11-104441 ay Mechanical
immunCiity&EconrDDof Fedealev Services • r errit #: 11-104441-00-ME
33325 8th Ave S
Federal Way, 98003
'h:(253)835-2607 Fax:(253)835-2609 t Inspection Request Line: (253)835-3050�� •�
Project Name: LUDING
Project Address: 705 S 291ST ST Parcel Number: 515290 0090
Project Description: Remove/replace gas furnace replacement
Owner Applicant Contractor
CALVIN LUDING GRIFFIS HEATING INC(GENERAL) GRIFFIS HEATING INC(GENERAL)
705 S 291ST PL 402 E MAIN ST SUITE 130 GRIFFHI088DZ(1/5/13)
FEDERAL WAY WA 98003-3693 AUBURN WA 98002 402 E MAIN ST SUITE 130
AUBURN WA 98002
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Mechanical Valuation 5123.00 Is this an Online or O.T.C.application? Yes
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Furnaces 1
PERMIT EXPIRES Tuesday, May 1, 2012
Permit Issued on Thursday, November 3, 2011
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: ) . Jproperty andDate/I 3"1/
Azt
''<4'f\Oi , 1c f
THIS CARD IS TO .MAIN ON-SITE '
CITY OF ``" # Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT #: 11-104441-00-ME Address: 705 S 291ST ST
Project: CALVIN LUDING FEDERAL WAY, WA 98003-3693
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) CI Gas Piping (4125) ❑ Final-Mechanical(4065)
Approved Approved to release test _, Approved
By Date By Date By Date \ l— /L'— /
•
El Rough Electrical Final ElectricalCI Right of Way
Approved Approved Approved
By Date By Date By Date
I 0444 (
CITY OF OPERMIT MF C ME PL DE EN FP
t- Federal Way1)
COMMUNITY DEVBL S RV,C - - \J APPLICATION
253-835-2607• (a,
SITE ADDRESS � \-.. SBITE/UNIT#
D a X11 S S3-
PROJECT+ ATION ZONING ASSESSOR'S TAX/PARCEL#
$ Sl a3 0(3 c 3 i 0 - 0 0 9 0
TYPE OF PERMIT 0 BUILDING 0 PLUMBING XMECHANICAL
❑ DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) /
( V4-• 1N_5
PROJECT DESCRIPTION
Detailed description of work to %A.S .-10 FIS f V 1 iV A C rc &p/.A Cc.,L-A/-7-
be
1/--be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER C A G L v G+I+ry 6-3 /Q
MAILING ADDRESSE-MAIL G
-6 a 36
70S S. a--, , -ST' ST
CITY STATE ZIP
FE d eiZ A L. $V9 y i,✓A 9croo 3
NAME PHONE
G 2 i c-F;.s /it Ar;i$, A53 . 73S- 388'0
MAILING ADDRESS E-MAIL
CONTRACTOR4o a E. MA `.N .57. 37 d !30
CITY STATE ZIP FAX
.19vbvz,y w,4 9$ocia. A5.3- 735- 544
WA STATE CONTRACTOR'S LICENSE S EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
(rit..fHZa88OZ / / S /13 a0oS/o3?'000$1.,
NAME PHONE
6 cc,s 14 EA-r:i y sic. 4513 .733 - 388o
APPLICANT MAILING ADDRESS
E-MAIL
110a. C. .y-x,4/'(V 37 5r '4. /3o
CITY STATE ZIP FAX
..91✓bvr2..11) wA 9koock -1s3- )35---q Lig Z
PROJECT CONTACT (NAME PHONE
(The individual to receive and Ga4� s �EA ?iN5 Cr3nlA/U Gs2.4riS /ll oZs3-73s• 3d'go
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application) 110a E • 111A%A) 5 1. 51 E• # /30
CITY STATE ZIP FAX
,q✓b 4/0..--A1 i-./A g 80o L
ALTERNATE CONTACT NAME: PHONE E-MAIL
as.3- 73f- 1 ti-l.k.
PROJECT FINANCING NAMEIll OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27095) MAILING ADDRESS,CITY,STATE,ZIP PHONE --
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 suppliedCto the city as a part of this application.
k 1
SIGNATURE: \ ../1,11i: ‘77'-:---. -_,...Th DATE \) LII `
PRINT NAME: r l4/3 0... `s
Bulletin#100-January 1,201 1 .Page 1 of 3 k:\Handouts\Permit Application
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VALUE OF MECHANICAL WORK $ S/elk 3 O9 (a copy of bid or estimate must be provided)
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(commerciai)
BOILERS / FURNACES HOT WATER TANKS pas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
at a
Indicate how many of each type offixture 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/Utelity) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINESr y AZA
' � > x;;•, �.,.r Asp i _
CRITICAL AREAS ON PROPERTY? yYWATER 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 n No
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
. <- ->,-„a .,.. �..,5 . .-„•r,,.,., is ,J�..�f .. ... ... .. .- ._.._ .._...._.. ..
FIRST FLOOR(or Mobile Home)
.~fix g '''a ,t
COVERED ENTRY
GARAGE ❑ CARPORT ❑
��
,��-.2.,,. < .••F,J - EXISTING PROPOSED TOTAL
Area Totals
.b y.,.., zr.z:: xx,'�•..}',,',t`4 iW o -� +
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ESTIMATED SELLING PRICE$ #OF BEDROOMS
AREA DESCRIPTION Area Construction # of
Occupancy Group(s) Additional Information
in Square Feet Type Stories
NLSY e I e w r f
ADDITION
.> .. „ � :.� „'�`;. �`-.- .�...,•Y� .�.::
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in S•uare Feet .e Stories
.xae a% x - .� d • tri -Y � qk - h z. �k ? >
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TENANT AREA ONLY
•�ILIONNIklibrA4410 :741111110ifi:':0**01WfnalAtt115,743ffk,114$101-1NEZlinii::
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Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application