12-101100 Mechanical
City of Federal Way • •
Community&Econ.Dev.Services Permit #: 12-101100-00-ME
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)
Ph:(253)835-2607 fax:(253)835-2609 p q 835-3050
Project Name: CEDAR CREEK CONDOMUNIT 27
Project Address: 32820 20TH AVE S Unit 27INIUM Parcel Number: 144170 0270
Project Description: Relocate meter and extend gas line
Owner Applicant Contractor
SHARON M BART-WAGGONER INFRASOURCE CONSTRUCTION LLC INFRASOURCE CONSTRUCTION LLC
32820 20TH AVE S UNIT 27 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 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: FIL_ E Date:
FI
3A'/1
• THIS CARD IS TO MAIN ON-SITE ,
CITY°F Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-101100-00-ME Address: 32820 20TH AVE S Unit 27
Project: SHARON M BART-WAGGONER FEDERAL WAY, WA 98003-9430
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) E Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date , 'By (;:---4-- Date 3,/c .12— 'By fil Date J?—/'-l Z
I
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
( 2 _ Co
crryOF OPERMIT FP
Federal wayWE 13
COMMUNITY DEVELOPMENT SERVICES APPLICATION
253-835-2607•FAX 253-835-2609
www.rslq ffederalwau.corn MAR 0 8 2012
SITE ADDRESS CITY OF 7'r RRL WAY
3a8ao ac)+n )vc 5 Ca?
$ PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
I ,000 1 4 L1 17 v - 0 o Q o
TYPE OF PERMIT 0 BUILDING 0 PLUMBING W MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT A ) (-/'„ ,_oc_. ��
(Tenant Name/Homeowner Last Name) O. �' _I�V�/L �{'V� !N Iutt
PROJECT DESCRIPTION �G l (l 4 a et j-' +0 (h 0 JC 5 a S me dti r o f hc,Yn Q
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAME" ^� PHONE
u -- - — -- --
J1-� So>irte solei strt4c,140 II
MAILING ADDRESS E-MAIL
CONTRACTOR 1a.o0 R ovs eve 1+ R a 400
CrY STATE ZIP
i.e.., I►� n tL (.V'�'7 FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
— — ----- —
110, - (.1.9' 0-?../ IL /070!3 PHONE
es-:
NAMPc tVC TOKn ) 1 O. -I'M- A' I
APPLICANT MAILING ADDRESS E-MAIL r Soud-h al.l'0Z f.h S 4''CSTATeire .-
CITY �!{f__ TF ZI g03 a FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
5}-evc Jotifl as3-37Q-a�q1
respond to all correspondence MA ING�AAD RESs E-MAIL
this application) 0U u a s fi)1 s C e�—
CITY ,S'wTiTE ZIPC , o? FAX
K` 7 YV prjVj
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCINGL
NAMI fI r0t Scx,►rGG Co n1-1,(4�} c� ' G --_. 0 OWNER-FINANCED
7
Required value of$5,000 or more MAILING
J• � 400(RCW 19.27.095) la f()0 Oo vett ��Q Si`, 'O Glen EJiyn , , (,3t3, 613- 3518
I certify under penalty of perjury that I lam 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. ,QQ
/
SIGNATURE: � DATE V 'Ola
PRINT NAME: S J9h
Bulletin#100—January 1,2011 Page I of 3 k:\Handonelsll Nmit Application