11-100028 Mechanical
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City of Federal way • r7
Community Development Services - Permit #: 11-100028-00-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: BUDD
Project Address: 33337 12TH AVE SW Parcel Number: 926496 0060
Project Description: Replacing an existing furnace with a new furnace and a new A/C unit.
Owner Applicant Contractor
RODERICK B BUDD GRIFFIS HEATING INC(GENERAL) GRIFFIS HEATING INC(GENERAL)
LINDA J BUDD 402 E MAIN ST SUITE 130 GRIFFHI088DZ(1/5/13)
33337 12TH AVE SW AUBURN WA 98002 402 E MAIN ST SUITE 130
FEDERAL WAY WA 98023-5301 AUBURN WA 98002
Mechanical Valuation 9833.12 Is this an Online or O.T.C.application Yes
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Air Conditioners-Stand Alone Un 1 Furnaces 1
PERMIT EXPIRES Monday, July 4, 2011
Permit Issued on Wednesday, January 5, 2011
I hereby certify that the above information is correct and that the co /truction on the above described property and
the occupancy and the - , ' be in accordance with the -ws, ru -s and regulations of the State of Wa.hington
/ and the C 'f -eder- ay.
Owner or agent: 1��,�- ,/ / ' Date:
ftc/i,
THIS CARD IS TO REMAIN ON-SITE
y
CITY
°F • Construction Ins,tion Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 11-100028-00-ME Address: 33337 12TH AVE SW
Project: RODERICK B BUDD FEDERAL WAY, WA 98023-5301
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.
0 Mechanical Rough-in(4165) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved .
By Date By Date By"%- �r, Date 1 a.S-1
0 Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
l_ - ( 000 L8
. PERMIT
redetal t •� • MF CO PL DE EN FP
COMMI�NITYDEVBL0 , EI PLICATION
2.5.3-83.5-2607•FAX53- , -2609
cru r�,.cU:ru i.f^+.:L•,.%r^rrr
3AN 0 6 •1`''' a'1'51‘2
SITE ADDRESS EL��gp L W PX SUITE/UNIT#
234.117 /X544 . 5k) /ede-r-aL 404-r ,
ROJ4d4 g/023
ECT VALUATION ZONING ASSESSOR'S TAX/PARCEL
$ 9'833. 12 q _ 14 9 - `lam o L_ o
TYPE OF PERMIT
0 BUILDING 0 PLUMBING Le MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT A(Tenant Name/Homeowner Last Name) a 23 6
PROJECT DESCRIPTION 1h- U t n� W a) s (f an e GA5 Fi.urnctee, 4 13 sues ,4(e, 1.
Detailed description of work to
be included on this permit only
,, PRIMARY PHONE
NAMEPROPERTY OWNER F--A Gk, IJ b 453-202- q42-40
MAILING ADDRESS
3 3 35,7 l 01'x. •4jc. S-� E-MAILCITY
ceole.ra l W STATE
%" 9 CO 23
NAME PHONE
G r cci's 0-EArt04 (1i 0. 2-63-135- 3 - o
MAILING ADDRESS E-MAIL
CONTRACTOR ..#4162„, e Awin Sfi Sir...Ai (3 0 —G rigis x,45 a 4o(.co()
./`T�)) "n c -00 2-ZIP FAX
-73 s -q 4-4 2---
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
G at Pt-i-= o S 8 b` - l L Z'Z II ?4 05-10-379.0- ea-a k••••
NAME PHONE
APPLICANT MAILING ADDRESScoot., r ' , y2vE-MAILCITY STATE' 7'_ ZIP FAX
PROJECT CONTACT NAME LI � — PHONE
(The individual to receive and G t- S C�P�l I 23-735-3 c' E-0
respond to all correspondence
MAILING ADD SS MAH,
concerning this application) 402 4 fta-Ln St- C ( -0 co`--► ts\, & c,o-I'Gam
FAX
CIT
YAL,e3....exlJ LII,14TEZIP � Z 2-53--135- 3g -0 '
ALTERNATE CONTACT NAME: PHONE E-MAIL
f €,.4-Hap cord 2-6.5-1,32.--i-ZZe 5AeaAe.As A-fie-I e_
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$.5,000 or more
NI/p
(RCW 19 27 095) MAILING ADDRESS,CITY,STATE,ZIP '"r PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: DATE ‘'Z-`�0 I O
PRINT NAME: r 1 A-l) i . X91't'tr Ci S _' -_A _ –.mow
1
Bulletin#100—April 14,2010 Pa. s ' k:\Handouts\Permit Application
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VALVE OF MECHANICAL WORK /�� (J (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture td be Installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
` AIR CONDITIONER FIREPLACE INSERTS HOODS(CommercaI(
BOILERS -17 FURNACES HOT WATER TANKS(ces)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST •
DUCTING GAS PIPING WOODSTOVES
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Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(ormb/shower combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(xitchen/Utdity) WATER HEATERS(aectac)
HOSE BIBBS SUMPS WASHING MACHINES . 1 ?``. :?:`�g?
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CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
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EXISTING/PREVIOUS USE LOT SIZE(Ia Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
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=STING PROPOSZD TOTAL
Area Totals
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ESTIMATED SELLING PRICE$ 1 #OF BEDROOMS
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Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application