11-102861 tt
Mechanical
City of Federal Way •
•
Community Development Services Permit #: 11 -102861-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718 Ins ection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609
FILE p Q
Project Name: CEDAR CREEK CONDOMINIUMS UNIT 28
Project Address: 32820 20TH AVE S Unit 28 Parcel Number: 144170 0280
Project Description: Relocate meter and extend gas line.
•
Owner Applicant Contractor
LOIS BELCHER INFRASOURCE CONSTRUCTION LLC INFRASOURCE CONSTRUCTION LLC
328200 20TH AVE S UNIT 28 3380 146TH PL SE#310 INFRACL899CZ(2/14/13)
FEDERAL WAY WA 98003 BELLEVUE WA 98007 3380 146TH PL SE#310
BELLEVUE WA 98007
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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.
___,Z!
Owner or agent: 8Date: 7 i /- /1
rlsAu$ I r& / ►i
r
• THIS CARD IS T MAIN ON-SITE
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CITY OF
Construction I ection Record
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT#: 11-102861-00-ME Address: 32820 20TH AVE S Unit 28
Project: LOIS BELCHER 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) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test 500915/• Approved
By Date • .Byrif Date 7_ # By F(4 Date 7-76,a
0 Rough ElectricalDI Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF er OP ERM IT
Federal Way S F CO PL DE EN FP
COMMUNITY
DEVELOPMENT SERVICES
ES L P P L I CAT
253-835-2607.FAX
www cifyoffederaiwaarune VD
Ca03`� JUL to 2011
SITE ADDRESS SUITE/UNIT#
32-$z-0 2-o`° ,see- S 4 2-GUTY OF FEDERAL WAY - �g
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# r
$ ,- s
/ oo0 I y �{ ` ` -7 0 - o A g U
TYPE OF PERMIT ❑BUILDING 0 PLUMBING ,MECHANICAL
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) a /�, ,g
PROJECT DESCRIPTION CAS r»-P [/L / ()Cc e-- � 4-S ALL-CIL, 6Gx r se on)
Detailed description of work to
be included on this permit only
NAMFi l 0 c�/;j/C/ �C//5 PRIMARY PHONE
(/�
PROPERTY OWNER �1 �
MAILING ADDRESS E-MAIL
3 Zg Zo zv A-4e_ s
STATE 2
er-e -L 4U, !.1/ti- �I e6 p
NAME PHONE
(CYIs�- uL 63o 6/3 3376
MAILING ADDRESS t,.�r ,/ E-MAIL
CONTRACTOR /f`�C2 ��e-u€'"L j249 62STATE ,6 40o
V! LLL//J i �G... ( o/ 3 / FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
�N�iZt4C L 8R`3CZ Z / 14/ /3
PHONE
t/ (7102-40e).-7 ti��r�£o e,re 3-7o age
APPLICANT WIG Dr / ESS r E-MAIL
C STATE ZIP FAX
tt- - 9 a6 3 'Z.--
PROJECT CONTACT N 1 PHONE
(The individual to receive and rte- �'702C�Q� (_ Y . 1 WC°L 2S-3 .3 7 0 Z9 /
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application) g00// s Z7 69 S Z(j�R Q
STATE
E I V 043 2_ FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME 0 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
PRINT NAME: L ✓ tfi���
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
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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
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(orTuub/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 MACHINESam 5 yv p ,#
,,....,,. n.'m 'ru',,.° �-s, s; a.;: c .,6,�, '&. flA �.. 'nZ.. �,.: a4 �%
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE an Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes 0 No
'MF". `¢. `��,.. "5 �"'�"., ',;: ,'�5 ;;' }e*�.�'� ✓.`est „.,,.- ,' ls ,,.J,:
C,C J_ zf .4 I 1 444 x v € 4 a r r e 14 ti e''�3 z yr
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
p''`” _ • .— _..
FIRST FLOOR(or Mobile Home)
tvt7 :414
#0147-
COVERED ENTRY
GARAGE 0 CARPORT 0
�I as s
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MOWING PROPOBID TOTAL
Area Totals
•
ESTIMATED SELLING PRICE$ #OF BEDROOMS
4�. ��,. ��dxr --,r�-s> .x�. .c. 444,
Area Construction #of
AREA DESCRIPTION in S tare Feet Occupancy Group(s) A.a Stories Additional Information
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ADDITION p q g p
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.. ,�3�r�.`� ., .. , ,. „:Z2P S. 9u26 -F,4 x2,r� ..%c Tnx R2< 1C - ,✓� ..
Area Construction #of
AREA DESCRIPTION in S tare Feet •Occupancy Group(s) . •,e Stories Additional Information
'
-4-,:m°1- 4-4 ,444444504:41.1tke*44”4,04-444.4A4441,
TENANT AREA ONLY
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Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application