18-103667City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 83&2609
Project Name: SCHMIDT
Project Address: 4727 SW 325TH PL
Project Description: Relocation of gas meter.
Mechanical
Permit #:18 -103667 -00 -ME
Inspection Request Line: (253) 835.3050
Parcel Number: 873219 0520
Owner
Applicant
Contractor
BRIAN SCHMIDT
COREY ALEXANDERINFRASOURCE
INFRASOURCE SERVICES LLC
4909 SW 325TH PL
SERVICES LLC
INFRASL871C2 (2/22/19)
FEDERAL WAY WA 98023
13330 STONE AVE N
14103 STEWART RD
SEATTLE WA 98133
SUMMER WA 98390
Additional Permit Information
Mechanical Work Valuation? .................................. 1000 Is this an Online or O.T.C. application?,
Yes
f jttlres117771
v
E��u1r3 �� ..
Gas Piping 1
PERMIT EXPIRES Sunday, 10 February, 2019
Permit Issued on Tuesday, August 14, 2018
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy an a use will be in Iccordance with the laws, rules and regulations of the State of
Wa n and the City o Federal Way.
Owner or agent: Date: _ �C
F;,7,l,e)
arr Cw
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
18103667 00 Address: 4727 SW 325TH PL
BRIAN SCIE I DT FEDERAL WAY WA 98023-1919
. , ,
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)
Gas Piping (4125)
Final Electrical
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By
Date
By
Date
By
AA) Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
40k
CITY OF
Federal Way
-IECEIVED PERMIT APPLICATION
AUGE y�� PERMIT CENTER + 33325 811, Avenue South + Federal Way, WA 98003-6325
AU 253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
„i i -Y OF FEDERAL WAY
�i „,PA�9UNflY DEVELOPME
PERffiIT NUMBER J� Jj - - ` D 3 6 ---m TARGET DATE
SITE ADDRESS
SUITEMNIT #
L4 -7�), 1 S tA/ 3Z6 -T#
P]RO�J.E�wCyT�VALUATION
ZONING
ASSESSOj/WS TAR/PARCEL #
e 0o
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING eMECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
J� 14 -z wr (2> pX t
PROJECT DESCRIPTION
T- T� �%'�
Detailed description of work to
be included on this permit only
NAME
SGt+ M f3Tj&RXAAJ 0
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
EMAIL
C TYSTATE
ZIP Q
13
NAM
' 3eAr.rcr= S4—
PH0Z=- --'/G ^ X'30
DIMING
I7l6DREsB d/ eIii/
E-MAIL
CONTRACTOR
c ,vG=rl&vx
ZIP
W391J
FAx
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
S�s�eel
APPLICANT•
MAILING ADD s� (�..tc7 L�T��L
�,��y�V
E-MAIL
CITY
STATE
ZIP
FAX
N&W
%ZG 1,e t'�
PR]Ith" PHONE
--V'-0-="Mj
PROJECT CONTACT
-e;"
cy
MAIL ING m � /+ �,rmcm e-
�-�C3"
� - -
0�
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
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 suppliedto city as a f t appiicaiion
SIGNATURE: DATE�� T �`
PRINT NAME:
Bulletin #100 - January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application
MECHANICAL PERMIT
AIR HANDLING UNITS
AIR CONDITIONER
BOILERS
COMPRESSORS
DUCTING
PLUMBING PERMIT
CRITICAL AREAS OR PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
$v
Indicate how man of each type o
re to be installed or relocated as
part o this project, Do not include e; s
' res to remain.
BATHTUBS (or Tub/Sb..Combo)
LAVS (Hmdsinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (ttitcben/utmA
WATER HEATERS (m.,ute)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FtKTURES
GENERAL WoRMATION
CRITICAL AREAS OR PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
Construction
# of
Additional Information
EXISTINGIPREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
NEW BIIILmmtsam';'
❑ Yes ❑ No
❑ Yes ❑ No
COMMERCIAL - NEW/ADDTTION
AREA DESCRIPTION
Area in
Occupancy Group(s)
Construction
# of
Additional Information
Square Feet
Stories
NEW BIIILmmtsam';'
ADDITION
C®MMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
Additional Information
Feet
SquareTOTAL
TypeSt
roses
BMLDIN(i
TENANT AREA ONLY
PROJECT AREA ONLY
y
Bulletin #100 — January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application