18-105949City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
T
Mechanical
Permit #:18 -105949 -00 -ME
FILE
Inspection Request Line: (253) 835-3050
Project Name: HENRICKSEN
Project Address: 832 SW 295TH ST
Project Description: Installing new cast iron boiler
Parcel Number: 119600 2765
Owner
Applicant
Contractor
JAMES HENRICKSEN
ANDREA STACEYNorthwest Mechanical
NORTHWEST MECHANICAL
832 SW 295TH ST
3204 NE 145TH ST
NORTHMI151MJ (4/11/20)
FEDERAL WAY WA 98023
SHORELINE WA 98155
3204 NE 145TH ST
SHORELINE WA 98133
Additional Permit Information
Mechanical Work Valuation ............................... 12000 Is this an Online or O.T.C. application?.................. Yes
Boilers 1
PERMIT EXPIRES Tuesday, 18 June, 2019
Permit Issued on Thursday, December 20, 2018
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: ONI I Date:
V, I V t*,\
s, .
THIS CARD IS TO REMAIN ON-SITE
crrvFederal Way Construction EREQuE�cti 3) 8 5-300 rd
PERNM #: 18105949 00 Address: 832 SW 295TH ST
Project: BARBARA K HENRICKSEN FEDERAL WAY WA 98023-8212
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.
0 Mechanical Rough -in (4165)
ID Gas Piping (4125)
a❑ Final - Mechanical (4065)
Approved
Approved to release test
Approved
Right of Way
By Date
By Date
By C, Date J—JA-I J_
0
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
a ,
MY of 7&
Federal Way
PERMIT #: 1810594900
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835.3050
Address: 832 SW 295TH ST
A I N
Project: BARBARA K HENRICKSEN FEDERAL WAY WA 98023-8212
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE TMS 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.
El Mechanical Rough -in (4165)
ID Gas Piping (4125)
0 Final - Mechanical (4065)
Approved
Illy
Approved to release test
]By��gDate
Approved
By Date
Date
3o I q
SITE
El
Rough Electrical
❑
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date