09-102356y City of Federal Way
Community Development Services
P.O. Box 9i 18- , '
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: BUCKHOLZ
Project Address: 1058 S 316TH ST
Project Description: Air Conditioner Installation/
' 'W&apical
r
Permit #: 09- 102356 -00 -ME
Inspection Request Line: (253) 835 -3050
Parcel Number: 858800 0360
caner
Applicant
Contractor
VERLYN BUCKHOLZ
GARY JESSEN
PLUMB SERVE
1058 SW 316TH CT
ELECTRO SERVE
PLUMBS *923KB (5/2/10)
FEDERAL WAY WA 98003 -5331
14510 NE 20TH ST
13300 30TH ST SUITE 105
Yes
BELLEVUE WA 98007
BELLEVUE WA 98005
Air Ccitiloners - Stand Alone Una 1.;
PER'S EXPIRES Wednesday, December
I hereby coif that the above jqormarton is correct and that the con'ttruction r
the occupancy and the use wltl.be in adoordance with the 6*si rules an regiJil
d the City of Federal Way.
Owner or agent:
F 1 KAU.S rp 1 o11 tiv`I
IF
above ri , r d .
s of the ate a
Date: & — 30-0 9
#Cl�llta iiIC�
Jam`
ir
Mechanical Valuation ....................
........................4419.80
Is this an Online or O.T.C. application? .................
Yes
Air Ccitiloners - Stand Alone Una 1.;
PER'S EXPIRES Wednesday, December
I hereby coif that the above jqormarton is correct and that the con'ttruction r
the occupancy and the use wltl.be in adoordance with the 6*si rules an regiJil
d the City of Federal Way.
Owner or agent:
F 1 KAU.S rp 1 o11 tiv`I
IF
above ri , r d .
s of the ate a
Date: & — 30-0 9
„er `THIS CARD IS TO IN ON -SITE -
CITY OF Construction Intion Record
Federal Way INSPECTION REQU 83G -3050
PERMIT #: 09- 102356 -00 -ME Address: 1058 S 316TH ST
Owner: VERLYN BUCKHOLZ FEDERAL WAY, WA 98003 -5331
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)
El Final - Mechanical (4065)
Approved
Approved to release test
Approved
By Date
By Date
By Date
❑ Rough Electrical
Approved
By Date
FILE
For infector reference only_,
❑ FINAL - Electrical
Approved
By Date
v