21-105333Mechanical
IN
City of Federal Way ONLEPermit #.21-105333-00-ME
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: GIRVIN
Project Address: 30926 5TH PL S Parcel Number: 241330 0120
Project Description: replace gas fireplace insert
Owner Applicant Contractor
BRUCE GIRVIN BRUCE GIRVIN FIRESIDE CONTRACTING SERVICES,
30926 5TH PL S 30926 S 5TH PL LLC dba FIRESIDE HOME SOLUTIONS
FEDERAL WAY WA 98003-4013 FEDERAL WAY WA 9800.3 FIRESHS879RU (1/14/2024)
18389 SW BOONES FERRY RD
PORTLAND OR 97224
Additional Permit Information
Mechanical Work Valuation? ............... ............... 4500 Is this an Online or O.T.C. application?.................. Yes
Mechanical Fixtures
Fireplace Inserts I
PERMIT EXPIRES Monday, 20 June, 2022
Permit Issued on Wednesday, December 22, 2021
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
Was ington and the City of Federal Way.
Owner or agent: Cate: ICE ��
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 105333 00 Address: 30926 5TH PL S
Project: ANDREA GIRVIN FEDERAL WAY WA 98003-4013
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.
l Mechanical Rough -in (4165) Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By Date fl ! a Ji7i
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Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
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