08-100009City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Mechanical Permit: 08- 100009 -00 -ME
A-IL5 Inspection Request Line: (253) 835 -3050
Project Name: OSBORN
Project Address: 308 S 302ND PL t
Project Description: Replacing a gas to gas 50 gallon water heater
Parcel Number: 795450 0220
Owner
Applicant
Contractor
RICHARD H OSBORN
NORTHWEST PERMIT INC
WASHINGTON ENERGY SERVICES CO
NANCY L OSBORN
1345 GULF ROAD
(WESCO) (General)
308 S 302ND PL
POINT ROBERTS WA 98281
WASHIES9710B 9/2/09
FEDERAL WAY WA 98003 -4078
2800 THORNDYKE AVE W
SEATTLE WA 98199
Additional Permit Information
Mechanical Valuation ............... ............................950 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
Hot Water Tank ............................. 1
PERMIT EXPIRES Thursday, Jan
Permit Issued on Monday, Janua
I hereby certify that the above information is correct and that the const
the occupancy apd thq use will be in aQeordance with the laws, rules
/ ► anti the City of
Owner or agent:
nary 7, 2010
ry 7, 2008
ruction on the above described pro -8nd
and regulations of the State of Washington
Date: l - –1 - Al-
THIS CARD IS T EMAIN ON -SITE
CITY OF Community Divelopilent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 100009 -00 -ME
Owner: RICHARD H OSBORN
Address: 308 S 302ND PL
FEDERAL WAY, WA 98003 -4078
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 Date 3 • ( U
For ins pector_reference only_____ _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
A RECEIVED Q d 0 0
my or .F
Federal Way^1�1 PERMIT — — — — — —
COMMUNrTYDEC�t.rAWNTSF.I�Vl N 0 3 2003 SF MF CO ME EL PL DE EN FP
93325 SDI A7•L W E SOi TH • Pt7 AvX .471H P LI C ATI O N r VW FFDFRAI, 4VAY. {Y 9 ' x718
.1r... xon �r:u�. stie2s t -off F abF: SAL
Lnu'im, I1MIlefuri)mn[I.MBUILDING DEPT,
The following is re aired in ation - an incomplete application will not be accepted. Please print to ibl (in ink) or
-.
SITE ADDRESS 308 S 302nd PL SUTIE /uNTT # _
ASSESSOR'S TAX /PARCEL # 7954500220 — _ ! _ _ _ LOT S= (�P
LEGAL DESCRIPTION (e.st. Acme Estates. Lot I) -.. ...........
rnn&A Icryn,y lnnl a.rr,+ynw,i
PROJECT
TYPE or PERMIT p BUILDING 0 PLUMING ,(MECHANICAL
O DEMOLITION 0 ELECTRICAL. (7 ENGINEERING C1 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed descriDtion of work included on this vermit ontul
Replacing a gas to gas 50 gallon water heater
i
PROJECT NAME (Name of Business or Owner Last. Name) RICK OSSORN
•
PROPERTY
OWNER
DEO)? E47%1[03 -11
APPLICANT
CONTACT
LENDER
NAME PKIMARY FKONF.
RICK OSBORN (253 ) 946 -3801•
MAILING ADDRESS CITY. 5TATE. 7TP
308 S 302nd PL I Fpcipml Way, WA 98023
COMPANY NAME
WESCO
APPLICANT NAME
OFFICE PHONE
(206 ) 378 -6649
MAII,INQ, ADORW5
CITY. STATE. ZIP
CELL PHONE
2800 Thorndyke Ave W
Seattle WA 98199
( l -
CITY OF FEDERAL WAY BUSINESS LICP:NSiV NUMHKH
)�XPTRATIQN DATE
FAX NUMBER
2 -0 - -0 -�- 1 -0 - 2. -3 -4-13
_1 12 / 31 /08
( ) -
COMINAC'TOW9 RF(-,19TRATTQN NkIMRF.R feopy or card rwQCTt1M4% a1t)T eat1T aPD11cat(On)
EXPIRATION DATE
W A S H I E S 9 7 1 O B
09 i 02 /09
COMPANY NAME
Northwest Permit Inc
APPLICANT NAME
Naida Khan
OFFICE HHONIt
( 360 1 945 -2787
MNII,1NG ADDRE55
1345 Gulf Road
CRY. STATE. ZIP
Point Roberts WA 98281
CELL PHONE
( -
RELATIONSHIP TO PROJECT
c Architect O Tenant: Agrnt n Other (DescrtbeI
FAX NUMARR
( ) -
NAME
Naida Khan I
PRIMAKY 1-HONY
(360 ) 94S z(ar
P -MAIL, Ar)0RFw 5
meussagnwpermil.com
Per RCW 29.27.095. Lender ir{jormation is
roguired ifprxdect value exceeds $5,000
NAME
MAILING ADDRE99
CITY. STATE. ZIP
PHONE
( l
=STING USE SFR
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? Q YES C1 NO (FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? o YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHI.IN]tT 0 TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER o LAK%EII<AVEN 0 HIGHLWE 0 PRIVATE (SEPTIC)
PROJECT Y' LOOR AREAS
ARRA nr..fiCRTPTTQN
EXISTING
FT.
PROPQSRD
S9. FT.
TOTAL
$9, FT.
T3ASI:MFN7
FURNACr5
_
Gjv$ vlvt: VU I'1.1�/ ;,
FIRST
VACUUM 13REAKF.R5
SECOND
BASIC PLAN?
n ItE$
u NO
TId1RD
CHANGE OF USE?
FOURTH
n NO
NEW ADDRD59 RBQMBn? I TES ,, no
ADDITIONAL FLOORS (DESCRIBE)
n TES
n No
PxArmn LOT7 o YF9 ONO
DECK (COVERED ?)
DEMO PERMIT REgUIRED?
a YES
a NO
GARAGE 0 CARPORT 0
NUMBER OF FLOORS
MtMrii
VR0PMP
MN'
70TAL ftMQPir
1VrX,FROroeanar
TOTAL D!
"NEW HOMFaS ONIX" NTTMRF.R nF RrT)P00MS ESTIMATED cELUNG PRICE. $
Indicate number of each type offixture to be insfa1(ed or relocated as part of this project. Do rot
AOTCHANxC L 950.00
Value of Mechanical Work $
RATI- M.119F fnrn.t, /nb,,..... c.+.a..Y
SNOWT R.g
t3ofl.ERS
FIREPI ACF. INSERTS
COMPRESSORS
FURNACr5
DUCTS
Gjv$ vlvt: VU I'1.1�/ ;,
RATI- M.119F fnrn.t, /nb,,..... c.+.a..Y
SNOWT R.g
DISHWASHERS
SINKS
GAS PIPE OUTLETS T
SUMPS
WASHING MACHTNFS
URINAL S
LAYS 1rwhmgmZinit.)
VACUUM 13REAKF.R5
VJW ..vv�a RGr M,-" 0 a1 wn.0
HOOD51c„mmr a.,p WOODSTOVES
RANGES MISC (Descrlbc)
OAS WATER HEATERS
WATER CLOSETS nvis.11 MISC (D000rlbel
DRINKING FOUNTNNS
RAMWATCR 5YSr
ernes• 51BBS
ELECTRIC WATER HEMICKS
I certify under penalty of perjury that the information furnished by me is true and correct to the best pf my knowledge, and farther, that i
W" oWthori8od by the owner of the above prensixa to perform the work for which the permit applicatlon is made. i further agr-ea [o hold
harmless the City of FedOMI Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of
r...h . lK[ „J, r.t01 ,,.r y L. ,r.ual rLy w.y ,Nereus, tr/vlaulrry [reps Lurwv1a1Ly16er[, area,/I[W ayatnsL Lrtr r, tty aJ+ratreral way, vur onUj where sucn claim
arises out of the reliance of the city, including its officers and omptcyees, upon the accuracy of the irifbrmatton supplied to the city as a part of
thle applieation.
NAME /TITLE DATE
IAk ?Waal ritrin)
RELATIONSHIP TO PROJECT VOwner 0 Agent o Contractor n Architect I] Other
FOR OFFICE USE ONLY'
o NIM o ADIDMON
o ALTERATION
a REPAIR a TENANT IIISPROVEMENT
BUIILDT71G SHELL ONLY'? n YES n NO
BASIC PLAN?
n ItE$
u NO
ZONING JDJrSJQNATION
CHANGE OF USE?
o YES
n NO
NEW ADDRD59 RBQMBn? I TES ,, no
UP /MPAJSU?
n TES
n No
PxArmn LOT7 o YF9 ONO
DEMO PERMIT REgUIRED?
a YES
a NO
Bulletin 4100 — January 1, 2406 Paze 2 of 4 k \Hsndout5 \Pcrmit Application