12-101121 iMechanical
City of Federal Way • • ./{.�
Community&Econ.Dev.Services Permit #: 12-101121-00-ME
33325 8th Ave S
Federal Way,WA 98003
Inspection Request Line: (2
53)(253)835-2607 Fax:(253)835-2609 p q 835-3050
Project Name: CEDAR CREEK CONDOMINIUM UNIT 67
Project Address: 32820 20TH AVE S Unit 67 Parcel Number: 144170 0670
Project Description: Relocate meter and extend gas line
Owner Applicant Contractor
JIM J&SHIRLEY JONES INFRASOURCE CONSTRUCTION LLC INFRASOURCE CONSTRUCTION LLC
32820 20TH AVE S UNIT 67 8001 S 212TH ST INFRACL899CZ(2/14/13)
FEDERAL WAY WA 98003-9433 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 FILE Date:
FfNfrdLD4/E/t .
THIS CARD IS TO MAIN ON-SITE
CITY OF Construction I 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) El Gas Piping(4125) 0 Final-Mechanical(4065)
/ '
Approved Approved to release test � / Approved
By Date By rvp- Date !f By z/F----. Date (-016-:-(7,-
.
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
' ___ ____2__ 1 0 ( i 2. (
of
Federal Way *PERMIT SPoMF CO PL DE EN FP
F
COMMUNITY DEVELOPMENT SERVICES APPLICATION RECE1V
RECEIVED
253-835-2607•FAX 253-835-2609
www.citgofferieralenat,corn.
MAR 0 8 ',T2SITE ADDRESS
V a d fk0+n ^II-IT vG SUITE/UNIT#
CITY O F E A L WAY
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# (21)S.
$ 1,v0 1 4 11 t 7 0 - 0 0 0 0
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) C >A 1 - C ^—' �N N/n l 1 i)tj
PROJECT DESCRIPTION FSI ( 'f a i. elf }oth oo ve- 5 c`s r` I c,P ho 171 2
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS E-MAIL
CITY STATE ZIP
.._ .. _NAM I PHONE -�
_ �Frn o% sou rte con s tr4c, a o h G
f
MAILING ADDRESS E-MAIL
CONTRACTORla,00 Roos eve t} R e �S 1- I a
(t{cr1 I I►tin STATE cvl3� FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
tWj► • GL.4' 'C �:l/ IL /01013 loo
- - —
NAME-0" PHONE
�$VG TO 1.1 n 5)ri a --6-70- a- 1
MAILING DRESS
APPLICANT ao ADDRESS a a -" 5 Vri c}- E-MAIL
CITY �II � -- [wTFfl ZI1 03` . FAX
PROJECT CONTACT NAME,..- Y V Ti- CV{ 'PHONE G
(The individual to receive and �eVC J 0 h n Son s 3-370 .a C/I
respond to all correspondence LING AD RESS �� E-MAIL
this application) 00 t So u I h a• a stre+-
CITYSTATE ZIPq go's FAX
A.
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCINGxAM
Required value of$5,000 or more n trotw rce C o m i(4 dh )'G 0 OWNER-FINANCED
(RCW 19.27.095) MAILING AD RESS,CITY,STATE,ZIP ,,�/ PHONE
°
1 a' o (ooscvci f (2 Q sty 900 Glen Eliyn Ji.. G3()- GI 3- 33'18
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 i 8! .C41
PRINT NAME: S hive, i&h n SgY1
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application