16-105474Mechanical
Cityy1*veoiment Permit #:16- 105474 -00 -ME
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003 FILE In Request Line: (253) 835 -3050
Ph: (253) 835.2607 Fax: (253) 835 -2609
Project Name: CLARK
Project Address: 30255 25TH AVE SW Parcel Number: 893760 0180
Project Description: REPLACE EXISTING GAS FURNACE WITH NEW
Owner
Applicant
Contractor
PATRICIA CLARK
SARAH TURNERGLENDALE HEATING &
GLENDALE HEATING & A/C (GENERAL)
30255 25TH AVE SW
A/C
GLENDHA053Q2 (11/2/17)
FEDERAL WAY WA 98023 -2316
12462 DES MOINES WAY S
12462 DES MOINES MEMORIAL DR
SEATTLE WA 98168 -2266
SEATTLE WA 98168 -2266
Additional Permit Information
Mechanical Work Valuation ... .. .... ................ 200.00 Is this an Online or O.T.C. application ?.................. Yes
:,
Furnaces
PERMIT EXPIRES Monday, 15 May, 2017
Permit Issued on Wednesday, November 16, 2016
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 City of Federal Way.
Owner or agent: Date:
. . N air.
FINALED
cmâ–º of
Federal Way
PERMIT #: 16105474 00
Project: LESLIE HIC,'LARK
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835 -3050
Address: 30255 25TH AVE SW
FEDERAL WAY WA 98023 -2316
..
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
(rears 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.
El
Mechanical Rough -in (4165)
Gas Piping (4125)
Q Final - Mechanical (4065)
Approved
Right of Way
Approved to release test
Approved
By
Date
By
Date
B js. Date
Rough Electrical
1
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date