17-102764 r �
Mechanical
City
nityDe Federal Development
Permit #:17-102764-00-ME
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: HOAG
Project Address: 32624 7TH AVE SW Parcel Number:926492 0820
Project Description: Relocate existing gas meter
Owner Applicant Contractor
MARY HOAG COREY ALEXANDERINFRASOURCE INFRASOURCE SERVICES LLC
32624 7TH AVE SW SERVICES LLC INFRASL871C2(2/22/19)
FEDERAL WAY WA 98023-4901 13330 STONE AVE N
SEATTLE WA 98133 14103 STEWART RD
SUMNER WA 98390
Additional Permit Information
Mechanical Work Valuation? 1000 Is this an Online or O.T.C.application? Yes
Gas Piping l
PERMIT EXPIRES Tuesday,5 December,2017
Permit Issued on Thursday,June 8,2017
I hereby certify that the above information is correct an. -at the construction on the above described property
and the occupancy an se will be in accord-4e ith the laws, rules and regulations of the State of
Washingto I .n• City of Feder ay.
Owner or agent: X70 Date: (,! ��
iimmoilii
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Fetit c"ai Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 102764 00 Address: 32624 7TH AVE SW
Project: MICHAEL HOAG FEDERAL WAY WA 98023-4901
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.
•
,Q Mechanical Rough-in(4165) ,•0 Gas Piping(4125) ,•0 Final-Mechanical(4065)
Approved Approved to release test - Approved
By Date ,',By C.. , •-Date ( 4- u-1 ,.By e. vc,i Date b V)-1r ,
0 Rough Electrical El Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
CITY OF �-� JUN 0 8 2017PERMIT APPLICATION
PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
Federal Way253-835-2607 + FAX 253-835-2609 +pennitcenter@cityoffederalway.com
CITY FCOM U NrrFEDERAL OPME
PERMIT NUMBER _ 1 0 _11 e
TARGET DATE UJ17
SITE ADDRESS SUITE/UNIT#
2-(49 T4P45Lam" kl /
PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL#
TYPE OF PERMIT 0 BUILDING 0 PLUMBING)2KNIECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION 6' C/1"�Q� O P7—bee-C- /AS /f.74,--re—le„
Detailed description of work to
be included on this permit only
.... . . NAME ._.. PRIMARY PHONE
PROPERTY OWNER MAILING ADDRESS E-MAIL
z z-Y 7TH fye
cixy ST4( ZIP
e7)C WA- V
NAME PHONE
A/r=izAsouizce Sc-.xvrs-es I.LG 4 jr S/•-YSGEF
MAILING ADDRESS _ E-MAIL pse,
CONTRACTOR �/b 3 ,S7 Le�,1-/Cf 12-6 ./z - r/1r �,
CI STAT$ ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
J 7VF> 4 SG en Cog-
y A
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
N {{���� � `` � PRIMARY PHONE
PROJECT CONTACT I2t- Mf ecA/u 0
(The individual to receive and MAILING ADORES E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING
0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 as a part of this appli •tion.
SIGNATURE: �l- �, -
DATE
PRINT NAME: )CAA) 2
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type offccture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING 1 GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how many of each type of fixture 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 TOTAL FIXTURES
GENERAL INFORMATION
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?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
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FIRST FLOOR(or Mobile Home) '
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