22-104760y1� ��{{ Mechanical
City y Developmeny Permit #:22-104760-00-ME Community Development Dept.
FILE
33325 8Ih Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: CORTEZ
Project Address: 28632 21STAVES Parcel Number: 422200 0070
Project Description: REPLACING TANKLESS WATER HEATER, RELOCATE, GAS PIPING
Owner
Applicant
Contractor
DAVID CORTEZ
KAREN MATHENEYWASHINGTON
WASHINGTON ENERGY SERVICES CO
28632 21 ST AVE S
ENERGY SERVICES CO
(PLUMBING)
FEDERAL WAY WA
3909 196TH ST SW
WASHIES796NU (10/25/23)
98003
LYNNWOOD WA 98036
3909 196TH ST SW
LYNNWOOD WA 98036
Additional Permit Information
Mechanical Work Valuation? ......................... ....... - 6100 Is this an Online or O.T.C. application?.................. Yes
Gas Piping
Mechanical Fixtures
1 Gas Pipe Outlets 1 Hot Water Tanks
PERMIT EXPIRES Wednesday, 12 April, 2023
Permit Issued on Friday, October 14, 2022
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of
Washington and the Jilrederal Way.
n I I I t
Owner or agent: I N NE19Date:
` \Ok
THIS CARD IS TO REMAIN ON -SITE
CITY OF As�
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 22 104760 00 Address: 28632 21ST AVE S
Project: BEVERLY L CORTEZ FEDERAL WAY WA 98003-3339
Scheduled inspections maybe failed if this card is not on -site. DO NOT LOSE Tll l5 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)
0 Gas Piping (4125)
Q Final - Mechanical (4065)
Approved
Approved to release test
Approved
By Date
By Date
By ) 0 Date
(IVA'
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
I
Approved
By
Date
I
I By
Date
By
Date