06-106440City of Federal Way
Community Development Services Mechanical Permit #• 06 -106440 -00 -ME
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: IP
Project Address: 27724 25TH DRS FILE Parcel Number: 757561 0770
Project Description: Replacing furnace
Owner
Applicant
Contractor
LAUREL IP
GRIFFIS HEATING INC
GRIFFIS HEATING INC
27724 25TH DR S
402 E MAIN ST SUITE 130
GRIFFHI088DZ (12/27/06)
FEDERAL WAY WA
AUBURN WA 98002
402 E MAIN ST SUITE 130
98003-6928
AUBURN WA 98002
Additional Permit Information
Mechanical Valuation............................................2497 Over the Counter Permit? ................................ ..... Yes
Mechanical Fixtures
Furnaces ......................................... 1
PERMIT EXPIRES Friday, December 26, 2008
Permit Issued on Tuesday, December 26, 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
i� and the City of Federal Way.
Owner or agent: Date:
i`
14
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -106440 -00 -ME
Owner: LAUREL IP
Address: 27724 25TH DR S
FEDERAL WAY, WA 98003-6928
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 G L� Date
CITY �:� DED z4 - 0— zzeQ-
Federal Way 2 �� PERMIT
SF MF COME LPL DE EN FP
COMMUM7YDEVEWPMENT5ERVI7$jry OFF �-
3332FE^'AVENUESOVIH.6'oBox9718 e E�APPLICATION
FEDERAL WAY. WA 98063-9718 BUILpINi
253=,' 2607cft• FAX 253-835-2609
www. iro/(ederaluwu. mm
The ollowin is required information -tut incomplete application will not be accepted. Please print legibly rin ink) or
M PROPERTY•• ATION
SITE ADDRESS D5� C
Z [Ly SUITE/UNIT #
4
ASSESSOR'S TAR/PARCEL N 7 � '7
! S 6 i - D -72- Z LOT SIZE (sff]
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Av h separate p4wfa W W&W WyW d,—WiaU
PROJECT INFORIAATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING HANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description 4% work included on this permit on1u1
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAMEPRIMARY PHONE
LA L^ -Q -L (A -!C1)'9 'tt -
MAILING ADDRESS ^ �\ CITY, STATE, ZIP
ITe '9 & Du
CorZ,N �
CCADDRESSMAILING
OFFICE PHONE
APPLICANT NAME -
H�
OFFICE PP�HONF,
4OS
AIN
J'3�
pi►.�y[i2/�4
('�� �!
Cri.-`�,��(A. I6✓)i
CELL PHONE -
IFAX
CITY OF FEDERAL WAY pBUSINESS LICENSE NUMBER
a' Q- a--1 D 0 2-0-B
EXPIRATION DATE
I;L /2( / u
NUMBER
(943)71,:Y- C; io2
.0
.3
L
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application)
6 Q T - V -1P N- L Q k t D-
EXPIRATION DATE
la-/ C�-) / ®c®
COMPANY NAME APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
( )
MAILING ADDRESSC
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant * gent ❑ Other (Describe)
( ) -
NAME PRa-"" PHONE EMAIL ADDRESS
Per RCW 19.27.095: Lender irtforma:tion is
required (f project value exceeds $5,000
NAME
MAILING ADDRESS
CITY. STATE. 'LIP
PHONE
( )
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ IHGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGIELJNE 0 PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
c ALTERATION
c REPAIR o TENANT IMPROVEMENT
FIRST
YES a NO
BASIC PLAN? o YES
o NO
SECOND
CHANGE OF USE? o YES
o NO
THIRD
❑ YES ❑ NO
UP/SEPA/SU? o YES
❑ NO
FOURTH
o YES c NO
DEMO PERPaT REQUIRED? o YES
o NO
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
®srn.o
enoroe®
rmac
xor�t anermo er
TMAL er
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of j%ture to be installed or relocated as part of this project. Do not include eadsting fuetures to remain.
MECHAMCAL JO
Value of Mechanical Work $ d—J
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS for 71b/shower combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (gachroom Sinks)
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS (c._r wj
RANGES
GAS WATER HEATERS
WATER CLOSETS rlbue) _
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 Cncluding 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, includin� its gQ'icers and employees, upon the accuracy of the information supplied to the city as a part of
this application. .
NAME/TITLE
RELATIONSHIP TO PROJECT ❑ Owner
(rile)
ID-C—ontractor ❑ Architect
DATE
o Other
FOR OFFICE USE ONLY
❑ NEW o ADDITION
c ALTERATION
c REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
YES a NO
BASIC PLAN? o YES
o NO
ZONING DESIGNATION
CHANGE OF USE? o YES
o NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
UP/SEPA/SU? o YES
❑ NO
PLATTED LOT?
o YES c NO
DEMO PERPaT REQUIRED? o YES
o NO
Bulletin #100 —January 1, 2006 Page 2 of 4 MandoutsTermit Application