12-102315 •
Mechanical
City of Federal Way *+
Community&Econ.Dev.Services Permit #: 12-102315-00-M E
33325 8th Ave S
Federal Way,WA 98003
L° Inspection Request
Ph:(253)835-2607 Fax.(253)835-2609 p auesLine: (25 3)835-3050
Project Name: WOIDA
Project Address: 30614 28TH AVE S Parcel Number: 092104 9096
Project Description: Relocate meter and extend gas line
Owner Applicant Contractor
ALLAN WOIDA INFRASOURCE CONSTRUCTION LLC INFRASOURCE CONSTRUCTION LLC
30614 28TH AVE S 8001 S 212TH ST INFRACL899CZ(2/14/13)
FEDERAL WAY WA 98003-5105 KENT WA 98032 8001 S 212TH ST
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 Tuesday, November 20, 2012
Permit Issued on Thursday, May 24, 2012
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: Date: 5 z 4 f Z
•
IIS 41?/ ,a
THIS CARD IS TO MAIN ON-SITE - `
CITY OF 4012 • Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-102315-00-ME Address: 30614 28TH AVE S
Project: ALLAN WOIDA FEDERAL WAY, WA 98003-5105
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) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test ?Sip . Approved
ByDate ByDate `yz_ By Date
0 Rough ElectricalID Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
1-2-- 102 -315
CITY OF A
Federal WayRECEIVE•"ERM IT ` MF CO ME PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES p p L I C A T I O N
253-835-2607•FAX 253-835-260 AY 2 4 2
012SC r._t gj,Lier it snit IVIb
afr 1 Q
CITY OF FEDERAL WAY
SITE ADDRESS CDS SUITE/UNIT#
30(014-2-8134-4V42._ S
PROJECT VALUATION ZONING ASSESSOR'S
TAX/PARCEL# 1 O 4- - (-'l/J 0
`(,,l//
/ 000
(�/(ly `f/'/
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT �1
(Tenant Name/Homeowner Last Name) V
PROJECT DESCRIPTION „- Ai 6 • oC e_ 6'k5 WIJ,
Detailed description of work to 'a(TP�r'S IC-NC (7')
be included on this permit only
_
NAME PRIMARY PHONE - -
PROPERTY OWNER
MAILING ADDRESS E-MAIL
3o6I4- 2--42)4' 4 S .
CITY STATE ZIP
Fe-De-,--4-e._ w ,mj--1 _ W C'- q 8 c o 3
NAME I -+ PHONE
=A)F24;e..--SOt -Ce c.-o,►sf. Lc.L
MAILING ADDRESS E-MAIL
CONTRACTOR /2-po 2- e�e(_Q� Si-E 4 ,
QTY STATE ZIP FAX
C\t�,,, �II�N iL (oo(3 `7
WA STATE CON*ACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
MN 1=-12.4CL a 9e1 c z.. 1 L i +4
NAME PHONE
APPLICANT MAILING ADDRESS E-MAIL
800 i 5 2. 2-61 ST 211 'Coet7vsl Q PS 'Com
4CITYO_ - t STATE ZIP'I9O 3 FAX
PROJECT CONTACT NAME S ).4---/tri , 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 NAME0 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: )/L--- DATE S-144 —/ Z
PRINT NAME: 4e61/ 60,e-4:1C3 i /
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
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 factures to remain.
AIR HANDLING UNITS FANS I 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
� az^ � � e "•��"��. �'� � � ( 'fir :� � � z��'� �_ ��� 4 �;yids r,� a��,
x ., # e +' ;� i -n �a9 �r4 •�.r� Aa; - } a �
i:ci/I.n �:i •`�... _<,.,.,a , mw�-.",,;.k�,.,._ _...?_ u_.:a .,,,,.. ya ..,_. ._,aP- •�tx;3. .°K.........• .x. ,. >„ s<..,. .. _.
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/Showercombo) 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 ��
i' ...� •r.� ca� s� - s�� r;.'g *y,' G'`.
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 0 No
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
•
r „
GARAGE 0 CARPORT 0
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
•� ^' ,� Fes' -: s z -v^ -�`%: '9 � `°? ��' T� � a 9»'•? ; y}o' a r ti,, ' .y� 'v M � •+ �( 9j f yT .Fb4 '31r '�.y�...,�.a..�
.>� � ,..,� >.,aa :�.h�£���- s�.�.>�- � a �
AREA DESCRIPTION
Area Occupancy Group(s) Construction #of Additional Information
in S.uare Feet •e Stories
1 141 :
, sr, `
ADDITION
,,.
^�$ 11` ":4,''':1,t•. F �r a., �. A '�au' fi. � Nf([ ..
fl7', >a� • ' ...,.,," F.�"+^RffiK..l&�;zc-�,9-.x�,: xe� .a-x-z�a;9 '.� f�°-$ :. �:,z...os^1zs�' '� ��?wd ,,,
AREA DESCRIPTION Occupancy Group(s) Construction #of
' Additional Information
• e Stories
ragsiwytrA; ,ren, ` u' a e,
TENANT AREA ONLY
.1,'451ErifeiyorTip.--TgoitArnAgg4,-cf,ssrawczt-swirng,go
• ,. ti
Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application