17-100863 Mechanca
City
nityDeFederal Way FILE Permit #•17-100863-00-ME
Community 5 8th AveS Dept. •
33325 8th Ae S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: GREENLEAF
Project Address: 30613 4TH PL S Parcel Number:241330 0810
Project Description: Install heat pump and gas furnace
Owner Applicant Contractor
DANIEL GREENLEAF BEN WARDBLACK LION HEATING&A/C BLACK LION HEATING&A/C LLC
30613 4TH PL S LLC (GENERAL)
FEDERAL WAY WA 98003 11001 118TH PL NE BLACKLH873QQ (11/18/17)
USA KIRKLAND WA 98033 15131 54TH AVE SE
EVERETT WA 98208
Additional Permit Information
Mechanical Work Valuation9 5000 Is this an Online or O.T.C.application? Yes
Compressors/Heat Pumps 1 Furnaces 1
PERMIT EXPIRES Tuesday,22 August,2017
Permit Issued on Thursday,February 23,2017
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: ONLINE Date:
Si4trp .
THIS CARD IS TO REMAIN ON-SITE
CITY Federal Way Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 100863 00 Address: 30613 4TH PL S
Project: DANIEL P GREENLEAF 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.
® Mechanical Rough-in(4165) El Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
BY Date ,.By • Pate BY hit Date 3(30( (1
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date .