11-102836 City of Federal Way • Mechanical
Community Development Services Permit #: 1 1-1 02836-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718 '`- °L Request Inspection Re t Line: (2
53)(253)835-2607 Fax (253)835-2609 p a 835-3050
Project Name: CEDAR CREEK CONDO INIUMS UNIT 22
Project Address: 32820 20TH AVE S Unit 22 Parcel Number: 144170 0220
Project Description: Relocate meter and extend gas line.
Owner Applicant Contractor
ALANA EMERY INFRASOURCE CONSTRUCTION LLC INFRASOURCE CONSTRUCTION LLC
32820 20TH AVE S UNIT 22 3380 146TH PL SE#310 INFRACL899CZ(2/14/13)
FEDERAL WAY WA 98003 BELLEVUE WA 98007 3380 146TH PL SE#310
BELLEVUE WA 98007
1
14. orrnat1o :€i`? '` tl; .faT''^v. a<� • si,} .>.
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 the City of Federal Way.
Owner or agent: .22.0./ > � Date: -7"t
FiRAU9
• ` THIS CARD IS T MAIN ON-SITE
CITY OF Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-102836-00-ME Address: 32820 20TH AVE S Unit 22
Project: ALANA EMERY 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.
Mechanical Rough-in(4165) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
.By Date ;By 17.7f
� Dater -// .By Date 7 `/7
CI Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
- - J 2 30
Federa Way •P E R M I`I'
CO E PL DE EN FP
COMMUNITY
OD
5 8 5-Y DEV FAX MENT SERVICES
APP L I CA'T '+ •MF
w tn, 2609
ritiat rrieruhvgar5rrt
C GoAUL 1 5 7011
SITE ADDRESS SUITE/UNIT#
3Z8zo zo41)
,� s CITY OF FEDERAL WAV e'z--
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#CD
$ / boO L LI LI 13-- _ 02- 2- v
TYPE OF PERMIT 0 BUILDING 0 PLUMBING or MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT /�
(Tenant Name/Homeowner Last Name) (, �C�<;N/«
vn.e.-P-e..e_ e ar.‘,d e A(Ali re'n-S%ia
PROJECT DESCRIPTION
Detailed description of work to e50
be included on this permit only
NAME ,Q�� PRIMARY PHONE
PROPERTY OWNER CL fw...�.'1/
MAILING ADDRESS E-MAIL
32S2-0 Z4!5& �4•�e_S ?iZ
STATE RP
Lam- 80,3_
NAME I PHONE
Z'NF11:i9,..56i vCCGt3hs fY 1vn U-C 630 !o/3 3S-/e
MAILING ADDRESS E-MAIL
CONTRACTOR /200fit/ekF 1240VP FAX
..�
WAS TE /
STATE LICENSE# TA� EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/4/ CL E3 cz_ /14- / /3
NAME ' i0,e-odA)(i '
$0 4/-CCPH 37o Z9 /
APPLICANTMAILING ADDRES E-MAIL
5 Z./2-0Lsr—
CITY STATE ZI FAX
k! -tet-
PROJECT CONTACTNAM ' / I / PHONE
(The individual to receive and 6V OILL � ( � `Saw(�) " 3 `370 2-9e3 /
respond to all correspondence MnING ADDRESS �7rE-MAIL
concerning this application) «.)( S Z 2i"- .5"r ' (��J Q 9 Z
C7- STATE` /P80 3 FAX
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. DATE "7"-f
PRINT NAME: &V/ 7Ogi0d/'
Bulletin#100—January 1,2011 ( Page 1 of 3 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK $ /000 (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
.. >+�. ,r s.��„��.�t. �. i.� .�..,x ,�„ �'r '�..,s;. '•b:�- r�. a�'sa .:.,,s�,.-.,..;:a'.�ys'�� x,t.,.<�-,.�,r�,.r� .�,��.� � ,,x"�'�r� � .��d,.3.��� .,..$,���"_ .��z'.
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES of s K 'YO'Ait 'r
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(Ia Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
g 'y
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
w .ems 4 , - - ____.. _....._....._._
33tpo .
Vzirkx.3hir,-A17411M,tIvi331t131,..qii30,* •13,' „.
COVERED ENTRY
GARAGE ❑ CARPORT ❑
Iffetj
Area Totals EXISTING PROPOSED TOTAL
Y"yq,.... r. ,.t. .-tic'Z..
ESTIMATED SELLING PRICE$ #OF BEDROOMS
AREA DESCRIPTION "EMI Occupancy Group(s) Construction St of
Additional Information
ADDITION _.
. I' ; i' .; 3,, 4, ;"p er
AREA DESCRIPTIONIIMENII Occupancy Group(s) Construction St i s Additional Information
TENANT AREA ONLY ----
Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application