12-101110 • • Mechanical
City of Federal ay
Community&Econ.Dev.Services Permit #: 12-101110-00-ME
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 33
Project Address: 32820 20TH AVE S Unit 33 Parcel Number: 144170 0330
Project Description: Relocate meter and extend gas line
Owner Applicant Contractor
GERALDINE M SCHWENDEMAN INFRASOURCE CONSTRUCTION LLC INFRASOURCE CONSTRUCTION LLC
PO BOX 275 8001 S 212TH ST INFRACL899CZ(2/14/13)
GRAYLAND WA KENT WA 98032 8001 S 212TH ST
98547 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: i r
F Date:
Fitogua 3/i /tz
CITY OF ' THIS CARD IS TO MAIN ON-SITE Federal WayConstruction I ection Record '
INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-101110-00-ME Address: 32820 20TH AVE S Unit 33
Project: GERALDINE M SCHWENDEMAN 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) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved �,�Approved to release test Approved
,"v�,
By Date By Date 3-M /L By Date 3,.f9-/Z
ID Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
I2 ( 01 ( 10
ate `` "'PERMIT
Federal Way
COMMUNITY DEVELOPMENT SERVICES A PTL IV A
T ION
253-835-2607•FAX 253-835-2609
wwrw.th6of(ederal au.com
MAR 0 8 2012
SITE ADDRESS CITY Or 1 / PiT•#•AY
3a8ao ac)+nAvc 5 c s33
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 1,000 I L 4 1 7 0 - 0 0 0 O
TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT jQ/�� f. �
(Tenant Name/Homeowner Last Name) C �1, A la-C,A{2j N>D 14//VI
PROJECT DESCRIPTION F`4& l role-t~ C +1) rh O V - 9 a S me r a F) hon 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
�(i Fru SourLe con 0-1-v4otlon I1 G
MAILING ADDRESSE-MAIL
CONTRACTOR laoo RooseVe t} R e re id1 UQ
TY STATE ZIP G 1ecr M 11 tin -1..L (.V!'
'.3Z FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME-0" Sc) �ONE
fEvcTohnr -)63
-37 0-- an 1
APPLICANT MAILING DRESS E-MAIL
Boo I O'4f a.I a fh 5 ere a A"' pp p�
. . CITY 1 _��� ._ ..� L v V STATE ._� ZI• ` 03'. - FAX
PROJECT CONTACT NAME„..-
(The individual to receive and PHONE
��'VC J h" n
as3-�370-a /q
respond to all correspondence MAILING AD KESS �� L E-MAIL
this application) to 00 50%4%, a.1 a se e 7
CITY STATE ZIP FAX
Kcn i- w pr y 603 ' -
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAM `
Required value of$5,000 or more 'n frq JklA(ICC G a r5Fru 0 i pyo !'G ❑ OWNER-FINANCED
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
lane a ooscvel f 9 Q Ste. 400 Glen Ellyn I (,k 613- 3518
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 arty 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 18/
°i
PRINT NAME: S J Gie 19h n sQn
Bulletin#100—January 1,2011 Page I of 3 k:\Handouts\Permit Application