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14-105424 Mechanical City of FeWay Permit #• 14-105424-00-ME Community &Econ.on.Dev.Services 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 p q Project Name: INGOLD Project Address: 29008 22ND AVE S Parcel Number: 422270 0280 Project Description: Relocation of gas meter. Owner Applicant Contractor R H INGOLD INFRASOURCE SERVICES LLC INFRASOURCE SERVICES LLC 29008 22ND AVE S 14103 STEWART RD INFRASL871C2(2/22/15) FEDERAL WAY WA 98003-3846 SUMNER WA 98390 14103 STEWART RD SUMNER WA 98390 Additional Permit Information Is this an Online or O.T.C.application Yes Mechanical Fixtures Gas Piping 1 PERMIT EXPIRES Wednesday, April 15, 2015 Permit Issued on Friday, October 17, 2014 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 agent: FI L E Date: V•'‘‘'‘ *" • THIS CARD IS TO MAIN ON-SITE CITY OF s Federal WayConstruction In ection Record INSPECTION REQUE TS: (253)835-3050 PERMIT#: 14-105424-00-ME Address: 29008 22ND AVE S Project: R H INGOLD FEDERAL WAY, WA 98003-3846 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. o Mechanical Rough-in(4165) ❑ Gas Piping(4125) 0 Final-Mechanical(4065) Approved Approved to release test Approved By Date By Date By 1/1$ Date I a 1`1- 3 , I t, ❑ Rough ElectricalEl Final Electrical Right of Way Approved Approved Approved By Date By Date By Date ice{ _ t-o5:4f Federal Way •PERMIT •MF COCTO PL DE ENTl-P COMMUNITY DEVELOPMENT SERVICES A P P L I C A'T I O N 253-835-2607•FAX 253-835-26094 mmw.cityoffedera!waticom RECEIVED �'Lj`�D SITE ADDRESSSUKtlS/UfN1Y - 14 �O c71.� �J Q z?'N() v& S GTY OF FEDERAL WAY PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ J,000100 7 0 0 ,A 6 TYPE OF PERMIT ❑BUILDING 0 PLUMBING 'MECHANICAL ❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT (Tenant Name/Homeowner Last Name) I IQ Co / _ ', - - , :.. ✓ ,•••, A • _ _ . A PROJECT DESCRIPTION RE ^ i� / �_s Detailed description of work to 1`t �4F GI/is- �1.���CT be included on.this permit only PROPERTY OWNER NAMEy fa (H-( /,r i o(_o ^• . , PRIMARY PHONE t* S ?,Z-- �`✓ 6,--- EMAIL rgttre'iti WA - _TfE ZIP 100 NAME L It/f"1/Sale I .- 11 ' 4s (, P G a I s',s1 "`el MAILING ADDRESS \\ CONTRACTOR /3336 575ve ice e 4 / E-MAIL _ C it//s- STA ZIPn iii` FAX WA STA CON�'RIIS.TOR'S LICENSEERP(JIGIN/DAT$ FEDERAL WAY BIISINESS LICENSE# NAME 1=41/06,-,6 PHONE APPLICANT MAILING ADDRESS7�� E-MAIL C /6 STATE ZIP FAX _-. — --� u - _ __ _ _ PROJECT CONTACT NAME PHONE (The individual to receive an respond to all correspondence MAILING ADDRESS E-MAIL concerning this application) CITY STATE ZIP FAX ALTERNATE CONTACT NAME: PHONE E-MAIL PROJECT FINANCING NAMEEl 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 t.- city as a part of this app • ation. `,,. / SIGNATURE: '�-= /`- DATE /D /ff� PRINT NAME: I i j�/ (0���✓v Bulletin#100-January 1,2011 Page 1 of 3 k:Wandouts\Permit Application MECHAN>C , F T ?RES • VALUE OF MECHANICAL WORK $ r� COGS CC) (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 fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) BOILERS FURNACES HOT WATER TANKS(cas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING I GAS PIPING WOODSTOVES 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 GEERL '�`F'ORYIATI© t 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 AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR(or Mobile Home) SECOND FLOOR • COVERED ENTRY DECK. GARAGE 0 CARPORT 0 OTHER(descnbe) EXISTING PROPOSED TOTAL Area Totals *NEW HOMES ONLY**. • ESTIMATED SELLING PRICE$ _ #OF BEDROOMS AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information Type in Square Feet Te Stories NEW BUILDING ADDITION CQ'Y MERCIAL ", REMi DE NA1� IhIPROVEMENTs` fl , AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square Feet Type Stories TOTAL"BUILDING° TENANT AREA ONLY PROJECT'AREA.ONLY , Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application