11-102866Project Name: CEDAR CREEK CONDOMINIUMS UNIT 64
Project Address: 32820 20TH AVE S Unit 64
Project Description: Relocate meter and extend gas line.
MWhanical
Permit #: 11 -102866 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 144170 0640
Owner
Applicant
Contractor
RICHARD & GEORGIA MISEK
City of Federal Way
INFRASOURCE CONSTRUCTION LLC
Community Development Services
P.O. Box 9718
3380 146TH PL SE #310
Federal Way, WA 98063-9718
ILE
Ph: (253) 835-2607 Fax: (253) 835-2609
3380 146TH PL SE #310
Project Name: CEDAR CREEK CONDOMINIUMS UNIT 64
Project Address: 32820 20TH AVE S Unit 64
Project Description: Relocate meter and extend gas line.
MWhanical
Permit #: 11 -102866 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 144170 0640
Owner
Applicant
Contractor
RICHARD & GEORGIA MISEK
INFRASOURCE CONSTRUCTION LLC
INFRASOURCE CONSTRUCTION LLC
32820 20TH AVE S UNIT 64
3380 146TH PL SE #310
INFRACL899CZ (2/14/13)
FEDERAL WAY WA 98003-9433
BELLEVUE WA 98007
3380 146TH PL SE #310
BELLEVUE WA 98007
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Is this an Online or O.T.C. application?.................Yes
PERMIT EXPIRES Saturday, January 14, 2012
Permit Issued on Monday, July 18, 2011
hat the above information is correct and that the construction on the above described property and
and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
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CITY OF
Federal Way
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 11 -102866 -00 -ME Address: 32820 20TH AVE S Unit 64
Project: RICHARD & GEORGIA MISEK FEDERAL WAY, WA 98003-9433
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.
Mechanical Rough -in (4165)Gas
Piping (4125)
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By Date
By C Date (kL
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITr of
Federal Way
COMMUNITY DEVELOPMENT SERVICES
253-835-2607• FAX 2S3-835-2609
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TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ,MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
ZN -PRIMARY
PHONE
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E-MAIL
STATE
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NAME
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PHONE
30 613 3,Y-16
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WA STATE CONTRACTO 'S LICENSE # EXPIRATION DATE
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FEDERAL WAY BUSINESS LICENSE #
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APPLICANT
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respond to all correspondence
concerning this application)
MAILING ADDRESS
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E-MAIL
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FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
Required Value oj$5,000 or more
OWNER -FINANCED
(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 apart of this application.
SIGNATURE: DATE
PRINT NAME: --2617,
tsluienn#i00—January i,2uu Page 1 of k:\Handouts\PermitApplication
VALUE OFMECHAMCAL WORK $ l O0 (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 1_ 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
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 ("Tub/shower combo)
LAVS (Hand sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/uniity)
WATER HEATERS (neccnc)
HOSE BIBBS
SUMPS
WASHING MACHINES
CRITICAL AREAS ON PROPERTY?
EXISTING/PREVIOUS USE
WATER PURVEYOR
LOT SIZE (In Sgm=e Feet)
SEWER PURVEYOR I VALUE OF EXISTING IMPROVEMENTS
EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No I ❑ Yes ❑ No
Bulletin #100— January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application