05-104933 City of Federal Way Mechanical Permit #: 05 - 104933 - 00.- ME
Community Development Services
P.O Box 9718
FederalWay,WA 98063- Inspection request line: (253) 835-3050
Ph (253(253) ns 835-7000 Fax:(253)835-2609 p q
Project Name: BERNARDO Wei
Project Address: 34917 27TH SW Parcel Number: 351800 0010
Project Description: Remove existing gas furnace and replace with new gas furnace and A/C
Owner Applicant Contractor
George S Bernardo &Francisca B Bemardo ALL SEASONS,INC. ALL SEASONS,INC.
34917 27TH AVE SW 5001 N 28TH ST 5001 N 28TH ST
FEDERAL WAY WA TACOMA WA 98407 TACOMA WA 98407
98023-3079 (253)278-9344
Mechanical Valuation 6086.43 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Air Handling Units 1 Furnaces r 1
PERMIT EXPIRES March 22,2006.
Permit issued on September 23,2005
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: 1—a 3 S
FINALCs
ej 7
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THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104933-00-ME
Owner: GEORGE S BERNARDO
Address: 34917 27TH AVE SW
FEDERAL WAY, WA 98023-3079
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 Date
ciRECEIVED OS - ( n L- g 3 3
n
Feof �/�deral Way PERMIT
COMMUNITY DEVELOPMENTSERVICESEP 2 3 2005 SF MF CO E L PL DE EN FP
33`3258r"AVENUE SOUTH A259 0 BOX 9718 P L I CATION T�
FEDERAL WAY,WA 980 v F E D E RA
253-835-260 /
7•FAx 253_81;3-
x3 - U I LD I N G DEPT,
www.cit uo((ederal wau.com
The ollowi • is -•uired i ormation-an inco •fete • ••lication will not be acce•ted. Please •rint ie,ibi in in or • -.
. -7.---1-41• PROPERTY INFORMATION
SITE ADDRESS 34917 ? A i 5w SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# _3_ _5_ _1_ _8_ _0_ _O_ - _0_ _O_ _1_ _0_ LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal descnpuon)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING X MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
INSTALL 2TON 12 SEER AIR CONDITIONER
REPLACE OLD WITH NEW 90K BTU 80% GAS FURNACE
PROJECT NAME(Name of Business or Owner Last Name) BERNARDO _
II PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER GEORGE BERNARDO ( 253 ) 661-0795
MAILING ADDRESS CITY,STATE,ZIP
34917 27TH AV SW FEDERAL WAY, WA 98023
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
ALL SEASONS INC ROBYN BRADSHAW ( 253 ) 897-9144
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
5001 N 28TH 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 OB L 12/31/05 ( 253 ) 879-9143
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
A L L S E I * 0 3 5 N 5 08/25/07
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
ALL SEASONS INC ROBYN BRADSHAW ( 253 ) 897-9144
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
5001 N 28TH ST TACOMA, WA 98407 ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent ❑ Other(Describe) ( 253 ) 879-9143
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 PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES o NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 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
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT 0
EXISTING PROPOSED TOTAL TOTAL EXIIITMO sr TOTAL PROPOSED SP TOTAL Sr
NUMBER OF FLOORS
**NEW HOMES ONLY** 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 $_6086.43
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
1 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 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 94 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 DATE OC 'c;?S-05
(Signature) .3\13/‘ (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent • ontractor 0 Architect ❑ Other
FOR OFFICE USE ONLY
o NEW ❑ADDITION ci ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application