12-100659i
t Mechanical
City of Federal Way
Community & Econ. Dev. Services Permit #; A 1 2-100659-00-M E
33325 8th Ave S
Federal Way, WA 98003 1 L Im
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: OPENA
Project Address: 33026 16TH PL SW Parcel Number: 010457 0320
Project Description: Replace gas furnace.
Owner
Applicant
Contractor
VIRGILIO & JOSEPHINE OPENA
VIRGILIO & JOSEPHINE OPENA
GRIFFIS HEATING INC (GENERAL)
33026 16TH PL SW
3302616TH PL SW
GRIFFMO88DZ (1/5/13)
FEDERAL WAY WA 98023-6461
FEDERAL WAY WA 98023-6461
402 E MAIN ST SUITE 130
AUBURN WA 98002
Mechanical Valuation............................................2700
Furnaces ......................................... 1
19 "1"
Is this an Online or O.T.C. application?.................Yes
PERMIT EXPIRES Saturday, August 11, 2012
Permit Issued on Monday, February 13, 2012
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
gy�pp,, and the City of Federal Way. A31wi Owneroragent: '"ti i`, ,fir Date: y
FINA"b Alx jz
w
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Iection Record
INSPECTION REQUE TS: (253) 835-3050
12 -100659 -00 -ME Address: 33026 16TH PL SW
VIRGILIO & JOSEPHINE OPENA FEDERAL WAY, WA 98023-6461
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.
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Mechanical Rough -in (4165)Gas
Piping (4125)
Final Electrical
Approved
Final - Mechanical (4065)
Approved
By
Approved to release test
Approved
By
Date
By
Date
By
Date"9
EJ
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY CW
WeDWERMIT
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COMMUNITY H)�
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253-835-2607- FAX 2.3-,3,-,,,, ,3 6
,A P P L I C AT I O N
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S F CO,ME PL DE EN FP
SITE ADD
7
SUITE/UNIT
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL @
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TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING V-NECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
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PROJECT pESCRIPTION
Detailed desc°t'y-otion of work to
be included on this permit only
PROPERTY OWNER
NAME p�
PRIMARY P NE
�y
MAILING ADDRESS ��+q� (\ + l
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CITY•���
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STATE
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ZIP
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NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
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WA STATE CONTRACTOR'S LICENSE N
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
nM
xo
(The individual to receive and
respond to all correspondence
MAILIx
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 ADDR , 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 supplied to the city as apart Pf this application.
URE: DATEAME:
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ulletin #100 - January 1, 2011 Pagel of 3 k:\Handouts',Permit Application
d
VALUE OF MECHANICAL WORK s� 7 �l C" Cr (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to a 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 Ic._ercjQ
BOILERS �_ FURNACES HOT WATER TANKS IG -1
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING a WOODSTOVES
Bulletin #100 —January 1, 2011 Page 2 of 3 k:U-landoutsiPermit Application