15-100048Is 0 s. � 0 Mechanical
city Econ.FedeD v. S Permit #: 15-100048-00-M E
Community & Econ. Dev. Servicers
33325 8th Ave S
Federal Way, WA 98003 FILEInspection Request Line: 253 835,3050
Ph: (253) 835-2607 Fax (253) 835-2609 p
Project Name: SIMPSON
Project Address: 35844 10TH AVE SW Parcel Number: 4405610180
Project Description: Add gas pipe - "T" off existing gas pipe to new meter location 1765 t/
01
Owner
Al2plicant
Contractor
BILL B SIMPSON
KAREN KLIEMANN
KLIEMANN BROTHERS HTG & A/C INC
JACQUELINE L SIMPSON
KLIEMANN BROTHERS HTG & A/C INC
(GENERAL)
3584410TH AVE SW
4703116TH ST E
KLIEMBH021BT (1/27/16)
FEDERAL WAY WA 98023-7232
TACOMA WA 98446
4703116TH ST E
TACOMA WA 98446
Additional Permit Information
Is this an Online or O.T.C. application?................Yes
Mechanical Fixtures
GasPiping ...................................... 1
PERMIT EXPIRES Monday, July 6, 2015
Permit Issued on Wednesday, January 7, 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
d o eral Way.
Owner or agent Date:
CITY OR
Federal Way
PERMIT #:
15 -100048 -00 -ME
TIMN CARD IS TO MAIN ON SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
Address: 35844 10TH AVE SW
Project: BILL B SIMPSON FEDERAL WAY, WA 98023-7232
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 PpCL_ Date t .. 1 4 � ( r
By f �, Date ' 1 (P a I
By PA, Date (. (f„ f , (_T—
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date