92-101838 p, 101238
,:ITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92-2339
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 10/26/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 4817 SW 325TH PL
PARCEL NO.: 873219-0550
PROJECT DESCRIPTION: HVAC - INSTALL GAS HOT WATER HEATER
OWNER — CONTRACTOR — LENDER
MARK DILLMAN ARCO INSTALLATION, LTD.
4817 SW 325TH PL 1902 S.341ST PL. #9
FEDERAL WAY WA 98023 FEDERAL WAY WA 98003
952-5433 952-5433
ARCOIL*141LE
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 6.50
GAS HWT • 1 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 $ 26.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
OS PIPING OK,_,:---d i/1f'Nc , Date/ '2 By 1' N
0
L PERMITS - PIRE :0 DAYS AF ER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION NIq(j:Y E IS TR E AND CoRRE T T. THE ;E-3/F MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
I
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OWNER OR AGENT DATEv [/ l
bld_mech 07/01/92 C l �r
' �6
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE _ BY DATE _--_- _BY __ _ __-_- DATE __ __--_____aY
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION
DATE _ BY _ GAS PIPING 0x. __ __ _ __ DATE _ __ _____.oY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE _- BY __- DATE _ BY DATE BY
FINAL O.K.O.K. T00CCUPY
DCD PSD FD
DATE 2 BY
_
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SENT BY:ARCO I NSTALLAT I OHS ; 10-21-92 11: 1�H Pert
4 t
RECEIVED CITY OF FEDERAL WAY
OCT 21 1992 BUILDING PERMIT APPLICATION
OM OF FEDERAL WAY — Please Print-
BUILDING DePr.
BOX 1 TENANT NAME:
OWNER
OWNER ki• • H . - _ SITE LOCATION F>/ '•�-
OWNER'S ADDRESS
,3 CITY . • •• PHONEI2 -
DESCRIBE JOB n am �"
THE PROPERTY I OWNED BY; S NGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME - .*- �' - A� CONTRACTOR'S REG. # '�'� ci`�1
i.
Card MUST presented
CONTRACTOR'S ADDRESS �j g -a . 3y) ;i' PL, - -CITY r� T PHONE �
EXPIRATION DATE 3 „ a,
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION,
BOX 3 CONTACT PERSON . �� �r ��/ z _ 3 S� _ PHONE q � �
BOX 4 SEWER DISTRICT — — _ WATER DISTRICT _
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION _
BOX 6 PROPERTY TAX ACCOUNT NUMBER % . - a •
LEGAL DESCRIPTION - - —
(If necessary, please submit a separate page with the legal description.)
K.C, Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR _ J
3RD FLOOR_ J BASEMENT_ __._.../ _ DECK_________/ GARAGE: _ /_
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO, OF UNITS = ______ ) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY _ _SO FT
BOX 9 PLUMBING FIXTURES(Including rough-Ins) MECHANICAL APPLIANCES— BASIC FEE$
NO, _WATERCLOSETS GAS PIPING, FEET —P— $
BATHTUBS NO, FURNACE, ELEC.__ GAS $ _
SHOWERS —OAS HOT WATER HEATER $
_LAVATORIES _CONVERSION BURNER $
SINKS _BOILER, SIZE BTU $
DISHWASHERSAIR HANDLING UNITS $
__ELECTRIC ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE_ $
_LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS _AIR COOLING UNITS, SIZE
DRINKING FOUNTAINS _________COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS _____-___OTHER $
DRAINS $
_____ _OTHER_ $ _
_._____TOTAL FIXTURES $ _
TOTAL MECHANICAL FEE $
CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF $
1ND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APP[I_CATION IS
BADE.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), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
ND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
FFICERS AND EMPLOY ES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
VNER/AGENT: 4 ir/ 4 r�,,i
DATE: _ -►