12-101082 Mechanical
City of Federal Way •
Community&Econ.Dev.Services Permit #: 12-101082-00-M E
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (25
3)835-3050
Project Name: CEDAR CREEK CONDOMINIUM UNIT 8
Project Address: 32820 20TH AVE S Unit 8 Parcel Number: 144170 0080
Project Description: Relocate meter and extend gas line
Owner Applicant Contractor
ALBERT&BARBARA GENTRY INFRASOURCE CONSTRUCTION LLC INFRASOURCE CONSTRUCTION LLC
32820 20TH AVE S UNIT 8 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.applications 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
FCity deral Way.
Owner or agent: Date:
'411
• THIS CARD IS TO MAIN ON-SITE .
CITY°F Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-101082-00-ME Address: 32820 20TH AVE S Unit 8
Project: ALBERT & BARBARA GENTRY FEDERAL WAY, WA 98003-9428
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) El Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By p&I" Date 3, /?i ,By -1::i Date f'/9-7.
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
2 - O to �Z
CITY OF ..0 . OPERM IT SF CO PL DE EN FP
Federal Way
COMMUNITY DEVELOPMENT SERVICES APPLICATION E C C)
253-835-2607•FAX 253-835-2609
u�urzu.dit ofedr.mi wu.r_om
MAR' 08 2012
SITE ADDRESS
3')43
an act+n J3 vc 5 CITY OF FE dpi.
1 T IVAY
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# �-
$ 11000 1 4 Lj 1 7 0 - 0 0 0 0
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING pp MECHANICAL
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT !`� _ -_ ��C �ti ,..., NI NII I j1 C
(Tenant Name/Homeowner Last Name) J� w V ( >
PROJECT DESCRIPTION
Rat ! I l a e- tet +0 rh a VG y cis rhe(ft r a r1 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
11 FreA5014ree coinstrvic}�on 11 G
MAILING ADDRESS E-MAIL
CONTRACTOR ja.00 R oos eve 1+ R a ,�t'e X41 co E ZIP �y
jt{�'� h: I�,�� I r1,- WI i-7 FAX
-
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Np' Gl..9,1`�ic-/., (5:,. IL /ao13 loo rS:
----- NAMF5 .e e Toh lei
(3r.1 PHONE
Is-3-17(9- ATI
APPLICANT MAILING DRESS E-MAIL
800 Scow-h ala4-h SVf'ceA-
CITY ven I" STATE- ZI - FAX
k YV iT 1 go3'
PROJECT CONTACTNAME PHONE
(The individual to receive and ��SVG h"�n As-3-37t7`a ci9 I
respond to all correspondence LING AD RESS E-MAIL
concerning this application) OO ‘.141 a i l t" s C e+—
CIVctSTATE ZIP •„0- FAX
Ili-- w h �(Jj
ALTERNATE CONTACT NAME: I'j PHONE E-MAIL
PROJECT FINANCING NAM /
Required value of$5,000 or more ��fra 5 r'GC 4o..On }rte Cl oU1 j I ❑ OWNER-FINANCED
(RCW 19.27.095) MAILING l ADDRESS,CITY,
t ( 0 5� L/0 Gen Eli�� 1 (;3((, 613- PHONE j8
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 `/c/Q
�/ 'o1a
PRINT NAME: S 4-c 19II n Son
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application