12-101085 •
• Mechanical
City of Federal Way .//.��
Community&Econ.Dev.Services Permit #: 12-101085-00-ME
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: CEDAR CREEK CONDOMUM UNIT 18
Project Address: 32820 20TH AVE S Unit 18INIParcel Number: 144170 0180
Project Description: Relocate meter and extend gas line
Owner Applicant Contractor
EUGENE F&DONNA J MCJUNKIN INFRASOURCE CONSTRUCTION LLC INFRASOURCE CONSTRUCTION LLC
32820 20TH AVE S UNIT 18 8001 S 212TH ST INFRACL899CZ(2/14/13)
FEDERAL WAY WA 98003-9429 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: FII. E Date:
VI W3/00/I?,
1
• THIS CARD IS TO MAIN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-101085-00-ME Address: 32820 20TH AVE S Unit 18
Project: EUGENE F & DONNA J MCJUNKIN FEDERAL WAY, WA 98003-9429
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) ❑ Final-Mechanical(4065)
Approved Approved to release test 29 ps/ Approved
By Date By t� Date 3 -3a ,,l2 . By Date 3-3i -/Z_
. • . '
❑ Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
- I 0 . ( 0S'
PERMIT
Federal Way _ ill DE EN FP
CO58326025SERVICES
A P P L I C A ZI O N 7 AX3-8 -2609
WWWCitgOtTeden(wau.c».m, MAR V 8 20 12
SITE ADDRESS �� r f /`tiAY
- 3an ac) 4vc �s CD 18
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 1,000 14 II t 7 v - 0 o Q O
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING pp MECHANICAL
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) .►lt�Cle V v n I
Df/ IN
I Oti C r e j v v w./N
F(41 ( Il'te. csf- +u ihoVG as meKr a 11 hon.) QPROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS E-MAIL
CITY STATE ZIP -
NAME'," PHONE
n Fru So1n1rLe CO(I6 rviGHO VI 11 G
MAILING ADDRESS .,. ..., _
E-MAIL
CONTRACTOR laoo Roosevet+ Ra ' r' e 4 0
cITY STATE ZIP
iecrt v: I in I.L. (.01 VI FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NPR A LL01 iG1- ta i 19 /dull led 6S-EL
NAMF51 tVc TO` � �� .. PHONE
MAILING DRESS h V MAIL �'+ ���
APPLICANT 806 I Sow -h o�l.a -" S�rec E-MAIL
CITY h. 4 n t J STAIA�TF I ZI1603'a. FAX
-
PROJECT CONTACT NAME.... 1F- Y V �/T1 PHONE
(The individual to receive and ` QVC `, h"�n as3-'37v'a yq
respond to all correspondence MAILING AD KESS E-MAIL
concerning this application) &00 i 50 k 4-h 31"a t ' StrC e
CITYh'e II 7 STATE ZIP 6 .r/Go'S FAX
ALTERNATE CONTACT NAME: W PHONE E-MAIL
PROJECT FINANCING N
Required value of$5,000 or more (1frq S( ect. Gam Fru c}i nh J J G 0 OWNER-FINANCED
(RCW 19.2'7.095) MAILING ADDRESS,oscvei -f'STATE,TY, p S7te. X400 Glen Ellyn j (;30, GZIP I- 35.18
PHONE
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 /(9/ ,01
PRINT NAME: S 4-6,6 J®h fl sin
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application