04-104829 •
Y ` a
City of Federal Way Mechanical Permit #: 04 - 104829 - 00 - ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: BEMILLER
Project Address: 2623 S 304TH 51- Parcel Number: 092104 9073
Project Description: Remove and replace 75K BTU gas furnace,like for like.
Owner Applicant Contractor
Stephen G Bemiller &Elizabeth R Bemiller ALL SEASONS,INC. ALL SEASONS,INC.
2623 S 304TH ST 5118 N HIGHLAND ST 5118 N HIGHLAND ST
FEDERAL WAY WA TACOMA WA 98407 TACOMA WA 98407
98003-4811 (253)879-9144
Mechanical Valuation 2200 Over the Counter Permit Yes
Mechanical Fixtures
Description ;Quantity Description Quantity Description Quantity
Furnaces 1
PERMIT EXPIRES May 29,2005.
Permit issued on November 30,2004
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. Aq
Owner or agent: 3 Date: I/ 3 o
,„i43Jof
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104829-00-ME
Owner: STEPHEN G BEMILLER
Address: 2623 S 304TH ST
FEDERAL WAY, WA 98003-4811
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) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By 61( Date 'Z—3 oy
.4A RECEIVED
Federal Way NOV 3 0 2004 PERMIT SF MF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH•PO BOX 9718 L I C A T I O N TD
FEDERAL WAY,WA 98063-97��TY OF FEDERAYRP 253www.i15•FAX2wau.c m BUILDING DEPT.
www.dt uoffederalwau.mm
The ollowi • is re•uired i ormation-an inco •tete a••lication will not be acce•ted. Please •rent le•ibl in in or • .
PROPERTY INFORMATION
SITE ADDRESS _2623 s. 304th st SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 0 9 2_ 1 0 4 - _9_ _0_ _7_ _3_ LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal descnptton)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING XMECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlii)
REMOVE EXISTING AND INSTALL 75K BTU GAS FURNACE IN SAME LOCATION.
LIKE FOR LIKE.
PROJECT NAME(Name of Business or Owner Last Name) BEMILLER
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER ELIZABETH BEMILLER ( 253 ) 941-0822
MAILING ADDRESS CITY,STATE,ZIP
2623 S. 304TH ST FEDERAL WAY, WA 98003
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
ALL SEASONS INC ROBYN BRADSHAW ( 253 ) 879-9144
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
5118 N HIGHLAND ST TACOMA, WA 98407 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
1 9 9 8 1 0 5 2 6 2 0 0 B L 12/31 /2004 ( 253 ) 879-9144
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
A L L S E I * 0 3 0 5 5 12/17 /2005
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
ALL SEASONS INC ROBYN BRADSHAW ( 253 ) 879-9144
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
5118 N HIGHLAND ST TACOMA, WA 98407 ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent 0 Other(Describe) ( 253 ) 879-9144
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
DAVE BRADSHAW ( 253 ) 879-9144
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE RESIDENTIAL PROPOSED USE RESIDENTIAL
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 2200.00
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES o NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER B LAKEHAVEN B HIGHLINE 9 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT❑
NUMBER OF FLOORS POSTING PROPOSED TOTAL TOTn=STING SF TOTAL PROPOSED Sr TOTAL Sr
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ 2200.00
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS 1 FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify 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 authorised 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,and filed against the City of Federal Way,but only where such claim
arises out of the reliance oft city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. ()Y\ � � ( e _NAME/TITLE ��}�� p DATE 11-29-2004
i at re (Title)
RELATIONSHIP TO PROJECT Owner 0 Agent x Contractor 0 Architect ❑ Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? o YES o NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application