14-104178City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: KORNBERG
Project Address: 5500 SW 315TH ST
Mechanical
Permit #: 14 -104118 -00 -ME
FILEinspection Request Line: 253 835-3050
Project Description: Gas piping for new furnace (by separate permit).
Parcel Number: 102103 9034
i'
Owner
A n�
Contractor
MARGARET KORNBERG
JACOB J KORNBERG
OWNER IS CONTRACTOR
JACOB J KORNBERG
5500 SW 315TH ST
5500 SW 315TH ST
FEDERAL WAY WA
FEDERAL WAY WA
98023
98023
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Mechanical Fixtures
Gas Piping ...................................... 1
PERMIT EXPIRES Wednesday, February 11, 2015
Permit Issued on Friday, August 15, 2014
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 w' h e ules and regulations of the State of Washington
U NL I Way
Owner or agent: Date:
CITY OF V:&!�
Federal Way
THIS CARD IS TO ON-SITE
Construction In Zl((253)ion Record
INSPECTION REQ 835-3050
PERMIT #: 14 -104178 -00 -ME Address: 5500 SW 315TH ST
Project: MARGARET KORNBERG FEDERAL WAY, WA 98023-2036
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 (41 5)
Final - Mechanical ( 065)
Approved
Approved to release test
Approved
By DateB
_ DateIF I L
By *L Date -1-� /y
FI�.E
Rough Electrical
Approved
Final ElectricalRight
Approved
of Way
Approved
By
Date
By
Date
By
Date