06-1049600
City of Federal Way Mechanical Permit #• 06 -104960 -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: OLIVER
Project Address: 30008 20TH PL SW Parcel Number: 012103 9112
Project Description: Install radiant floor heating system for accessory dwelling unit.
Owner
Applicant
Contractor
ROBERT M & BRENDA OLIVER
CARDINAL HEATING & A/C INC
CARDINAL HEATING & A/C INC
30010 20TH PL SW
719 KIRKLAND AVE
719 KIRKLAND AVE
FEDERAL WAY WA 98023-3404
KIRKLAND WA 98033
KIRKLAND WA 98033
Additional Permit Information
Mechanical Valuation............................................8964 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
Furnaces......................................... 1
4
THIS CARD IS TO REMAIN ON-SITE 1%,
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -104960 -00 -ME
Owner: ROBERT M & BRENDA OLIVER
Address: 30008 20TH PL SW
FEDERAL WAY, WA 98023-3404
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 G (� Date �ZJ - d By G Date
REcGwEa j
Cl"oJ
Federal Way$gp 19 M PERMIT SF MF CO L PL DE EN FP
+COMMUN17YDEVELOPMENT SERVICES
Ai rD
33325utunVn.EcNttyU0�EfeSdO_eua 9718
FEDERAL WAY, W
253-835-2607• FAX25W
P P LI CATI O N
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The followin is re uired information - an incom fete a lication will not be accei2tea, Please Tint Ie &l in ink) or
2 p� n •••ERTY ` •• •
SITE ADDRESS 3 (�� I �� i ��i) li .1 C� (� �i Z SUITE/UNIT # a
ASSESSOR'S TAX/PARCEL # U 1 �L _SL - ! LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) e e-
(Attach separate page f- lengthy legal desc1lpM1V
PROJECT• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed descriptionor work included on this permit onlu)
�llska�� r�d�ait, Ir v susf� far A011• 1e �eti'd�
%11014, V1 TOf- CO "-I.%: - C® /-2 a vtC, d-
PROJECT NAME (Name of Business or Owner Last Name) V I i V e-tr
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE
It, vie V
MAILING ADDRESS CITY, STATE, ZIP
300910 4-'-' PL S t,) F ✓aj WA gy`OZ
COMPANY NAMEIAPPLICANT
CaV d �� t
C �Xl
NAME
Laa"I 6
OFFICE PHONE
(q -?Y) 027 -
� nal ✓t
c
rRf
CITY, STATE, ZI
44 -03Y
MAILING ADDRESS
(R Kl y
CITY, STATE, ZIP
1 r kla d u h a U53—(Z3-),
CELLPHONE
/ - IO2/
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
2 Q - - l Q q L �- r't? / ?j / /.Zoo
FAX NUMBER
- 33 3 %
12 t� !2
B L
CONTRACTORS REGISTRXrlUN NUMBER (copy of cardfrregUiired with each application)
C /T L ! l n t� t/ JJ
EXPIRATION DATE
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
l i- la',
re
CITY, STATE, ZI
44 -03Y
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant
lnQLt ta-7 'co-/
❑ Agent )d Other (Describe) C e n +✓•cokDr
FAX NUMBER
NZ„5;) $Z-?
-.S`t33
EXISTING ASSESSED/APPRAISED VALUE
PROPOSED USE
VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
'rJACIA
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
❑ YES ❑ NO
BASIC PLAN? ❑ YES
❑ NO
FIRST
CHANGE OF USE? a YES
AREAS
PROJECT
FLOOR
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
❑ YES ❑ NO
BASIC PLAN? ❑ YES
❑ NO
FIRST
CHANGE OF USE? a YES
❑ NO
SECOND
❑ YES ❑ NO
UP/SEPA/SU? ❑ YES
❑ NO
THIRD
❑'YES o NO
DEMO PERMIT REQUIRED? o YES
-. o NO
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
FB[STDYG
PROPOSED
TOTAL
TOTAL EXNMG OF
TOTAL PROPOSED 8F
TOTALSF
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ _
of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL o 0
Value of Mechanical Work $ i _.C1
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (or Tub/Shower Combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (Bathroom Sinks)
T EVAPORATIVE COOLERS
1 FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS _
HOODS (Commercial
RANGES
_L GAS WATER HEATERS
COvti �� -C�✓ � �oo r
WATER CLOSETS (roiiet)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
)ISCLAIMER/SIGNATURE BLC
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
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 andfided 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 igrormation supplied to the city as a part of
this application. �7/
NAME/TITLE DATE
(Signature)^� / (title)
RELATIONS TO PROJECT 11 Owner El Ag nt p6ntractor ❑ Architect ❑ Other
1DDITION
o ALTERATION
o REPAIR TENANT IMPROVEMENT'
)NLY?
❑ YES ❑ NO
BASIC PLAN? ❑ YES
❑ NO
,ION
CHANGE OF USE? a YES
❑ NO
9UIRED? '
❑ YES ❑ NO
UP/SEPA/SU? ❑ YES
❑ NO
❑'YES o NO
DEMO PERMIT REQUIRED? o YES
-. o NO
Bulletin #100 —January 1, 2006 Page 2 of 4 k\Handouts\Permit Application
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