15-104865Project Name: BUSHEY
Project Address: 30506 12TH PL SW
Project Description: Replace gas furnace
X• R'
Mechanical
Permit #: 15- 104865 -00 -ME
Inspection Request Line: (253) 835 -3050
•
Parcel Number: 178850 0070
Owner
-
City of Federal Way
RICHARD L BUSHEY
Community & Econ. Dev. Services
GLENDALE HEATING & A/C (GENERAL)
333W 8th Ave S
FILE
Federal Way, WA 98003
FEDERAL WAY WA
Ph: (253) 835 -2607 'Fax: (253) 835 -2609
12462 DES MOINES MEMORIAL DR
Project Name: BUSHEY
Project Address: 30506 12TH PL SW
Project Description: Replace gas furnace
X• R'
Mechanical
Permit #: 15- 104865 -00 -ME
Inspection Request Line: (253) 835 -3050
•
Parcel Number: 178850 0070
Owner
AgRI11can
Contractor
RICHARD L BUSHEY
SARAH TURNER
GLENDALE HEATING & A/C (GENERAL)
3050612TH PL SW
GLENDALE HEATING & A/C
GLENDHA053Q2 (11/2/15)
FEDERAL WAY WA
12462 DES MOINES WAY S
12462 DES MOINES MEMORIAL DR
98023
SEATTLE WA 98168 -2266
SEATTLE WA 98168 -2266
Additional Permit Information
Is this an Online or O.T.C. application ? .................Yes
Mechanical Fixtures
Furnaces .......... ............................... 1
PERMIT EXPIRES Tuesday, March 22, 2016
Permit Issued on Thursday, September 24, 2015
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:
LIfVs,�r_U
1
CITY OF
Federal Way
PERMIT #: 15- 104865 -00 -ME
Project: RICHARD L BUSHEY
THIS CARD IS TO IN ON -SITE
Construction In ection Record
INSPECTION REQU TS: (253) 835 -3050
Address: 30506 12TH PL SW
FEDERAL WAY, WA 98023 -8229
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)
1:1 Gas Piping (4125)
Final - anical ( 065)
Approved
Approved to release test
Approved
Right of Way
Approved
By
By Date
By Date
�- Date
i � _1/
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date