12-103671' Mechanical
City of Federal Way Permit #: 12-103671-00-M E
Community &Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 p q
Project Name: SCHORSCH
Project Address: 645 SW 307TH ST Parcel Number: 178880 0260
Project Description: Relocate meter and extend gas line
Owner
Applicant
Contractor
ELAINE G SCHORSCH
INFRASOURCE CONSTRUCTION LLC
INFRASOURCE CONSTRUCTION LLC
645 SW 307TH ST
1200 ROOSEVELT RD SUITE 400
INFRACL899CZ (2/14/13)
FEDERAL WAY WA 98023-3977
KENT WA 98032
1200 ROOSEVELT RD SUITE 400
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 Sunday, February 10, 2013
Permit Issued on Tuesday, August 14, 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 ' I be in accordance—with the laws, rules and regulations of the State of Washington
n ity of ral Way.
Owner or agen . Date:
G(NAII�D 9�I��/Z
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD Is TO,MAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
12 -103671 -00 -ME Address: 645 SW 307TH ST
ELAINE G SCHORSCH FEDERAL WAY, WA 98023-3977
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
D
Piping (4125)
❑ Final - Mechanical (4065)
Approved
Approved to release test /1— S�
Approved
By Date
By Date f_�y _ Z
By Date f 1, --/Z-
/,Z
❑
Rough Electrical
Approved
E]Final
Electrical
Approved
EJRight
of Way
Approved
By
Date
By
Date
By
Date
CITY OF
vu
FederalCEIVED 0 PERMIT
COMMUNITY DEVELOPMENSERVI
607. FAX
X3APPLICATION
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CITY OF FEDERAL WAY
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0 MF CO V0
PL DE EN FP
SITE ADDRESS
SUITE/UNIT #
(Q 30-71 � ST
PROJECT VALUATION
$1000�7-
ZONING
ASSESSOR'S TAR/PARCEL Y
5'
❑ BUILDING ❑ PLUMBING eMECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
SC RD
PROJECT DESCRIPTION
Detailed description of work to
i" Loc AZ =Qt.t F (271a S iw C 7C -7z -
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
(D S SVJ 3a 7 T"
E-MAIL
CITY
Fr l 9_Av!A�
STATE
v�1,4
ZIP
qC Z
NAME
PHONE
..i N r- t� SnoR-.G
MAILING ADDRESS
13330 T(-V4C_ AVI
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
=A C L -4
Nr,/ A �,, 7� /
_' �
PHONE /
-
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7� t�! �t
— S� l0 L
MAILING ADD*ESS
33GCITY
E-MAIL
APPLICANT
Q
.J
sTI
ZIP q e I -3 3
FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
• A n1 l`. A Q QL r C1,/ -_i T
MAILING ADDRESS
E-MAIL
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
El 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 this application.
SIGNATURE: DATE
PRINT NAME:
Bulletin #100— January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application
r a
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECItANIC jL, FiXTURES
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 I GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS HOODS (Commercial)
BOILERS
FURNACES HOT WATER TANKS p—)
COMPRESSORS
GAS LOG SETS REFRIGERATION SYST
DUCTING
GAS PIPING WOODSTOVES
Indicate how many of each type offixture 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 (Kitchen/Utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL FIXTURES
GENERAL I\'FORNIATION.,
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
Additional Information
in Square Feet a Stories
NEW BUILDING
EXISTING/ PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITION
❑ Yes ❑ No
❑ Yes ❑ No
m-
al y RESTDE TIAI. OR DDITTO � _h A
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
----.. ._..._..... ............. _.._...--
BASEMENT
>.
i
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
Area Totals EXISTING PROPOSED TOTAL
"*NEW HOMES ONLY"
ESTIMATED SELLING PRICE $ # OF BEDROOMS
�E CO N-1ERC1AI,— VF /ADDtTiON- g,
R r %
g r...
�
., y. ..... a.::,. ,..:
Area Construction # of
AREA DESCRIPTION Occupancy Group(s)
Additional Information
in Square Feet a Stories
NEW BUILDING
ADDITION
COMMERCIAL= k6N ODEI.JTF � a�T I1rnRo���IE�£Ts
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
# of
Additional Information
in Square Feet
a
Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100—January 1, 2011 Page 2 of k:AHandouts\Permit Application