12-105683i
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
FILE
a
Mechanical
Permit #: 12 -105683 -00 -ME
Inspection Request Line: (253) 835-3050
Project Name: GORGENa'yI�
Project Address: 1012 S 324TH PL Parcel Number: 150240 0410
Project Description: REPLACE GAS FURNACE
Owner
ARRlicant
Contractor
GREGORY J GORGEN
SARAH TURNER
GLENDALE HEATING & A/C
JILL GORGEN
GLENDALE HEATING & A/C
GLENDHA053Q2 (11/2/13)
1012 S 324TH PL
12462 DES MOINES WAY S
12462 DES MOINES WAY S
FEDERAL WAY WA 98003-5930
SEATTLE WA 98168-2266
SEATTLE WA 98168-2266
Additional Permit Information,
Mechanical Valuation............................................2900.78 Is this an Online or O.T.C. application? ................. Yes
Mechanical Fixtures
Furnaces ......................................... 1
PERMIT EXPIRES Monday, June 24, 2013
Permit Issued on Wednesday, December 26, 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:
NO a V emu U31 Lo
V I NA0 t tA /1.3
'THIS CARD IS TOMAIN ON-SITE
CrrV OF
Construction In ection Record
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT #: 12 -105683 -00 -ME Address: 1012 S 324TH PL
Project: GREGORY J GORGEN FEDERAL WAY, WA 98003-5930
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)Gas
Piping (4125)
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By Date
By Date
Byr4oC_7Date / _ Qom'
Rough Electrical
Approved
0
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date