14-103420 if I
• • Mechanical
City of Federal Way
Community 8 Econ.Dev.Services Permit #: 14-103420-00-ME
33325 8th Ave S FILE
Federal Way,WA 98003 Inspection Request Line: (253)
Ph:(253)835-2607 Fax:(253)835-2609 p a 835-3050
Project Name: BOHM •
Project Address: 4902 SW 330TH ST Parcel Number: 802951 0120
Project Description: Install 3.5 Ton A/C Unit
Owner Applicant Contractor
ROBERT D BOHM BEN WARD BLACK LION CONSTRUCTION
GEORGIA BOHM BLACK LION HEATING&AIR BLACKLC891D5(3/25/15)
5934 E CALLE DEL NORTE CONDITIONING 15131 54TH AVE SE
PHOENIX,AZ 85018 15131 54TH AVE SE EVERETT WA 98208
EVERETT WA 98208
•
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Air Conditioners-Stand Alone Un 1
PERMIT EXPIRES Tuesday, January 6, 2015
Permit Issued on Thursday, July 10, 2014
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:
IFfl4ALED
THIS CARD IS TO MAIN ON-SITE
CITY of Construction In ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 14-103420-00-ME Address: 4902 SW 330TH ST
Project: ROBERT D BOHM FEDERAL WAY, WA 98023-3328
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) 0 Gas Piping(4125) -0 Final-Mechanical(4065)
Approved Approved to release test -- Approved
By Date By Date By ) Date P — z�
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date