17-104187 T 1
Mechanical
City of Federal Way I Permit #:17-104187-00-ME
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: SMALL
Project Address: 31528 42ND AVE SW Parcel Number: 873198 2800
Project Description: Install Ductless Heat Pump
Owner Applicant Contractor
GREGORY J SMALL SUSAN DUNHAMBLACK HILLS INC BLACK HILLS INC(GENERAL)
31528 42ND AVE SW 1003 85TH AVE SE UNIT A BLACKHI066JL(7/19/19)
FEDERAL WAY WA 98023 OLYMPIA WA 98501 1003 85TH AVE SE UNIT A
OLYMPIA WA 98501-5706
Additional Permit Information
Mechanical Work Valuation? 8406.30 Is this an Online or O.T.C.application? Yes
i
Compressors/Heat Pumps 1
PERMIT EXPIRES Monday,26 February,2018
Permit Issued on Wednesday,August 30,2017
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: 0 NJ i.... INIE
Date:
* RIDMIX WN[e l'rA SS!'CL- '�
• • ►. ..
THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 104187 00 Address: 31528 42ND AVE SW
Project: GREGORY J SMALL FEDERAL WAY WA 98023-2120
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) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date . By Date By NikA. Date q f
❑ Rough Electrical 0 Final.Electrical Right of Way
Approved Approved Approved
By Date By Date By Date