13-103639c �
Mechanical
City & Federalway Permit #: 13- 103639 -
00 -ME
Community 8 Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2807 Fax: (253) 835-2809 Inspection Request Line: (2
53) 835,3050
Project Name: KNUDSEN
Project Address: 3926 SW 324Th ST Parcel Number. 873196 0270
Project Description: Relocation of gas meter.
Owner
AR1211icant
Contractor
GRANT KNUDSEN
INFRASOURCE SERVICES LLC
INFRASOURCE SERVICES LLC
PO BOX 25433
14103 STEWART RD
INFRASL871C2 (2/22/15)
FEDERAL WAY WA 98093
SUMNER WA 98390
14103 STEWART RD
SUMNER WA 98390
PERMIT EXPIRES Saturdayuitbruary
Permit Issued on Mo August 19,
—A.je
I hereby certify that the above information
the occupancy and the use wil in aco
Owner or agent:
d'that the consVdfftb1bn the above described property and
the laws, rul antwegulations of the State of Washington
of Federal
Date: `�
AM
40p%t&` THIS CARD IS TO REMAIN ON-SITE
CITY OF ` THIS
Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 13 -103639 -00 -ME Address: 3926 SW 324TH ST
Project: GRANT KNUDSEN FEDERAL WAY, WA 98023-2425
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.
El
Mechanical Rough -in (41 5)13
Gas Piping (4125)
Final Electrical
Approved
Final - Mechanical (4065)
Approved
By
Approved to release test
Approved
By
Date
By M g
Date q IS- 1 13
By
Date
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
. N
`OF
Federal Way
CORRECTION NOTI
Building Division
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
ADDRESS: 3azb Sir 324 TLA',sr. PE #: 13 t c3 to 39 - 00
• 61 04 P i H A-6� G 0 h Tes t a.4 wt r 0-c' vt n1 e
Dve,gst-vf 9 c�gc
E
IF YOU HAVE QUESTIONS CALL (253) 835- 2b 2 S
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
ti 3
DATE
INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
C,rr°F PERMIT
Federal Way
R E -- j�/ �2 .�
X60 IE PL
COMMUMT2607- FAX
253-8 SERVICES APPLICATION H Uta ! 9 2013
253-835-2607• FAX 253-835-2609
wmw. riluofferieralurmu. rom C
rry OF FEDERAL ��. WAY
C
6- - q.
DE EN FP
"/ 0
SITE ADDRESS � �1 d 0
SUITE/UNIT #
� Is� ��
PROJECT VALUATION
ZONING
ASSESSOR'S T'AXX%/PARCEL #
1 (w no
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING WMECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
MAILING ADD S� ` � rf7 � 7'E
-MAIL
STAT
ZIP
NAME
/ /�-•r!/S /V��C. G�
PHONE
- Y� a
MAILING ADDRESSC _ ,l
'vt�� ��U
E-MAIL
�Q
-
CONTRACTOR
4✓ /�T
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FesM(Deg
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s
WA STATI;
[[����3 C
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FAx
WA STATE CONTRACTOR'S LICENSE #
- O f- A S L 7 I
EXPIRATION DATE
/'p - -
FEDERAL WAY BUSINESS LICENSE #
PHONE
APPLICANT
MAILIXG ADD s
E-MAIL
CITY
STAT$
ZIP j�✓
FAX
PROJECT CONTACT
NAME „ � �
PHONE
(The individual to receive and
M41LING ADDRESS
respond to all correspondence
E-MAIL
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAM
OWNER -FINANCED
Required value of $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 supplied to the city as apart of lication.
SIGNATURE: %a2G='Z % DATE
PRINT NAME:
Bulletin #100 — January 1, 2011 Page I of 3 k:\l-Iandouts\Pernit Application
VALUE OF MECHAMC ORK $ (a copy of bid or estimate must be provided)
Indicate how many of eacl Jjpe of fixture lo be installed r relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNIT FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE IN RTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SET REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how man of eac
type of fixture to be insta ed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(- /shower
bo) LAVS (Ii sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINW TER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SH ERS
VACUUM BREAKERS
DRINKING FOUNTAINS
INKS (K tchm/uLl ry)
WATER HEATERS (Electric)
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?
❑ Yes ❑ No ❑ Yes ❑ No
AREA DESCRIPTION Area I Occupancy Groups) Construction I # of I Additional Information
in Souare Feet Tvue Stories
ADDITION
Bulletin #100 —January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application