06-102125City of Federal Way
Community Development Services
r P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: RYGEL
s
FILkechanical Permit #: 06-102125-00-M E
Project Address: 2817 SW 332ND PL
Project Description: ALT - replace furnace and gas hot water tank.
Inspection Request Line: (253) 835-3050
Parcel Number: 894430 0170
Owner
Applicant
Contractor
AUSTIN PATRICK
GRIFFIS HEATING INC
GRIFFIS HEATING INC
2817 SW 332ND PL
402 E MAIN ST SUITE 130
GRIFFHI088DZ (12/27/06)
FEDERAL WAY WA
AUBURN WA 98002
402 E MAIN ST SUITE 130
98023-2748
AUBURN WA 98002
Additional Permit Information
Mechanical Valuation............................................4700 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -102125 -00 -ME
Owner: AUSTIN PATRICK
Address: 2817 SW 332ND PL
FEDERAL WAY, WA 98023-2748
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 B" Datej
RECEIVED
Federal Way A � , 2 8 2006 PERMIT
COMMURNDEVELOPWIff SERVICES
a 333258^'AVENUE SOBOX 9718
YOFFEDE LICATION
FEDERAL WAY. wAWA 980 98063-9
253-835-2607•FAX253-835.2 BUILDING DEPT.
www.cituoffederalwau.com
SITE ADDRESS
ASSESSOR'S TAX/PARCEL # b C, `tel 4 2- -b- - -a- -L- Q
i2 �- - -L -0-?1? %5 --
SF MF CO ®EL PL DE EN FP
SUITE/UNIT #
LOT SIZE (sfi
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
Manch sept— pWefor Im9fi 1eyW des IWbN
PROJECT•• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING k1ftCHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Prou(dg detailed descriptions work included on this permit onlu)
PROJECT NAME (Name of Business or Oumer Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE
MAILING ADDRESS , CITY. STATE. ZIP
CO ANY 9
C..
APPLICANT NAMEOFFICE
%2a,AA.)
PHONE
(aS -n S- - 3 vro
MAILING ADDRESS 0a- & AaAa S1� 120
4
c��o _ 2>P P . (4 froo �
(ELL PHONE -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
Q -Q a--1 o 2 :1 k0 -B
EXPIRATION DATE
1:L/a( /u(o
FAX NUMBER
(943)-)a,T--tg4c.1
al-
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application)
C j9a� E FL� 1 Q k &- D I
EXPIRATION DATE
/.�-/ A-) /0(.o
COMPANY NAME APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY. STATE. ZIP
MAILING ADDRESS
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant gent ❑ Other (Describe)
NAMEPRIMARY PHONE E-MAILADDRESS : S (ass ras- --a urU
Per RCW 19.27.095: bender Information is
required (jpmjwt value exceeds $5,000
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? O YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKE -HAVEN ❑ HIGIELINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
ESISTING
89. FT.
PROPOSED
89. FT.
TOTAL
. FT.
BASEMENT
EVAPORATIVE COOLERS
BBgS
FANS
FIRST
FIREPLACE INSERTS
COMPRESSORS
= FURNACES
SECOND
GAS PIPE OUTLETS
ZONING DESIGNATION
THIRD
o YES
o NO
NEW ADDRESS REQUIRED?
FOURTH
UP/SEPA/SU?
o YES
o NO
ADDITIONAL FLOORS (DESCRIBE)
o YES o NO
DEMO PERMIT REQUIRED?
o YES
DECK(COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOG
®eTaw
MGM*—
Tarwc
TMaL MWMG W
TMALPRuroemas
"TALW
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of f brture to be installed or relocated as part of this project Do not include existing fixtures to remain.
DIECIfAMCAL
1(i C3 0-0
Value of Mechanical Work $
.
AIR HANDLING UNITS
EVAPORATIVE COOLERS
BBgS
FANS
BOILERS
FIREPLACE INSERTS
COMPRESSORS
= FURNACES
DUCTS
GAS PIPE OUTLETS
BATHTUBS (or Tub/shower Combo)
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS (Bathroom Sinks)
VACUUM BREAKERS
GAS LOGS
HOODS (Commercial)
RANGES
I GAS WATER HEATERS
WATER CLOSETS ribuet)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
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 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 dgfense of
such claim), which may be made by any person, including the undersigned, andfiled sled against the City of Federal Way, but only where such claim
arises out of the reliance of the city,incl ing its gNicers and employees, upon the accuracy of the information supplied to the city as a part of
this application. 7--k
NAME/TITLE DATE -[ —
(Signature)- Mtid
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent 16�ontractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT 131PROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP/SEPA/SU?
o YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
a NO
Bulletin #100 - January 1, 2006 Page 2 of 4 k\Handouts\Permit Application