11-100862 1.
City of Federal Way 00 •
•Mechanical
Community Development Services Permit #: 11-100862-00-ME
P 0.Box 9718 FILE
Federal Way,WA 98063-9718
Ph (253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: ROSE
Project Address: 31817 37TH AVE SW Parcel Number: 873198 1470
Project Description: Remove/replace furnace
Owner Applicant Contractor
JIM V ROSE GRIFFIS HEATING INC(GENERAL) GRIFFIS HEATING INC(GENERAL)
31817 37TH AVE SW 402 E MAIN ST SUITE 130 GRIFFHI088DZ(1/5/13)
FEDERAL WAY WA 98023-2176 AUBURN WA 98002 402 E MAIN ST SUITE 130
AUBURN WA 98002
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Mechanical Valuation 3600 Is Use Educational or Institutional? No
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Furnaces 1
PERMIT EXPIRES Wednesday, August 31, 2011
Permit Issued on Friday, March 4, 2011
I hereby certify that the above information is correct and that the c• struction on the above described property and
the occupancy and the use be in accordance with the I. s, es and regulations of the Stat- of Washington
a9d the City -"• -.-r=I Way.
Owner or agent: / v Date:
jy‘40,as% 4 3 'f(t
THIS CARD IS TO MAI,N.ON-SIVE
CITY 101 4/1/1&416' . ' 411OF Construction I ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 11-100862-00-ME Address: 31817 37TH AVE SW
Project: JIM V ROSE FEDERAL WAY, WA 98023-2176
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.
o Mechanical Rough-in(4165) 0 Gas Piping(4125) El Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Date
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
• PERMIT
• MFCONDEENFP
CohA4DvirrDEVELOPMENT SERVICES APPLICATION RECEIVED ,),t-7,1'I
2.5 3-8.3.5-26,07•FAX 253435-2609
MAR 0 4 201
SITE ADDRESSSUITE/UNIT 0
31 317-- ;? - A vL Skti CITY OF
FEDERAL WAY
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL 0 CDS
$ _ -1- _a_ is_ - t k 7 6
TYPE OF PERMIT
0 BUILDING 0 PLUMBING lS MECHANICAL
0 DEMOLITION 0 ENGINEERING ✓❑ FIRE PREVENTION
NAME OF PROJECT f7 ose-
(Tenant Name/Homeowner Last Name) l" �- 'I
PROJECT DESCRIPTION "1'N S` - ki e-4,%) �JL^'-A-C
Detailed description of work to
be included on this permit only
' NAME PRIMART PHONE
PROPERTY OWNER ( 1%- LS-e___ 3- A
MAILING ADDRESS E-MAIL
31&V'1 3s) 4:1---- vt).0
CITY
liki PI-AA31na a tsa'i3
NAME
PHONE
(4)i Ic".�FcS 14417 f'') Inc . .S3--)a-s--368-0
OMAILING ADDRESS E-MAIL
••NTRACTOR (03-- t A"t'') S - 1-1Q
STATE ZIP FAX
�i _ foo Z 2jS 3--Y3r- 5 i
STATE CONTRACTOR'S LICENSE 0 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE I
2Trr- �O -DZ 1 / siaa.3 q I_ta--ot to
NAME PHONE
APPLICANT MAILING ADDRESS
,VJ 5`1 r� u e-- E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive and ajes g..-0----
respond to all correspondence MAME°ADDRESS A----
� A ig E-MAIL
concerning this application)
CIT! STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME El OWNER-FINANCED
Required value of$5,000 or more
(RCW 19 27 095) MAILING ADDRESS,CITY,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 su•- • • -• the city as a part o th application.
SIGNATURE: ///� DATE
S— 4--0
A f -
PRINT NAME: _ a- i l ,--i -1 l
Bulletin#100—April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
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VALUE OF MECRANIC&L WORK $ 3' 0-0 (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 existtng fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER — — FIREPLACE INSERTS HOODS(Commercial)
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BOILERS 1 FURNACES HOT WATER TANKS(Gas)
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(or7lth/shower combo) LAYS(Hand Smks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS - -
DRINKING FOUNTAINS SINKS(Kitchen/Unhty) WATER HEATERS(Ekcinc)
HOSE BIBBS SUMPS WASHING MACHINES :> $ g• ';:';,:
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CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
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EXISTmG/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SP'.i'. R SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
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GARAGE 0 CARPORT 0
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Area Totals
ESTIMATED SELLIN' PRICE$ # OF BEDROOMS
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AREA DES RIPTION Occupancy Group(s)
in Square Feet Type Stories
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ril 14 2010 Page 2 of 3 ---..4 k:\Har_ciouts\Pemrit Application