08-103350 a
Com munity
City of FederalDevelopment WaServices y • Mechanical Permit 0 08-103350-00-M 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: GUNDERSON
Project Address: 33003 47TH AVE SW 44 ....: :--,sn,s Parcel Number: 189890 0230
Project Description: Adding heat pump & gas furnace
,
Owner Applicant Contractor
ROBERT MARQUAM GUNDERSON GRIFFIS HEATING INC GRIFFIS HEATING INC
33003 47TH AVE SW 402 E MAIN ST SUITE 130 GRIFFHI088DZ(12/27/08)
FEDERAL WAY WA AUBURN WA 98002 402 E MAIN ST SUITE 130
98023-3212 AUBURN WA 98002
Additional Permit Information
Mechanical Valuation 16000 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Compressors. 1 Furnaces 1
PERMIT EXPIRES Tuesday, January 6, 2009
Permit Issued on Thursday, July 10,2008
I hereby certify that tile-above information is correct and that the construction on the above described property and
the occupancy and the use will be in accord. - with the laws,rules and regulations of the State of Washington
r :no he City of Federal Way.
Owner or agent: _ Date: '----7 (0'--0
• .. _
C:
44 4
0
THIS CARD IS TO REMAIN ON-SITE
CITY OF •ommunit Developmat Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-103350-00-ME
Owner: ROBERT MARQUAM GUNDERSON
Address: 33003 47TH AVE SW
FEDERAL WAY, WA 98023-3212
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) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By #7•-•-".-------Date 7/Z0'
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
ar►or
c+ sway EC S' MIT 4 ��
at - /03 ,�.5Q
aNANNIMIYDEVELOPMEN'SWIMS SF MF CO �, EL PL DE EN FP
9932PBD R LWAY. AI7i•POBOX 9718 JUL 1A,r�I PLICATION
FEDERAL WAY,WA 93435-2 0 im
/ /253$96.2607•FAX 253.335-2609
ITY OF FED
The following is required info -an�rco }!e application will not be accepted. Please print legibly(in ink(or type.
■ PROPERTY INFORMATION
SITE'ADDRESS_ 3 o O 1 47 t= A J Q. S(3 SUITE/UNIT e_
ASSESSOR'S TAX/PARCEL# k Tr gt Q( ,0_- 0 3 O LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
'Wadi IgParalt.PreafrofJewW*al de.v(vranl
^ .• • PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING D PLUMBING IW ECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work incktded on this permit onlu)
P1-SLO:,.. bke.i t-P�`"`'f CA-S csAn_se C.�
•
PROJECT NAME(Name of Business or Owner Last Name) '
• al PEOPLE INFORMATION
PROPERTY NAME N^ ((�� 1 PRIMARY PHONE
OWNER I v`A 2Q a,._,,,ge.25u,N (1.1-3) 44 2--c;s-i_.L
MAILING ADDRESS Y.STATE,ZIP E-MAIL ADDRESS
3 3 003 (l'= o4u e_ 6t.•� . 1-e,Q:t.Jal_ IAA., `meal
CONTRACTOR COMPANY NAME A OFFICE PHONE
G,R ;S %. .N e.— � `.44 L1/0 S (�3Y73� -3Frgso
MAILING ADDRESS CITY�STA;E,ZIP CELL PHONE
44.0�. `�. r$-t rJ Se- 1 c3.0 (-� eK/�J ((Au. u( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
0.— 1.63'1 Is-6 3 L /g- 3 ( — 0 Fr ( )."ts--94g2
0 CoCTOR'S REGISTRATION NUMBER • EXPIRATION DATE E-MAIL ADDRESS
x4141-V-CI 4 L® b-a 12.__,..."-OT
APPLICANT COMPANY NAMENAME OFFICE PHONE
J}✓�
MAILING ADDRESS SIN
o ' -/J �y,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect a Tenant a Agent ClOther ( ) -
PROJECT NAME /� PRIMARY PHONE E-MAIL ADDRESS
CONTACT i,q,,) ( .:;cc-S (213) 34--- -3&Tc-e
LENDER NAME Per RCW 19.27.096:
Lender lnfonna tion ie required(f prefect value exceeds$5,000
MAILING ADDRESS CITY.STATE,ZIP PHONE
. ( )
• DETAILED BUILDING INFORMATION t
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINII.ERED BUILDING? 0 YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES 0 NO
WATER SERVICE PROVIDER a LAKEHAVEN a HIGBLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
`J• - - a FR3JL.CT FLOUR.,^.T nS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
d
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS
IMMTUM
MMOTO= TOTiL rorasnsnmoer TOTAL MOOS=aer ?MAL el
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate.number o eachtype of future to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECBAMCAL
Value of Mechanical ork$ ILO 1 D00• (A COPY OF BID OR ESTYMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS d MISC(Describe)
BOILERS • FIREPLACE INSERTS HOODS nC.se ma q4 e
t COMPRESSORS • I FURNACES RANGES •
DUCTS. • GAS LOG SETS REFRIO.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom stabil URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(tones
ELECTRIC WATER HEATERS SINKS WASHING MACHINES .
HOSE RIBES BUMPS
SIGNATURE
I certify under penalty of perjury that I arm the property owner or authorized agent of the property owner.1 certify that to the best of my
knowledge, the information submitted in support f this permit application is true and correct.I eery that I will amply with all applicable
City of Federal Way regulations pertaining to the work authorised 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.
1 farther 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 applied to
the city as a p o this application.
SIGNATURE: .1=I DATE ' tu FS
.. , C'.-4i../or Authorised Agent
a NEW o ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? aYES ti NO
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 a NO DEMO PERMIT REQUIRED? a INS a NO
Bulletin#100-January 1,2008 Page 2 of 4 lAlIandouts\Permit Application