12-101122 • Mechanical
City of Federal Way Permit #: 12-101122-00-M E
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: 25
Ph:(253)835-2607 Fax:(253)835-2609 p q ( 3)835-3050
Project Name: CEDAR CREEK CONDOMINIUM UNIT 69
Project Address: 32820 20TH AVE S Unit 69 Parcel Number: 144170 0690
Project Description: Relocate meter and extend gas line
Owner Applicant Contractor
JOHN E KAIN INFRASOURCE CONSTRUCTION LLC INFRASOURCE CONSTRUCTION LLC
32820 20TH AVE S UNIT 69 8001 S 212TH ST INFRACL899CZ(2/14/13)
FEDERAL WAY WA 98003-9452 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:
�1KMiLED 4/frfi?.
• THIS CARD IS TO MAIN ON-SITE
CITY OF
Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-101122-00-ME Address: 32820 20TH AVE S Unit 69
Project: JOHN E KAIN FEDERAL WAY, WA 98003-9452
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.
Mechanical Rough-in(4165) Gas Piping(4125) Final-Mechanical(4065)
Approved Approved to release test �3 L1 PS t Approved
By Date By w Date _S- By rtiF, Date Li-s f•L
Rough ElectricalCI Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
- / d 1 1 22
Federal Way PERMITs MF co'ry y 1.a D
COMMUNITY DEVELOPMENT SERVICES APPLICATION MAR' 0 8 ?
253-835-2607.FAX 253-835-2609w (n�
12
wimp cihaollerie_alwau.:.or71 C.l;,
CITY OF FEDERAL WAY
SITE ADDRESS SUITE/lel°'1 S
3 a �j ao (ko+n 4 vc C 6LJJ
PROJECT VVALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 1 ,v00 14 EI I 7 U - CJ O Q O
TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) C. - P\l'-z.- GZ( Z-- C N IC M1 MI I-)H
PROJECT DESCRIPTION Rel I l a e- et f- +0 (11 o vG 9 uS me 4-t r a f horn Q
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS E-MAIL
CITY _- STATE] ZIP
NAM er
PHONE
n Fro Souree coo strk4G1iohI1 C-
MAILING ADDRESS E-MAIL
CONTRACTORlaAoo Roos eve I'F R� :�L. 4 C))
TY STATE ZIP FAX
GI{cn I I Rjr II- (.0 3-7
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
INlRac:1_99 '1C . o-4./ 19 ,ad3 100 As-R
NAMFc ' evc To PHONE
- ,s-3-1-70- atiy I
APPLICANT MAAILINGDRESS
8 ^00 I so,4 -h o61 0a i-h S tree A--
E-MAIL
CITY tW!{4.... STATE ZI wr+ 1803a. FAX
PROJECT CONTACT NAME,..- PHONE p
(The individual to receive and �SVG `, son
)vs-3-170-a iq
respond to all correspondence MAILING AD KESS L E-MAIL
concerning this application) 60 OO , fh 311 to st e 4-
CITY STATE ZIP FAX
kcri j-- w 6 q sv3 a.
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAM I
Required value of$5,000 or more -MAILING_n fra 5euu ree Go n5}rt c f.i cm )i G 0 OWNER-FINANCED
/RCW]9.27.095) i aR 00SC Vet 1'ADDRESS,CITY,STATE,
Ste.1-100 Gkn nip, . (,-30- 61 3- 35-18
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 ci • a part of this application.
SIGNATURE: // / DATE /8/a.601 `.
PRINT NAME: 5 4-eve, JOh n&jn
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application