15-103566 r ' • Mechanical
City of FeWay Permit #. 15-103566-00-M E
Community&Econ.Dev.Services •
33325 8th Ave S
Federal Way,WA 98003 FILE
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: SIMMONS
Project Address: 1315 S 289TH PL Parcel Number: 516210 0420
Project Description: RELOCATION OF THE GAS METER
Owner Applicant Contractor
ROBERT SIMMONS COREY ALEXANDER INFRASOURCE SERVICES LLC
MELISSA SIMMONS INFRASOURCE SERVICES LLC INFRASL871C2(2/22/17)
1315 S 289TH PL' 13330 STONE AVE N 14103 STEWART RD
FEDERAL WAY WA 98003-3758 SEATTLE WA 98133 SUMNER WA 98390
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Gas Piping
PERMIT EXPIRES Sunday, January 24, 2016
Permit Issued on Tuesday, July 28, 2015
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: 01\41..INE Date:
• THIS CARD IS TO MAIN ON-SITE
TM
CICF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-103566-00-ME Address: 1315 S 289TH PL
Project: ROBERT SIMMONS FEDERAL WAY, WA 98003-3758
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) 13 Final-Mechanical(4065)
Approved Approved to release test Approved
.By Date , .1ille.$. Date S_Z�. t By fAL Date i j Sr
(
❑ Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date