12-105266 • Mechanical
City of FederalWay Permit #: 12-105266-00-ME
Community&Econ.Dev.Services �_ � r
33325 8th Ave S !
Federal Way,WA 98003
Ph:(253)835-2607 Fax (253)835-2609 ' s Inspection Request Line: (253)835-3050
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Project Name: RETTINGER
Project Address: 29804 8TH PL S Parcel Number: 515160 0135
Project Description: Relocate gas meter
Owner Applicant Contractor
JAIME L RETTINGER INFRASOURCE CONSTRUCTION LLC INFRASOURCE CONSTRUCTION LLC
29804 8TH PL S 1200 ROOSEVELT RD SUITE 400 INFRACL899CZ(2/14/13)
FEDERAL WAY WA KENT WA 98032 1200 ROOSEVELT RD SUITE 400
98003 KENT WA 98032
Additional Permit Information
Mechanical Valuation 1000.00 Is this an Online or O.T.C.application Yes
Mechanical Fixtures
Gas Piping 1
PERMIT EXPIRES Saturday, May 18, 2013
Permit Issued on Monday, November 19, 2012
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us 'li be in accordan with the laws, rules and regulations of the State of Washington
n e ty of ederal Way.
Owner or agent . _ Date: /1-/r'(
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THIS CARD IS TO REMAIN ON-SITE
CITY OF4A. • Construction Inection Record `
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 12-105266-00-ME Address: 29804 8TH PL S
Project: JAIME L RETTINGER FEDERAL WAY, WA 98003-3745
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) El Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By C�d1/4_ Date\x f .3..,.‘4.,‘.. . .By cwt._ Date`l.. 2 0 t .
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
122 - ( d52GC
Cin OF
Federal WayPERMIT • MF C0.2.119 PL DE EN FP
RECEI_ :� . LICATION
COMMUNITYFeDEVELOPMENT SERVICES
253-835-2607•FAX 253-835-2609 A' ��
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CITY OF FEDERAL VVAy SUITE/UNIT
SITE ADDRESS
z 9ao(( Crt-l- PLAW Sor -I
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
TYPE OF PERMIT ❑BUILDING 0 PLUMBING (MECHANICAL
O DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECTN. - 2
(Tenant Name/Homeowner Last Name) (�(
PROJECT DESCRIPTION g,c %o c,4r S O .6'�- �,15 �d,C✓J
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER R �C, y�
2MAIL192 C 6 7-� /�f//1 66/CV' 5c f 1 NG ADDRE-MAIL
CITY STAT4r ZIP
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NAME PHONE
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MAILING ADDRESS E-MAIL
CONTRACTOR /3•?20 ,S'70 -' 00-e_ Al
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STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSEEXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 0
:AT4 FRA-eL.- rt't- 4CZ, /
12eINRE68 4-4,
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APPLICANT �j �, / E-MAIL6._
MAI
C Tf,Y� S � ZIP /� j FAX
PROJECT CONTACT NAME PHONE
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(The individual to receive and .‹A i _ 7
A' S ✓4-p 4" L--E-C. l
respond to all correspondence MAILING ADDRESS EMAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
❑ OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
but only where such claim arises out of the reli• ce of the city, including its officers and employees, upon the accuracy of the
information supplied tot city as a part ofj�plicatio / / /
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SIGNATURE: L DATE // �/ <
PRINT NAME: IVA/L.�
Bulletin#100—January 1,2011 Page 1 of 3 101-landouts\Permit Application