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06-101756s• f' City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: SHERMAN Project Address: 810 S 301ST PL Project Description: Replace gas furnace. Mechanical Permit #: 06 -101756 -00 -ME Inspection Request Line: (253) 835-3050 Parcel Number: 515220 0020 Owner Applicant Contractor JOHN E SHERMAN GRIFFIS HEATING INC GRIFFIS HEATING INC 810 S 301ST PL 402 E MAIN ST SUITE 130 GRIFFIR088DZ (12/27/06) FEDERAL WAY WA AUBURN WA 98002 402 E MAIN ST SUITE 130 98003-3752 AUBURN WA 98002 Additional Permit Information Mechanical Valuation............................................4000 Over the Counter Permit? ...................................... Yes PERMIT EXPIRES Wednesday, October 4, 2006 Permit Issued on Friday, April 7, 2006 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: Date: THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06 -101756 -00 -ME Owner: JOHN E SHERMAN Address: 810 S 301ST PL FEDERAL WAY, WA 98003-3752 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. ❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065) Approved Approved to release test Approved By Date By Date By 4.o:_, lam/ Dated/ -/554. V aECE�vEc �" A os Feder way APR o �► zo PERMIT COMMUNITS iZVELOPMENT SERVICES 33325 8M AVENUE 98063 253-8351T1111�Flora OK {qq'9�^I CATI O N 253-835-2607•fF www.citi,oalwaLl.com The.followina is required information - an incomplete application will n SF MFChM�LPL DE EN FP TD SITE ADDRESS O t o Slt^d 1' ^^ ��-yy SUITE/UNIT # ASSESSOR'S TAX/PARCEL # 5 ` dam % - © D eI-- V LOT SIZE (sfl or LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (Attach separate P�.fw Lengthy legal descrlptlan) PROJECT• • TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING (B'MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this Permit onlul PROJECT NAME (Name of Business or Owner Last Name) VV PROPERTY OWNER CONTRACTOR APPLICANT CONTACT LENDER NAME PRIMARY PHONE MAILING ADDRESS CITY, STATE, ZIP '&t C>c� P � q k® L3 COMPANY NAME 61 �.., APPLICANT NAME C -S OFFICE PHONE ILS h ( ) - MAILINGADDRESS C TY, TE, ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant &Agent ❑ Other (Describe) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER 2 0-D �- EXPIRATION DATE / FAX NUMBER 1 Q 1 3 k 0--B L lam/ 31 No CONTRACTOR'S REGISTRATION NUMBER (copy of cud required with each application) EXPIRATION DATE / 91--C-�4-1�Qkib7 COMPANY NAME APPLICANT NAME OFFICE PHONE �^ Q c_ - s`�74! -kz 2 ( ) - MAILING ADDRESS CITY, STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant &Agent ❑ Other (Describe) ( ) - NAME nn PRIMARY PHONE E-MAIL ADDRESS (Zc t,2a�S ( )�3s- 3WL> Per RCW 18.37.0'3;3.: Lender if{formation is required (fproject;vaitte exceeds $'d,bOQ NAME MAILING ADDRESS CITY. STATE, ZIP PHONE EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) AREA DESCRIPTION EXISTING S . FT. PROPOSED S . FT. TOTAL SQ. FT. BASEMENT DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS FIRST WASHING MACHINES URINALS HOSE BIBBS SECOND VACUUM BREAKERS ELECTRIC WATER HEATERS ❑ YES o NO THIRD o YES o NO " PLATTED LOT? FOURTH DEMO PERMIT REQUIRED? 0 YES ❑ NO ADDITIONAL FLOORS (DESCRIBE) DECK(COVERED?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS aMSTM reoeos® TMAL TOT w altBTttto ®F WT.%L momm or TOTAL W "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fiWtures to remain. MECHANICAL !� Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS BBQS FANS HOODS (Commemlal) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC (Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS BATHTUBS (orTub/Sho—r Combo) SHOWERS WATER CLOSETS Qbnetl MISC (Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYSI' WASHING MACHINES URINALS HOSE BIBBS LAVS (Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS I cert(fy under penalty of perjury that the igformation furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way, but only where such claim arises out of the reliance of the city, incl ing is officers and employees, upon the accuracy of the information supplied to the city as a part of this application , C � e5 DATE �-c `� NAME/TITLE S2� (Signature) ('IYtle) RELATIONSHIP TO PROJECT ❑ OwndV ❑ Agent *<ontractor ❑ Architect ❑ Other FOR OFFICE USE ONLY o NEW o ADDITION o ALTERATION o REPAIR o TENANT DdP'ROVEMENT BUILDING SHELL ONLY? ❑ YES o NO BASIC PLAN? ❑ YES ❑ NO ZONING DESIGNATION CHANGE OF USE? ❑ YES o NO NEW ADDRESS REQUIRED? ❑ YES o NO UP/SEPA/SU? o YES o NO " PLATTED LOT? ❑ YES o NO DEMO PERMIT REQUIRED? 0 YES ❑ NO Bulletin #100 — January 1, 2006 Page 2 of 4 k\Handouts\Permit Application