92-102001Or
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
SITE ADDRESS: 32516 410T AVE SW
PARCEL NO.: 873196-0080
PROJECT DESCRIPTION: ELECTRIC TO GRAS BEATER CHANGEOUT
F41R CONTRACTOR
LD KOLSRUD ARCO INSTALLATION, LTD.
225 40TH PL SW 1902 S.341ST PL. #9
FEDERAL WAY WA 98023 FEDERAL WAY WA 98003
838-8598 952-5433
ARCOIL*141LE
FUEL TYPES.:GAS
GAS PIPING.: 10 ft
FURN<100K..: 0
GAS HWT....: 1
CONV BURNER: 0
BBQ. .. 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
FANS..........: 0
HOOD..........: 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K.....: 0
MISC..........: 0
AIR HANDLING UNITS
<=10,000 CFM: 0
> 10,000 CFN: 0
BOILERS/COMPRESSORS
0-3 HP......: 0
3-15 HP.....: 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP. .... 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
0 INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
GAS PIPING OK
Date By
LENDER
9,r 16' 00I
PERMIT NO.: BLD92-2413
ISSUED: 11/10/92
BY: FLF
FEES:
NEC PRMT ISSUANCE... S 20.00
NEC APPLIANCE FEES.* $ 8.50
TOTAL FEES $ 28.50
ALL ISSUANCE IF NO
I CERTIFY THAT THE INFORMATION D E IS TR E AMCORRECTO8 Ij BESTAOF�MYKNOWLEDGE ANDT HEIAPPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT C_ DATE
bld meth 07/01/92
Perm
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
Plsm Print —
BOX 1 TENANT NAME:
.,,.,.,Ee '.o ey% To w l ar• V SITE LOCATION
OWNER'S ADORE -5 9904
DESCRIBE JOB E
THE PROPERTY IS OWNED BY:
BOX 2 CONTRACTOR'S NAME
CONTRACTOR'S ADDRESS 10�101•' CIAl-- PHONE.��'� ~5v�
EXPIRATION DATE
—OR— '
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WgICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. —
ED PARTNERSHIP CORPORATION
w� •u.ri
CONTRACTOR'S REG.
BOX 3 CONTACT PERSON
BOX 4 SEWER DISTRICT — — WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST
EXISTING BUILDING VALUATION
BOX 8 PROPERTY TAX ACCOUNT NUMBER 9'Q 1.TI92 i U 10 `
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 16T FLOOR_____) — — 2ND FLOOR .____ I
3RD FLOOR,.__ I BASEMEN T_______,l DEC GARAGE
GARAGE:�1�
BOX 8 { } SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS a .) ( ) EXISTING STRUCTURE
( ) COMMERCIALANDUSTRIAL TOTAL AREA OF PROPERTY SO FT
BOX 9 PLUMBING FIXTURES (including rough -Ins) MEC ANIPAL APPLIANCES BASIC FEE $
NO._—L___WATERCLOSETS GAS PIPING, FEET $
BATHTUBS N0. - FURNACE, ELEC.— GAS— $
____.,.SHOWERS / - GAS HOT WATER HEATER $
____,_,LAVATORIES CONVERSION BURNER $
SINKS _______BOILER, SIZE BTU $
_DISHWASHERS j11R HANDLING UNIT
—ELECTRIC HOT WATER HEATER $
�..HI:AT RUMPS, SIZES S $
______LAUNDRY WASHER OUTLET UNIT HEATERS $
—URINALS j1IR COOLING UNITS, SIZE
_—_,___DRINKING FOUNTAINS -COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
—OTHER S _
_ — OTHER — $
TOTAL FIXTURES $
TOTAL MECHANICAL. FEE $
1 CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME 18 TRUE AND CORRECT TO THE REST OF MY KNOWLEDGE
4ND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
MADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
'EES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHIG N MAY 8E MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
IND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
FFICERS AND EMPLOYY AS A PART OF THIS
ES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITAPPLICATION.
•l,�' . )
WNER/AGENT.-
DATE:
.CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003 ^_
661-4000IVIAlt
SITE ADDRESS: 32Xp1-6=4V0 ''"SW l�
PAACEL NO.: 873196-0080
PROJECT DESCRIPTION: ELECTRIC TO GRAB HEATER CHANGEOUT
OWNER
GERALD KOLSRUD
32225 40TH PL SW
FEDERAL WAY WA 98023
'188598
FUEL TYPES.:GAS
FANS........... 0
GAS PIPING.:
10 ft
HOOD..........: 0
FURN<100K..:
0
DUCT WORK.....: 0
GAS HWT....:
1
WOOD STOVES...: 0
CONV BURNER:
0
FURN>100K.....: 0
BBA........:
0
MISC..........: 0
GAS DRYER..:
0
AIR HANDLING UNITS
RANGE......:
0
<n10,000 CFM: 0
GAS LOGS...:
0
> 10,000 CFM: 0
CONTRACTOR
ARCO INSTALLATION, LTD.
1902 S.341ST PL. 99
FEDERAL WAY WA 98003
952-5433
ARCOIL*141LE
BOILERS/COMPRESSORS
0-3 HP......: 0
3-15 HP.....: 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP. .... 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
INSPECTION RECORD
Water Line OK �Mechanica Inspect' n Notes:
9S PIPING OK Date
LENDER
PERMIT NO.: BLD92-2413
ISSUED: 11/10/92
BY: FLF
FEES:
NEC PRMT ISSUANCE... S 20.00
NEC APPLIANCE FEES.* S 8.50
TOTAL FEES S 28.50
ALL PEITRMIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATIONISKD B S TRU ANEAORWT TO TWBEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT% PU
DATE ` �(
bld me.*h 07/01/92