12-101481 • Mechanical
City of W
Community&Econ.ral Devv..Services Permit #: 12-101481-00-M E
33325 8th Ave S
Federal Way,WA 98003
Inspection Request
Ph:(253)835-2607 Fax:(253)835-2609 p q st Line: (253)835-3050
•
Project Name: CEDAR CREEK CONDOMINIUM UNIT 66
Project Address: 32820 20TH AVE S Unit 66 Parcel Number: 144170 0660
Project Description: Relocate meter and extend gas line
Owner Applicant Contractor
HENRY NIELSEN INFRASOURCE CONSTRUCTION LLC INFRASOURCE CONSTRUCTION LLC
PEARL A NIELSEN 8001 S 212TH ST INFRACL899CZ(2/14/13)
32820 20TH AVE S#66 KENT WA 98032 8001 S 212TH ST
FEDERAL WAY WA KENT WA 98032
98003-9433
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 use will be in accordance with the laws, rules and regulations of the State of Washington
See Apapniica `ionderal Way.
Owner or agent: Date:
APR 0 4 2012
FINML.ED *fc.f12.
A • , THIS CARD IS TO MAIN ON-SITE
CITY OF `a i
Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-101481-00-ME Address: 32820 20TH AVE S Unit 66
Project: HENRY NIELSEN 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.
Ei Mechanical Rough-in(4165) El Gas Piping(4125) -0 Final-Mechanical(4065)
Approved Approved to release test .3v Approved
By Date By r/J Date N_ ;l 2_ By f r Date s.1..-5--)2
El Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
11. L 2 I o c - . E(
c,,,,, PERMIT 5 MF CO ME PL DE EN FP
Federal Way
COM
°533-83607.FAX 253-835-2609 DEVELOPMENT E5 APPLICATION
uru�u�.thgof(edern(v.�a roni
RECEIVED
SITE ADDRESS St T>:yu 14.2012
L' 8 A-V S ( ' CITY OF FEDERAL WAY
PROJECT VALUATION ZONING ASSESS T /PIEL# i 0 — CDS
TYPE OF PERMIT
0 BUILDING 0 PLUMBING } MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT �E Coq. l� M 1 N I U
(Tenant Name/HomeoumerLast Name)
PROJECT DESCRIPTION
12. �c r Lt�/ 0 -K-7.447c Orr -r c
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
(0C
r,/,� MAILING ADDRESS E-MAIL
(0C- ly CITY STATE ZIP
N .�.i—A/r/2/7c� .G PHONEc- s c
MAILING ADDRESS E- 9
CONTRACTOR /3 � , &t-' /lso,' r f �04A/ Ga wt
STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
.3AlF72.016 C A 9GZ /
NA`.x..+l� PHONE
APPLICANT MAII ING ADD S EMAIL
13 33e ST .(E— 6-0-e it_. - 1 A.
CITY ��j� STATE ZIP FAX
ia1 A Q 1'(i S'
PROJECT CONTACT NAME PHONE
(The individual to receive and /77(..-- 4t5 ,�
gr•!G�
MAILING ADDRESS EMAIL
respond to all correspondence
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL -
PROJECT FINANCING NAME
El OWNER-FINANCED
Required value of$5,000 or more
1RCW 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 7-- /2_
`yam
PRINT NAME: ,.'"i.,.e' `.�
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
:,:�- �w _ ��a� .r r,r.�ixa e s.r,�w�...-:, � ��e"zE�..dr •....., ..,m•�...,�L•
� .,
VALUE OF MECHANICAL WORK $ 100\,'
-if (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 FURNACESHOT WATER TANKS(coo)
COMPRESSORS / GAS LOG SETS REFRIGERATION SYST
DUCTING V GAS PIPING WOODSTOVES
%';„_sz,.:, j'¢„ �"i': hp„ . . d-: •• .< -°,,.. ' ...<... F,r. g.,, ..., ..: •�^ '..,,..,.,.. , ..,r :,..:• s ,+ c •tea ...r
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 combo) LAVS(Hoodsirilca) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Electric)
HOSE BIBBSSUMPS WASHING MACHINES a4 af.' '
VALUE OF EXISTING IMPROVEMENTS -.
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes 0 No
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home) ---
� 1 #
COVERED ENTRY
GARAGE 0 CARPORT 0
ESIaT1NG PROPOSED TOTAL _..__.
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
Occupancy Group(s) Construction #of Additional Information
AREA DESCRIPTION Area P cy nes
In S uare Feet a Sto
�• z fi pay. 5 J zaaa - x . r
•
a Ys
ADDITION
�. 2•t.'. s ' ' `� �. y f� d `A lA�� sa bbl �; 4 +-- a :s I Y a 'L �f3 . a a4 _, �.s,, ?>� �u.r a., _, <,,.
Area Construction #of Additional Information
AREA DESCRIPTION Occupancy Group(s) a Stories
In S uare Feet
TENANT AREA ONLY
ri'
::..1,,;�rsp e F`
ra � rs.v'✓;1 � k��3r"'":"/,',
F <r. 3 , z.'�.
y, : �`� s� + 'a�s� ;-��; , : < �� . �F :$�a� �Z. a.� ,,£� ,L„ �� 'err �xy�au,s�r,r .y :wv� x„.u�s ? . �a1
Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application