13-105015Project Name: MOELLER
Project Address: 32230 11TH PL SW
Project Description: Install heat pump and replace furnace
Mechanical
Permit #: 13- 105015 -00 -ME
Inspection Request Line: (253) 835 -3050
Parcel Number: 926493 0640
Owner
A121211can t
City of Federal Way
KEVIN A MOELLER
Community & Econ. Dev. Services
FILE
33325 8th Ave S
BLACK HILLS INC
Federal Way, WA 98003
FEDERAL WAY WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
1003 85TH AVE SE SUITE A
Project Name: MOELLER
Project Address: 32230 11TH PL SW
Project Description: Install heat pump and replace furnace
Mechanical
Permit #: 13- 105015 -00 -ME
Inspection Request Line: (253) 835 -3050
Parcel Number: 926493 0640
Owner
A121211can t
Contractor
KEVIN A MOELLER
SUSAN DUNHAM
BLACK HILLS INC (GENERAL)
30102 26TH PL S
BLACK HILLS INC
BLACKHI066JL (7/19/15)
FEDERAL WAY WA 98003
1002 SE 85TH AVE AVE
1003 85TH AVE SE SUITE A
OLYMPIA WA 98501
OLYMPIA WA 98501 -5706
Additional Permit Information
Is this an Online or O.T.C. application ? .................Yes
Mechanical Fixtures
Air Conditioners - Stand Alone Un 1 Furnaces .......... ............................... 1
PERMIT EXPIRES Wednesday, May 7, 2014
Permit Issued on Friday, November 8, 2013
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: Aftft am MM mom Date:
UNLINt:
f:1NALIED
Federal Way
PERMIT #:
T<siIS C.,"&RD IS TO REMAIN ON -SITE s
Construction Inspection Record
INSPECTION REQUE TS: (253) 835 -300
13- 105015 -00 -ME Address: 32230 11TH PL SW
Project: KEVIN A MOELLER FEDERAL WAY, WA 98023 -5558
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)
E] Final - Mechanical (4 5)
Approved
Approved to release test
Approved
By Date
By Date
By " Date t I W1, 13
F1
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date