12-101114 1
0 11 Mechanical
thCitty&FederalWay Permit #: 12-101114-00-ME
Comuni &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 46
Project Address: 32820 20TH AVE S Unit 46 Parcel Number: 144170 0460
Project Description: Relocate meter and extend gas line
• `
Owner Applicant Contractor
BETTY K PAUL INFRASOURCE CONSTRUCTION LLC INFRASOURCE CONSTRUCTION LLC
32820 20TH AVE S UNIT 46 8001 S 212TH ST INFRACL899CZ(2/14/13)
FEDERAL WAY WA 98003-9432 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:
FIN A4loieb 411
44‘.. THIS CARD IS TO ON-SITE ,
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-101114-00-ME Address: 32820 20TH AVE S Unit 46
Project: BETTY K PAUL FEDERAL WAY, WA 98003-9432
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 zg/Z� `i�/
s.,- Approved
•
By Date `By (.. Date !.-G�/ By G Date Lf`-V-/
• ` 2
❑ Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
IZ_ 10 ( 1 ( 4
ary OF f_ •PERMIT ilk; CO PL DE EN FP
Federal Way 1
COMMU253-8NITY
5-2E FAX DEVELOPMENT
253-8SERVICES APPLICATION --
609
www.cil rgo%(eriernl wa:.corn
MAR 0 8 2012
SITE ADDRESS ,p
3-?,8a0 �v+" ve 5 C1 OF TA WAY
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 1 ,000 1 1 17 0 - 0 000
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT /
(Tenant Name/Homeowner Last Name) �. PO G010 b0111 b' n)/ v //
PROJECT DESCRIPTION F411 ft. nel+ of o vG c a S rhe r Valli 11 horn
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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
In Fru SokrLe coilstrt.c,i4onIi G
MAILING ADDRESS
E-MAIL
CONTRACTOR la.o„o R oos eve 1+ R a .S i-e^4 CO P!'
Ul{LnI.. I kin I .i.L ‘,01 v7
TY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NrgAc.L11 clq. tsA./ lLI_ /doll leo 8513
NAME...” EJC Toy PHONE ... _.. _ ...
APPLICANT MAILING fVDRESS v -�7�� ���1
aC?d 5c�w�-h a{d�`' s{'�'ce}-
n 1"' STAT ZI FAX
CITY w I+ 1603'
PROJECT CONTACTNAMEp
s�eVC, 3`^V tin PHONE
n ' ,73-37�'a��
(The individual to receive and
respond to all correspondence MAILING AD KESS E-MAIL
concerning this application) 00 50‘,1-‘, 3 ra t" Sm e
CITY` tri 7 STATE ZIP ,„o-s FAX
K YY � LV(
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAM
of _fl frq (1,,rce. comb-(40i )1C-
Required ❑ OWNER-FINANCED
value $5,000 or more
(RCW19.27.095) laoo�(onsvc)STATE,, 0 S}e.'10„ Glen Elly, 1. (;30- 613 PHONE
5 8
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses,and attorneys'fees incurred in
the investigation and defense of such claim), which may be made by any person,including the undersigned,and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the ci • a part of this application.
SIGNATURE: // 7 DATE /v/,C)1 01.
PRINT NAME: S 4-.046. ligh f$fin
Bulletin#100-January 1,2011 Page 1 of 3 k:Wandouts\Permit Application