09-103799 { 4111 Mechanical
City of Federal Way
Community Development Services Permit #: 09-103799-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718
Ph'(253)835-2607 Fax (253)835-2609 FILEInspection Request Line: (253)835-3050
Project Name: BERNIK
Project Address: 29512 3RD AVE S Parcel Number: 186270 0320
Project Description: Replace gas 90k btu furnace, install 3 ton heat pump& install 40k btu fireplace w/70' gas
piping
Owner Applicant Contractor
ROBERT A BERNIK CYNDAL MILLHOLLIN WASHINGTON ENERGY SERVICES CO
MARCINKO-JEANETTE BERNIK NORTHWEST PERMIT INC/WASHINGTON (GENERAL)
295123RD AVE S ENERGY SERVICES WASHIES971OB(9/2/11)
FEDERAL WAY WA 98003-3664 1345 W GULF RD 2800 THORNDYKE AVE W
POINT ROBERTS WA 98281 SEATTLE WA 98199
Additional Permit Informatio
F '
Mechanical Valuation 17937.00 Is this an Online or O.T.C.application? Yes
IG IfXtur &
Compressors/Heat Pumps 1 Fireplace Inserts 1 Furnaces 1
Gas Piping............ i Gas Pipe Outlets 1
PERMIT EXPIRES Monday, March 29, 2010
Permit Issue on Wednesday, September 30, 2009
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
g 0 1'4 ��nd the City of Federal Way.
Owner or agent: Date: / ol
covi
L ,:-„,,p_si_D 1° ZZ of
'4"40,4%k.._. .
THIS CARD IS T EMAIN ON-SITE r
,CITY OF ' EConstruction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 09-103799-00-ME Address: 29512 3RD AVE S
Owner: ROBERT A BERNIK FEDERAL WAY, WA 98003-3664
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) GI Gas Piping(4125) ❑ Final-Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By , Date1os-,a.1_ ccj
•
❑ Rough Electrical Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date