12-101096 ' • Mechavical
City of Federal WaSye.1 •
Community&Econ.Dev. rvices Permit #: 1�-101096-00-ME
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: CEDAR CREEK CONDOMINIUM UNIT 26
Project Address: 32820 20TH AVE S Unit 26 Parcel Number: 144170 0260
Project Description: Relocate meter and extend gas line ,
Owner Applicant Contractor
NORA DARRIGAN INFRASOURCE CONSTRUCTION LLC INFRASOURCE CONSTRUCTION LLC
32820 20TH AVE S UNIT 26 8001 S 212TH ST INFRACL899CZ(2/14/13)
FEDERAL WAY WA 98003-9429 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:
Fft&&LIL
3/t '1 / IZ
411%,.._41/4, . THIS CARD IS TO MAIN ON-SITE ,
an,or Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-101096-00-ME Address: 32820 20TH AVE S Unit 26
Project: NORA DARRIGAN FEDERAL WAY, WA 98003-9429
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.
0 Mechanical Rough-in(4165) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved ft,i Approved to release test Approved
By Date `By Date 3�-/S.... By fic Date 3''/9—
0 Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
4. ( 2- ( 0 1 0 9 (p
`" 'PERMIT
FederalWay -1110:F. CO PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES APPLICATION RECEIVED
253-835-2607•FAX 253-835-2609
www riryoffederalwau.coe a Q ((��
SITE ADDRESS M A R O °� Z U 12
3 (J a d ^ 0+n vC SUITE/UNIT#
CITY OF FEDERXGWAY
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 1,v00 14 LI ! ? () 0 0 0 0
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING pp MECHANICAL
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT (_ CON t>O�I�I l) H
(Tenant Name/Homeowner Last Name) �IIY�'\ "�__ ,� -
PROJECT DESCRIPTION
Re ! I t l e Ci.- +0 at a vG y�►S me R a 11 by/71 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
PHONE
n Fr Y4 Source Con Str4IGHO11 11 G
MAILING ADDRESS
CONTRACTOR laoo Roose ie I F R� .e 1- 4c j E-MAIL
6 kcr1 � 1110,
I ..i. 1rV'3 TY STATE ZIP FAX
?
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
1W c�01IC3. o. 19 /ants 10o_9S'6
NAME ' $Vc �'ol�nv►1 PHONE ._ -
MAILING DRESS I -1��^ a�9
APPLICANT (800 ADDRESS
fh a'a i..h S Vrc e- E-MAIL
CITY .t I{T J `3AfiTT ZI FAX
3-01
YV Ft I603a
PROJECT CONTACT NAME PHONE G
(The individual to receive and ��QVC J h n�n aS3"3?v'a r�
respond to all correspondence MAILING AD RESS E-MAIL
concerning this application) Lf� 5 .1-4, a►1 a til 5i-rad--
CITY
C e
CIT ` t,i j- j STATE/r ZIP GI go-s FAX
K w s
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAM
Required value of$5,000 or more �('frog'5CIACC( Lan 0 OWNER-FINANCED
equ S}w`1n��i ay1 tic,
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
la°° R Dowel : 9 I) Sit.1100 Glen E1tyn i G30' 613 35'0
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 /(g/ ,01 a
PRINT NAME: S .'CGIG i9h n sc2n
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application