12-101115i I 'Aft
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: CEDAR CREEK CONDONENIUM UNIT 48
Project Address: 32820 20TH AVE S Unit 48
Project Description: Relocate meter and extend gas line
Mocha»ical
Permit #: 12 -101115 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 144170 0480
Owne
A1212licant
Contractor
RITA SNYDER
INFRASOURCE CONSTRUCTION LLC
INFRASOURCE CONSTRUCTION LLC
32820 20TH AVE S UNIT 48
8001 S 212TH ST
INFRNW9CZ (2/14/13)
FEDERAL WAY WA 98003
KENT WA 98032
212TH ST
98032
Additional Permit Information
Mechanical Valuation............................................1000.00 Is this an e�.C. appli " on? ................. Yes
Mechanical Fixtures
Gas Piping ...................................... 1
PERMIT EXPIRES Saturdir, SepWifiber 8,201
Permit IssuGd o% my, M 12, 2012
hereby certify that the above information is c d that construction a described property and
the occupancy and the use will be in accord ith the s, rules and r of the State of Washington
%Aid City ederal Way. 10
Owner or agent: ld 0 I".,A n"'111111111
,
s,
n/
Date:
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE A
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
12 -101115 -00 -ME Address: 32820 20TH AVE S Unit 48
RITA SNYDER FEDERAL WAY, WA 98003-9432
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)
Gas Piping (4125)Final
- Mechanical (4065)
Approved
Approved to release test
Approved
By Date
B S Date,
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF 11'nM
Federal Way
COMMUMTY DEVELOPMENT SERVICES
253-835-2607• FAX 253-835-2609
www.rtuoiTedervlwatr.c m
PERMIT
APPLICATION
1z r 0 ( I I s
F Ak �fV r [y
MAR 0 8 2012
SITE ADDRESS CITY
3agao ��+��� 5
DS
PROJECT VALUATION
1000
ZONING
ASSESSOR'S TAX/PARCEL #
ILi 4 1z v- o 0 00
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING AI MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
�1Ujc ti I U�
PROJECT DESCRIPTION
6 ' 1 h (hove, w4ci rhe +t r' m j'1 hotel Q
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
MAILING ADDRESS
&-MAIL
CITY
STATE
ZIP
NAM
�(1 fru 14OUrde(►Str��Hvn 1I �-
PHONE
MAILING ADDRESS f7
ado RoVs\eve t} R a .� to Up
E-MAIL
CONTRACTOR
i
�L-
wl J
FAX
WA STATE CONTRACTOR'S LICENSE #
N� Gl.V 9G�-
EXPIRATION DATE
tS� i f W?s
FEDERAL WAY BUSINESS LICENSE #
100 S
NAMF 'Evc Toh h 5Vh
PHONE
X43-17 c9-- a
MAILING DRESS
C� Scow h a l a �-h S 4'rc a �-
E-MAIL
APPLICANT
CITY 1 � � �
`Sw1';TF�
,I V
ZI§
FAX
PROJECT CONTACTNAME
(The individual to receive and
�� �iVG h"S'On
PHONE
73- 370- C19 I
AD KESS L
i 5.-7 , a► I -A t.) StrCe 7L
E-MAILconcerning
respond to all correspondenceLING
this application)
CITY
STATE
w
ZIP
C, Bv3
FAX
ALTERNATE CONTACT NAME. PHONE
E-MAIL
PROJECT FINANCING
Required value of $5,000 or more
(RCW 19.27.095)
NAM
�n fool Sex.►r�e� Gorr }rpt c. a►^ ' G
OWNER -FINANCED
MAILING AD RESS, CITY, STATE, ZIP
1x,00 ooscvG i-12 p 5tt Liao Gltn Ellyn
PHONE
G30_ G13r 35- 18
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 cf a part of this applietKsm R
SIGNATURE: C L yy L0h DATE100,
PRINT NAME: c7 +Wei ./ n &,r)
Bulletin #100 — January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application