13-103831t
. Mechanical
City of Federal Way Permit #. 13- 103831 -00 -M E
Community & Econ. Dev. Services .
33325 8th Ave S
Federal Way, WA 98003 LEM Inspection Request Line: (253) 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 .
Project Name: MILLER
Project Address: 2477 S 283RD PL
Project Description: Install heat pump and replace furnace
Parcel Number: 3260810560
Owner
ARntiant
Contractor
JEFFREY MILLER
SUSAN DUNHAM
BLACK HILLS INC (GENERAL)
2477 S 283RD PL
BLACK HILLS INC
BLACKFH066JL (7/19/15)
FEDERAL WAY WA 98003 -2970
1002 SE 85TH AVE AVE
1003 85TH AVE SE SUITE A
OLYMPIA WA 98501
OLYMPIA WA 98501 -5706
Additional Permit Informatlon
Is this an Online or O.T.C. application ? ................. es
Mechanical Fixtures
Compressors / Heat Pumps............ 1 Furnaces .......... ............................... 1
PERMIT EXPIRES Wednesday, February 26, 2014
Permit Issued on Friday, August 30, 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 Date:
%JNLINI=
THIS CARD IS TO REMAIN ON -SITE
�,T,r� THIS
Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835 -3050
PERMIT #:
13- 103831 -00 -ME Address: 2477 S 283RD PL
Project: JEFFREY MILLER FEDERAL WAY, WA 98003 -2970
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)
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By Date
I[:]
By Date
By -4 , Date "t l 13 `17
-4
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
Mechanical
Commu
Citynity of&EFederalcon.Dev.SWayervices
Permit #: 13-10383100-M E
33325 8th Ave S
Federal Way,WA 98003 e
Ph:(253)835-2607 Fax (253)835-2609 SITE Inspection Request Line: (253)835-3050
Project Name: MILLER
Project Address: 2477 S 283RD PL Parcel Number: 326081 0560
Project Description: Install heat pump and replace furnace
•
Owner Applicant Contractor
JEFFREY MILLER SUSAN DUNHAM BLACK HILLS INC(GENERAL)
2477 S 283RD PL BLACK HILLS INC BLACKHI066JL(7/19/15)
FEDERAL WAY WA 98003-2970 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
Compressors/Heat Pumps 1 Furnaces 1
PERMIT EXPIRES Wednesday, February 26, 2014
Permit Issued on Friday, August 30, 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: N I F Date:
Vxt`liPk‘" 1:'
THIS CARD IS TO REMAIN ON-SITE
CITY OF "- Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 13-103831-00-ME Address: 2477 S 283RD PL
Project: JEFFREY MILLER FEDERAL WAY, WA 98003-2970
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.
0 Mechanical Rough-in(4165) El Gas Piping(4125) El Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By d S Date 117 l 1
S11!E
E Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date