07-100411City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 .
Project Name: BERNARDIS
Project Address: 2204 SW 309TH ST
Project Description: Replace gas furnace
:ha � Meanical Permit #: 07- 100411 -00 -ME
Inspection Request Line: (253) 835 -3050
Parcel Number: 416790 0250
Owner
Applicant
Contractor
PAUL W BERNARDIS
ALL SEASONS, INC.
ALL SEASONS, INC.
2204 SW 309TH ST
4851 S WASHINGTON ST
ALLSEI *03055 12/17/07
FEDERAL WAY WA
TACOMA WA 98407
4851 S WASHINGTON ST
98023 -7823
TACOMA WA 98407
Additional Permit Information
Mechanical Valuation ................. ...........................4803 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures`
1
PERMIT EXPIRES
day, January 25,
the occupdnd `arid the use will be in --dCowtiant e with 'the the laws, rutes and r
and thp City of Federal Way.
Owner or agent: avo `�
cigr D Federal lopment S Mechanical Permit #: 07- 100411 -00 -M E
,Comrtlunity Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Lille: 253) 835 -3050
Project Name: BERNARDIS
Project Address: 2204 SW 309TH ST Parcel Number: 416790 0250
Project Description: Replace gas furnace
Owner
Applicant
Contractor
PAUL W BERNARDIS
ALL SEASONS, INC.
ALL SEASONS, INC.
2204 SW 309TH ST
4851 S WASHINGTON ST
ALLSEI *03055 12/17/07
FEDERAL WAY WA
TACOMA WA 98407
4851 S WASHINGTON ST
98023 -7823
TACOMA WA 98407
r .: It
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 100411 -00 -ME
Owner: PAUL W BERNARDIS
Address: 2204 SW 309TH ST
FEDERAL WAY, WA 98023 -7823
This card is part of your required inspection documents. 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) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By Date 2 23 U
SECENED
WT of
Federal Way " JAN 2 5 2007 PERMIT
COMMUNITY DEVELOPMENT SERVICES
33325 8TH AVENUE SOUTH • PO BOX 9718
FEDERAL WAY, WA FAX 53- 83-9�T OF INA,'LICATION DM 253 - 835 -2607• FAX 253- 835 -2609 BUILDING
umnu.c bjoEL4e_rahuay,com F�
is
will not be
on- -j- (9 o4 IL
SF MF CO e EL PL DE EN FP
1 1
ited. Please nrint leaiblu /in ink) or tune.
SITE ADDRESS /-,� `>W ;� kL % ' U I SUITE /UNIT #
ASSESSOR'S TAR /PARCEL # )I A— -W— -_-I_ 1-1 a - _2 �?-- 5— Q LOT SIZE (sfi
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page fw lengthy legal dewripdonl
PROJECT • ' •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MNECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PR03WT DESCRIPTION (Provide det d description of work included on this permit oniu)
1c cQ _ C SI Lti,W csz�
PROJECT NAME (Name of Business or Owner Last Name)�1�J(I 1
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME b&�� ` q c-.;, PRIMARY PHONE
MAILING ADDRESS CnY, STATE, ZIP
pN � S� c�e� &A V1 O' VJA glgo-;
COMPANY ypME (-��, ��
(AD`DDit(`'`'RES' /,SS•,l
APPLICANT NAME
OFFICE PHONE
ING
5l �t &I-yn Cbk
CITY, STATE, ZIP
IN A q
CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
I°1 -_ 19 -10- LO 11� I ?' -3! '0
FAX NUMBER
9531 % 3495
B L
RELATIONSHIP TO PROJECT
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE
L1-� L L GS (;L-'
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
/� �
1..Cr1 � - em,
MAILING ADDRESS
( ) -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
( ) -
NAM �, _(_ ( PRIMARY PIJONE - E- L ADDRESS
log,
NAME
MAILING ADDRESS
CITY, STATE, ZIP
/PHONE
l ) -
EXISTING ASSESSED /APPRAISED VALUE
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK $
FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
PROPOSED
TOTAL
S . FT.
S . FT.
S . FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
vagr"v"
rxoeosIM
TM AL
srrr�cxsscr�
rw -
* *NEW HOMES ONLY ** NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $_
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or7Lb /Shower Combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (Bathroom Sinks)
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS (commercial)
RANGES
GAS WATER HEATERS
WATER CLOSETS (Toilet
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I cer'tiN under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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, andfiled against the City of Federal Way, but only where such claim
arises out of the reliance of th city, i hiding its officers and ployees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME /TITLE DATE
(Signature) ('IYtle)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
Bulletin #100 - January 1, 2006 Page 2 of 4 k\Handouts\Permit Application