05-106571 ir..
City of Federal Way Mecham a1 Permit #: 05-106571 -00-ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph.(253)835-2607 Fax:(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 a new gas fireplace
•
Owner Applicant Contractor `
PAUL W BERNARDIS ADRIENNE BERNARDIS ADVANCED INSTALLATIONS,INC
2204 SW 309TH ST 2204 SW 309TH ST ADVANII033DU 3/13/06
FEDERAL WAY WA FEDERAL WAY WA 98023-7823 16504 HWY 99 SUITE 101
98023-7823 LYNNWOOD WA 98037
Additional Permit Information
Mechanical Valuation 3200 Over the Counter Permit? Yes
Mechanical Fixtures
Fireplace Inserts 1
CONDITIONS:
PERMIT EXPIRES Monday, July 24, 2006
Permit Issued on Wednesday, January 25, 2006
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: 4%/,n44Lf(t,,4 Date: /'A6 y6
THIS CARD IS TO REMAIN ON-SITE ' • .
CITY OF Community Development Inspection Record
Federal Way IVR INSPEC'T'ION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-106571-00-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.
0 Mechanical Rough-in(4165) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved I 0
By Date By Date ByD ted O b `�
Federal W gMITTED RECEIVE' 0 - I D_ C2 5
sv PERMIT I
CUA(MUM7YDEVELOPMENT SERVECES O 20o C 3 z0p5 SF MF CO CP L PL DE EN FP
33325 VIAVENUESOUTH 9•ro �!A LI CA'�' O � /
FEDERAL WAY,WA 94063-971 Clr p TL,
253435 2607•PAX 253 435-2609 J / OT
1 www.ckyolfederalwauco. of FEDER nay•
A CITY OF FE DEPT,AL WAY
Pill: ! DE BUILDING
The ollowi , i3're y. •, Ei lin-an Inco ,fete • ,•lication will not be acre,ted. Please •tint le, •1 in or
■ PROPERTY INFORMATION
SITE ADDRESS ,,,,Vi*„_fl/-„ th.,I !i ,144 y, 1,//9- 9,29423-°J TE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sJ)
1
j LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE•OF PERMIT O t} 0 PLUMBING . 11e1IECIIIANIcAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJEC'P DEK$IPTEMI(Provide detailed description of work included on this Hermit onlu)
PROJECT NAME(Name of Business or Owner Last Name) PO/Q.ORP IS ,,
F / 7' Or-
NIPEOPLE INFORMATION
2"
• PROPERTY NAME PRIMARY PHONE
OWNER �If/�✓'' 4-09 Z. f '4 c I (.20) A
MAILING ADD AS CITY,STATE,ZIP _�"/�
_, , ,y/I/ s : , .;• .% %A. ,41,0 9A�3 -kg s
CONTRACTOR COMPANY.A. 3, i _Lys
R -N4� -r�,y��PLICANT NAME OFFICE PHONE
S91
: - 1 � `- ( ) _
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
/ ( )
CITY OF FEDERAL WA�CE TIO DA/TE FAX NUMBER
- - l )
CONTRACTORS REGISTRATION NUMBER(copy of card each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME
i/ 12�� OFFICE PHONE
`, 0
MAILING ADDRESS CITY,STATE,ZIP - ( ) -
CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB ER
❑ Architect 0 Tenant ❑Agent ❑ Other(Describe) ( ) _
CONTACT I NAME��� PRIMARY PHONE - E-MAIL ADDRESS
► I ( ) I
LENDER ? - �� ., NAME /I°r
MAILING ADDRESS C17Y.STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE c PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ t !0 j 00 b VALUE OF PROPOSED WORK $ 3� ) ' 6 0
SPRINKLERED BUILDING? a YES XNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES X00
WATER SERVICE PROVIDER I.AKEHAVEN ❑HIGHLINE ❑TACOMA ❑ PRIVATE(WELL) �1
SEWER SERVICE PROVIDERAKEHAVEN 0 HIGRLINE 0 PRIVATE(SEPTIC)
•
- PROJECT FLOOR AREAS
AREA DESCRIPTION • EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
: EMENT
FIRST •
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) �\
-Q-CARPORT 0 �'✓ \ -
NUMBER OF FLOORS
TOTAL ir;i,t,_. h+Tc.t,.C3 ".,i,:t1r .>.- __; ,u it
"NEW HOMES ONLY" BER 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 o O
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS --_,_— FANS HOODS(commerc,.I) WOODSTOVES
BOILERS ( 1 i FIREPLACE INSERTS RANGES MISC(Describe) I
COMPRESSORS v FURNACES OAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BAT II." .b Shower Combo) SHOWERS WATER CLOSETS(met) MISC(Describe)
DISHWASHERS SINKS DR NKINO-POUNTAII4S
GAS PIPE OUTLETS SU` ' RAINWATER SYST
WASHING MACHINES URINALS -• E BIBBS
LAVS(eoffimom Sinks) i M BREAKERS ELECTRIC -- - TERS
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 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,and filed against the City of Federal Way,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 a part of
this application.
NAME/TITLE (/clued;+uv .Pilirl4l.(a/ DATE ' /,-- /9 c'
(Signature) (Title)
RELATIONSHIP TO PROJECT ,Owner ❑ Agent 0 Contractor 0 Architect 0 Other
r,c); :,,,,,:,'!,1...,.::, . ,:p . ; - -
• 50 ,Cy:;!tc. )ft" it,£ c).0,,..e, •;iy:t •,;;(e, ' :y':4:)(c.l ti,'0•:154' Dg r _ .4 :1 -
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