16-101719 • Mechanical
City of
Comm unity&Econ.ral Devw.Services F 1 L E Permit #: 16-101719-00-ME
33325 8th Ave S
Federal Way,WA 98003
Inspection Request Line: (253)
Ph:(253)835-2607 Fax:(253)835-2609 (� Q835-3050
Project Name: JENSEN
Project Address: 30623 3RD AVE S Parcel Number: 232970 0170
Project Description: Replace 2.5 ton gas furnace
Owner Applicant , Contractor
GARY JENSEN NORTHWEST PERMIT/WESCO PACIFIC AIR SYSTEMS(GENERAL)
DENISE JENSEN 1345 W GULF RD PACIFAS093KA(9/8/17)
26625 SE OLD BLACK NUGGET RD POINT ROBERTS WA 98281 12811 PACIFIC HWY SW
ISSAQUAH,WA 98029 LAKEWOOD WA 98499
Additional Permit Information
Mechanical Work Valuation 4789 Is this an Online or O.T.C.application Yes
Mechanical Fixtures
Furnaces 1
PERMIT EXPIRES Wednesday, October 5, 2016
Permit Issued on Friday, April 8, 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 Ci of F deral Way.
Owner or agent: Date:
•- Ith. • .i, THIS CARD IS TO IN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 16-101719-00-ME Address: 30623 3RD AVE S
Project: GARY JENSEN FEDERAL WAY, WA 98003-4057
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) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By cl.- Date IA_,I2q,
E Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date