12-101117 111 Mechanical
City of Federal Way
Community&Econ.Dev.Services Permit #: 12-101117-00-ME
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835 2609 Inspection Request Line: (253)835-3050
Project Name: CEDAR CREEK CONDOMINIUM UNIT 58
Project Address: 32820 20TH AVE S Unit 58 Parcel Number: 144170 0580
Project Description: Relocate meter and extend gas line
Owner Applicant Contractor
MARGARET HAUSE INFRASOURCE CONSTRUCTION LLC INFRASOURCE CONSTRUCTION LLC
32820 20TH AVE S UNIT 58 8001 S 212TH ST INFRACL899CZ(2/14/13)
FEDERAL WAY WA 98003 KENT WA 98032 8001 S 212TH ST
KENT WA 98032
Additional Permit Information
Mechanical Valuation 1000.00 Is this an Online or O.T.C.application Yes
Mechanical Fixtures
Gas Piping
PERMIT EXPIRES Saturday, September 8, 2012
Permit Issued on Monday, March 12, 2012
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 FILE
Date:
IULL 4/4/12.
1 THIS CARD IS TO MAIN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-101117-00-ME Address: 32820 20TH AVE S Unit 58
Project: MARGARET HAUSE FEDERAL WAY, WA 98003-9433
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) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test •z ito f Approved
By Date �By Date .--y _/.2 . .By 7,7,2:,c Date V.91_/?
0 Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
( 2_ . 101 ( 17
!PERMIT S'
Federal Way ICO (ME' PLDEENFP
RECEIVED
COMMUNITY DEVELOPMENT SERVICES APPLICATION '
253-835-2607•FAX 253-835-2609
WED u.ct yolTederaIwaocorn
MAR 0 8 2012
SITE ao t +n I vc 5 CITY OrF.. 'ERAL WAY
•
DS
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL/PARCEL#
$ 1 X00° I 1 4L /''7
0 - 0 0 0 0
TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT _ ,�/\ - Coi) `1/NiU 1'1(
(Tenant Name/Homeowner Last Name) (�•'�! ��✓J, �( a v �'tl
PROJECT DESCRIPTION F46 ( t i 4e- ed- +0 (hoc/6 a 5 5 me it r a fl horn 2
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS E-MAIL
CITY /'1 STATE ZIP
NAMET"' i Prot 50kre,G Cod►strvici- 0 h .I I G PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR Ia00 Ropsevet+ Ra •�tee10
SITY
I 111111 11'1.— (.v1 V] FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
�N�aitGLil/ 107'. l..
i !`j /_dd3 too �3s6
NAME.", ftVC T0hn5)r1 PHONE' 3-3 7(2-- CIC
APPLICANT MAILING ADDRESS
800
1 JcV J,41 h r1 a�t o f-h S t r"e e -. - E-MAIL
CITY -� STATE
Wft ZIFl 803 FAX
PROJECT CONTACT NAME }. PHONE
(The individual to receive and ` eVC, 3 0 h"�n as3—37(x—a ya I
respond to all correspondenceLING AD RESS .(— E-MAIL
5(�
concerning this application) M00 7Lh a't �� `5 ` "
CITY STATE ZIP FAX
Ittn}- w 6 y gv3 a_
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCINGNAM ` OWNER-FINANCED
Required value of$5,000 or more ��fret `l �G` a nS}r'(/�(� };01^ I G _
(RcwI9.27o9s) MAILING OO�VtlTY, go St„ (-l('O Glen Ellyn I G30-. GIs ZIP 33-J8
I certify under penalty of perjury that I tam 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 ci • a part of this application. ��QQ
SIGNATURE: � DATE /`�� 'i3l •
PRINT NAME: S 4-cove, l9h n Sort
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application