92-101713 2'0,10 7)3
CITY OF FEDERAL WAY IVI ECHAN I CAL PERM IT PERMIT NO.: BLD92®2271
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 10/09/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 3920 SW 313TH ST
PARCEL NO.: 873199®0030
PROJECT DESCRIPTION: HVAC
a•- OWNER — CONTRACTOR LENDER
STEVEN KLAPSTEIN ARCO INSTALLATION, LTD.
3920 SW 313RD ST 1902 S.341ST PL. #9
FEDERAL WAY WA 98023 FEDERAL WAY WA 98003
838-0546 952-5433
ARCOIL*141LE
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 25 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.* $ 8.50
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...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 28.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
IS PIPING OK Date � � By(
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET,
OWNER OR AGENT DATE
bld mech 07/01/92
4A-6.4 )-5
`/
OCTVOIVIVED . , 0 &c_ D 92 - 22 1/
ERAL WAY
0 792 CITY OF QED
O .WAY _Please Print--
BUILDING PERMIT APPLICATION
lin _
BOX 1 TENANT NAME: SITE LOCATION ' - 0 5 —'
OWNER is • ,____.4\11=1.- '�
� IglICITY ..:• -a. PHONE
OWNER'S ADDRESS ' -
DESCRIBE JOBS -
THE PROPERTY IS OWNED BY: SINGL MARRIED /,/)�
PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME a -leo 'A CONTRACTOR'S REG. #—"Card MUST be presen
CONTRACTOR'S ADDRESS 7O - p1 A 4.:_i____CITY 1 PHONE_ —ter ��•—
EXPIRATION DATE _ i .-3/2
— OR—
IHAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHI H PROHIBITS ISSUINGISSPERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON // Jl�/►.Tr a74 - ` 6;4i ,)2'4-41- --1-J2 2- / ''`5 V PHONE ` r • ----
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST —EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER $ 73/12_.=C212.10----------------------
LEGAL
-LEGAL DESCRIPTION _
(If necessary, please submit a separate page with the legal descriptIon.)
K.G. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR I . 2ND FLOOR ______1 .-
3RD FLOOR 1 BASEMENT / DECK _J 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) MECHANICAL APPLIANCES — BASIC FEE$
NO, WATERCLOSETS GAS PIPING, FEET +.5 $
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 ,. J OTHER_/4.1Q7 $
_DRAINS
OTHER $
TOTAL FIXTURES $
. TOTAL MECHANICAL FEE $
I 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 ASTO 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 THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
OFFICERS AND EMPLOY ES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: // 1 ,/ DATE: lD`"