06-100812 f
CoCWilityy DofevelopmentSFederal Wayervices #:
Mechanical Permit 06-100812-00-ME
mrnt
P.O.Box 9718
Federal Way,WA 98063-9718
Ph (253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
t Project Name: JONES
Project Address: 31765 42ND AVE SW Parcel Number: 873198 3070
Project Description: Replace gas furnace.
,
Owner Applicant Contractor
BILLY JONES GRIFFIS HEATING INC GRIFFIS HEATING INC
31765 42ND AVE SW 402 E MAIN ST SUITE 130 GRIFFHI088DZ(12/27/06)
FEDERAL WAY WA 98023-2122 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 1
CONDITIONS:
PERMIT EXPIRES Sunday, August 20, 2006
Permit Issued on Tuesday, February 21, 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
and( hCitY of Federal Way.
Date: Z 4Z10 p
Owner or agent: U 1 b
I.
Y
f `
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-100812-00-ME
Owner: BILLY JONES
Address: 31765 42ND AVE SW
FEDERAL WAY, WA 98023-2122
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/ 'fiec.7e.6.
v _ .4116Dii/e5"/c4,7.7 .
'
r
:� RECEIVED p - , a 1
(Federal PERMIT
way
COMMUNITY DEVELOPMENT SERVICES ,- Q '1 2006 SF MF C 0 EL PL DE EN FP
33325 D AVENUE SOUTH•PO BOX 9718(E v2 AVAVLI CATI O N
FEDERAL WAY,WA 53-8 3-9718
253-835-2607•FAX 253-835-2609
i www.cituoffederaIwau.cam arc OF FEDE
1 errisi a-4WIPAI
,1ILDING DEPT.
The ollowin. is -.ui t ormation-an incom•tete a..lication will not be acce.ted. Please 'tint le!ibi_ (in ink)or _ .
,,f(�P • PROPERTY INFORMATION
SITE ADDRESS 2(.'1 (.0 --
4
o - , ' 6,') SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# O - I Ct FS - 3 0 -7 O LOT SIZE(s,3
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING 0 PLUMBING (6CHANICC i,
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
Qe_p ik. C.A--S c,A.lz N bo ti Pu") oiz
PROJECT NAME(Name of Business or Owner Last Name) 1.1)1465
• PEOPLE INFORMATION
PROPERTY NAME 1`` /-�--'1 n PRIMARY PHONE
OWNER MAILING ADDRESS V\ V 0')`3 eS ( 3) �a a- -21�3.
CRY,STATE.ZIP
a 0 las �a � sr.J �D_ �R�t, (ik)4 ir'‘�0n-3
CONTRACTOR CAPANY N E PLICANT NAME OFFICE PHONE
1��2:` is t1- mc_. ,2�a,J G/Lr 3 (64 ,-3) was 3zits-0
MAILING ADDRESS 9,l'IY,STATE,ZIP CELL PHONE
ik(Y3 NA-`4 0 S�� l3 c� Fes. 1A5 p _ G'Ka) ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
as 0-Q -1 .0 3 ? It a- B L1 - / 3 ( / (9(0 ( as`3) 13s C
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
11 k- 1 1= 14 X DSc b 1. /a_ /.2:-) ro(o
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
2i�► J --1✓- ` ? (6\s-3)-7 as-- 3isls-v
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE /�
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ i OW . ( p caLP
W/3PRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) �Q '
SEWER SERVICE PROVIDER 0 LAKEHAVEN EI HIGHLINE ❑ PRIVATE(SEPTIC) ��
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
A SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARP ❑
EXISTING PROPOSED TOTAL TOTAL azteTURO SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture ixture to be installed or relocated as part of this project. Do not inclurdP existing fixtures to remain.
MECHANICAL
WIMP of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS ••DS(commercial) - WOODSTOVES
BOILERS FIREPLACE INSERTS - RANGES MISC(Describe)
COMPRESSORS , FURNACES GAS WATER HEATERS
DUCTS GAS PIP :• ETS
PLUMBING
BATHTUBS(or Tub/Sh• -r Com.. - - SHOWERS WATER CLOSES(Toilet) MISC(Describe)
DISHWASHERS 1 SINKS DRINKING FOUNTAINS
G PIP e• ETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 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,inc in its officers and . . ees,upon the accuracy of the information supplied to the city as a part of
this applicatigR:
NAME/TITLE - DATE
(47
_ — 1 —D
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owne ❑Agent 'retractor ❑Architect o Other
FOR OFFICE USE ONLY
❑NEW ❑ADDITION ❑ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100-January 1,2006 Page 2 of 4 k\Handouts\Permit Application