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11-104907 4 0 0 Mechanical City of Federal Way Community&Econ.Dev.Services rat rp, a, Permit #: 11-104907-00-ME 33325 8th Ave S Federal Way,WA 98003 • L Re ue Inspection Ph:(253)835-2607 Fax:(253)835-2609 p q st Line: (253) 835-3050 Project Name: LOS BIGOTES DE VILLA Project Address: 30420 PACIFIC HWY S Suite 3 Parcel Number: 092104 9107 Project Description: Relocate meter and extend gas line. Owner Applicant Contractor MARSHA ULLRICH INFRASOURCE CONSTRUCTION LLC INFRASOURCE CONSTRUCTION LLC 32820 20TH AVE S UNIT 3 3380 146TH PL SE UNIT 310 INFRACL899CZ(2/14/13) FEDERAL WAY WA 98003-9428 BELLEVUE WA 98007 3380 146TH PL SE UNIT 310 BELLEVUE WA 98007 hittoma � , u ;�/RAaU i 0 ,y �c Mechanical Valuation 1000 Is this an Online or 0.T.C.application Yes Irt ,..,„f,„ . ,,:,T;i:l'!:;',:f.,1:;',,,iii* '::lifti4.ii,;',, ','7,..i',' ';',:',,,,,,--,,,,,:.,,,,l,„ ii.7'41..1'11,:,-11.;„ ' '-%''.2,f,m'i'',if!.'7,'#''):':'..7'--e''-'I''t'4'''':;,I:! Gas Piping 1 PERMIT EXPIRES Saturday, June 9, 2012 Permit Issued on Monday, December 12, 2011 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 and the City of Federal Way. Owner or ageniti_4/C�/` Date:'2—t 2- — << • c1N it/IM /1 / THIS CARD IS TO MAIN ON-SITE , CITY OF 0Construction I ection Record Federal Way INSPECTION REQUE TS: (253) 835-3050 q PERMIT#: 11-104907-00-ME Address: 30420 PACIFIC HWY S Suite 3 Project: MARSHA ULLRICH FEDERAL WAY, WA 98003 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) L� ❑ Final-Mechanical(4065) Approved Approved to release test 3Q r 2 Approved By Date By ft,(, V( Date 12- iq'I) By Sir Date 'v i"1 (i ❑ Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date J E R M I TS F PL DE EN FP rederal Way �� v ME,;OMMUNITY DEVELOPMENT SERl7CES APPLICATION 253-835-2607•FAX 253-835-2609 AL 1 2 1i:'1 SITE ADDRESS CITYOF • FEDER/I ` # 3042,0 —Neu4 c S CDS �►V/��1/ 3 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL � D � - G ( 000 q TYPE OF PERMIT EllBUILDING ElPLUMBING Jl `MECHANICAL El DEMOLITION ❑ ENGINEERING El PREVENTION NAME OF PROJECT (Tenant Name/Homeowner Last Name( _QS 1 &OTE--" V � T /-smrroc * / s �" Lf &tTe- „s( PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER MAILING ADDRESS E-MAIL © Zv �Ac,t.L s CI Y STATE f ZIP _new NA12.0t, reA Source.._ - i- (LC PHONE306( 3 351 E MAILING ADDRESS A - E-MAIL CONTRACTOR (ZQ0 S�dG.� P-0 STE �1-0c) STATE ZIP FAX 1` Ci(y4 IL- &Of 3-7 WA ST TE CON RACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# 'TN FQAc.c. 9cz Z /4 /13 NAME PHONE V(.7 oQaON 25-3 37o Z99/ APPLICANT LING ADDRESS E-MAIL 00szaz41 ST I STATE FAX C-.,. Ind 18 PROJECT CONTACT NAME PHONE (The individual to receive and respond to all correspondence MAILING ADDRESS E-MAIL 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 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. SIGNATURE.�7� %”` v DATE / I PRINT NAME: I// .DON Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application • me * ^r a• „�, ` �r � r t fix: ^ rpea t .: , pix. ✓r- �' � a #., �m �. ^sC^ � � �4�� l VALUE OF MECHANICAL WORK $ /000 (a copy of bid or estimate must be provided) Indicate how many of each type of fixture to be installed or relocated as part of this project_ Do not include existing futures to remain. AIR HANDLING UNITS FANS X GAS PIPE OUTLETS ' OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) BOILERS FURNACES HOT WATER TANKS-(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES .fit 'z ,..*« ,i ., ;; Indicate how many of each type offuture to be installed or relocated as part of this project. Do not include existing fixtures to remain. BATHTUBS(or Tub/Shower Combo) LAVS(Hand sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(Kitchen/utility( WATER HEATERS(Electric( HOSE BIBBS SUMPS WASHING MACHINES OTAL FIXTURES CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? LI Yes No ❑Yes ❑ No t figplaV_ rQ {ppm, x . 4 Aglatagia . 0, � r`i ;`at g,�S� x ). F OVUIVAgatiatEM AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE ;_ ,�tia• »- .,.5,� *._ .^gsea.S,,",, s_, �.- <. .. err .gig:=s •a'. r....., „afeAzim,Avit.._......... ....______._._...._....... .. ._........... .. .._..._._... __.__...__.___... FIRST FLOOR(or Mobile Home) �`- °� ,3�s::;s.5'��fq�a� •”' h ` fr-�?mss s _ vr,' -.� r=v .. _.... ..___. _. ....._ _..... ____._. _..._.._. ..._... COVERED ENTRY GARAGE D CARPORT ❑ 45 •.YY EXISTING PROPOSED TOTAL Area Totals ESTIMATED SELLING PRICE$ # OF BEDROOMS ''r," as•t - 3 fi z a Area Construction #of AREA DESCRIPTION in S uare Feet Occupancy Group(s) ,e Stories Additional Information ADDITION AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information in S•uare Feet .e Stories TENANT AREA ONLY lift*OfigiRaNW3 k,2' - Bulletin#I00—January 1,2011 Page 2 of 3 k:AHandouts\Permit Application