11-102867 • , Mechanical
•City of Federal Way
CommunityDevelopmentServicesPermit #: 11 -102867-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718 LE..xe
Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: CEDAR CREEK CONDOMINIUMS UNIT 70
Project Address: 32820 20TH AVE S Unit 70 Parcel Number: 144170 0700
Project Description: Relocate meter and extend gas line.
Owner Applicant Contractor ,
NANCY FERENCE INFRASOURCE CONSTRUCTION LLC INFRASOURCE CONSTRUCTION LLC
ROB LAGERVALL 3380 146TH PL SE#310 INFRACL899CZ(2/14/13)
32820 20TH AVE S UNIT 70 BELLEVUE WA 98007 3380 146TH PL SE#310
FEDERAL WAY WA 98003 BELLEVUE WA 98007
f g Addl nal Permit Information z,
Mechanical Valuation 1000 Is this an Online or O.T.C.application?.................Yes
Mea <I Fixtures ,` 5 ,�
.--,1A-,-.4o4,.: 4',.m,:.,, Z nk,,�.., .. ,i
,}�:.a 1, l.,,,%,, ., �
Gas Piping I
PERMIT EXPIRES Saturday, January 14, 2012
Permit Issued on Monday, July 18, 2011
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: d"-.) Date:7- tq_ <
FIKA 4,4fiz
0 THIS CARD IS T MAIN ON-SITE '
CITY OF -� Construction I ection Record `
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-102867-00-ME Address: 32820 20TH AVE S Unit 70
Project: NANCY FERENCE FEDERAL WAY, WA 98003-9452
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) El Gas Piping(4125) 0 Final-Mechanical (4065)
Approved Approeed to release test Approved
By Date By�` .._ Date _ 11_1 1 'By• ICI— Date 'V_i -/e____,
CI Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
Federalay PERMIT ME PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES A P P L I C A T I O N '
253-835-2607•FAX 253-835-2609
wwu':ritlofferierrilreay conn 1 'I C °
SITE ADDRESS FE,DERp,L W AS UITE/UNIT#
3ZSZv 2o 442 ,ems S 7o CIS Of
CDS . ,70
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
/ Oov LI 'T ( -i- b - O 7 O O
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ,MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) L,�,_ awic �a `
PROJECT DESCRIPTION ,,4r r1")42.--14r...-Z__ £e -1 oCC.. e- C'?.4S �7�. .ELL..,- 6----Cr g<CA)
Detailed description of work to
be included on this permit only
NAM ��`�� �,/ PRIMARY PHONE
PROPERTY OWNER 7 � �c(/„ c� /� f� J CIL�%�f
MAILING AD S E-MAIL
3Zg. o Z i ,4•-ie s II 7D
%TY STATE ZI ,
moi.-L W rai 14.i ._ &b a 3
NAME
/„�O` C _ PHONE
✓`I ()-1 s Y-- LLC 19 30 6/3 3S7 6
MAILING ADDRESS E-MAIL
CONTRACTOR /e-00 C U+�L� /240 400
STATE Z FAX
7Le I �LLt� 1>J 1 ''O/ 3
WA STATE CONTRACTO 'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
=AvF- ► cam eggcz Z- (4/ /3
N PHONE
v C-70,0,00,-7
( 2LJM So L,,--c e..._ ) Z.ssi 3-7o 091 i
APPLICANT rirING ADDRESS S z/�E� .5E-MAIL
Do� r
CI STATE ZIP FAX
C-- 'r (i-r— 9 a6 3 2--
PROJECT CONTACT N PHONE 4y
(The individual to receive and '/rte-v `70/1!:7619 t .�/l/C'Y�-csC)WCC) 3 3 7 D Z9 ( r
respond to all correspondence /MA�ILING ADDRESS E-MAIL
concerning this application) t2CO/ Z!2-49 S (JRA yh�
Sr-
CIT
STATE` I V f�� FAX
Z
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME111 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: ' DATE 7-/ //
i/ 7 d
PRINT NAME: ,e-�-4-1
(
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
• •
MECHANICAI. FIXTURES
VALUE OF MECHANICAL WORK $ /00 0 (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(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
-. _.
PLUIVIRING FIXTURES
Indicate how many of each type offixture 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 iNFORVIATIN
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
2ESTDENTIAI. - NEww' OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
GARAGE 0 CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY*
ESTIMATED SELLING PRICE$ #OF BEDROOMS
CO\INIERCI. .I,—' F W/ DDIT ®
AREA DESCRIPTION AreaConstruction #of
Occupancy Group(s) Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
CO T1'TERC'IAI:—R.EArOEIJTENANT I,4IPROVE IE\TS
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