08-105772 Mechanical
City of Federal Way 0 •
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Community Development Services Permit #: 08-105772-00-ME
P.O.Box 9718 r
Federal Why,WA 98063-9718
Ph:(253)$35-2607 Fax:(253)835-2609 i Inspection Request Line: (253) 835-3050
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1
Project Name: BERNARDIS
Project Address: 2204 SW 309TH ST Parcel Number: 416790 0250
Project Description: Gas line from meter to generator
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Owner Applicant Contractor
PAUL BERNARDIS GAS SOLUTIONS INC GAS SOLUTIONS INC
2204 SW 309TH ST 30421 128TH PL SE GASSOSH966D5(3/28/10)
FEDERAL WAY WZ 98023 AUBURN WA 98092 30421 128TH PL SE
AUBURN WA 98092
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Mechanical Valuation 700 Is this an Online or O.T.C.application? Yes
oe a 1 t
Gas Pipe Outlets 1
PERMIT EXPIRES Tuesday, June 2, 2009
Permit Issued on Thursday, December 4, 2008
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: - Date: 12/v/0
411k THIS CARD IS TO likMAIN ON-SITE ,
CITY OF
ommunity DevelopmWit Inspection Record
Federal ay IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-105772-00-ME
Owner: PAUL 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.
•
0 Mechanical Rough-in(4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Cj Date12.4'- p e, By Date 72.,`'•0"
For inspector reference only
O Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
A.
itk - 10_52247
cr:r wderal WaUCelliE9PERMIT
COMMUNITYDEVELOPMBNTS SF MF CONOELPL DE EN FP
33325 8m AVENUE SOUTH•PO BOX 9718
273D-835-2Z!'FZ25938 352609 DEC• ° 4 APPLICATION
www.cihoffedemlwau.com
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The following is r ., . . -an incomplete application will not be accepted. Please print legibly(in ink)or type.
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• PROPERTY INFORMATION
SITE ADDRESS 22_04 Sl 1 0,4 SIIITE/UNIT#
ASSESSOR'S TAX/PARCEL# 4 1 �C, '7 /q !3 - Z cS O LOT SIZE(sJ
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Aiwa,arywmtePa9e for len9WY legal deaafptkn)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING kr ECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work/included on this permit only)
t3aS 1 tt-t. vi^o ✓ l y E++'‘P rye po i/'r
PROJECT NAME(Name of Business or Owner Last Name)
• PEOPLE INFORMATION
PROPERTY NAME
OWNER \ 2Lu- `r C PRIARY PHONE
9
MAILING ADDRESS - it E-MAILS��� / -gin
rt Lt ` 1�-' S� STATa ZIP E ADDRESS
W 18523
CONTRACTOR COMP NAME , NAM ✓ OFFICE PHONE
& S dol to,.,5 CA r e►��l3 (ib)4178 -9G7 LP
MAILING ADDRESS CITY,ST TE, CELL PHO
CA 21 t 7 P1 F Pky� (2S3j 777 - 7137
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER (
E>IPIRA OND & E-MAIL ADDRESS
6/.7G-A-ss 03 4 9 O s -6/26/2010 r QS SOI L,��cr,S� CA `c:
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE �eJ
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑Tenant ❑Agent ❑ Other ( )
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES CI NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS •
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST •
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE) •
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
SEIM= PROPOSED TOTAL TOTAL EXISTING Sr TOTAL PROPOSED Sr TOTAL Sr
NUMBER OF FLOORS
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture t , fled or relocated as part of this project. Do not include existing fixtures to remain..
MECHANICAL -C� •
Value of Mechanical Work$ 045 VIIIA (A C PY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS t GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commercial)
COMPRESSORS FURNACES RANGES
DUCTS • GAS LOG SETS REFRIG.SYSTEMS
PLUMBING URINALS MISC(Describe)
BATHTUBS(or Tub/Shower combo( IAVS(Bathroom ahilra(
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roster) •ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS I
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorised 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 a7,z, t app ica n. v-2)4/DE,Q
J DATEIZ/4/t�C J$IGNATURE
Property Owner and/or Authorized Agent
•
o NEW o ADDITION o ALTERATION a REPAIR o.TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o.YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application