12-101108 • • Me€hacal
City of Federal Way Permit #: 12-101108-00-ME
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: CEDAR CREEK CONDOMINIUM UNIT 30
Project Address: 32820 20TH AVE S Unit 30 Parcel Number: 144170 0300
Project Description: Relocate meter and extend gas line
Owner Applicant Contractor
LINDA M ANDERSON INFRASOURCE CONSTRUCTION LLC INFRASOURCE CONSTRUCTION LLC
32820 20TH AVE S#30 8001 S 212TH ST INFRACL899CZ(2/14/13)
FEDERAL WAY WA KENT WA 98032 8001 S 212TH ST
98003-9430 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:
P4U 4/4/i z
• THIS CARD IS TO MAIN ON-SITE ,
CITY°� Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-101108-00-ME Address: 32820 20TH AVE S Unit 30
Project: LINDA M ANDERSON 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.
0 Mechanical Rough-in(4165) CI Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test 34i 7251 Approved
ByDate ByDate 4 By ��- Date
, ft, ✓7 �J/ �'� �Z
•
0 Rough Electrical Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
- io ( O �
crrvaF �� PERMIT S MF CO 419 PL 15 EN FP
Federal Way
COMMUNITY DEVELOPMENT SERVICES
APPLICATION
253-835-2607•FAX 253-835-2609
wwwd!yoffederrI way.cor,
MAR' 0 8 2012
SITE ADDRESS
32,f'j 'oto av+n vc 5 CITY OF FE I #VVAY
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 1,000 14 LI 17 0 - 0 0 0 0
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING pp MECHANICAL
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT I 1
(Tenant Name/Homeowner Last Name) &/�- cmc/ � )E� Q�// V^)(
PROJECT DESCRIPTION
F4-46 ( (i rt` C1+ +D rho tic c a c fhe ran horn 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
J.(1 Fru 501Are.e con6i-rviefaoh {� G
MAILING ADDRESS E-MAIL
CONTRACTOR laoo Rovsevet} R a 'Ste400
t{ct Ik11..STATE (.O13 FAX
kin
7
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
INF, , GL.9' 1c _ 0,./ IL /ail 100
NAME.," eVC TOj_r I PHONE
Is-3-37(9-s -- -
J r1 any 1
APPLICANT MAILING ADDRESS E-MAIL
&00 I Soni-h aiai''' SVrcc}-
CITY h_e nal__
STAT ZI FAX
YV r- 1 6o3 a
PROJECT CONTACT NAME u — PHONE p
(The individual to receive and ��SVG J h" n as3-37v-a /q I
respond to all correspondence LING AD RESS E-MAIL
this application) OU I 504'4%1 a 1 t t" S C e 4-
CI KZn STATE ZIP 803 . • FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING J NAM f
Required value of$5,000 or more �el ire'Sect GonS�"(4fi.}1 d1n I!G — ❑ OWNER-FINANCED
(RCW 19.27.095) MAILING (0 idna CITY,STATE,
i (2 Q Sty - '° Glen Ellyn L (#3(3- 613- 35.18
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: /-- 7 DATE /v,Q`f
�Ol
PRINT NAME: S 4-616 i h l&o!'n
Bulletin#100-January I,2011 Page 1 of 3 k:\Handouts\Permit Application