16-100948City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Mectankal
• Permit #: 16 -100948 -00 -ME
CInspection Request Line: (253) 835-3050
Project Name: LEISY
Project Address: 30234 25TH AVE SW
Project Description: Replace 3 ton gas furnace and install 3 ton air conditioner
Parcel Number: 893760 0030
Owne
ARRIOcant
Contractor
RICHARD A LEISY
NORTHWEST PERMIT/ WESCO
PACIFIC AIR SYSTEMS (GENERAL)
JACKLYN R LEISY
1345 W GULF RD
PACIFAS093KA (9/8/17)
30234 25TH AVE SW
POINT ROBERTS WA 98281 •
12811 PACIFIC HWY SW
FEDERAL WAY WA
LAKEWOOD WA 98499
98023
Additional Permit Information
Mechanical Work Valuation?.................................13974 Is this an Online or O.T.C. application? ................. Yes
Mechanical Fixtures
Air Conditioners - Stand Alone Un 1 Furnaces ......................................... 1
PERMIT EXPIRES Saturday, August 20, 2016
Permit Issued on Monday, February 22, 2016
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 WayI 1=.
Owner or agent: Date:
■ V r-
CITY of
O;M&—
Federal Way
PERMIT #:
Project:
THIS CARD IS TOMAIN ON-SITE
40 Construction In ection Record
. INSPECTION REQUE TS: (253) 835-3050
16 -100948 -00 -ME Address: 30234 25TH AVE SW
RICHARD A LEISY FEDERAL WAY, WA 98023-2316
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
B-- Date
EJ
Rough Electrical
Approved
Final Electrical
Approved
E]
Right of Way
Approved
By
Date
By
Date
By
Date