12-101120 l
• Mechanical
City of Federal Way Permit #: 12-101120-00-M E
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: CEDAR CREEK CONDOMINIUM UNIT 63
Project Address: 32820 20TH AVE S Unit 63 Parcel Number: 144170 0630
Project Description: Relocate meter and extend gas line
Owner Applicant Contractor
MARIA WATTS INFRASOURCE CONSTRUCTION LLC INFRASOURCE CONSTRUCTION LLC
32820 20TH AVE S UNIT 6 8001 S 212TH ST INFRACL899CZ(2/14/13)
FEDERAL WAY WA 98003-9428 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 1
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: Date:
4/(a'/li
THIS CARD IS TO MAIN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-101120-00-ME Address: 32820 20TH AVE S Unit 63
Project: MARIA WATTS 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) CI Gas Piping(4125) Ei Final-Mechanical(4065)
Approved Approved to release test 50 P 5) Approved
By Date By Ft/
. Date 4 .5--I Z By F-64-_-. Date /-
0 Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
- rQf t Zo
�tnoF PERMIT S MF : 4:a,at • E it P
Federal Way
COMMUNITY DEVELOPMENT SERVICES APPLICATION
253-835-2607•FAX 253-835-2609 _
Wa'l'GII OlTFt1Pl'ail('all_:A42 MAR 0 8
•ry .,♦9
SITE ADDRESSM l� VC "I • Y vilfiELL!\/"�L WAY
7 5 Ccs
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# ,
$ 1 ,000 14 L ! 7 0 - 0 o 00
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT /'�� �j I ' )
(Tenant Name/Homeowner Last Name) C4 / 'f 2. Of �/ CO �/i O P/ NI V
F6 ( role. C - (have: r 45 the it r o f horn Q
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAM PHONE
�rt Fru %CM rte. COlet 6 tr'y►G14 n n 1 f G
MAILING ADDRESS E-MAIL
CONTRACTOR laoo R ous eVe 1+ R a .S r' e 44 000
giTYSTATE III 11.. ZIP FAX
Weal �: in C,013
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NPRncL91gG7- CA./ I`( iaol3 too ets-g
PHONE
NAMFc ft vc Town vI l -as--3--6-7o- an 1
APPLICANT MAILING ADDRESS E-MAIL
a00SOL4i-h ' Iaf'`' $VrecA-
CITY 1 `{ `A'A-STAT4 ZI,6o3,a FAX
PROJECT CONTACT 1K,' yy Y V / I PHONE `' (� I
NAME., Johnson aS3_37v_a !q
(The individual to receive and
respond to all correspondence MAILING ADDRESS
tle E-MAIL
concerning this application) 00 { 1A f h 3 t a t� 5 e
CITY STATE ZIP FAX
gU J
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCINGNAM OWNER-FINANCED
nrroi5tulrce Gon4hmActidiA IIG
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP �� !lia1 PHONE
laon ((onScvel fi t2 0 Sty- L. V EJIyn (,3t} Gla 3s1,8
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 ci . a part of this application.
SIGNATURE: DATE /8/ of a.
PRINT NAME: S 4 c i9h n son
Bulletin#100—January I,2011 Page 1 of 3 k:\Handouts\Permit Application