06-104879• ' City cif Federal Way
Commun'�"'�y' Development Services
.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: GIFFORD
Project Address: 2918 SW 339TH ST
Project Description: REP - Replace gas furnace
Mechanical Permit #: 06-104879-00-MIE
Inspection Request Line: (253) 835-3050
Parcel Number: 010920 0040
Owner
Applicant
Contractor
GAVIN GIFFORD
GRIFFIS HEATING INC
GRIFFIS HEATING INC
2918 SE 339TH RD
402 E MAIN ST SUITE 130
GRIFFHI088DZ (12/27/06)
FEDERAL WAY WA 98023-7732
AUBURN WA 98002
402 E MAIN ST SUITE 130
AUBURN WA 98002
i
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -104879 -00 -ME
Owner: GAVIN GIFFORD
Address: 2918 SW 339TH ST
FEDERAL WAY, WA 98023-7732
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 L� Date Q. Z,C{ _ O
RECEIVED
°`: SEP 2620
Federal way PERMIT
COMMUM7YDEVELOPMENTSERVECBS CITY OF FWINtICATION
SF MF CO iE EL PL DE EN FP
33325 D PALMAE,WA 9•PO 63t7X SUILDI
FEDERAL 07- X 53-83.260 B U I LD I
2s3�sss-aeo7• >:Ax 2ss-e3s•zsos
W W Wx4U0 re&?0km, =
The o!leudm is nmdmd infornzatimm - anin lete lication miU not be ted. Please t (in ink) or bW
SITE ADDRESS t 1 b L'&-) -t� *2:19 SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # Q Q i -sll- O - 4 LOT SIZE (si
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
are=n -p-" ngfa kWft blyd ees046mV
TYPE OF PERMIT O BUILDING 0 PLUMBING 91MECHANICAL
0 DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Prou(de detailed description of work (nduded on Bits Demi(t onlu)
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
NAME PRIMARY PHONE
(A -1 2) �aiC 7FcS4
MA=G ADDRESS CrTY. STATE. ZIP
�`► t 3 L a LSA
c(�1 Ri't�r�`�
ztj
APPUCAMr NAME
OFFICE
->,as'
K't�
. C .
2.` x,J
( ) -
MAD ING ADDRESS
4 C)a- l�A.+a S% 13c�
CljY. STATE ZIP
,,.Io .-
CELL PHONE
CrrY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
1.,L/3t /uco
FAX NUMBER
( 3)�as-g<rM
CONTRACTOR'S REGISTRATION NUMBER (co" of card required with each a"Reation)
R P F Z Q k T��
EXPIRATION DA1E
' oc�
COMPANY NAME APPLICANT NAME
/OFFICE PHONE
) -
MAUJNG ADDRESS
l
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
0 Architect ❑ Tenant & AQent ❑ Other (Describe)
( ) -
CONTACT NAME PRDMRY PHONE E-MAII ADDRESS
,J --ars-to
LENDER
For RCW 19.27.093: Lender LVOrmation is
required (f pfgt*t value ercdeQs $5.000
NAME
MARING ADDRESS
CTIY. STATE. ZIP
PHONE
( )
MUSTING USE PROPOSED USE
WASTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHEMIE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ SIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCREMON
E%ISTDIG
. FT.
PROPOSED
TOTAL
SQ. FT.
BASEMENT
a NEW o ADDITION
o ALTERATION
o REPAIR o TENANT I110'ROi/ENIFdiT
FIRST
BUILDING SHELL ONLY?
❑ YES ONO
BASIC PLAN?
SECOND
o NO
ZOrMG DESIGNATION
THIRD
o YES
o NO
NEW ADDRESS !NUXRED?
FOURTH
Ufa/8EPA/80
o YES
o NO
ADDITIONAL FLOORS (DESCRIB
o YES o NO
DEMO PERIM REQUIRED?
o YES
DECK(COVERED?)
GARAGE ❑ RT O
NUMBER OF FLOORS
o
mo oseo
Tore"
e` Oer
wrALn°ro mar
mrd'ar
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
type ojjiacd" to be 64stal►ed or relocated as part of this project. Do not
AVWi1Ah7CAL tIo
Value of Mechanical Work $ 5
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCT'S
BATHTUBS (or Tub/ShowerCombw
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
IAVS (Bathroom Sinks)
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
to remain.
GAS LOGS REFRIG. SYSTEMS
HOODS (Co,amertiaq WOODSTOVES
RANGES MISC (Describe)
GAS WATER HEATERS
WATER CLOSETS rib&u MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
I cert(fy 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 work for which the permit application is made. I further agree to hold
harmless the City gj Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and dgfense of
such claim), which may be made by any person, including the undersigned, and jUed against the city gjFederal Way, but only where such claim
arises out of the reliance of the city, including
i A its gSRcers and employees, upon t accuracy of the information supplied to the city as a part of
this application. ,
NAIL/TITLE
REI ATIONSHIIP TO PROJECT o
t"U tG
� time)
❑ Agent W6ntractor o Architect o Other
FOR OFFICE USE ONLY
a NEW o ADDITION
o ALTERATION
o REPAIR o TENANT I110'ROi/ENIFdiT
BUILDING SHELL ONLY?
❑ YES ONO
BASIC PLAN?
o YES
o NO
ZOrMG DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS !NUXRED?
o YES o NO
Ufa/8EPA/80
o YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERIM REQUIRED?
o YES
o NO
Bulletin #100 — January 1, 2006 Page 2 of 4 MandoutsTermit Application