11-102834 Mechanical
City of Federal Way W • �.jj
Community Development Services Permit #: 11 -102834-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p Q
Project Name: CEDAR CREEK CONDOMINIUMS UNIT 3
Project Address: 32820 20TH AVE S Unit 3 Parcel Number: 144170 0030
Project Description: Relocate meter and extend gas line.
•
Owner Applicant Contractor
MARSHA ULLRICH INFRASOURCE CONSTRUCTION LLC INFRASOURCE CONSTRUCTION LLC
32820 20TH AVE S UNIT 3 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
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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 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: Date: 7 •/Jt i—
•
z/M/1L
• , , IIIIS CARD IS TO MAIN ON-SITE
CITY OF -_ Construction I ection Record
Federal Way INSPECTION REQU TS: (253) 83.5-3050
PERMIT#: 11-102834-00-ME Address: 32820 20TH AVE S Unit 3
Project: MARSHA ULLRICH 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) DI Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
'By Date `By�'C1r�iv Date%_»_t By f-64-- Date 2-25?-/2
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0 Rough Electrical El Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
PERMIT
UTY OF
• Federal Way •MF CO PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES APPLICATION
253-835-2607•FAX 253-835-2609
fA.'(A!I!'f.(1gyff'fiP.Y'(IrG'(11('f)I!1 r(0 ()i 0
SITE ADDRESS Z€7Z€744' /9SUITE/UNIT#
_) -I
37(320 Z - -'-� -S l 3 J U L .;; a it-
3
PROJECT VALUATION ZONING ASSESSOi!fi pEp
$ AY
/Dov 4-- . Cs C U 0 c� 0
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING MECHANICAL
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT ao..eiC(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION " ' 4-s oi )) /o c'' ' ` vac 4., L.6.,,L 6 wts<DAi
Detailed description of work to C LQC e /
be included on this permit only
NAM/to `a PRIMARY PHONE`
PROPERTY OWNER
MAILING ADDRESS E-MAIL
3 le 2 Z2)149 Al tes 31
STATE LZ
7e.s....
PHONE
4 r-/ A Se)uttc e 6 nes i' LL..0 (030(x/3 3's-/e
NG ADDRESS E-MAIL
CONTRACTOR U5" Je-�-'�" g_� sT'E 4o
, G�LY N IITATE 460/37FAX
ATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
F24a C L..caq 9 CZ- 2 /4-//3 -
NAME,, PHONE
✓63.e.aoair-)C...w4res--..53vr-ce-Y-
ZS3 37o 0.99 i
APPLICANT MAILING ADDRESS E-MAIL
Boo I 6 0-12- 44L sr
CITY STATE Z FAX
LJFi-1 1 _ _ Lam- '800 Z
PROJECT CONTACT ?LIVEPHONE
(The individual to receive and 661 d14�U�r SOV iL'� ) z s 370— Q `q
/
respond to all correspondence ING ADDRESS` , EMAIL
concerning this application) C., / S 2/2- 7
STATE *803
8O Z.- FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
El 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 arty 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-/J----/1
PRINT NAME: �(/6:7D4e--440-4—'
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
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VALUE OF MECHANICAL WORK $ /06) (a copy of bid or estimate must be provided)
Indicate how many of each type offvcture to be installed or relocated as part of this project. Do not include existing fvctures 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 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 1`f)TAX P URE)4
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 0 No
- ="k'y p Cf_ .F a ' ^'gip: x x' s '.ra.: r
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
GARAGE 0 CARPORT 0
y, �s n ,,,✓", �
/tor
Area Totals EXISTING PROPOSED TOTAL
ESTIMATED SELLING PRICE$ #OF BEDROOMS
7
` -'"+AP e fa KE� sa, t s. `
... ✓i3�sw� al � -. <xq,•e.
Construction #of
AREA DESCRIPTION INNIMI Occupancy Group(s) ,e Stories Additional Information
P4447,47542'nUlinnirrealifatr-',-*' 4,0t.
Cifi"likliizatigitataili"ilie"; --1,:e04414"41.6
ADDITION
x =• a'e ,g � i s- z a. °° as
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in S•uare Feet • •e Stories
rtizar 8.e :.;% ;ffi- �. � .� inSatrate.aH .. y
TENANT AREA ONLY
;;'7,34,4".4.M p° r ��&' ;e s, "X •
Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application