18-105163City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
Project Name: LEWIS
Project Address: 921 SW 314TH PL
Project Description: replace gas furnace
FILE
Mechanical
Permit #:18 -105163 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 556050 0320
Owner
Applicant
Contractor
ALFRED LEWIS
SUSAN DUNHAMBLACK HILLS INC
BLACK HILLS INC (GEN 01)
921 SW 314TH PL
1003 85TH AVE SE UNIT A
BLACKH1066JL (7/19/19)
FEDERAL WAY WA 98023
OLYMPIA WA 98501
1003 85TH AVE SE UNIT A
OLYMPIA WA 98501-5706
AdditionalPermit. Information
Mechanical Work Valuation? .................................. 4738 Is this an Online or O.T.C. application?.................. Yes
Furnaces 1
PERMIT EXPIRES Monday, 29 April, 2019
Permit Issued on Wednesday, October 31, 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
Washinciton th f Federal Way.
Owner or agent: Date:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 18105163 00 Address: 921 SW 314TH PL
Project: ALFRED LEWIS FEDERAL WAY WA 98023-4523
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.
El
Mechanical Rough -in (4165)
2❑
Gas Piping (4125)
El
Final - Mechanical (4"5)
❑
Approved
113Y
Approved to release test
Approved
By
Date
Date
By
Date 2L S'—,
Rough Electrical
Final Electrical
❑
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date