10-104995 City of Federal Way Mechanical
Community Development Services Permit #: 10-104995-00-ME
P.O.Box 9718 �'
Federal Way,WA 98063-9718 L E Inspection q Ins ection Re uest Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: JIMENEZ
Project Address: 30635 4TH PL S Parcel Number: 241330 0780
Project Description: Adding 100 ft of gas piping& (5)gas piping outlets
Owner Applicant Contractor
VIRGINIA JIMENEZ SHANNON BUCKINGHAM EMERALD AIRE INC(GENERAL)
30635 4TH PL S EMERALD AIRE INC EMERAAI055BL(04/01/11)
FEDERAL WAY WA 5108 D ST NW 5108"D"ST NW
98003-4043 AUBURN WA 98001 AUBURN WA 98001
Mechanical Valuation 1399.00 Is this an Online or O.T.C.application? Yes
.0 a.
Gas Piping 1 Gas Pipe Outlets 5
PERMIT EXPIRES Sunday, May 29, 2011
Permit Issued on Tuesday, November 30, 2010
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: O N �NL Date: 1/ 0�'O
F1NhU/AD Iz/3c'fIo
-' , THIS CARD IS TO REMAIN ON-SITE ' `
CITY OF S Construction InsneMon Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 10-104995-00-ME Address: 30635 4TH PL S
Project: VIRGINIA JIMENEZ FEDERAL WAY, WA 98003-4043
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.
El Mechanical Rough-in(4165) ID Gas Piping(4125) El Final-Mechanical(4065)
Approved Approved to release test 3_ Approved
•J I?°S --
By Date By Date B Date/2„.3,9.Ap
• •
FILE
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date