17-104446City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835.2607 Fax. (253) 835.2609
FILE
Mechanical
Permit #:17 -104446 -00 -ME
Inspection Request Line: (253) 835-3050
Project Name: CAPELL
Project Address: 30447 12TH AVE SW Parcel YONOFNEW 320 0620
Project Description: Install furnace and gas piping***REVISED 9/19/17 TO INCLUDE
DUCTWORK***
Additiona ti/rO.T.C.
Mechanical Work Valuation? .................................. 8245 s this an Onapplication?.................. Yes
Ducting 1 Furnaces % 1 Gas Piping
Gas Pipe Outlets 2
•
PE RES nesday,14 March, 2018'
Perm Issued on ay, September 15,201 1
I hereby certify that the above information is ect and that the constructl e
and the occupancy a e will be ' ccordance with the laws, rul Tec
as ' on and the City of Federal Ait•
Owner or agent:
Date:
1
above described property
ulations of the State of
Owner
Applicant
Tactor
CAROLYN CAPELL
SUSAN DUNHAMBLACK HILLS INC
ACK S INC (GENERAL)
30447 12TH AVE SW
1003 85TH AVE SE UNIT A
KIB066JL (7/19/19)
FEDERAL WAY WA 98023
OLYMPIA WA 98501
3 85TH AVE SE UNIT A
USA
OLYMPIA WA 98501-5706
Additiona ti/rO.T.C.
Mechanical Work Valuation? .................................. 8245 s this an Onapplication?.................. Yes
Ducting 1 Furnaces % 1 Gas Piping
Gas Pipe Outlets 2
•
PE RES nesday,14 March, 2018'
Perm Issued on ay, September 15,201 1
I hereby certify that the above information is ect and that the constructl e
and the occupancy a e will be ' ccordance with the laws, rul Tec
as ' on and the City of Federal Ait•
Owner or agent:
Date:
1
above described property
ulations of the State of
Mechanical
City ;tyyrelWm D. Permit #:17 -104446 -00 -ME
33325 8th Ave S
Federal Way, WA 98003Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax (253) 835-2609 FILE
Project Name: CAPELL
Project Address: 30447 12TH AVE SW Parcel Number: 515320 0620
Project Description: Install furnace and gas piping
Owner
Applicant
Contractor
CAROLYN CAPELL
SUSAN DUNHAMBLACK HILLS INC
BLACK HILLS INC (GENERAL)
30447 12TH AVE SW
1003 85TH AVE SE UNIT A
BLACKH1066JL (7/19/19)
FEDERAL WAY WA 98023
OLYMPIA WA 98501
1003 85TH AVE SE UNIT A
USA
OLYMPIA WA 98501-5706
Additional Permit Information
Mechanical Work Valuation? .................................. 8245 Is this an Online or O.T.C. application?.................. Yes
Furnaces 1 Gas Pipe Outlets 2
PERMIT EXPIRES Wednesday, 14 March, 2018
Permit Issued on Friday, September 15, 2017
1 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:
t.
cRrcw
Federal Way
THIS CARD IS TO REMAIN ON-SITE ♦R
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PFAUWr #: 17104446 00 Address: 3044712TH AVE SW
Project: CAROLYN CAPELL FEDERAL WAY WA 98023-3424
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as ckm 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.
El Mechanical Rough -in (4165]BY
0 Gas Piping (4125) % O �
3❑ Final - Mechanical (4065)
Approved
Approved to release test
Approved
Right of Way
By Date
Date Alq 7
By Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By'
Date