92-101989CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 31610 418T AVE SW
PARCEL NO.: 873198-2430
PROJECT DESCRIPTION: GAS TO GAS FURNACE CHANGEOUT
R CONTRACTOR LENDER
�IARD MATTIS ARCO INSTALLATION, LTD.
31610 - 41ST AVE SW 1902 S.341ST PL. #9
FEDERAL WAY WA 98023 FEDERAL WAY WA 98003
952-5810 952-5433
ARCOIL*141LE
q �' 10! 99 q
PERMIT NO.: BLD92-2416
ISSUED: 11/10/92
BY: FLF
FUEL TYPES.:GAS
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.:
0 ft
HOOD..........:
0
0-3 HP......: 0
NEC PRMT ISSUANCE... $ 20.00
FURN<100K..:
1
DUCT WORK.....:
0
3-15 HP.....: 0
NEC APPLIANCE FEES.* $ 10.00
GAS HWT....:
0
WOOD STOVES...:
0
15-30 HP....: 0
CONV BURNER:
0
FURN>100K..... :
0
30-50 HP....: 0
BBQ........:
0
MISC..........:
0
5+ HP.......: 0
GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... :
0
<=10,000 CFM:
0
ABOVE GROUND: 0
GAS LOGS...:
0
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES $ 30.00
INSPECTION RECORD
Water Line
OK
Mechanical
Inspection Notes:
GAS PIPING
OK
Date
By
ALL 180 AF ISSUANCE IF NO WORK
I
I CERTIFY THAT THE INFORMATION� D Y ME PERMIT
Tq BEST OF MY KNOWLEDGE ADEAPPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT L��DATE V
bld mech 07/01/92
SENT By : ARCO i n� ���•, P@rm�� if
CITY R2-2�rc�
�� FEDERAL WAY
BUILDING PERMIT APPLICATION
Please Print —
BOX 1 TENANT NAME;
OWNER'S ADDRESS 111611
DESCRIBE JOB
THE PROPERTY IS OWNED BY,
BOX 2 CONTRACTOR'S NAME
CONTRACTOR'S ADDRESS 1 �W ZL �- CITY w PHONE Y-
- `�
EXPIRATION DATE h 1
—OR --
I NAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPIR 18,27,110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
SITE
CITY
CORPORATION
CONTRACTOR'S REQ.
BOX 3 CONTACT PERSON
BOX 4 SEWER DISTRICT — _ WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 8 PROPERTY TAX ACCOUNT NUMBER 0
LEGAL IJESCRIPTION
(if necessary, please submit a separate papa with the legal description.)
K.C. PlatiRecording #
BOX 7 BUILDING SQUARE FOOTAGE, (Existing/Proposed) 18T FLOOR____._,l2ND FLOOR
3RD FLOOBASEMENT_____!_ DECK.,_ -1_______ GARAGE______�J�.
BOX 8 ( ) SINGLE FAMILY { ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) { ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY
�Q FT
BOX 8 PLUMBINd FIXTURES (Including rough -ins) MECHANICAL. APPLIANCES BASIC FEE $
NO,�WATERCLOSETS GAS PIPING, FEET '—Q $
BATHTUBS NO.__. FURNACE, ELEC.__ GAS.
�—
LAVATO S ,_____GAS HOT WATER HEATER $ -
--r—
a--LAVATORIES IES ________.CONVERSION BURNER $
- SINI(S NKS BOILER, SIZE _� BTU $
— '- DISHWASHERS ------AIR HANDLING UNITS
,____$
—LAUNDRY
HOT WATER HEATER ____,,,HEAT PUMPS, SIZE LAUNDRY WASHER OUTLET UNIT HEATERS $
�URINALSDRINKING FOUNTAINS --AIR COOLING UNITS, SIZE
SUMPS, SPRINKLER VACUUM BREAKERS COMMERCIAL HOOD $
-OTHER $
$
- TOTAL FIXTURES $
TOTAL MECHANICAL FEE $
gTIFY UNDER PENALTY OFPERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
E. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
=1LED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
ERS AND EMPLO,pES, UPON) THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 31610 418T A®E SW
PARCEL NO.: 873198-2430
PROJECT DESCRIPTION: GAS TO GAS PDRNACE CHANGEOUT
OWNER CONTRACTOR LENDER
RICHARD MATTIS ARCO INSTALLATION, LTD.
31610 - 41ST AVE SW 1902 S.341ST PL. #9
FEDERAL WAY WA 98023 FEDERAL WAY WA 98003
952-5810 952-5433
ARCOIL*141LE
FUEL TYPES.:GAS
GAS PIPING.: 0 ft
FURN<100K..: 1
GAS HWT....: 0
CONV BURNER: 0
BBQ........: 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
Water Line OK
PERMIT NO.: BLD92-2416
ISSUED: 11/10/92
BY: ELF
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
HOOD..........:
0
0-3 HP......: 0
NEC PRMT ISSUANCE... $ 20.00
DUCT WORK.....:
0
3-15 HP.....: 0
NEC APPLIANCE FEES.* S 10.00
WOOD STOVES...:
0
15-30 HP....: 0
FURN>100K..... :
0
30-50 HP....: 0
MISC..........:
0
5+ HP.......: 0
AIR HANDLING UNITS
FUEL TANKS ---------
<=10,000 CFM:
0
ABOVE GROUND: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES $ 30.00
w- PIPING PIPING OK4C:55- 7,'16AI 6'
I CERTIFY THAT THE INFORMATION
OWNER OR AGENT
bid mech 07/01/92
INSPECTION RECORD
Mechanical Inspection
Date !a a - `a z- By 114A11
Notes:
ALL
AFTER ISSUANCE
EISTARTED. UA COR ECT T The BEST OF MY KNOWLEDGE AND WORKIS
CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
DATE U
r /�
SET BACKS AND FOOTINGS
DATE BY
OX TO POUR FOUNDATION WALLS
DATE BY
PLUMBING GROUNDWORK
DATE BY
PLUMBING ROUGH IN
DATE BY
WATER LINE O.K.
GAS PIPING O.K.
MECHANICAL INSPECTION
DATE BY
O.K. TO ENCLOSE FRAMING
DATE BY
INSULATION
DATE BY
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY
DATE 9 z BY 1"N
DCD
PSD
FD
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