11-102840 S Mechanical
Cityof Way Permit #: 11-102840-00-M E
CommunityDevelopment
ment Services -
P.O.Box 9718
Federal Way,WA 98063-9718 Ins ection Re uest Line: 253 835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: CEDAR CREEK CONDOMINIUMS UNIT 29
Project Address: 32820 20TH AVE S Unit 29 Parcel Number: 144170 0290
Project Description: Relocate meter and extend gas line.
Owner Applicant Contractor
STEVEN &MADONNA MILLARD INFRASOURCE CONSTRUCTION LLC INFRASOURCE CONSTRUCTION LLC
32820 20TH AVE S UNIT 29 3380 146TH PL SE#310 INFRACL899CZ(2/14/13)
FEDERAL WAY WA 98003 BELLEVUE WA 98007 3380 146TH PL SE#310
BELLEVUE WA 98007
... a.
Mechanical Valuation 1000 Is this an Online or O.T.C.application? Yes
�
Gas Piping 1
PERMIT EXPIRES Wednesday, January 11, 2012
Permit Issued on Friday,July 15, 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 theeiity of Federal Way.
Owner or agent: '— S d,..A :_, Date: 7— / S-
FruAJ4 /r ,1ii
PHIS CARD IS TO MAIN ON-SITE
an' Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 11-102840-00-ME Address: 32820 20TH AVE S Unit 29
Project: STEVEN & MADONNA MILLARD FEDERAL WAY, WA 98003-9430
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 / Date 7. 74--O7 'By (4-------z, Date 7 7( .
❑ Rough ElectricalID Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
D_
Federal Way rP E R M I T .MF CO 1StPL DE EN FP
COMMUNITY DEVELOPMENT SERVICES APPLICATIgiN
253WWI!' 607•FAX:Iu'a: 5-2609
u�u!u�,rit yvffeuerrzG.r�au.cone C
SITE ADDRESS J U L 1 5 2 011 SUITE/UNIT#
32,a S
UA ZONING Q-
PZOR0Aix L Ilr E l/E R/"1 L WAY
A�+
$ / 000 cps--1- o - `/ Z V
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING J MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) (le...404.1,
PROJECT DESCRIPTION
.4� en e e - /Zef� e 4 4�i1 . 61 ?-ehs,o AJ_
Detailed description of work to 30
be included on this permit only
HAM / PRIMARY PHONE
PROPERTY OWNER
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MAILING ADDRESS E-MAIL
ZA Z0 2'61A‘-e S el
CITY STATE
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0'BSao 3
NAME PHONE
Tivr -Sd yr
a_sh,,,c4g(f), to 3o 613 3.S7 Q,
MAILING ADDRESS E-MAIL
CONTRACTOR 2-i90 i20Q i- 't D cSTE 4-o0
STATE IP FAX
G>te,� 6( .xJ it 37
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
sw Fe. -CL 99 9'C-z- z-/ / 4--/ /3
NAME PHONE
L7o ie_oo✓I 370 Z99
APPLICANT MAILING ADDRESS E-MAIL
Stabwc4,4 STATE FAX
tat-. Y 80 Z
PROJECT CONTACT
NA/M PHONE
V(The individual to receive and R-�` ` S V (�/V (A `'sv"t� �v )
respond to all correspondence ING ADDRESS E-MAIL
concerning this application) 00 l S Z/Z ct S T
CITY STATE ZIP FAX
er.vi w - 986.3 z--
ALTERNATE
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
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:e DATE 7-!S ' `/
PRINT NAME: J7611` 'Oiti
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
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VALUE OF MECHANICAL WORK $ 1000 (a copy of bid or estimate must be provided)
Indicate how many of each type offixture 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(G.)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
¢ � � .. - c -ash x - r
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(k tchen/Utility) WATER HEATERS(Electric)
WASHING MACHINES kUE�, �
HOSE BIBBS SUMPS
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 0 Yes 0 No
'i4 z.. wit�: a..£?1'..��.
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
_ fv •e v
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
r:111'
1. ,rzr:::t° tea-"v_ s ', ,',5440- o-4 ,45 'v .,..,
GARAGE 0 CARPORT 0
' � ° �„ a r `.iz:^ . �� ,
EXISTING PROP0.46D TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
,:..,.�3..> ..1.'¢ .L'.'k,_': ..P;«a� ad P',� �..hx..:, �: F �`. , .' i
AREA DESCRIPTION Occupancy Group(s) Construction St of
Additional Information
rrr; M
ADDITION
+ez s -7,5,„' g , ,
Area Construction #of
AREA DESCRIPTION in S uare Feet Occupancy Group(s)
.e Stories Additional Information
a 8 >8. A -:1,4e4-‘;:q.,4'''''",-
J „„ OW
- .P ,; 0 f xTK - �.�' ': T51.,�ty _
TENANT AREA ONLY
Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application