11-104197 City of Federal Way Ft " n • Mec anital
Community Development Services T ermit #: 11-104197-00-ME
P.O.Box 9718
Federal-260, F :(253 9718
835- Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: METZENBERG
Project Address: 2818 S 284TH ST Parcel Number: 111700 0250
Project Description: Remove/replace gas furnace
Owner Applicant Contractor
STEVEN&NANCY METZENBERG GRIFFIS HEATING INC(GENERAL) GRIFFIS HEATING INC(GENERAL)
2818 S 284TH ST 402 E MAIN ST SUITE 130 GRIFFHI088DZ(1/5/13)
FEDERAL WAY WA 98003-3315 AUBURN WA 98002 402 E MAIN ST SUITE 130
AUBURN WA 98002
Mechanical Valuation 2250.78 Is this an Online or O.T.C.application? Yes
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Furnaces 1
PERMIT EXPIRES Wednesday, April 11, 2012
Permit Issued on Friday, October 14, 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
-*dth-
`i of Federal Way.
Owner or agent: /11 Date: /0//3y,70//
FItIAU4D
THIS CARD IS TO ,MAIN`ON-SITE
CITY OF • Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 11-104197-00-ME Address: 2818 S 284TH ST
Project: STEVEN & NANCY METZENBERG FEDERAL WAY, WA 98003-3315
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) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By 2` Date `® ,..3/_l
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
( 04. ( 7--
a PERMIT S
Federal WayvErfp
COMMUNITY DEVELOPMENrSERVICES APPLICATION a got ya
253-835-2607•FAX 253-835-2609
mmw eihinff demhnnn.mm 0 C T 1. 4 2011
errs ADDRESS TY C ORAL WAY 23/8 S �B91 �e�e✓,4J 14h9)/ �l/d- g 80a CDS
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL S
1 ,( �� . '� Q Q - Q
TYPE OF PERMIT 0 BUILDING 0 PLUMBING Kl MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(ren ntNarne/HomeowreerLastNo.me) / �+d)
el-2j
PROJECT DESCRIPTION 1 15TRi/ 1 we VNook 'p Nei ) 6A S tco,'ence
Detailed description of work to
be inch'fled on this permit only
NAME PRIMARY PRONE
PROPERTY OWNER 5T V1f,V m TZti,66(2‘ ;153 991 06 7f"
"
a$%g�. .234' s-r $MAII
, / / U £.7l.*/R qg 0 3
Nm'CA`fiei5' >Veil 77 )6 ,2S-n!3 0 35' 3830
CONTRACTOR /7447,g //i..5 i/ l* .;7e /3 V W h/h<9r,ffi. AeAh/1),fief
CITT STATE ZIP FAX
pobv1'ii 1-i14uq4 F$o0'2.
WA STATE CONTRACTOR'S LICENSE S EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE A
NAME
57 inJ 19972 i1I?r5 PHR3 qY/ 0494
APPLICANT 2'Fig �Sv, a 9 =712e '
Rama
Fe4( L k' - W STATE �'yy4�e�1
z23 FAX
A
PROJECT CONTACT -T6!/E1� PHONE
(lice individual to receive and
respond to all correspondence M S �'i J E• '
concerning this application) CliD� ,�/ �}T 8,42,03,r�
/ �-dedl / STA �� FAX
CONTACT NAME: / PHONE E-MAIL
PROJECT FINANCING NAtiE ❑ OWNER-IPTNANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS.Cr!?.STATE.ZIP PHONE
I oertlflt under penalty of perjury that I am the property owner or authorised agent of the property owner.I cM fry that to the best
of my knowledge,the information submitted in support of this permit application is true and correct.I certjfy that I will comply 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,
I further agree to hold harmless the City of Federal Way as to any claim(including costs.expenses.and attorneys'fees incwi d int
the investigation and demure elfsuch claim),which may be made by any person,including the undersigned.and,/iled 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 this application.
44r17rj DATE r 014 /11
SIGNATURE:
PRINT NAME:
Bulletin#100—January 1,2011 Page 1 of 3 k:\HandoutsTennit Application
MECI3[ANICAI FIXTURESle
;
VALVE OF MECHANICAL Worts $ (a copy of bid or estimate must be provided)
Indirote how many of each type of:fixture lxture to be installed or relocated as part of this project. Do not Maude existing fbrhireir to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(D crR e)
AIR CONDITIONER FIREPLACE INSERTS HOODS)I:mmeraW
BOILERS ' FURNACES HOT WATER TANKS Iasi)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate how many of each type of ftactive to be installed or relocated as part of this project Do not include exist ngjbctuxes to remain.
BATHTUBS(or Tub/Shower combo) LAYS Elland Sides) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS EHitchen/Utdtiy) WATER HEATERS(Oecl,4d
HOSE BIBBS SUMPS WASHING MACHINES TOTAL PERTURBS
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IIIPROVREMENTO
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING PULE SPEDIELER SYSTEM)? PROPOSED FIRE eUIPREOttION 5YSTEffi?
❑Yes❑ No ❑Yes No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
Area Totals TOTAL
**1VEWW HOMES O.N LYe'
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEWIAIDDITION
Area AREA DESCRIPTION Feet Occupancy Cl ( )onpsConstruction # f� Additional Information
in Square NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
Area AREA DESCRIPTION is Square Feet Occupancy Group(s) �� StoorJ�s Additie►nal Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application