06-101653City 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: GALUCCI
Project Address: 308 S 361ST PL
Project Description: Replace gas furnace.
0011- I
Mechanical Permit #: 06 -101653 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 113780 0150
Owner
Applicant
Contractor
JO GALUCCI
GRIFFIS HEATING INC
GRIFFIS HEATING INC
308 S 361ST PL
402 E MAIN ST SUITE 130
GRIFFHI088DZ (12/27/06)
FEDERAL WAY WA
AUBURN WA 98002
402 E MAIN ST SUITE 130
AUBURN WA 98002
Additional Permit Information
Mechanical Valuation............................................3000 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
Furnaces ......................................... a
4ti—�%-C) co "�- �4-Q
► THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -101653 -00 -ME
Owner: JO GALUCCI
Address: 308 S 361 ST PL
FEDERAL WAY, WA 98003-8636
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 �l Approved
0_V*" �
By Date D _ _� By^Gb Date B Date �,
RECEIVED
Federal way PERMIT
COMMUNITYDEVELOPME.TSERCES APR 0 4 2006 SF MFC ME LPL DE EN FP
VI
33325 8TM AVENUE SOUTH • 63 BOX 9718, LI CATI O NTD
FEDERAL WAY, WA 98063-9718 /
253-835-2607• FAX 253-835-2eTY O F F E D E A
" www.cituoffederalwau.com BUILDING DEPT.
The followina is required iEkfigrmatign - an incom Lete aqqUaq92ajpjll not be acce ted. Please qrint Le ibl (in ink) or
PROPERTY INFORMATION
SITE ADDRESS 3c) S 3 �0 s P t SUITE/UNIT #
ASSESSOR'S TAR/PARCEL # _� �� - r V LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate ~for Len9ft legal dewrlptloW
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING &-%&,CHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this hermit oniu)
T-' L,jL N A -Le-- j� A -e 2 rKe�
PROJECT NAME (Name of Business or Oumer Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME^�— PRIMARY PHONE
V c� A- 1^- C- C ( ( �) ri S- :)-- 140k
MAILING ADDRESS 1 CITY,� QSTATE. ZIP
COM NAME
APPLICANT NAME
APPLICANT NAME
—1 �r
OFFICE PHONE
( 3) -)
-3 a
�s
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant n gent ❑ Other (Describe)
FAX NUMBER
( ) -
MAILING ADDRESS
Lox t N41a
5 a- leo
CITY, 5TATE, ZIP
4j, ox.
CELL PHONE
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
90-0ZS--1 u 3 2 $ 0-13 / D�
FAX NUMBER
(2s-�)-)-as
W:)
L fat
-
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application)
EXPIRATION DATE
R1- -i �F4-1-0a� E --b2
l-/a---)/oca
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
ITY. STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant n gent ❑ Other (Describe)
FAX NUMBER
( ) -
PRIMARY PHONE E-MAIL ADDRESS
i�A ��t-t�• (xS-1)
Per RCW 19.27.098: Lender ir}formation Is
NAME
required (f prafect value exceeds $8.000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED/APPRAISED VALUE $,
PROPOSED USE
VALUE OF PROPOSED WORK $
SPRINKLERED BUA.DING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHIdNE ❑ PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
3 . FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
❑ YES ❑ NO
BASIC PLAN? ❑ YES
❑ NO
FIRST
CHANGE 60 lust? ❑ YES
o NO
SECOND
o YES ❑ NO
UP/SEPA/SU? ❑ YES
❑ NO
THIRD
❑ YES ❑ NO
DEMO PEtOW REQUIRED? ❑ YES
❑ NO
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
BE MM%
PROPOS®
TOTAL
OF
TOTAL soros® W
TMAL SF
**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 extsting fixtures to remain.
MECHANICAL
Value of Mechanical Work $ '�>DC>D -
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (or Tub/Shower Combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (Bathroom Sinks)
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS (Commercial)
RANGES
GAS WATER HEATERS
WATER CLOSETS frolleo
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 iincluding 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, including its officers and employees, upon the accuracy of the irtformation supplied to the city as a part of
this aoolication._ J 9
NAME/TITLE
(Signature) VLA (Title)
RELATIONSHIP TO PROJECT 11Owner ❑ Agent Contractor ❑ Architect ❑
NEW 0 ADDITION
❑ ALTERATION
❑ REPAIR o TENANT D PROVEhIENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN? ❑ YES
❑ NO
ZONING DESIGNATION
CHANGE 60 lust? ❑ YES
o NO
NEW ADDRESS REAUIRED?
o YES ❑ NO
UP/SEPA/SU? ❑ YES
❑ NO
PLATTED LOT7
❑ YES ❑ NO
DEMO PEtOW REQUIRED? ❑ YES
❑ NO
Bulletin #100 —January 1, 2006
Page 2 of 4
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