93-100137 9?--1b r3t3-2
CITY OF FEDERAL WAY IVEC HAN I CAL PERMIT PERMIT NO.: ELD93'-0040
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 01/19/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 843 SW 317TH PL
PARCEL NO.: 5557310380
PROJECT DESCRIPTION: HVAC
OWNER — CONTRACTOR — LENDER
MICHAEL BALL ARCO INSTALLATION, LTD.
41111
843 SW 317TH 1908 S. 341ST PL. #9
FEDERAL WAY WA 98023 FEDERAL WAY WA 98003
941-3938 952-5433
ARCOIL*141LE
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 1 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.* $ 9.50
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 $ 29.50
Y
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes: • ik tf s
PIPING OK Date 6y ' . , , •:1 ---: 1 os
oA
ALL PERMITS EXPJE 180 DAYS AFTER ISSUANCE IF NO WORK ARTED.
I CERTIFY THAT THE INFORMATIOr URNISHED BY ME IS TRU AND COR'S'T TO THE BEST OF MY KNOWLEDGE AND THEAP LTirABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
/ ////7
2_23
OWNER OR AGENT / .zi� DATE !
bld_mech 07/01/92 /
Ih'" Permit # 0 .3 Ov
CITY OF FEDERAL WAY '
BUILDING PERMIT APPLICATION
Please Print— '
BOX f TENANT NAME;
OWNER . AagI
OWNER'S ADDRESS : '.5� . �_�SITE LOCATIO
DESCRIBE JOB �. -� 3 ,
THE PROPERTrinarrijyy
Y I OWNED SY: SINGLE/MARRIED -121" CITY PHON
gQX 2 CONTRACTOR'S NAME PARTN`•SHIP
CORPORATION
CONTRACTOR'S ADDRESS �� CONTRACTOR'S REG, #
EXPIRATION DATE ' p/ 21
4
146
CITY FHON �Card MUS be presented
I HAVE READ CHAPTER 18,27,010 RELATING TO DEFINITIONS OFGENERAL CONTRACT
CHAPTER 18.27,110 WHICH PROHIBITS ISSUING PERMITS WITHOUT ISTRATION.
BOX 3 CONTACT PERSON Ar '.(71-2._ PROOF OF REGISTRATION AND SPECIALTY CONTRACTORS AND
BOX 4 SEWER DISTRICT PHON
BOX 5 ESTIMATED PROJECT CQ_ST ^WATER DISTRICT
EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER �-
LEGAL DESCRIPTION -� —______,
(If necessary, please submit a separate 'with K.C. Plat Recording th the legal description.)
ding# _
BOX 7 BUILDING SQUARE FOOTAGE: (ExIsting/Proposed) 1ST FLOOR_ /
3RD FLOOR _/ BASEMENT,�J� 2ND FLOOR
`-'�- _ _ DECK.-� GARAGE�.
90X 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = _) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ
BOX 9 PLUMBING FIXTURES(including rough-Ins) MECHANICIL APPLIANCES — BASIC FEE$
NO, WATERCLOSETS GAS PIPING, FT
FEET / $
BATHTUBS NO. FURNACE, ELEC._, GAS_. $
SHOWERS / GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
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
1 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 PERMIT APPLICATION IS
MADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAINST ND EMPLO THE
CITY OF FEDERAL WAY,BUT ONLY ES, UPON THE ACCURACY OF THE VHERE SUCH IN INFORMATION SUIM PA ED TO THE CITY AS ARISES OUT OF THE IANCE OF THE PART OF THIS CITY,APPLI APPLICATION,
ITSS
OFFICERS AND
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OWNER/AGENT: /A.. r�• DO -43-.�
&Np.rme 3110