12-103492 City of Federal Way • 1110 Mechanical
Community&Econ.Dev.Services F' Permit #: 12-103492-00-ME
33325 8th Ave S L E
Federal Way,wa 98003 Inspection Request Line: 253 835-3050
Ph:(253)835-2607 Fax(253)835-2609 p Q
Project Name: JORDAN 0.61 to q
Project Address: 543 SW 335TH ST Parcel Number: 729804 0460
Project Description: Repair faulty gas pipe in crawl
Owner Applicant Contractor
DONALD C JORDAN KAREN KLIEMANN KLIEMANN BROTHERS HTG&A/C INC
KAROLYN S JORDAN KLIEMANN BROTHERS HTG&A/C INC (ELECTRICAL)
543 SW 335TH ST 4703 116TH ST E KLIEMBH003MP(7/17/14)
FEDERAL WAY WA 98023-6190 TACOMA WA 98446 4703 116TH ST E
TACOMA WA 98446
Additional Permit Information
Mechanical Valuation 550.00 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Gas Piping 1
PERMIT EXPIRES Saturday, January 26, 2013
Permit Issued on Monday, July 30, 2012
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:
81/31(te
THIS CARD IS TO MAIN ON-SITE '
CITY OF • Construction In ction Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 12-103492-00-ME Address: 543 SW 335TH ST
Project: DONALD C JORDAN FEDERAL WAY, WA 98023-6190
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) -❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By G � Date 9-_ _,1 a
El Rough Electrical El Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date