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City of Federal Way Mechanical Permit #: 05 - 103189 - 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) 835-305C
Project Name: HUTCHINS jL
Project Address: 34444 8TH'SW Parcel Number: 132170 0660
Project Description: Replacing gas water heater
Owner Applicant Contractor
GORDON HUTCHINS WASHINGTON CORROSION SRVC INC WASHINGTON CORROSION SRVC INC
34444 8TH AVE SW 1425 BLAINE AVE NE 1425 BLAINE AVE NE
FEDERAL WAY WA 98023 RENTON WA 98056-2774 RENTON WA 98056-2774
(425)228-1393
Mechanical Valuation 847.05 Over the Counter Permit Yes
PERMIT EXPIRES January 1,2006.
Permit issued on July 5,2005
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us ill be in accordance with the laws,rules and regulations of the State of Washington and
the City of FedY
Owner or agent: diAl Date: I OS"' or
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103189-00-ME
Owner: GORDON HUTCHINS
Address: 34444 8TH AVE SW
FEDERAL WAY, WA 98023-8400
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) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By L Date •2.7 - 0
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The aloud • is �� DER AL WAY
t.r ► :41::,,,%1_r-F-an Inco •tete • ••lication will not be acce•ted. Please •rint Ie•ibl in or
■ PROPERTY INFORMATION
SITE ADDRESS 3LLL4
SUITE/UNIT#
' ASSESSOR'S TAX/PARCEL# - _ _ _ _ LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
mum*agwntePow for hwpehy regal daotptloN
I ■ 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 included on this permit only)
1 -LVCA3c� - 04:71-4.4e .
PROJECT NAME(Name of Business or Owner Last Name) _ Vt u,i
N PEOPLE INFORMATION
PROPERTYE �_ PRIMARY PHONE
OWNER Kdov /Cit !�'?S ( 253) 3 5 R&,o_3
MAI INC ADDRESS STATE,ZIP
34 / ?7h a r.Q. ,S G..) 1-=eda Ar.j
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
1/1)6511(1-5Crvdsc6,1 4 • 1- tl(A.);` (1410 22,8 - ,55
MAILING ADDR STATE,ZIP - CELL PHONE
,yrt
5 (a 1 . G(vow ti -
• CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE - FAX NUMBER
-B L / / (
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
wA s N Z-C- 5e) 5—C-4 C / /
APPLICANT COMPANY NAME CCAPPLICANT NAME OFFICE PHONE
111-415A7/fr')51/31 )
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect a Tenant a Agent a Other(Describe) ( )
CONTACT NAM ` PRIMARY PHONE
,�v/ CL! E-MAIL ADDRESS
�� (4/2512?)) 4373
LENDER •r. cd:,, • v" eis;.I e, -p, --- . --Fir,ei,.), a; NAME
MAILING ADDRESS CITY,STATE,ZIP
• ■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVIDER a LAKEHAVEN O HIGHLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
414
•
PROJ
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?)
GARAGE 0 CARPORT 0 •
=STOPS o PROPOSED TOTAL Ma "•R 'sr-
NUMBER OF FLOORS �n
**NEW HOMES ONLY'`* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Gmmerebs WOODSTOVES
BOILERS • FIREPLACE INSERTS RANGES _ MISC(Describe)
• COMPRESSORS FURNACES C GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/show rcombo) SHOWERS WATER CLOSETS(roe) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS Ietttuoom sisal 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 claims,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 the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. n.
NAME/TITLE � 1� DATE
�- 05- 05
l r
(Signature) J (Tide)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent ❑ Contractor ❑ Architect 0 Other
Lo}e)(^E'(e)4 1l,'4 t4cVr,S(c) -4:4 4--_--s 17 tti 04.\I P'Iii,i 4t2*F�r' Gtt.
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application