12-101764Mechgnical
City of Federal Way Permit #.• 12 -101764 -00 -ME
Community 8 Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 8352607 Fax (253) 835-2609 � Q
Project Name: HAONG
Project Address: 32749 6TH AVE SW Parcel Number: 9264910770
Project Description: Relocate meter and extend gas line
Owner
ApAllican
Contractor
STACI HAONG
INFRASOURCE CONSTRUCTION LLC
INFRASOURCE CONSTRUCTION LLC
CHHAY HAONG
8001 S 212TH ST
INFRACL899CZ (2114/13)
32749 6TH AVE SW
KENT WA 98032
8001 S 212TH ST
FEDERAL WAY WA 98023-5624
KENT WA 98032
Additional Permit Information
Mechanical Valuation............................................1000.00 Is this an Online or O.T.C. application?................ Yes
Mechanical Fixtures
GasPiping ...................................... 1
PERMIT EXPIRES Wednesday, October 17, 2012
Permit Issued on Friday, April 20, 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 acro da with the laws, rules and regulations of the State of Washington
a the City o eral Way.
Owner or agen Date:
CITY OF C `I�
Federal Way
PERNUT #:
12 -101764 -00 -ME
THIS CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
Address: 32749 6TH AVE SW
Project: STACI HAONG FEDERAL WAY, WA 98023-5624
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.
Mechanical Rough -in (4165)11
Gas Piping (4125) -
t/
11 Final - Mechanical (4065)
Approved
Approved to release test f j"
Approved
By Date
By Datej /p /?j
By Date ry /�
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Fed a 1VE®*PERMIT
COMd83T2DEVEIAPMEMSERVICES APPLICATION
253-835-2607• FAX 2537�0� n +
www.d[goffederafwd�tbt( 2 ® C 1i2
51 -0-L-Y fo-+
MF COME PL DE EN FP
SITS)kDb*AS "L9 U U16=' U u o0 0
-9'.� 7 4 V,!5-
SUITE/UNIT f
PROJECT VALUATION
I 1/C�CJ, �V
ZONING
ASSESSOR'S TAX/PARCEL � i � I _
-q2- - - gO
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING //P4ECHANICAL
❑ DEMOLITION 0 ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Nanee/Homeoumer Last Name)
` '3
ay
A D P-3
PROJECT DESCRIPTION
Detailed description of work to
��
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
G AD `'1
E MAII.
�j h �j
STATE
ZIP
NA�M'E-�-, Y / ►�-/ 1� r�-C��
PHONE
� J ! CSS—
ING ADDRESS
S330
E-MAIL
CONTRACTOR
STA
ZIP
FAX
AA STATS CONTRACTOR'S LIPENBE # �
, Y
EXPIRATION DATE
FEDERAL WAY BUSIRE88 LICENSE /
NAME
PHONE
MAILING ADD _
E MAII
APPLICANT
cCr9r,
STATE1
�/��
FAX
PROJECT CONTACT
rrhe individual to receive and
respond to all correspondence
NAME
cs�45 ef Z;
PHONE
MAILING ADDRESS
WMAII.
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E•NAU.
PROJECT FINANCING
Required value of $5,000 or more
(RCW 19.27.095)
NAME
OWNER -FINANCED
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certVy under penalty of perjury that I am the property owner or authorized agent of the property owner. I cerdA that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certgy 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 j?led against the city,
but only where such claim arises out of the reli of the city, including its officers and employees, upon the accuracy of the
o
information supplied to the s apart of this icaHon.
SIGNATURE: DATE
PRINT NAME- !�
Bulletin #100 — January 1, 2011 Pagel of 3 k:\Handouts\Permit Application
12 VI -11?""
VALUE OPM8CHARICAL WORK
Indicate how many of each type of fi
AIR HANDLING UNITS
AIR CONDITIONER
BOILERS
COMPRESSORS
DUCTING
(a copy of bid or estimate must be provided
to be installed or relocated as part of this project. Do not include
FANS
GAS PIPE OUTLETS
FIREPLACE INSERTS
HOODS (c—.rciq
FURNACES
HOT WATER TANKS
GAS LOG SETS
REFRIGERATION SYST
GAS PIPING
WOODSTOVES
DISHWASHERS
RAINWATER SYSTEMS
i"31 -1,2k
yfa-tures to remain.
OTHER (Describe)
Q4 `
RIK T ,
x
W
Te
WATER PURVEYOR
X W
VALUE OF EXISTING 110PROVEDIENTS
,
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (=Tub/shoverconibo)
LAVS (Hod swW
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
Stories
DRINKING FOUNTAINS
SINKS (KftcbA=/utaW
WATER HEATERS (Electicl
HOSE BIBBS
SUMPS
WASHING MACHINES
7,—
Q4 `
RIK T ,
x
W
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWZR PURVEYOR
VALUE OF EXISTING 110PROVEDIENTS
I
AREA DESCRIPTION (in square feet) EXISTING
PROPOSED TOTAL
ZZ0=G/PREVIOUS USE
LOT SIZE (In Sq— Peet)
EXISTING FIRE SPRINKLER SYSTIM?
PROPOSED FIRE SUPPRESSION SYSTEM?
Additional Information
ii Yes Ei No
El Yes Ei No
Q4 `
RIK T ,
x
W
A
-�-,
ME, �� w264-,
1
I
AREA DESCRIPTION (in square feet) EXISTING
PROPOSED TOTAL
FOR OFFICE USE
Additional Information
in uare Feet
DC
Stories
FIRST FLOOR (or Mobile Home)
I f,
,Tm,
11 1 W--OPRII
a
4
W1,
COVERED FtMY
ADDITION
KIWI
IWO
GARAGE 0 CARPORT 11
CO -SI - uction
# of
W
Occupancy Group(s)
R;A e
Additional bxformation
in Ncare Feet
Area Totals
TOTAL
"M
ESTIMATED SELLING PRICE
#OF BEDROOMS
4,
A
Area
Construction
# of
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
in uare Feet
DC
Stories
I f,
a
4
W1,
ADDITION
Area
CO -SI - uction
# of
AREA DESCRIPTION
Occupancy Group(s)
Additional bxformation
in Ncare Feet
stories
01
Z,
TENANT AREA ONLY
Bulletin #100–January 1, 2011 Page 2 of 3 k:\Handouts\Pem-dt Application