13-103637I
Mechanical
City of Federal Way Permit #: 13-103637-00-M E
Community 8 Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 Inspection Request line: 25
Ph: (253) 835-2607 Fax. (253) 835-2609 p Q 3) 835-3050
Project Name: RECASNER
Project Address: 3823 SW 321ST ST Parcel Number: 873190 2440
Project Description: Relocation of gas meter.
Owner
nlicant
Contractor
ELDRIDGE RECASNER
INFRASOURCE SERVICES LLC
INFRASOURCE SERVICES LLC
KAREN RECASNER
14103 STEWART RD
INFRASL87IC2 (2/22/15)
3823 SW 321ST ST
SUMNER WA 98390
14103 STEWART RD
FEDERAL WAY WA 98023
SUMNER WA 98390
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Mechanical Figures
Gas Piping......... .... 1 . Q
PERMIT EXPIRES Sc -
Permit Issued on M
I hereby certify that the above information is correct andthe cons
the occupancy and the us be in accordan ithN'e laws, rules
081=Cl6v of Federal We
Owner or agent:
ary 15, 2014
19, 2013
on on the above described property and
regulations of the State of Washington
Date:
0" . V ,/' r
Federal Way
PERMIT #:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
13 -103637 -00 -ME Address: 3823 SW 321ST ST
Project: ELDRIDGE RECASNER FEDERAL WAY, WA 98023-2454
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)El
Gas Piping (4125)
Final Electrical
Approved
Final - Mechanical (4065)
Approved
By
Approved to release test
Approved
By
Date
By
4Z 'Lt 13 Date
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
COMMUNITY DEVELOPMENT SERVICES
253-835-2607• FAX 253-835-2609
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*PERMIT RECE CO IE PL DE EN FP
APPLICATIONAUG 19 2013 b93b
CITY OF FEDERAI M/AV
SITE ADDRESS
vil 1. s
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL #
$
2- `I
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING XIMIECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
/ 7
(� (�
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
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PRIMARY PHONE
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WAILING ADDRESS
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MAILIN ADDRESS ,� 'j�� \
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E-MAIL
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CONTRACTOR
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ZIP (�\_J_�C
FAX
W ATE CONTRACTOR'S LICENSE M1
II ON DATE
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FEDERAL WAY BUSINESS LICENSE #
NAME . /n / Y s
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PHONE 2 16
APPLICANT
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E-MAIL
-
CIT�r,%>
STATE
ZIP)
FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
MAILING ADDRESS
E-MAIL
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
1 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 relianc of the city, including its officers and employees, upon the accuracy of the
information supplied to the ci apart of this p ation.
SIGNATURE: DATE `
PRINT NAME: /IIIA
Bulletin #100 -January 1, 2011 Pagel of 3 k:\l-Iandouts\Permit Application
1�IECIANIM Fix rtiKEs
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
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.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commerciai)
BOILERS FURNACES HOT WATER TANKS (aas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type of fLYture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/shower Combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kiuhen/unity)
WATER HEATERS (ea«tric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
o Yes o No o Yes o No
f AREA DESCRIPTION I Area I Occupancy Group(s) I Construction I # of I Additional Information
I in Square Feet Type Stories
Nzw RmLwNG
ADDITION
Bulletin #100 —January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application