11-102963 • Mechanical
City of Federal Ways
Community Development Services Permit #: 1 1 -102963-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718 ,
Ph:(253)835-2607 Fax(253)835-2609 Inspection Request Line: (253) 835-3050
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Project Name: WILLIAMS 1111
Project Address: 2004 S 282ND PL Parcel Number: 422231 0170
Project Description: REP-Replace existing water heater with tankless system
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Owner Applicant Contractor
PATRICIA JEAN WILLIAMS GRIFFIS HEATING INC(GENERAL) GRIFFIS HEATING INC(GENERAL)
2004 S 282ND PL 402 E MAIN ST SUITE 130 GRIFFHI088DZ(1/5/13)
FEDERAL WAY WA 98003 AUBURN WA 98002 402 E MAIN ST SUITE 130
AUBURN WA 98002
a 3 AddrtL i hermit Information
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Mechanical Valuation 2700 Is this an Online or O.T.C.application? Yes
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Gas Piping 1 Gas Pipe Outlets 1 Hot Water Tanks 1
PERMIT EXPIRES Wednesday, January 18, 2012
Permit Issued on Friday, July 22, 2011
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy ause will be in accordance with the laws, rules and regulations of the State of Washington
(....._aot_ty:-
and th- City of Fe al Way.
Owner or agent: ,� �"/ /, - +( (i ) .(? gfl Date: 1/2 .2_72-0 If
THIS CARD IS TO REMAIN ON-SITE
CITY OF ' t .
Construction II> iection Record
Federal Way INSPECTION REQUESTS: (253) 835-3b50
PERMIT #: 11-102963-00-ME Address: 2004 S 282ND PL
•
Project: PATRICIA JEAN WILLIAMS FEDERAL WAY, WA 98003-3241
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) ❑ Gas Piping(4125) El Final-Mechanical (4065)
Approved Approved to release test Approved
By Date By � Date Q1,, t— C BO Date Oki
LI Rough Electrical 111 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
P
QTY Of PERMIT •MFA PL DE EN FP
Federal Way
COMMUNITY DEVELOPMENTCES APPLICATION
EIVED
253-835-2607•FAX 253-835-2609
ruin m,r.itsyif'rierahrpt.earn
JUL 2 2 2011 x,11$
SITE ADDRESS or :.
onV r � (` �/ �PG �, �� � i 'i 1.1L WAY
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ LPzz 3 / - D I -P
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ElMECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT j /� -
(Tenant Name/Homeowner Last Name) j �;j�j / ��S ((� ( 7d C � W/ ii-KE
PROJECT DESCRIPTION L Wr`
Detailed description of work to ( l lr i FV-L W `I `
be included on this permit only
N -` -� ' PRIMARY PHONE
PROPERTY OWNER -IP-l " eTC / � �4
MAIL �i �
LING A,pD 3
_... C S y,90( �'-G.¢J/- r ZIP /j ,
NAME / PHONE
MAILING ADDRESS E-MAIL
Y. CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAM17 1` ,v f elL PHONEd _:?. .._..,7.,(--.,(7)..2.720-
) [-i1 1 ?7
APPLICANT MAILING ADDRESS E-MAIL J
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) 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 Iaws.
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 acc Lracy of the
a /
1suppliedcity partof. application. —
information to the^ as a this
_1
�,//�� (X. ) / r)4SIGNATURE./ (/(P. j ( ( r7� DATE ��
*- PRINT NAME: / !� ,/ _l /i - l� ( I U Cit ( All( S
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
11 gg '•'
4110
VALUE OFMECHAMCAL WORK $ (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 futures 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
s w .: t meati ..:a. r s % ,: :<. ✓� a ":° g '
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
5555 r45
GENERAL INFORMATIOi4 . . ..
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPR ER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
Yes No ❑Yes 0 No
RESIDEL - NEW OR ADDFIION
AREA DESCRIPTION(in square feet) EXISi PROPOSED TOTAL FOR OFFICE USE
BASEMENT a -
FIRST FLOOR(or Mobile Home)
— ---------
SECOND FLOOR
COVERED ENTRY
i
DECK —
GARAGE "_l CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
7,4;47:::;f30::::0 %;:::',
lf **NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
CONIi4IER.CTA1,—NENNIADUITIOti
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
., mow.,/'
ADDITION
n CO INIFRcI I.-RENIODEI ITENANT IMPROVEMENTS ':04,`,,V4fiett
q
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet T .e Stories
TOTAL BUILDING
TENANT ARF.:\ONLY
PROJECT AREA ONLY
Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application