12-101088 • •
Mechanical
City of Federal way Permit #: 12-101088-00-M E
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,wA saoo3
Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: CEDAR CREEK CONDOMINIUM UNIT 20
Project Address: 32820 20TH AVE S Unit 20 Parcel Number: 144170 0200
Project Description: Relocate meter and extend gas line
Owner Applicant Contractor
WAYNE&EDITH OWENS INFRASOURCE CONSTRUCTION LLC INFRASOURCE CONSTRUCTION LLC
32820 20TH AVE S UNIT 20 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.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: FILE
Date:
P1 N i (2,
41/4 THIS CARD IS TO MAIN ON-SITE .
CITY OFA - • Construction I ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 12-101088-00-ME Address: 32820 20TH AVE S Unit 20
Project: WAYNE & EDITH OWENS 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) El Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By ni- Date g-19 ` / 2 By fjf Date 3_,)A' /Z
0 Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
4( - 1 0 / O &
.,-.. `PERMITErn VIEDbEN FPFederal
COMMUNITY
83267� 25 SERVICES
A P P L I CAT I O N2 5-2609
wwuwc}qo/Tederalway.corn
MAR 08 2012
SITE ADDRESS CITY OF FEIYERkL#WAy3a9an av+n>3vc 5 CD§kO
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 1,000 I 4 (-I 1 7 0 - 0 0 0 0
TYPE OF PERMIT 0 BUILDING 0 PLUMBING pp MECHANICAL
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) C-CDA r2_
/� tat ( o A )yin k/'N1 01
PROJECT DESCRIPTION R6 ( I f A t`eld-(� ✓( ( O VL-�V)00451 �omra n hO
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS E-MAIL
CITY STATE ZIP
.. - --- - - '-N"M-�' c
PHONE
-
- .. _
J-ll FreA So104ree. CO)16trt4C,}AO il {I G
MAILING ADDRESS -
CONTRACTOR 13.00 R o(s eVe 1+ R a •S ire.� �
( !' 1 MAIL
GkcrTE ZIP IIkin .J.L .Vi J� FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
_ 1NPR a (A-911C7_ �4/ I"! /a�3 too fuse
NAMF 'EVG TOh!lISV ► PHONE "- _
as--3-17o- any 1
MAILING DRESI �1
APPLICANT Boa >i .,..0-1.1 ems,{a f h 51-re c}- E-MAIL
CITY 1 -en w ZI1603'D..
FAX
PROJECT CONTACT NAME Y V OT1 PHONE G
(The individual to receive and ��eve J h"�n �S3'37��a !�j
respond to all correspondence MAILING AD RESS E-MAIL
concerning this application) &� 141-41 a l a t1 StG e 4-
CI` enSTATE 2IPq FAX
ALTERNATE CONTACT NAME: W PHONE E-MAIL
PROJECT FINANCING NAM5 L f
Required value of$5,000 or more n l ra S( riGt. Ld n4 ini f✓}`a� I IC'
G ❑ OWNER-FINANCED
(RCW 19.27.0951 MAILING ADDRESS,CITY,STATE,ZIP f PHONE
Iao0 RooscVC1 i- (2 o s c. 400 Glen Ellyn 1, (.3o, 613 35-)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 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: 1 / DATE /81 a,o l a.
PRINT NAME: S 4-c'e )9h n&,n
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application