12-101483 •
•
• • Mechanical
City FcoWay Permit #: 12-101483-00-M E
Community&oEcon.n.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 25 Line:Request ec
InS tion
Ph:(253)835-2607 Fax:(253)835-2609 p ( 3) 835-3050
Project Name: CEDAR CREEK CONDOMINIUM UNIT 73
Project Address: 32820 20TH AVE S Unit 73 Parcel Number: 144170 0730
Project Description: Relocate meter and extend gas line
Owner Applicant Contractor
JACQUELYN M SCOTT INFRASOURCE CONSTRUCTION LLC INFRASOURCE CONSTRUCTION LLC
FERGUSON SCOTT 8001 S 212TH ST INFRACL899CZ(2/14/13)
32820 20TH AVE S#73 KENT WA 98032 8001 S 212TH ST
FEDERAL WAY WA KENT WA 98032
98003
Additional Permit Information
Mechanical Valuation 1000.00 Is this an Online or O.T.C.application9 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 use w e in accordanc ,with t g laws, rules and regulations of the State of Washington
ee1�'a1deral Way.
Owner or agent: ��"" " Date:
APR 04 2012
FINALLEJ) 4
4:Nil..._. , THIS CARD IS TO MAIN ON-SITE
CITY OF r ... • Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-101483-00-ME Address: 32820 20TH AVE S Unit 73
Project: JACQUELYN M SCOTT 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) El Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Z�(Si Approved
By Date 'By ��- Date �!-/Z , ,By G Date .-6 /Z
•❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
Z. - I 0 l
Federal Way 0 PERMIT • MF Cirlyvh PL DE EN FP
COS 83 2607.FAX 253-835-2609 ES APPLICATIONRECEIVED
IPIPLP dtiefederohrau.cora
'-\PR 042012
SITE ADDRES7S
VRAl.WAY
t r`. i ' (� r D
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL 8
$ 1 'Z'k 9-- 1 70 0 -3 n
liocc,,,c,
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING P--MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) CON. NCH' 1 n /U rt
PROJECT DESCRIPTION f2 6-4.4.--,:,4_, . C?,,f cy f' X-4,4-c; ,-(7'e_(j ICv,.-`C./f 1p
Detailed description of work to 7-&-)C-
PROJECT
included on this permit only
--- - - -------__---------
NAME PRIMARY PHONE
PROPERTY OWNER
1/ MAILING ADDRESS E-MAIL
fl"VL V _
CITY STATE ZIP
NAME
iii/2,4 Sr -�""
PHONE1_<=S!(��- 7...34. 8
MAILING ADDRESS AA� L ,—
CONTRACTOR /-5✓ C✓YC ,� / /� T 1 r`` ,4-4.;4"/
(jQ/� G'4.'1
C STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE 8 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 8
.rlifFi e,L q cic"z._ / /
NAMF�
2,`/.. PHONE
t
�°��c -�li`�i�c rL
APPLICANT MAILING ADDRESS E-MAIL
1 3 3--", C• J'_1c t- t"t.--: ek-Lr-E__ ! t i , , I t
CITY STATE ZIP FAX
5e-1."i i.,/A Qr. Szl(S—
PROJECT CONTACT NAME
PHONE
(The individual to receive and ?�- ' - /c'°
MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
0 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 Iocal, 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: -77 r .iG� �:::77:"--r°•--Zc� DATE - / "
PRINT NAME: e 7 i�1 z E /`t` <�
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
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VALUE OF MECHANICAL WORK $ /l
-itGod (a copy of bid or estimate must be provided)
Indicate how many of each type offixture 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(Gas)
COMPRESSORS / GAS LOG SETS REFRIGERATION SYST
DUCTING V GAS PIPING WOODSTOVES
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.
BATHTUBS(or Tub/Shower comm) LAVS(Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERSVACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES f� !,� „.”,
txg , te w RV ) � � D .
v.
I PEa *
CRITICAL AREAS ON PROPERTY? A PURVEYOR SEWER PURVEYOR VALUE OF EXISTING
IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL _ FOR OFFICE USEretritrart* _—
ur Ali i°IA . r. a ,r . o ,+� , �� ---- — — —
FIRST FLOOR(or Mobile Home) — ---
COVERED ENTRY —_— -- --GARAGE ❑ CARPORT ❑
aligg 0 LS a-sa ,,,74.P:.--w,,',,,,' s�f l �� - ' r :';'*,
, , ter �sy " y at
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ # OF BEDROOMS
Ms 3 1 1
Area
Construction #of Additional Information
AREA DESCRIPTION Occupancy Group(s) ,e Stories
in S•uare Feet •
b
ADDITION
7,;f t 5�� _ r rt x
,=.41.i,!: Liam&iialgiloiairagAtu,;.dstafatgativiiie.§Id
Construction #of Additional Information
AREA DESCRIPTIONINSINI Occupancy Group(s) .e Stories
,:
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application