06-106032City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
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Project Name: CAREY
Project Address: 1431 S 303RD ST
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Mechanical Permit #: 06 -106032 -00 -ME
Project Description: Replace gas hot water tank.
Inspection Request Line: (253) 835-3050
Parcel Number: 025300 0225
Owner
Applicant
Contractor
JAMES M CAREY
JAMES M CAREY
JAMES M CAREY
1431 SW 303RD ST
1431 SW 303RD ST
1431 SW 303RD ST
FEDERAL WAY WA 98003-4112
FEDERAL WAY WA 98003-4112
FEDERAL WAY WA 98003-4112
Additional Permit Information
Mechanical Valuation............................................450 Over the Counter Permit? ...................................... Yes
Plumbing Fixtures
Water Heaters ................................ 1
PERMIT EXPIRES Thursday, November 27, 2008
Permit Issued on Monday, November 27, 2006
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
d the City of Federal Way.
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Owner or agent: . / ►< Date: //- . 2 7- �>
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -106032 -00 -ME
Owner: JAMES M CAREY
Address: 1431 S 303RD ST
FEDERAL WAY, WA 98003-4112
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- / i _
TYPE OF PERMIT ❑ BUILDING Ed PLUMBING � MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of =ric included on this permit ord
iikC'SC,w. �.
PROJECT NAME (Name of Business or Oumer Last Name)
PROPERTY
OWNER
CONTRACTOR
NAMEPRIMARY PHONE
»c.mes 11�. Cc>r'e (�t53) 33`i -355`f
N AR94G ADDRESS CITY, STATE, ZIP
3
I Li ( �3 v. �,z-' St. Fe c t? v -c- ( Gjc,tj
COMPANY NAME
ik
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
NOV 2 7 2006
/CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
CITY OF _ ERAL WAY
Federal Way
BUIL`
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COMMUNlI'YDEVELOPMENTSERVICES
«• MF C ME `EL PL DE EN FP
33325 8 ERAL WA , WA 9 • Pb BOX 9718
98063-9718
FEDERAL WAY, FAX
253-835.2607• FAX 253.835-2609
APPLICATION
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Thefollowing is required information
- an into fete a lication will not be acre ted. Please
print le ib or tzim
.�ff. O.
SITE ADDRESS ( 14 3 1
S, � YP 5t TL& vYzAf c Ci 9003
SUITE/UNIT #
ASSESSOR'S TAX/PARCEL #
uW ^�VJA
�5 � Q- - 0 Z L
LOT SIZE (sl
-0 !.�
LEGAL DESCRIP'T'ION (e.g. Acme Estates, Lot 1)
bW,.h wporate pageior LaWft legal d—Wpd-J
TYPE OF PERMIT ❑ BUILDING Ed PLUMBING � MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of =ric included on this permit ord
iikC'SC,w. �.
PROJECT NAME (Name of Business or Oumer Last Name)
PROPERTY
OWNER
CONTRACTOR
NAMEPRIMARY PHONE
»c.mes 11�. Cc>r'e (�t53) 33`i -355`f
N AR94G ADDRESS CITY, STATE, ZIP
3
I Li ( �3 v. �,z-' St. Fe c t? v -c- ( Gjc,tj
COMPANY NAME
ik
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE. ZIP
/CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
B L
CONTRACTOR'S REGISTRATION NUMBER (copy of cud required with each application) EXPIRATION DATE
COMPANY V�
U
APPLICANT NAME
OFFICE PHONE -
( )
MAKING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
FAX NUMBER
( ) -
CONTACT NAME/PRIMARY PHONE n) IZ37- E-MAIL ADDRESS
t
LENDER
Per RCW I9.27.095: Lender ir}forma
NAME J l
required (f project value exceeds $5.000
MAILING ADDRESS
CITY, STATE, ZIP
/PHONE _
EXISTING USE rr? , t CC: -tet �c. i PROPOSED USE c �z /'
EXISTING ASSESSED/APPRAISED VALUE $ t U u VALUE OF PROPOSED WORK $ 14 L V .
SPRIIHKLERED BUILDING? ❑ YES Ur NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER e LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER R(LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
PROJECT FI,OOR AREAS
AREA DESCRIPTION
EXISTING
SQ.FT.
PROPOSED
SQ. FT.
TOTAL
SQ.FT.
BASEMENT
❑ ALTERATION
c REPAIR c TENANT IMPROVEMENT
FIRST
c YES c NO
BASIC PLAN? c YES
c NO
SECOND
CHANGE OF USE? c YES
c NO
THIRD
�.
UP/SEPA/SU? c YES
c NO
FOURTH
c YES c NO
DEMO PERMIT REQUIRED? c YES
c NO
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
MUMMo
FROPOe®
tares
TOTAL esMMaer
TMA,raoroe®sT
TOTAL
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type ofjlxture to be installed or relocated as part of this projecL Do not include existing jixhires to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS )or1Lb/Shower Combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
L.AVS fsehmbm stk.)
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHO"
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS )commerce)
`-� RANGES
GAS WATER HEATERS
WATER CLOSETS rroikU _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certijil under penalty of perjury that the tr&rmation 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 promises to perform the work for which the permit application is made. 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 of Federal Way, 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.
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NAME/TITLE msxu� C DATE
(Signature) ✓ (ntie)
RELATIONSHIP TO PROJECT P Owner ❑ Agent O Contractor ❑ Architect O Other
FOR OFFICE USE ONLY
❑ NEW c ADDITION
❑ ALTERATION
c REPAIR c TENANT IMPROVEMENT
BUILDING SHELL ONLY?
c YES c NO
BASIC PLAN? c YES
c NO
ZONING DESIGNATION
CHANGE OF USE? c YES
c NO
NEW ADDRESS REQUIRED?
c YES ❑ NO
UP/SEPA/SU? c YES
c NO
PLATTED LOT?
c YES c NO
DEMO PERMIT REQUIRED? c YES
c NO
Bulletin #100 - January 1, 2006
Page 2 of 4
k\Handouts\Permit Application