98-103858 _ fig,, ia38 58
CITY OF FEDERAL WAY G ! '' p- „ PERMIT NO: MEC98-0232'
33530 First WaySouth M E. HApp tt „..�A H � � , ,, p II
,„ „„ N .,,II,. ,,, �,„,,,i . P �„,„ I)”',,��”� .,,u,,. ISSUED: 10/08/98
Federal Way, WA 98002 Mechanical Inspection Requests 253-661-4140 BY: FC2
253-661-4000 EXPIRES: 04/05/99
ADDRESS:29653 20TH AV S
NO . : 367440-0206
PROJECT DESCRIPTION:FURNACE INSTALL, GAS PIPING
F OWNER -------- __..._ -- :; CONTRACTOR ____.--.----- LENDER
ARNOLD WOLF 1 GRIFFIS HEATING INC I
29653 20TH AVE S 1 402 E MAIN
FEDERAL WAY WA 98003 1 AUBURN WA 98002
253/735-3880 I
GRIFFHI088DZ
:;= CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
----- - ----------.,=__..------ -- ::___0_ ____
PROJECT VALUATION 3185 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 40 ft HOOD • 0 0-3 TON • 0 i Mechanical Permit* $ 63.00
FURN<100K..: 1 DUCT WORK • 0 3-15 TON • 0
GAS HWT • 1 WOOD STOVES...: 0 15-30 TON...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0
BBQ • 0 MISC • 0 50+ TON • 0
GAS DRYER,.: 0 AIR HANDLING UNITS FUEL TANKS
RANGE......: 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 83.00
--
Does the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No (If "Yes" then water expansion tank is required on Hot Water Tank)
Inspection Record: Mechanical Rough-in Date Gas Piping Date
MECHANICAL FINAL Date
_ i
_-4
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT __ -_ r--7) �--_______, u�_ DATE ld' -2'9--
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BUILDING DIVISION
G �Lr E �0 E✓ Fe33530 Fust Way South
uV FN
Federal Way,WA 98003
(206)661-4000
OCT O 8 1998
Fax(206)661-4129c
CI fY OF FEDERAL WAY
APPLIluori°ioN FOR B-U-I•L-B 6-PERMIT
PLEASE PRINT:..::::::................................... APPLICATION # A6-618 " O2z2.>
...„,14000CPMEMEMinMini_Address
2
Tenant (if known) Lot# Assessor's Tax #
p
�C c4/ p
Building Owner's Name Address
City �� 1 �.t uw2c State ►✓/fi Zip '43rOa-,`; I Phone ` •yam !`?
Nature of Work - r.{�y`4L � ° � /7
Name (F,M,L)
Address
tet`f
City Au i State %,----"".!=t Zip "z' --eiCI":2-
Contact PersonL—, f` I Day Phone _ Other Phone Fax
j ' t rc� f tl' - — �g'7
Company Name
y--/7-
Address Address G
10 Z F / 'rt
City ,4 i L'e'fty Statew7 Zip `� O C7}r
Contact Person �? Phone
a'6) 74_ 3 Fax
Contractor's # (card must be presented) Expiration Date Verified 0 Yes 0 No
G d c $9�iMiTi
`::< t_.. C::: '<:. '> < i >'m iami
Name
Address
City
State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
c I/4'c L o
Please Cmmnletn
Eiixstng
Use Proposed osed
Use
Permit includes: ❑ Building BY1'Iumbing Mechanical Other
Type of Work: 1E1 Residential 0 Now 0 Remodel 0 Number of Units_ 0 Deck
0 Commercial ❑ Addition 0 Garage 0 Shed 0 Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability 0 Project Valuation $ i/,'r .
Zoning I Lot Size Existing Bldg Valuation _$
Name Address
City State Zip
:.;:;......: ::.;:.;
..
Contractor NameAddress
f= '1, -%S -i-t'-'7-74 ' /4,1 >2 L' ),-,73„,,,.A._
City ,/kJ,&� State .. Yui Zip ,,- e�2
Contact Phone _ Fax
License # (:L('71-i•L`-j s3-2--('7 Expiration Date Z --27 Verified 0 Yes 0 No
Contractor NameAddress
•( ria +17-6r.- l7G)✓ I rYLG9 C?
City 1 z447J)2u4 (L State ./...,--114- Zip ?S'L' c
ContactPhone Fax
License # 0:-..-(\, ..W. 1-4--__L__ 0. -27 7' Expiration Date 1--1`Z Verified 0 Yes 0 No
....................................................................... ............
......................................................................................
....................................................................... ............
....................................................... .............................
.......................................................... ................ ............
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
........................................... ............
........................... .............................
. ............................ .............. ............
...........................................................
Lavatories Washing Machine Drains Total Fiit�sre Qourtt... .,.
..................:;..>.:... .>.... ..:s..>;..:«....:.;...:..»..;.....<...... ....... .......
t , < : „ ; , . : > > > > >[
MECHANICAL AL EVAL ATI N ONLY
Fuel Type (electric/other) L? Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping l'�p 4-, Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs ' / Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt \/ Hood Boilers Above Ground
Cony Burner Duct Work if 0-3 Tons Underground
BBQ's Wood Stoves _ 3-15 Tons :hotel lin)! 41zt1i:,:;
DISCLAIMER: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 permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and
attorneys'fees incurred in 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 suchrclaim 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.
i
Owner/Agent: l L� �i i E__ J Date:
Buuoi.c.AP, J
REv[sEo 12/11/96