12-101484 •
• • Mechanical
City of Federal Way
Community&Econ.Dev.Services Permit #: 12-101484-00-ME
33325 8th Ave S
Federal Way,Fax
98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: CEDAR CREEK CONDOMINIUM UNIT 76
Project Address: 32820 20TH AVE S Unit 76 Parcel Number: 144170 0760
Project Description: Relocate meter and extend gas line
Owner Applicant Contractor
FREDRICK CLAGGETT INFRASOURCE CONSTRUCTION LLC INFRASOURCE CONSTRUCTION LLC
32820 20TH AVE S#76 8001 S 212TH ST INFRACL899CZ(2/14/13)
FEDERAL WAY WA KENT WA 98032 8001 S 212TH ST
98003-9452 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 Monday, October 1, 2012
Permit Issued on Wednesday, April 4, 2012
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the usebe in accordance wi �$ �jjs, rules and regulations of the State of Washington
See t . II )dbtibleral Way.
Owner or agent: Date:
APR 04 2.012
Ft NAufb 4/c. frz
•
46......
• THIS CARD IS TO MAIN ON-SITE
Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-101484-00-ME Address: 32820 20TH AVE S Unit 76
Project: FREDRICK CLAGGETT 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.
El Mechanical Rough-in(4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By f Date G -72_ By Date V--6, -/Z
❑ Rough Electrical111 Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
1 1Z - Apia-- &l-
Fede al Way`.^,,,,, • PERMIT MF CO PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES APPLICATION
253-835-2607•FAX 253-835-2609 RECEIVED
www.dwoffederalwatt.com
SUITE/UUNIi'N' 201
SITE ADDRESS
i2_6 Z - A-vE S , CITY OF FEDERAL WAY
PROJECT VALUATION ZONING ASSESSCTS TAR//PAR L i1 _^ - 0
... ,e.t,
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING -MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT CCM �.� l l 1 N/U
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION 12_ (L c-.�-r j C ,.f e- ! f`t+' ' �re-��"
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS E-MAIL
AJC j CITY STATE ZIP
NAME PHONE
:./7..s----...54.-
MAILING ADDRESS E-MAIL 17W
CONTRACTOR 1333o Suns ' ,jlec /6'I r-f7 away: .x-r4s,/6 C
CI STATE ZIP FAX
� twit 9,f"/
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
.INF)'i{(.',ce.(i `iCZ- - / /
NAMF� PHONE
zo
APPLICANT MAILING ADDRESS E-MAIL
3 33o s-rbc-c +-v-e iqc zA-tt
CITY STATE ZIP FAX
-Sel AA- C LI"
PROJECT CONTACT NAME PHONE
s 4 `�
(The individual to receive and '" '� -
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME 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 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 city as a part of this application.
SIGNATURE: ., , -. ` DATE '
r
PRINT NAME: L,� ' G
Bulletin#100—January 1,2011 Page I of 3 k:\Handouts\Permit Application
•
'11
VALUE OF MECHAMCAL WORK $ /oO o s--- (a copy of bid or estimate must be provided)
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.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(cos)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
:117.13
Indicate how many of each type offxture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LA NW(
(HaoaSixtk) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMSURINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES ...r,,;1Y3Tlb' 1tl1E
TER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
CRITICAL AREAS ON PROPERTY? WA
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
AREA DESCRN(
IPTIOin square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
io
all
taeafealittraA
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
GARAGE 0 CARPORT ❑
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
Area Construction #of
AREA DESCRIPTION in S ware Feet Occupancy Groups) ,e Stories Additional Information
s<. NEW BUILDING .. ' t ':` + te�,tg� '� ;k.,-.: Iiyeti
ADDITION
AREA DESCRIPTION Occupancy Group(s) Construction Stories Additional Information
tirmwo
t! °'li*- 44114 fl, rii 41 .1a.0 .:•, `, .� -Alf ,„.., '*„ .,,spy tfXYx F''s
TENANT AREA ONLY
4n-' i f PROJECT AREA ONLY re
Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application