11-103846 Mechanical
City of Federal Way • W
Community Development Services Permit #: 11-103846-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718 Line:ect
InS ion Request (2
53)(253)835-2607 Fax'(253)835-2609 p 835-3050
FILE
Project Name: GOMEZ
Project Address: 30522 5TH AVE SW Parcel Number: 178890 0370
Project Description: Remove and replace gas furnace
Owner Applicant Contractor
CAROLINE K GOMEZ SARAH TURNER GLENDALE HEATING&A/C
30522 5TH AVE SW GLENDALE HEATING&A/C GLENDHA053Q2 (11/2/11)
FEDERAL WAY WA 98023 12462 DES MOINES WAY S 12462 DES MOINES WAY S
SEATTLE WA 98168-2266 SEATTLE WA 98168-2266
Mechanical Valuation 2706.24 Is this an Online or O.T.C.application? Yes
rt- N .: ,.r. `fit ,`• ♦, �. ' .i'
Furnaces 1
PERMIT EXPIRES Tuesday, March 20, 2012
Permit Issued on Thursday, September 22, 2011
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: Date: 1 q
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` THIS CARD IS TO MAIN ON-SITE
CITY •
°F Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT #: 11-103846-00-ME Address: 30522 5TH AVE SW
Project: CAROLINE K GOMEZ FEDERAL WAY, WA 98023-3914
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) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date 'BO S Data--3o 71/
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date