18-10147716 FILE
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: ST VINCENT DE PAUL PARISH
Project Address: 30525 8TH AVE S
J ,
Mechanical
Permit #:18 -101477 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 082104 9005
Project Description: Installation of mini -split heat pump system, wall mounted line sets fun in speed channel.
Owner
Applicant
Contractor
ST VINCENT DE PAUL PARISH
B & G HEATING AND COOLING LLC
B & G HEATING AND COOLING LLC
30525 8TH AVE S
PO BOX 24957
BGHEAHC959OG (10/8/19)
FEDERAL WAY WA 98003
FEDERAL WAY WA 98093-1957
PO BOX 24957
FEDERAL WAY WA 98093-1957
Mechanical Work Valuation? .................................. 8500
Compressors / Heat Pumps
I
Is this an Online or O.T.C. application? .................. Yes
CONDITIONS:
Exterior unit to be painted to match the existing wall surface.
PERMIT EXPIRES Tuesday, 2 October, 2018
Permit Issued on Thursday, April 5, 2018
hereby certify that the above information is correct and that the construction bn the above described property
and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of
Wington and the City of Federal Way.
/
Owner or agent: �� �� ��'' r Date: ✓ ��
- THIS CARD IS TO REMAIN ON-SITE
�fyw Federal Way Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 118101477 00
Address: 30525 8TH AVE S
Project: ST VINCENT DE PAUL PARISH FEDERAL WAY WA 980034115
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)z❑
Gas Piping (4125)
Final Electrical
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By
Date
By
Date
By
C Date _ 2 3 —1
Rough Electrical
El
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
CITY OF RECEIVED PERMIT APPLICATION
Federal Way APR 5 2018 PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
INO
PERMIT NUMBER J / /�` _ /✓1 TARGET DAT
EC
SITE ADDRESS
SUITE/UNIT #
PROJECT VALUATION
$ S 0 V --
ZONING
ASSESSOR'S TAX/PARCEL #
__0 _K � / O O D
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING 2x MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
S Z A U L iOA fe i S fi
PROJECT DESCRIPTION
Detailed description of work to
w„�%,•i ' i'ti /`(mow. 4 el -I
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
CITY
STATS
BT
ZIP
NAME
A/1 .. f
PHONE
MAILING AD DR SS
�� a C
E-MAIL
CONTRACTOR
CITY / f /
STATE
ZIP�j C�
FAX
WA STATE CONTRACTOR'S fACENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT-
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
NAME -
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $'5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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 Iaws.
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 apart of this application.
SIGNATURE: i C DATE
PRINT NAME:
Bulletin #100 —January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application