92-101998 CITY OF FEDERAL WAY M EC HAN I CAL PERMIT PERMIT NO.: BLD92-2410
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 11/10/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 838 SW 308TH ST
PARCEL NO.: 178870-0280
PROJECT DESCRIPTION: ELCTRIC TO GAS WATER HEATER & GAS TO GAS FURNACE CHANGEOUT
— OWNER — CONTRACTOR -- LENDER
RODNEY DUNCAN ARCO INSTALLATION, LTD.
838 SW 308TH ST 1902 S.341ST PL. #9
FEDERAL WAY WA 98023 FEDERAL WAY WA 98003
946-0866 952-5433
ARCOIL*141LE
1111
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 5 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 18.50
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 $ 38.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
firS PIPING OK Date 10101 1 By _ ),___
(/ (4
AL 'ERMITS EXPIR/-,i 80 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATI• . FU;, IS T- E AND CORR 7`'O THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
/ • F
OWNER OR AGENT .i/ DATE // ( ` �-
bld mech 07/01/92 r
SENT BY:ARCO INSTALLATIONS ; 11— 5-92 2:51F-11 : —
Permit #
• S
CITY OF FEDERAL WAY `
BUILDING PERMIT APPLICATION
—Please Print-
BOX 1 TENANT NAME: ..- . � j"`
OWNER • "l'� SITE LOCATION •�f• ` • P :�/!� ,
OWNER'S ADORE
�r CITY -: h•
DESCRIBE JOB • PART RSHIP CORPORA ON
THE PROPERTY IS OWNED BY: SI LE/MARRIED
BOX 2 CONTRACTOR'S NAME :T� "-> - ��- �� '-- .` T�
A NA CONTRACTOR'S REG. #� c d MUS be presented
CONTRACTOR'S ADDRESS /i d R f D' Y_ `' q CIT P"iai PHONE_9‘- -5
EXPIRATION DATE _______[5 :-_-/-12---
- OR-
IHAVE READ CHAPTER 18,27.OITS ISSU DEFINITINS OF GENERAL
W TROUT PROOFNOF REG�STRAT pNSPECIALTY CONTRACTORS AND _
CHAPTER 18.27.110 W ICH PROHiB
BOX 3 CONTACT PERSON ' Ads • 11 / - ' ' •-4_ ,-'2 ,.i - - 4 1 PHONE %1`' -�4(
BOX 4 SEWER DISTRICT _ WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST -�) ` -- EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 17 1'2D O c9.$C
LEGAL DESCRIPTION - —
(It necessary, please submit a separate page with the legal description.)
K.C. Plat Recording# - - _ --— ,
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR _._____ J_
3RD FLOOR I _ BASEMENT. __/ DECK. / _ GARAGE______J_
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS - _) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY _ _ _ _SQ FT
BOX 9 PLUMBING FIXTURES (Including rough-ins) MECHAN CPL APPLIANCES-- BASIC FEE$
NO. _WATERCLOSETS GAS PIPING, FEET _ $
_BATHTUBS NO._ _,C-_,FURNACE, ELEC._ GAS x _ $
_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 - $
CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
IND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
LADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
!ES 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
:FICERS AND EMPLOY S, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
VNER/AGENT: .10_ /!I .1.• i�1# DATE: ../2-42z-" 262.,