08-105775 0 0 Electrical
City of Federal Way Q
Community Development Services Permit #: 08-105775-00-EL
P.O.
Federal Way,WA 98063-9718
Ph:(253)835-2607Box Fax:9718(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: BERNARDIS
Project Address: 2204 SW 309TH ST Parcel Number: 416790 0250
Project Description: Installing 0-200 amp service for generator
,
Owner Applicant Contractor
PAUL BERNARDIS EASTSIDE ELECTRIC EASTSIDE ELECTRIC
2204 SW 309TH ST 1710 TALBOT RD S EASTSE*962QR(11/19/10)
FEDERAL WAY WZ 98023 RENTON WA 98055 1710 TALBOT RD S
RENTON WA 98055
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Alt. Serv./Feeder:0 to 200 amps(F 1
PERMIT EXPIRES Friday, December 4, 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 e will be in accordance with the laws, rules and regulations of the State of Washington
he City of Federal Way.
Owner or agent: Date: 12/1/1 o
' . Alb,
THIS CARD IS TO *MAIN ON-SITE s
CITY OF tommunitY Development Inspectionection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-105775-00-EL
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 UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) ❑ Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
pli Date/'2.-- 5 '0
l'
•
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
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The folloteri,boofinfetsagaait_ complete application will not be accepted Please print legibly(in ink)or type.
( • PROPERTY INFORMATION
SITE ADDRESS lam( J/� /V�� °Lt.i S r SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# I --; - 0 2 5 v LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
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• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION AELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this k ermit onto)
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PROJECT NAME(Name of Business or Owner Last Name) 1 e I✓ G t r ci
J ( .s
• PEOPLE INFORMATION
PROPERTY NAM
PRIMARY PHONE
OWNER I Gi,i (` R el c,Tdt ( c (2 3) 2.7 - .L-((( et
Z-t J)k ( ��t 1.., SrC� E.ZIP Y c 5c,00 2 E-MAIL ADDRESS
CO' •R COM ('ADDRESS NAME APPLICANT NAME OFFICE PHONE
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o\� ILIC QCITY TE,ZIP PHONE
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CITY•'FEDERAL WAY B INESS LICEN EUM EXPIRATION DATE FAX NUMBER
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CO •R'8 TION NUMBER
EXPIRATION DATE E-MAIL ADDRESS
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APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant ❑Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE
E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required 4,1*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 ❑NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ 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
=STING PROPOS® TOTAL TOTAL i1OiTII1G Sr TOTAL PROPOSED Al TOTAL Sr
NUMBER OF FLOORS •
**NEW HOMES ONLY h, NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
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$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS icomme,d.p
COMPRESSORS FURNACES RANGES
DUCTS. GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(orTub/Shower combo LAVS(Bathroom Sinks) URINALS MISC(Describe)
• DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roues
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
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 authorised 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 o -� ch claim), which may be made by any person, including the undersigned, and filed against the city, but only
where such claim arises • of - reliance of the city,i •ing its officers and employees, upon the accuracy of the information supplied to
the city as a part of th applica.on.
t2iLe
SIGNATURE: •
DATE
Property Owner and/or Authorized Agent
a NEW a ADDITION o ALTERATION a REPAIR a.TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? a.YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application