12-101109 • • Meckanical
CCommunity
&Federal D Way Permit #: 12-101109-00-ME
Communi &Econ.Dev.Services
33325 8th Ave S
Federal way,WA 98003 Inspection Request Line:
Ph:(253)835-2607 Fax (253)835-2609 p q (253)835-3050
Project Name: CEDAR CREEK CONDOMINIUM UNIT 32
Project Address: 32820 20TH AVE S Unit 32 Parcel Number: 144170 0320
Project Description: Relocate meter and extend gas line
Owner Applicant Contractor
ORVILLE H MOONEY INFRASOURCE CONSTRUCTION LLC INFRASOURCE CONSTRUCTION LLC
32820 20TH AVE S UNIT 32 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.application9 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:
PIN/4414E1:o
4f5/I2.
THIS CARD IS TO MAIN ON-SITE
-J
CITY:LW IConstruction I ection Record .
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-101109-00-ME Address: 32820 20TH AVE S Unit 32
Project: ORVILLE H MOONEY 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) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test 3o Ifni Approved
By Date By r.,,,f Date j f-5-/L BY /' Date 'I-5= 12
•
El Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
Alk;
1 0. (Feder Way •PERMIT CO PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES APPLICATION RECEIVED
253-835-2607•FAX 253-835-2609
u!u w.cttioliederaiwau.corn -
MAR" 0 8 2012
SITE ADDRESSSUITE/UNIT#
3- 8a0 av+n 4vc S CITY OF FEDEML WAY
PROJECT VALUATION�UA ')ZONING ASSESSOR'S TAX/PARCEL# CD S
1000 14 I - 0 0 0 0
TYPE OF PERMIT GIBUILDING ❑ PLUMBING p MECHANICAL
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT / / n ��.) �( ' ' 1
(Tenant Name/Homeowner Last Name) �A ��i✓ W I V 10 Ft IN I V
PROJECT DESCRIPTION FG ( I i4 c ti.f- +0 irh a VG C4 S the r an NMI Q
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAMEor PHONE
1 fr'u sou rte. Co>n strvic,Bo n I C.-
MAILING ADDRESS E-MAIL
CONTRACTOR la 00 Roos eve 1+ R a ,�i-e(tLi(JOSTATE ry P
/� y
(I{c'1 L I iklrt I4 Loi J1 FAX -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NPR ci-Pct i_t 9 i WI toO 8$'g
NAMF $Vc �"oh r oY1 =x53-37(2-- an I
APPLICANT MAILINGDRESS
8E-MAIL
00 t SSwih- a I'a Site 4-
CITYlc-e n 4-- w r+TI ZIP
FAX
PROJECT CONTACTNAMEl� G T�
(The individual to receive and T SVG h"�n r s-3_370-a !q I
respond to all correspondence LING AD RESS E-MAIL
concerning this application) 00 S0 441 ''
L 1 a l a t" S C e
CITY Ktn STATE ZIP FAX
w
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING
NAM,n fra swe rce ( o ns ir.��,};ah 11c, ❑ OWNER-FINANCED
Required value of$5,000 or more t (� `{.,
/RCW 19.27.095) MAILING P PHONE
1 adeADDRESS,'J oosc C'STATE,� 1 z 0 Ste-e- L`30 Glen Ellyn ,L (,3u, 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. ,Q/
SIGNATURE: - V DATE /v` ,ol
PRINT NAME: S f CVe i9h n&on
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application