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05-101254 4 s City of Federal Way 161Vlechanical Permit #: 05 - 101254 - 00 - ME Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph.(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050 Project Name: PRITCHARD Project Address: 2306 S 278TH C 1' Parcel Number: 757561 0390 Project Description: Replace natural gas water heater Owner Applicant Contractor Nathan C Pritchard Nathan C Pritchard Nathan C Pritchard 2306 S 278TH CT 2306 S 278TH CT 2306 S 278TH CT FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA 98003-6945 98003-6945 Mechanical Valuation 700 Over the Counter Permit Yes PERMIT EXPIRES September 14,2005. Permit issued on March 18,2005 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 •e in accordance ith the laws,rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: At,`/1.416 iarDate: 3/1 2X 5 THIS CARD IS TO REMAIN ON-SITE ' CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05-101254-00-ME Owner: NATHAN C PRITCHARD Address: 2306 S 278TH CT FEDERAL WAY, WA 98003-6945 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. 0 Mechanical Rough-in(4165) 0 Gas Piping(4125) 0 Final-Mechanical (4065) Approved Approved to release test Approved By Date By Date By Li Date g"4 9. (� RECEIVED CIMAR 1 8 2005 OS-_ 1 _1- 2 5-3 TY OF Federal Way D T CITY OF FL tom_ SF MF CIOL PL DE EN FP (i COMMUNITY LWESOUTH 0 SERVICES $UI�-�I P I CATI ON 33325 8M AVENUE SOUTH•PO BOX 9718 LLLL((�,�11, FEDERAL WAY,WA 98063-9718 / / 253-835-2607•FAX 253-835-2609 www cihloffederalwau.com The ollowin! is r-.uired i ormation-an incom,lete a. •lication will not be acce•ted. Please 'rint le'ibl (in ink)or •-. PROPERTYIIII R' � INFORMATION SITE ADDRESS -"3©4r, c 21' I- SUITE/UNIT# ASSESSOR'S TAX/PARCEL# 6 ' - © 3 0 LOT SIZE(sf) S b 2-7 LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal description) IN PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work includedon this permit only)) �e L !( ,'/"-c." \ c .- C2r"it, c\r, .. ` `I(9-Cjc.. (Ion npjc„f?n.``1 c,c s rn (.✓ .T ec- 1,,e,1Tce- GI I6) in/'U.i0 e. neg../ E o '- — a I(a r` -cc., 1-"(Z I G,c. S i„7,4 e, 1,edik.i"e'' ant) J.r'AJ ‘,1f, 412 re,)e-, ,f•C.,1...J eP.t- _O Ar,kc s-I-rt.es 6,,,) -14iuie l _e)CpFnsiso, -lLL.n1C PROJECT NAME(Name of Business or Owner Last Name) r(i-d A w"r , • PEOPLE INFORMATION PROPERTY NAME r Q �„ � PRIMARY PHONE OWNER UM�/i G�,14\ C`��(� (2206 ) 617 -7g5 S� MAILING ADDRESS CITY,STATE,ZIP 2.306 S _7 -I'L. c-- ped ef-ti1 (✓6•� / WA- i1S603 CONTRACTOR COMPAN0YY NAME! APPLICANT NAME OFFICE PHONE MAC2G ADD CITY,STATE,ZIP CELL PHONE ( ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER - - - I / ( ) CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE / / APPLICANT COMPAIME/\.t, APPLICANT NAME OFFICE PHONE - MAILIN DRESS a CITY,STATE,ZIP , CELL PHONE ( ) RELATIONSHIP TO PROJECT FAX NUMBER o Architect ❑Tenant 0 Agent 0 Other(Describe) ( ) - CONTACT NAME 063. `6._t? PRIMARY PHONE - E-MAIL ADDRESS N(�i� ( ) LENDER `.: .; „W'/9,27.095;xgnd l jbrmation ls,=: NAME required 'profect iatt a"a x6mds$0,000 MAILING ADDRESS CITY.STATE,ZIP • DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTION ' EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE ❑ CARPORT 0 NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTALE1I5TJNG BT wpm recoolear W TOratelle **NEW HOMES ONLY"* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type offbcture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL ) - (10 Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS; A t GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(Commercial) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES ( GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS croiiet) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST, WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK 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 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 re/la of te.,incl •' g its o I ers and employees,upon the accuracy of the information supplied to the city as a part of this application. NAME TITLE L/,/1111V. �/��/ DATE 3 r2/20o5 (Signature) (title) RELATIONSHIP TO PROJECT ] Owner ❑Agent ❑ Contractor ❑Architect 0 Other �, 17 . , d . +••. .i° a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT. : , 'BUILDING SHELL ONLY? a YES a NO • • BASIC PLAN? a'YES • a NO ZONING DESIGNATION CHANGE OP USE? • i ' a TES,' a NO NEW ADDRESS REQUIRED? a YES. a NO • UP/SEPA./SU? [YES•, a NO PLATTED LOT? a YES, a NO' DEMO PERMIT REQUIRED? a YES.. . a NO Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Permit Application