15-102700M �
City of Federal Way Mechanical � � •
Community & Econ. Dev. Services Permit_ #: 15 -102700 -00 -ME
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: ROXAS
Project Address: 31834 12TH PL SW Parcel Number. 416796 0250
Project Description: remove & replace 1 gas water heater in garage
Owner
nlicant
Contractor
JEFFREY L ROXAS
JACCI DANIELS
WASHINGTON WATER HEATERS INC
MATII.DE R ROXAS
WASHINGTON WATER HEATERS INC
WASHI1 980OP (9/17/16)
3183412TH PL SW
1800 RICHARDS RD SUITE A
1800 RICHARDS RD SUITE A
FEDERAL WAY WA 980234736
BELLEVUE WA 98005
BELLEVUE WA 98005
Additional Permit Information
Is this an Online or O.T.C. application? ................. es
Mechanical Fixtures
Hot Water Tanks. ........................... 1
PERMIT EXPIRES Tuesday, December 1, 2015
Permit Issued on Thursday, June 4, 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: Date:
CITY OF `
Federal Way
PERMIT #:
. THI; CARD IS TO ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
15 -102700 -00 -ME Address: 31834 12TH PL SW
Project: JEFFREY L ROXAS FEDERAL WAY, WA 98023-4736
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)
Approved
0 Gas Piping (4125)
Final - Mechanical (4065)
1:1Approved
Approved to release test
Approved
By PA -L, Date 6 —[1 — 1.5-
By Date
By � A -L- Date 6 —(1? —1 S --'
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
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Date
By
Date
By
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