18-105829I
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
Project Name: ROBINSON
Project Address: 1921 S 368TH PL
Project Description: Replace Furnace
FILE
Mechanical
Permit #:18 -105829 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 721245 0100
Owner
Applicant
Contractor
WILLIAM ROBINSON
SUSAN DUNHAMBLACK HILLS INC
BLACK HILLS INC (GEN 01)
1921 S 368TH PL UNIT 1004
1003 85TH AVE SE UNIT A
BLACKHI066JL (7/19/19)
FEDERAL WAY WA 98003
OLYMPIA WA 98501
1003 85TH AVE SE UNIT A
OLYMPIA WA 98501-5706
Additional Permit Information
Mechanical Work Valuation? .................................. 3600 Is this an Online or O.T.C. application?.................. Yes
Furnaces 1
PERMIT EXPIRES Monday, 10 .Tune, 2019
Permit Issued on Wednesday, December 12, 2018
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.
n K I I I 1\1 F;
Owner or agent: Date:
F; -,\a.14
urr er V&
Federal Way
PERNIIT #: 1810582900
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 1921 S 368TH PL Unit 1004
Project: TRI DY A ROBINSON FEDERAL WAY WA 98003-7751
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.
i❑ Mechanical Roug" (4165) FAI Gas Piping (4125) ID Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By AyJ Date jA,
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By Date