12-101480 .,„
• } i 1V echgnical
City of Federal Way
Community&Econ.Dev.ServicesPerit t1. 12-101480-00-ME
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 p Ins ection Request Line: (253)835-3050
Project Name: CEDAR CREEK CONDOMINIUM UNIT 61
Project Address: 32820 20TH AVE S Unit 61 Parcel Number: 144170 0610
Project Description: Relocate meter and extend gas line
Owner Applicant Contractor
VIVIAN L HOPKINS INFRASOURCE CONSTRUCTION LLC
mINFRASOURCE CONSTRUCTION LLC
32820 20TH AVE S UNIT 61 8001 S 212TH ST INFRACL899CZ(2/14/13)
FEDERAL WAY WA 98003 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 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•bbee ininaccordanc#e with the laws, rules and regulations of the State of Washington
wee A�Ti ', rgfirr?ral Way.
Owner or agent: ���1 V 1 Date:
APR 042012
P' it4A1141;!1> 4 tz
Alk‘., • THIS CARD IS TO MAIN ON-SITE F ,
CITY OF Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-101480-00-ME Address: 32820 20TH AVE S Unit 61
Project: VIVIAN L HOPKINS 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.
El Mechanical Rough-in(4165) 0 Gas Piping(4125) - Final-Mechanical(4065)
Approved Approved to release test Zsj-f I Approved
By Date By �L(i Date �{.� (g. By npi Date ' -$'-(Z
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
ilk. fes - Ia & C)
CRY OFy • PERMIT S' MF CO PL DE EN FP
Federal Wa
COMMUNITY DEVELOPMEIVT SERVICES APPLICATION RECEIVED
253-835-2607•FAX 253-835-2609
www di rtoffederat wa it.tont
APR 042012
SITE ADDRESS SUITE/UNIT#
:SZ E G A,.l/(.:' S - �,?` ; CITY OF FEDERAL.WAY
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# (� ✓ CDS
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT �E 1�4 NO Fl I N I U H
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION I_ Com-( -r L-0' f 0 f A>4-c jG— -
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS E-MAIL
W°� CITY STATE ZIP
•
NAME
s�-/(/r/2,I t--- PHOxE2_<=- 4-Y3cf
MAILING ADDRESS EAMAIL
CONTRACTOR
1333c) �' Gv�le � 46t Tlf Gvi ,,164J ? b"1
STATE ZIP FAX
Cess seif`/s`
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
-INF-2,164,Aq 9C-Z_ / /
Nms
C) PHONE
APPLICANT MAILING ADD E-MAIL
i 3 33e s-r`t,.v4(-= u-e_. i\LO ..+t-t- 1 < ' 1
CITY STATE ZIP FAX
(SeA1-- v.../A- QtFt(S_
PROJECT CONTACT NAME PHONE
(The individual to receive ander '4S .4 �
MAILING ADDRESS EMAIL
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 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 /2_
PRINT NAME: i /=. d� Q‘;‹
Bulletin#100—January I,2011 Page 1 of 3 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK $1 1000 (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(Coam,erciol)
BOILERS FURNACES HOT WATER TANKS(Gal)
COMPRESSORS / GAS LOG SETS REFRIGERATION SYST
DUCTING V GAS PIPINGWOODSTOVES
. ,i.w,<.. f'< ,. .. 2 /, Fr': < .,.r6 ,,:P ^ .s; ,. - "l^ a•
•
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fuctures to remain.
BATHTUBS(or Tub/Sbower Combo) LAVS(HandSiaka) TOILETSWATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Hitcbea/utility) WATER HEATERS(Electric)
SUMPS
HOSE BIBBS WASHING MACHINES �esa ?:
CRITICAL AREAS ON PROPERTY? WATER 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 USE
FIRST FLOOR(or Mobile Home) —
COVERED ENTRY
GARAGE 0 CARPORT 0
=STING PROPOSED TOTAL
Area Totals
r ,
ESTIMATED SELLING PRICE$ #OF BEDROOMS
AREA DESCRIPTIONIFFREll
Occupancy Group(s) Construction #of
ries
T Stories Additional Information
P
ADDITION
Area
Occupancy Group(s)
Construction #of Additional Information
AREA DESCRIPTION P Y PIsl • e Stories
in S uare Feet
, X36 �-d , ~ A, ! • ,s:;, .t, u/fi ii .ox rte--IIx„ ,i g)<. ./ r,...<.-
TENANT AREA ONLY
Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application