23-105067City of Federal Way
Community Development Dept.
Ave S
Sal
FILE
W
Federal Way,WA 98003
Ph: (253) 835-2607 Fax: (253) 835 2609
Project Name: PELLICER
Project Address: 114 SW 292ND ST
Project Description: GENERATOR WITH GAS PIPING
Mechanical
Permit #:23-105067-00-ME
Inspection Request Line: (253) 835-3050
Parcel Number: 119600 0008
Owner.
Applicant
Contractor
JAMES S PELLICER
KAREN MATHENEYWASHINGTON
WASHINGTON ENERGY SERVICES CO
114 SW 292ND ST
ENERGY SERVICES CO
(GENERAL)
FEDERAL WAY WA 98023-3501
3909 196TH ST SW
WASHIES85INS (9/7/25)
LYNNWOOD WA 98036
3909 196TH ST SW
LYNNWOOD WA 98036
Additional Permit Information
Mechanical Work Valuation? ..................... I............ 10000 Is this an Online or O.T.C. application?.................. Yes
Mechanical Fixtures
Gas Piping 1 Gas Pipe Outlets j
PERMIT EXPIRES Tuesday, 9 April, 2024
Permit Issued on Thursday, October 12, 2023
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
V! ing o m e t f ederal Way.
LIOwner or agent: - Rate:
l�
� /14 0— /
C17Y OF
Federal Way
THIS C A-RD IS TO REALkIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Scheduled inspections ma-: be failed if this card is not on -site. DO NOT LOSE TMS, CARD. Inspections are listed as close to segt:ential order as possible
( read left to right. top to bottom!. Please schedule inspections as appropriate. Work mist not be covered until it is approved. Check -,,�,i'h your inspector if
"ou are unsure about any of the inspeCTMS or the inspection witlence. Chi -going inspections are logged on the back of this card.
ELECTRICAL
❑
L-FER Ground (4295)
❑
Ditch cover (4030)
❑
SlaWC.oncrete Floor (4255)
Approved
Approved
Approved to place concrete
BN•
Date
By
Date
Bs-
Date
❑
Pool Bonding (4195)
❑
Temporan- Power (4275)
❑
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
EJ
Feeders/Sub-panels (4045)
❑
Rough Electrical (4225)
❑
Ceiling Corer (4020)
Approved
Approved
:approved
By
Date
By
Date
By
Date
❑
Final - Electrical (4055)
Approved
By
Date
MECHANICAL
❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved
Approved to release test
Approved
By
Date
By
Date
By i�t�
Date tp�
PLUMBING
❑
Plumbing Groundwork (4190)
❑
Rough Plumbing (4230)
0
Final - Plumbing (4075)
Approved to cover
Approved
Approved
By
Date
By
Date
By
Date