05-103629 10.
City of Federal Way Mechanical Permit #: 05 - 103629 - 00 - ME
Community Development Services
P.O.Box'9718
Federalway,WA 98063-9718
Ph.(253)835-7000 Fax.(253)835-2609 Inspection request line: (253) 835-305C
Project Name: IGIELSKI
"
Project Address: 2214 S 308TH 91- Parcel Number: 053700 0230
Project Description: Install air conditioner.
Owner Applicant Contractor
TIMOTHY IGIELSKI ALL SEASONS,INC. ALL SEASONS,INC.
2214 S 308TH ST 5001 N 28TH ST 5001 N 28TH ST
FEDERAL WAY WA 98003 TACOMA WA 98407 TACOMA WA 98407
(253)278-9344
Mechanical Valuation.. .6443 Over the Counter Permit .Yes
Mechanical Fixtures
Description __ IQu_a__n__ti_ty_y Description Quantity Description !Quantity
_
Air Handling Units 1
PERMIT EXPIRES January 21,2006.
Permit issued on July 25,2005
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.
CM /�j7
Owner or agent: �a� ���' Date:
(12-
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103629-00-ME
Owner: TIMOTHY IGIELSKI
Address: 2214 S 308TH ST
FEDERAL WAY, WA 98003-4823
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.
❑ Mechanical Rough-in(4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date BC' Lt) Date/ , d
RECEIVED
Feae _IWay PERMITJUL 2 5 2005
COMMUNC1DSEELLO"PMENTSERVICES
SF MF CO ME LPL DE EN FP
33530 FIRSTWAY SOUTH• BOX 9718 A P P L I C AMSERAL WAS°
f
FEDERAL WAY,WA 98066 3-9718
253-661-4115•FAX 253-661-4129 f�G DEPT, j _
www.rituoifederalwau rnm
The ollowi • is -• fired i ormation-an into •lete • ••lication will not be acce• d. lease •rint le•ibl in in or • .
• PROPERTY INFORMATION
SITE ADDRESS 2214 S 308TH ST SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# _0_ 5_ _3_ 7 0 0 - _0_ _2_ _3_ _0_ LOT SIZE(sf
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desenpton)
IN 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 only)
INSTALL 4 TON 12 SEER AIR CONDITIONER
PROJECT NAME(Name of Business or Owner Last Name) IGIELSKI
U PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER TIMOTHY IGIELSKI ( 253 ) 529-1414
MAILING ADDRESS CITY,STATE,ZIP
2214 S 308TH ST FEDERAL WAY, WA 98003
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
ALL SEASONS INC ROBYN BRADSHAW ( 253 ) 278-9344
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 0 B L 12/31 /2005 ( 253 ) 879-9143
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 ) 278-9344
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
5001 N 28TH ST TACOMA, WA 98407 ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent 0 Other(Describe) ( 253 ) 879-9143
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
DAVE BRADSHAW ( 253 ) 278-9344
LENDER per ROW 19.27.093' Loafer ierseatieit is NAME
required if prefect vase exceeds*SAW
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE RESIDENTIAL PROPOSED USE RESIDENTIAL
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 6443.00
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
, Ir AREA DESCRIPTION EXISTING
PROPOSED TOTAL
BASEMENT S•,FT. S.. • S•.FT.
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT 0
i'Qa°1O PROPOSED TOTAL
Tom msrua a TOTALINo•o•ED a
TOTAL a
NUMBER OF FLOORS
""NEW HOMES ONLY" NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated aspart ofthis project. Do not include existing
MECHAA►ICAL fixtures to remain.
Value of Mechanical Work $ 6443.00
AIR HANDLING UNITS EVAPORATIVE COOLERS
GAS LOGS REFRIG.SYSTEMS
BBQS FANS
HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS
I COMPRESSORS FURNACES GASGES MISC(Describe)
DUCTS GAS WATER HEATERS
GAS PIPE OUTLETS
PLUMING
BATHTUBS(or rub/shower comm) SHOWERS
WATER CLOSETS(collet) MISC(Describe)
DISHWASHERS SINKS
GAS PIPE OUTLETS DRINKING FOUNTAINS
WASHING MACHINES SUMPS RAINWATER SYST
URINALS HOSE BIBBS
LAVS(Bathroom Sulks) VACUUM BREAKERS
ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I
am authorised
penalty of perjury that the information furnished by me is true and correct to the
by the owner of the above premises to perform the work for which thebest applicationof knowledge,and further,that I
harmless the City of Federal Way as to any claim(includingpermit is made. I
such swhich costs, expenses, and attorneys' nfurther agreethe investigation ddefense holdo
suclaim),
), theich may
be omaby any person,including the undersigned,and filed against the City offFFeedeirai Way, only where suclaim
this application. f� city,including its officers and employees,upon the ty
,. po accuracy of the information supplied to the city as a part of
NAME/TITLE , . A V
(Slgnatu NAA-it DATE 07-' ?i?i ' QS
(Title)
RELATIONSHIP TO PROJECT 0 Owner ❑Agent x Contractor o Architect 0 Other
> .�yes� , I
a NEW a ADDITION a ALTERATION
BALDING SHELL ONLY? a REPAIR a �.IMPROVEMENTa YES a NO BASIC FLAN?
ZONING DESIGNATION a YES a NO
NEW ADDRESS REQUIRED? a YES a NO CHANGE OF USE? a YES a NO
PLATTED LOT? a YES a NO UPiSEPA�SU? a YES a NO
DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100-March 30,2004
Page 2 of 4 k\Handouts-Revised\Permit Application