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06-1054597 City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 Mechanical Permit #: 06 -105459 -00 -ME ti. : 11 P Inspection (253) 835-3050 Project Name: ANDERSEN Project Address: 2815 SW 341ST CT Project Description: REP - Installation of furnace and heat pump &Pa 10240 Mechanical Valuation ............................................ Compressors ............... I PerVInforon ` Yes al to kra ��. ............ 1 =RMIRES Saturday, October 25, 2008 mit Issued on Wednesday, October 25, 2006 information is correct and that the construction on the above described property and fill be in accordaicepNith the laws, rules and regulations of the State of Washington an h 'City of Federal Way. r� Date: w Owner Applicant tractor MARK ANDERSEN GRIFFIS HEATING\130 HEATING INC 2815 SW 341ST CT 402 E MAIN ST SUIT 8DZ(12/27/06) FEDERAL WAY WA 98023-7604 AUB WA 980IRr T SUITE 130 A 98002 Mechanical Valuation ............................................ Compressors ............... I PerVInforon ` Yes al to kra ��. ............ 1 =RMIRES Saturday, October 25, 2008 mit Issued on Wednesday, October 25, 2006 information is correct and that the construction on the above described property and fill be in accordaicepNith the laws, rules and regulations of the State of Washington an h 'City of Federal Way. r� Date: w f 'CHIS CARD IS TO REMAIN ON-SITE r CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06 -105459 -00 -ME Owner: MARK ANDERSEN Address: 2815 SW 341 ST CT FEDERAL WAY, WA 98023-7604 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 Date CITY es Federal way o� PERMIT COMMUMTYDt VELOPl1(EIYf SERNC C� �E G pEP'� SF MF CO E L PL DE EN FP 33925 APPLICATION FE�ILll. WAY. WA 98063.97 W� 259835 2607• FAX 259 895 2609 www.cltun/lederduxiu.00m The-folkMM is MMdMd utfemmuon - an fete lication will not be gMqted. Please print lgcoCin ink) or PROPERTY INFOR-MATION SITE ADDRESS d'� O ��7�% fl-�Y, 'b^� Qt SUITE/UNIT #! ASSESSOR'S TAX/PARCEL #1 Q 5L _ k - _0- � U—L 0 LOT SIZE (SO LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) faemh sev@v& PWf- krWft kgal dea OUMV TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECIIANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on BTis P rm(t oniul PROJECT NAME (Name of Business or Owner Last Name) PROPERTY OWNER CONTRACTOR CONTACT LENDER EXISTING USE r NAME A C- uPRIMARY PHONE MAILING ADDRESS CITY, STATE. ZIP 0- lS CITY. - 1A ?% , I x° 4 - a U COlrl R Lt APPLICANT NAME �^� -�F�' OFFICE PHONE (t� 5�� FAX NUMBER 2: A,J ( ) - MAILING ADDRESS -CIJY. STATE ZIP CELL PHONE CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER a_Q-Q a" 1 0.3 :2 kot-X3 EXPIRATION DAZE t:L/a( /uco FAX NUMBER (94Z)I-&,T- 4K� L CONTRACTOR'S REGISTRATION NUMBER (copy of card required w<b each aMliestlon) C Q Xr- F 10 $F D EXPIRATION DATE !e2/0.1 /O(.® L� I COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant &<gent ❑ Other (Describe) ( ) - NAME PRIMARY PHONEE-MAIL ADDRESS Per RCW 19.99.098: Leader 110"Ratimt is required (f pt+4*t value aoeeeds $8,000 NAME MAILING ADDRESS CITY, STATE. ZIP PHONE 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 ❑ MGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) AREA DESCRIPTION EXISTING . FT. PROPOSED 80. FT. TOTAL SO. FT. BASEMENT FANS HOODS )commem ai) WOODSTOVES FIRST FIREPLACE INSERTS RANGES MISC (Describe) SECOND _�_ FURNACES GAS WATER HEATERS o NO THIRD GAS PIPE OUTLETS UP/SEPA/SU? o YES ❑ NO FOURTH o YES ONO DEKO PHRIRT REQUIRED? o 'YES o NO ADDITIONAL FLOORS (DESCRIBE) SHOWERS WATER CLOSETS pbsetl MISC (Describe) DECK(COVERED?) SINKS DRINKING FOUNTAINS GARAGE ❑ CARPORT ❑ SUMPS RAINWATER SYST NUMBER OF FLOORS M"00 rxar«sm ,orAl romsnrrnar mru.raasoe vw 'WALT 1 --NEW HOMES ONLY'- NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type ofjixture to be installed or relocated as part of dds project. Do not tncItAde exis&V jbdures to remain 14ZCJIA11 CAL uY Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS BBQS FANS HOODS )commem ai) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC (Describe) COMPRESSORS _�_ FURNACES GAS WATER HEATERS o NO DUCTS GAS PIPE OUTLETS UP/SEPA/SU? o YES ❑ NO G o YES ONO DEKO PHRIRT REQUIRED? o 'YES o NO BATHTUBS (or7vb/sho rcombo) SHOWERS WATER CLOSETS pbsetl MISC (Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS (Bathroom Sh%ks) VACUUM BREAKERS BLECTRIC WATER HEATERS I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further. that I am authorised by the owner of the above premises to perform the nark 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, andJiled against the City of Federal Way, but only where such claim arises out of the reliance of the city. including its g01cers and employees. upon the accuracy of the information supplied to the city as a part of this application. (� i NAME/TITLE n DATE (Signa r) � ('lice) RELATIONSHIP TO PROJECT o mer o Agent it ontractor ❑ Architect ❑ Other FOR OFFICE USE ONLY o NEW o ADDITION a ALTERATION c REPAIR o TENANT DAPRROVEMENT EUILDING SHELL ONLY? ❑ YES o NO BASIC PLAN? ❑ YES o NO ZONING DESIONATION CHANGE OF VSE? ❑ YES o NO NEW ADDRESS REQUIRED? o YES ONO UP/SEPA/SU? o YES ❑ NO PLATTED IAT? o YES ONO DEKO PHRIRT REQUIRED? o 'YES o NO Bulletin #100 — January 1, 2006 Page 2 of 4 MandoutsTermit Application