17-101692 r it
Mechanical
City of Federal Way Permit #:17-101692-00-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: VADSET
Project Address: 922 S 293RD ST Parcel Number:515280 0100
Project Description: Install HVAC A/C system
Owner Applicant Contractor
SCOTT VADSET SCOTT VADSET OWNER IS CONTRACTOR _
922 S 293RD ST 922 S 293RD ST
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
USA USA
Additional Permit Information
Mechanical Work Valuation? 4800.00 Is this an Online or O.T.C.application? Yes
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Air Handling Units 1
PERMIT EXPIRES Tuesday, 10 October,2017
Permit Issued on Thursday,April 13,2017
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: ZI Date: 4/3/zci7
•
THIS CARD IS TO REMAIN ON-SITE
"��` Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 101692 00 Address: 922 S 293RD ST
Project: SCOTT H VADSET FEDERAL WAY WA 98003-3711
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.
• 1❑ Mechanical Rough-in(4165) ,• 2 Gas Piping(4125) Final-Mechanical 4065 '
P�' ❑ P g ❑ ( )
Approved Approved to release test Approved
.By Date ��By Date By /9-,J Date 1/9117
•
0 Rough Electrical ❑ Final Electrical
0 Right of Way
Approved Approved Approved
By Date By Date By Date
.
PERMIT APPLICATION
CITY OF �..� RECEIVED
Federal Way
' � _ ' 0 ' Co `l2 MF APR 122017
PERMIT NUMBER
TARGET DATE CITY OF FFfERAL WAY
COMMUNITY DEVELOPMENT
SITE ADDRESS SUITE/UNIT I
$
PROJECT �/1LDUATION ZONING ASSESSOR'S /PAR # �� _ 0
(O Imo/ or o 0
TYPE OF PERMIT 0 BUILDING 0 PLUMBING []e'MECHANICAL 0 DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION I� U ( j e 1-41A-c--
- 1A- pr)i/7 S'YS' ". Dvr1X'6�-
Detailed description of work to 0n)/r" f6-141, f N 7 ,4i 1-1-i4WPte e..
be included on this permit only
- —-
NAME / PRIMARY PHONE
£'coif- VAD r— z$3 -2'73- 095-
PROPERTY OWNER MAILING ADDRESS E-MAIL
',2z s, 2--93 '`e s v,
CITY STATE ZIP
NAME PHONE
O aJW612
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE I EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE I
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
_---- NAME PRIMARY PHONE-PROJECT CONTACT 6G
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19 27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses,and attorneys'fees incurred in
the investigation and defense of such claim), which may be made by any person,including the undersigned,and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application. 'J �,
SIGNATURE: - 461--e DATE &�3/ /7
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Bulletin#100-February 22,2016 Page 1 of 2 k:\Handouts\Permit Application