1 A R 0 il t j 1
- - — — TARGET DATE
SITE ADDRESS SUITE/LIR
q3 ZS • s-w .3 z3Cj 77(
PROJECT VALUATION ZONING ASSESSO TA RCEL# Z O Z 0 1
TYPE OF PERMIT ❑BUILDING 0 PLUMBING'MECHANICAL 0 DEMOLITION ❑ ENGINEERING ❑FIRE PREVENTION
NAME OF PROJECT —tom.--, �;-/e S
PROJECT DESCRIPTION /
Detailed description of work to /'e -c-7 X r-7/0 /Y/S TCi/�
/
be included on this permit only
/064
0
.... _.... - NAME ,r�,., PRIMARY PHONE
/ )"/ 1 /y/L es-
PROPERTY OWNER MAILING ADDRESS '
E-MAIL
'3 -S 5w -32.376( 1'
CITY STATE ZIP
NAME PHONE
G.D 75/--cG �,�/3 C.. hG/ �VU4hS L4� c-Z?jy•-c rg
MAIL
CONTRACTOR P 0, f3 0) 36 7 6 F, 12 ce.,/7G'Oip'✓C.aST//e
CITY STATE ZIP FAX
/ r
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
t F'/ /Jecy51Gi1'1 / a /3 ) /0)x7
NAME PRIMARY PHONE
APPLICANT- MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME .--• PRIMARY PHONE
PROJECT CONTACT cAs ,-L.P
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME ..
PROJECT FINANCING 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 3- 6./7
PRINT NAME: �G3 U2,1 e, 1 U 4,-.-7/C...A
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
• •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? 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 ❑ Yes ❑ No
RESIDENTIAL – NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
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$ Ty .. , /�€�,: ` �, � yds:: ;
- .:, .o''.. ..::•.. si.. �:. s3 v'•' is iir-
FIRST FLOOR(or Mobile Home)
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P.
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COVERED ENTRY
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GARAGE ❑ CARPORT 0
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...._................................_..__.................._.._.........__........_._._.._...__................................_...._......_____..........-
EXISTING PROPOSED TOTAL
Area Totals
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ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION
Area in Occupancy Group(s) Construction #of Additional Information
Square Feet
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ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
S.uare Feet •e Stories
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