12-101113 s �
6ity of Federal Way
• Mechanical
Community&Econ.Dev.Services -
Permit #: 12-101113-00-ME
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 40
Project Address: 32820 20TH AVE S Unit 40 Parcel Number: 144170 0400
Project Description: Relocate meter and extend gas line
•
Owner Applicant Contractor
TRUDY L SUTHERLAND INFRASOURCE CONSTRUCTION LLC INFRASOURCE CONSTRUCTION LLC
32820 20TH AVE S#40 8001 S 212TH ST INFRACL899CZ(2/14/13)
FEDERAL WAY WA KENT WA 98032 8001 S 212TH ST
98023 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 Date:
FINAUE1 4/4' ffl-
•
THIS CARD IS TO MAIN ON-SITE •
CITY
°FConstruction I ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 12-101113-00-ME Address: 32820 20TH AVE S Unit 40
Project: TRUDY L SUTHERLAND FEDERAL WAY, WA 98003-9431
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) n Final-Mechanical(4065)
Approved Approved to release test z4-ro Approved
By Date By P-/ Date .G _ By fLr Date
Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
*PERMIT
( _ ( ? 1 ( k 3
Federal Way S MF CO E PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES APPLICATION E E
253-835-2607•FAX 253-835-2609
wwwrt yo/(ederal wau.roe.
MAR. 0 8 2012
SITE ADDRESS
3 a 8j as 2,.Q+" 'g-! vc 5 CITY OF SUITE/UNIT
4 AL WAY
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# C 111
$ 1 ,00° 1 4 Li 1 7 0 - 0 0 0 0
TYPE OF PERMIT ❑BUILDING 0 PLUMBING pp MECHANICAL
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT I'
(Tenant Name/Homeowner Last Name) ` r* - (:A G C' DO 11 I ,N l t)i
PROJECT DESCRIPTION FG L t 4 e- el.F "+0 (ha vaG 5 S rhe 3.-t r o fl hohl Q
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS E-MAIL
CITY STATE ZIP
NST' c PHONE
J-n FrOt Som rte. Coil 6f rtild40 el 1 I CP
MAILING ADDRESS E-MAIL
CONTRACTOR /laoo Roos`ev&1+ R 6 �i-e 44 CO
9TY STATE ZIP(]1{c'` V 1I` 11- �V1 J FAx
' kin ?
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
pip aACi..99 RGA- tya./ ILL /3.013 loo aSli ..
NAMF f eVC Toll n pri PHONE Is-3-170- any 1
APPLICANT MAILING taDDRESs E-MAIL
800 y�S0wth a iaf.K S��wvSTAt+St -
CITY -e n f— Y ZI FAX
6O3a
PROJECT CONTACT NAME G
(The individual to receive and �� PHONE
eVe 3 h n S'On )‘73^370-at 1 q I
respond to all correspondence LING An RESS t� E-MAIL
concerning this application) 0 5044,1 a l a SPC e
CITY STATE ZIP FAX
kcni-- W6 ygal
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAM
Required value of$5,000 or more n fra ``
1w'C . COWS fi.}i d,,, J J G 0 OWNER-FINANCED
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP �/ PHONE
la°O R Oosc\lel t g ) S 400 Glen Ellyn ,1� G3o- 613 35-13
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: / DATE /8/. .0l a
PRINT NAME: S hive, /Oh n son
Bulletin#100—January 1,2011 Page I of 3 k:\Handouts\Permit Application