11-102837r �
Mechanical
City of Federal Way
Community Development Services Permit #: 11 -102837 -00 -ME
P.O. Box 9718
Federal Way, WA 98063-9718 i '7
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: CEDAR CREEK CONDOMINIUMS UNIT 23
Project Address: 32820 20TH AVE S Unit 23 Parcel Number: 144170 0230
Project Description: Relocate meter and extend gas line.
caner
AD[Acant
Contractor
HARRY & LEMPI SAMPLE
INFRASOURCE CONSTRUCTION LLC
INFRASOURCE CONSTRUCTION LLC
32820 20TH AVE S UNIT 23
3380 146TH PL SE #310
INFRACL899CZ (2/14/13)
FEDERAL WAY WA 98003-9429
BELLEVUE WA 98007
3380 146TH PL SE #310
BELLEVUE WA 98007
Mechanical Valuation............................................1000
Is this an Online or O.T.C. application?.................Yes
GasPiping ...................................... 1
PERMIT EXPIRES Wednesday, January 11, 2012
Permit Issued on Friday, July 15, 2011
1 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
nnand the City of Federal Way.
Owner or agent: o (.,� c Date: 7— IS-
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CEDAR CREEK
32820 22ND AVE S - Units: 73
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0 50 100 Feet WAY'
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CITY OF
Federal Way
' I °TRIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUV TS: (253) 835-3050
PERMIT #: 11 -102837 -00 -ME Address: 32820 20TH AVE S Unit 23
Project: HARRY & LEMPI SAMPLE FEDERAL WAY, WA 98003-9429
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.
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Mechanical Rough -in (4165)
Approved
Gas Piping (4125)
Approved to release test
Final Electrical
Approved
Final - Mechanical (4065)
Approved
By
Date
By
Date $ `t
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
A, --
Federal Way
COMMUNITY DEVELOPMENT SERVICES
253-835-2607• FAX 253-835-2609
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+PERMIT
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APPLICATIOWECETVED
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SITE ADDRESS
37_0zo Z-040 -- s Z3 CITY OF Fr-DERAL
SUITE/UNIT #
PROJECT VALUATION
$ / ooc>
ZONING
ASSESSOR'S TAX/PARCEL #
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TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING (MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
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Com.
PROJECT DESCRIPTION
Detailed description of work to
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be included on this permit only
PROPERTY OWNER
NAME
ftA�`
PRIMARY PHONE
MAILING ADDIRES T
V
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E-MAIL
CITY
STATE
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NAME
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PHONE
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MAILING ADDREESSSS`,,��
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E-MAIL
CONTRACTOR
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STATE
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ZIP
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FAX
WA STATE CONTRACT R'S LICENSE #
N0I C Z
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
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7'� � /Z
PHONE
3 �3 76 Z F41 /
ILING ADDRESS
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E-MAIL
APPLICANT
CITY,STATE
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FAX
PROJECT CONTACT
(The individual to receive and
NAME -7—,,
V 7 I 1 �'�'� `� � ��'
PHONE
2-6-3 3?0 Z491
LING ADDRESS
S Sr
E-MAIL
respond to all correspondence
concerning this application)
CITY,,,
STATE
Z
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $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 city as a part of this application.
SIGNA DATE 1`4'd
PRINT NAME:
Bulletin #100 -January 1, 2011 Page 1 of 3 k:Wandouts\Permit Application
VALUE OF MECHANICAL WORK $
/ OD U
(a copy of bid or estimate must be provided)
Indicate how many of each type of fLxture 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
GAS PIPING
WOODSTOVES
WASHING MACHINESTA
„pd
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 MACHINESTA
„pd
CRITICAL AREAS ON PROPERTY? I WATER PURVEYOR I SEWER PURVEYOR I VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE (In Squaze Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
Bulletin #100 — January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application