11-102865 •
Mechanical
City of FederaSWay • Permit #: 11 102865-00-ME
•
Community Development Services ;� e �
P.O.Box 9718
Federal Way,WA 98063-9718 " 111211
Ins Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609 p Q
Project Name: CEDAR CREEK CONDOMINIUMS UNIT 44
Project Address: 32820 20TH AVE S Unit 44 Parcel Number: 144170 0440
Project Description: Relocate meter and extend gas line.
Owner Applicant Contractor
MARGARET JACKSON INFRASOURCE CONSTRUCTION LLC INFRASOURCE CONSTRUCTION LLC
32820 20TH AVE S UNIT 44 3380 146TH PL SE#310 INFRACL899CZ(2/14/13)
FEDERAL WAY WA 98003-9431 BELLEVUE WA 98007 3380 146TH PL SE#310
BELLEVUE WA 98007
3Y Ad+ ation _ v, yF
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Mechanical Valuation 1000 Is this an Online or O.T.C.application Yes
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Gas Piping 1
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: AZ0)1.01) Date: 7 - 11 r `�
Fft4tT> 4
THIS CARD IS TO EMAIN ON-SITE
CITY of4
Construction I ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 11-102865-00-ME Address: 32820 20TH AVE S Unit 44
Project: MARGARET JACKSON FEDERAL WAY, WA 98003-9431
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 Approved to release test Approved
By Date •By C-11. Date $ -12-- t l .By -, Date 1,-,5-.-/2
❑ Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
_4L - --- L.2. _a_g
FeOPERMIT ty .ME PL DE EN FP
Federal Way
COMMUNITY DEVELOPMENT SERVICES A P i L I(V �"A
253-835-2607-FAX 253-835-2609 iii ii
tc2_u_.cligoffederalway eos
nroi
SITE ADDRESS cEDERAL‘611\'SUITE/UNIT#
3Z 8 o ZOO s-�e._ s �- 4 i. �' v - 44,1_
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
/000 �- `f 1 o - O (,)
TYPE OF PERMIT ❑BUILDING 0 PLUMBING ,MECHANICAL
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) a
PROJECT DESCRIPTION CAS rn C/L de-/Q c e-- ()14-sL 6G„cr .g OA)
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNERMAILING/
3 2-ca ZO e. S vU� EMAIL
STATE ZI
aeres-L W l.�/A- e U
HONE
''N�o►4t.✓CV-. (AIM I-LC. Pao (p/3 3378
MAILING ADDRESS ,/ E-MAIL
CONTRACTOR
Mano �c"e-u e_c 4- /2-t STATE Z/�_/�� 4,o
V! iX/'' �L� iii CL+(,// FAX
WA STATE CONTRACTO 'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S
'Z-NF-g_44-CL. eq€3CZ Z / (4'/ I
� PHONE
v G7 ei C .So L,rc e_- ) ?-5'3 3-7o 2_91/
APPLICANT Bft,ING ADDRESS E- L
001 S Z,/z.�- S r
C STATE ZIP FAX
T G-�- 9 e o 3 z
PROJECT CONTACT N PHONE
(The individual to receive and <(- 11 `70/44) <,=-1/ Y$cSo WCC) 3 .3-140 29* /
respond to all correspondence MAILING ADDRESS � L
concerning this application) Goa// s Z/Z s
STATE Q�� FAX
ALTERNATE CONTACT NAME: Y`+ 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 too the city as a/part of this application.
SIGNATURE: .„,,t "_ + p`'� �”
DATE 7-A //
PRINT NAME: L i/ 6.2C64-1
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
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VALUE OF MECHANICAL WORK (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(Goo
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Iate how many of each type of fixture to be installed or relocated as part ofT this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/shower Combo) LAYS(Hand Sinks) TOILETS WATER PIPING
ndic
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(lG[chen/utility) WATER HEATERS(Electric) r
HOSE BIBBS SUMPS WASHING MACHINES F-- .* 41 I P..,I
,,� ���.,...„� '�3. --x , ...,..sw.,.. ^uw,.v„�sE,,, . .,» ,.�m,.,.r�?vF� �o-u-•w ...x.. „. axA.. . �u4>,s'�.,. � 9�r�'�;''
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
� � .`€"�” y yt`",$� "' s 4' k �re� ` 3;'s s ✓F..; �`""_v r ,..... s- x vfz R v r, " ,. ' '
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AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
7 '' '' '# •� . " s ,. ,ara a ' '1-1'1
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
GARAGE 0 CARPORT 0
IDaST1$G PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
ti e .,,.,sa✓ u< . ' ca .,Ycc",. �. _.,,. r< ,iR.? _.-, vE'.,%ffi , 'z
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in S.uare Feet Stories
`
ADDITION �y �x
s �, eT:,s z6 9•. .,,r ::tt vs "F'.✓,.,,,'r 4 � �.e. �' 3 $ x•••••4,•;0,;-,,,,-,,,.'x , Q, . akk .4.>�.$`mfr'
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
24
in uare Feet e Stories
fl 99 a b, 4 t'� ✓. .,� .:
TENANT AREA ONLY
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Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application