11-102835 I
• N. . , ' Mechanical
City of Federal Way 0
Community Development Services Permit #: 11-102835-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line:
Ph:(253)835-2607 Fax (253)835-2609 p q (253)835-3050
Project Name: CEDAR CREEK CONDOMINIUMS UNIT 12
Project Address: 32820 20TH AVE S Unit 12 Parcel Number: 144170 0120
Project Description: Relocate meter and extend gas line.
Owner Applicant Contractor
PHYLLIS MACLELLAN INFRASOURCE CONSTRUCTION LLC INFRASOURCE CONSTRUCTION LLC
32820 20TH AVE S UNIT 12 3380 146TH PL SE#310 INFRACL899CZ(2/14/13)
FEDERAL WAY WA 98003-9428 BELLEVUE WA 98007 3380 146TH PL SE#310
BELLEVUE WA 98007
.• ditinalPe r ,, F '" .
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Mechanical Valuation 1000 Is this an Online or O.T.C.application? Yes
e,` Mocha i'cat F7 -, 4, §
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. -7
Owner or agent: /�/ / /Date: '-' //
P/NA/Itxb ?AO)
.THIS CARD IS TMAIN ON-SITE
CITY OF Construction I ection Record
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT#: 11-102835-00-ME Address: 32820 20TH AVE S Unit 12
Project: PHYLLIS MACLELLAN FEDERAL WAY, WA 98003-9428
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) E Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By fe., Date -7 .2 j l( By Date 7.z f -(/
•
•
❑ Rough Electrical111 Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
I CITY OF 41'4"4' ..- oPERMIT
..- PERMIT MF CO C.PL DE EN FP
Federal Way
COMMUNITY DEVELOPMENT SERVICES A P P L I C ATIOMECEIV ED
253-835-2607•FAX 253-835-2609
www Cit affedemlwa .0nt \/1
0 o I g' / JILL] 5 20./
SITE ADDRESS SSITE/UNIT 0
34920 '9 A-4-e-e- I L CITY OF FEDERAL WA UI / 2-
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL 0
$ /000 i H Y 1 Q - d 1 a- 0
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT eel°
(Tenant Name/Homeowner Last Name) 7.-- 6-e c.
PROJECT DESCRIPTION i c --s irn.- E� 10a-tom 4.00-3 x'7e s.! i
Detailed description of work to
be included on this permit only
NAME ; VIA
^ ,� � � PRIMARY PHONE - -
PROPERTY OWNER �'I//`
ai
,D,�AIL ADDR2o SS oe b44 /L E-MAIL
CITY STATE IF
800
lip
� 1F -2.016vc �-1 LLC (930 6l3 3s/e
MAILING ADDRESS
_ E-MAIL
CONTRACTOR l -O0 I rOC-e4i 2.o Si-6 4-oo
i1 &r, �I /14 `STi/ATE /Of3 FAX
X�FWA STATE CONTRACTOR'S LICENSE 0 C L g49 C Z K- 7-EX/ f4- DATE FEDERAL WAY BUSINESS LICENSE 8
NAME //7� `I/� PHONE
QE✓ C�-70«6 r,( —, .�a��ccArCe.) 2E53-MAIL
Zl/9/
APPLICANT MAILING ADDRESS E-MAIL
e0C)/ S Z/2-e S
! � ST T e �� FAX
CT $ z
PROJECT CONTACT N E
+/
(The individual to receive and Y —~/02Q71'1 rt.h�✓�.SaW Ce) 2�3 3 70Zg�Jt/
respond to all correspondence LING ADDRESS E-MAIL
concerning this application) CO, S Z 4+
ST-
CITy j STATEFAX
en i ( 9803 a
ALTERNATE CONTACT NAME: 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 to the city as a artofthis application.
SIGNATURE: T/�---• -. DATE /3 `/
PRINT NAME: ✓ 7D Jj,t /
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
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VALUE OF MECHANICAL WORK $ /VQ 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(commercia<)
BOILERS FURNACES HOT WATER TANKS pa.,)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
k
,. ,r £ 8-,� .'' ,' ':2:/-'!:
�:. �, -• g " vi. e "r'"*0.� rte, �
.,. .,ai�.:,.<�a�''n" 7a� �:Wx��x ,,..'vt' . �a+ c..�„a� a:.. .,es.,.aa rz3t€�zx...,,. ..�`. :.1 � ,.�� , :a�raR.�.
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 T6 ,eiLF liES '*,�,,,
.,: ^Ufa 'moi,' 8r€ .S.,
CRITICAL AREAS ON PROPERTY? k 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'2 .,,. 4 1sr% '� r. -:, r ' } le a a fla i” !, :mss y ,a ,:'
wry .3. , s
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
s , • $ fry ft
s
FIRST FLOOR(or Mobile Home)
W
COVERED ENTRY
GARAGE ❑ CARPORT ❑
€-, a° v Yi 0 w_u 'Olt' s �9
r
67QST1NG PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
''; ' 17,: T-. I ,,:,,k'''.'"'' n' `
AREA DESCRIPTION Area Occupancy Group(s) Construction ...4i,;-i----
of Additional Information
in S.uare FeetA•e Stories
f
ADDITION
ArConstruction #of
ea
Occupancy Group(s) a
AREA DESCRIPTION in S uare FeetStories Additional Information
-,,,,.„...v. ...r .' :_. ' ;% ^ r.a.� Ys. ;,l, t?; _ 'T " . . , hR, „ i-
TENANT AREA ONLY ��
9
Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application