11-103985 -Mechanical
City of Federal Way
Community Development Services Permit #: 11-103985-00-ME
P O.Box 9718 ..
Federal Way,WA 98063-9718 h�~
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: HALLMARK
Project Address: 2655 SW 343RD ST Parcel Number: 294450 0070
Project Description: Replace gas furnace.
Owner Applicant Contractor ,
TERRY&MARCIA HALLMARK TERRY&MARCIA HALLMARK GRIFFIS HEATING INC(GENERAL)
2655 SW 343RD ST 2655 SW 343RD ST GRIFFHI088DZ(1/5/13)
FEDERAL WAY WA 98023-7600 FEDERAL WAY WA 98023-7600 402 E MAIN ST SUITE 130
AUBURN WA 98002
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Mechanical Valuation 2618 Is this an Online or O.T.C.application Yes
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Furnaces 1
PERMIT EXPIRES Saturday, March 31, 2012
Permit Issued on Monday, October 3, 2011
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: lb /3) 1
THIS CARD IS TO MAIN ON-SITE r
�`'~� Construction In ection Record
CITY OF '����""'�r�
Federal Way ril1 tC INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-103985-00-ME Address: 2655 SW 343RD ST
Project: TERRY & MARCIA HALLMARK FEDERAL WAY, WA 98023-7600
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) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Date /a.2p../e/
❑ Rough Electrical CI Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
4 /( - ( i 2) 9 KS-
If CITY OF 4A PERMIT 0 MF CIPL DE EN FP
Federal Way
AEC)
commuN T9 DEVELOPMENT SERVICES APPLIPACM
253-835-2607•FAX 253-835-2609 6
WW ' a�'7
V
'rituoffedela'uao corn T l
OCT 0 3 24!\
SITE ADDRESS
R(^L w AY SUITE/UNIT#
2 5 CC 5 ,� Z 3'r4 gA- crf\t OF
FEDEES
PROJECT VALUATION ZONING ASSESSOR'S TAi!/'lDA1 CEL#
$ ,2t (, 1 . 3L4 (I t( 5 a - 0 0 7- o
TYPE OF PERMIT
0 BUILDING 0 PLUMBING +MECHANICAL
0 DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT 11
— (Tenant Name/Homeowner Last Name) I-a,t L P '
PROJECT DESCRIPTION i1i ,t ) Yom " C4,_ -�
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER —17e-XA -L0L(L' '' •h dnet
trArt 2CLp - -ZC - Lct I
MAILING AD S E-MAIL
2 cL S 5 5**-4-% 34&•4 CI- ci ese►-f La;; ,y
•
caw STATE
ti A ZIP 02-3
2L-700
NAME �y ,� PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
Prlit 1-4 v 0
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
NAME 99r-kt , ) PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT ( HONE
(The individual to receive and
respond to all correspondence MAILING ADDRESS EMAIL
concerning this application)
CITY STATE ZIP FAX
I
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCIN 5
0 OWNER-FINANCED
Required value $$5,000 or more
(RC 19.27.095) MAILING ADDRES=, '-°' STATE,ZIP 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 tothecity as a part of this application.
SIGNATURE: ,n(-14A_-cC'L.-- `'1CL 4 t--k_ DATE J C ' 3-_I/
PRINT NAME: I r L Q r.Lt 0-7(1.KM OM I,ten 0-4
// Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
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VALUE OFMECHA.NICAL Wo• _ (a copy of bid or estimate must be provided)
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.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Descnbe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS I FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include e '."ing fixtures to remain.
BATHTUBS(or rub/shower combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Ele .c)
HOSE BIBBS SUMPS WASHING MACHI S ri .1
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE\ LOT SIZE(In Square Feet) EXISTING FIRE SP" I ER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
\ ❑ -s❑ No ❑Yes ❑ No
AREA DESCRIPTION(in square eet) EXISTING PRO' •SED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home) 14
COVERED ENTRY - -- _
— — — -- — — -- _
GARAGE
❑ CARPORT 0 1111111111...
--
A,e =STING TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROO
AREA DESCRIPTION , Area Occupancy Group(s) ,onstructioa Sof Additional Information
in S.uare Feet •e Stories
,
•
ADDITION A ___
Area Constructi
AREA DESCRI v• ON in S.uare Feet Occupancy Group(s) a St es Additional Information
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Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application