23-101212City of Federal Way
Community Development Dept.
FILF
33325 Sth Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: GIBSON
Project Address: 524 SW 294TH ST
Mechanical
Permit #:23-101212-00-ME
Inspection Request Line: (253) 835-3050
Project Description: Running approximately 18ft of gas pipe for meter relocation
Parcel Number: 119600 1740
Owner
Applicant
Contractor
JOHN GIBSON
JOHN GIBSON
OWNER IS CONTRACTOR
524 SW 294TH ST
524 SW 294TH ST
FEDERAL WAY WA 98023-3540
FEDERAL WAY WA 98023-3540
Additional Permit Informati11"%710.T.C.
Mechanical Work Valuation?... . 500 ts thi al 7application?..................
.11 Mec aniC tures
Gas Piping ]
PE IT EXP
.eN Sunday, 3 September,
Per %s ed on Tuesday, March 7, 2160
1 hereby certify that the above information is correct and that the[ction on the above described property
and the occupancy and t use will be in accordance with tha , rules and regulations of the State of
Ehinitq[lahl eral Way.
N -
Owner or agent: M Date:
_N�
CITY of
Federal Way
THIS CARD IS TO RE -AI. -IN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) S35-3050
Scheduled inspections may be failed if this card is not on -site. DON OT LOSE Tffi.S CARD. Inspections are listed as close to sequential order as possible
(read left to right. top to bottom) Please schedule inspections as appropriate. lkork must not be covered until it is approved. Check sLith your inspector if
you are unsure about any, of the inspections or the inspection sequence. Chi -going inspections are logged on the back of this card.
ELECTRICAL
❑
By
UFER Ground (429'5)
Approved
Date
Q
By
Ditch cover (4030)
Approved
Date
❑
By
Slab/Concrete Floor (4255)
Approved to place concrete
Date
Pool Bonding (4195)
❑
Temporary Power (4275)
❑
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
Feeders/Sub-panels (4045)
❑
Rough Electrical (4225)
❑
Ceiling Cower (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By
Date
MECHANICAL
M ,4C
❑ Mechanical Rough -in (4165)
0 Gas Piping (41251,
❑ Final - Mechanical (4065)
Approved
Approved to release test
Approved
By Date
Bv Date '3134;,j
By Date
V.
PLUMBING
❑ Plumbing Groundwork (4190) ❑ Rough Plumbing (4230) ❑ Final - Plumbing (4075)
Approved to cover Approved Approved
By Date By Date By Date