92-101954 yj,Jo
CITY OF FEDERAL WAY IVI EC HAM I CAL PERM I°T PERMIT NO.: ELD92-2399
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 11/05/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 2112 SW 328TH ST
PARCEL NO.: 894510-0150
PROJECT DESCRIPTION: HVAC - GAS TO GAS FURNACE CHANGEOUT
OWNER — CONTRACTOR LENDER
EDWARD GATES ARCO INSTALLATION, LTD.
2112 SW 328TH ST 1902 S.341ST PL. #9
FEDERAL WAY WA 98023 FEDERAL WAY WA 98003
952-5433
ARCOIL*141LE
4111
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..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 10.00
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...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 30.00
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
OS PIPING OK Date 1-o By
,r,ot, ,94A—
A PERMITS EXPIRE 1;0 0 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATIO. /- 11 D BY IS UE A D ORRE ' • THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
44
► L
OWNER OR AGENT L, DATE
bld_mech 07/01/92 / / r
i
'
'92-11-03 15:26 AFC° •flLLTIOHsor---___F,.q f
Permit # Oa?Q 2 - 2.5g7
RECEIVED
NOV 192 CITY OF FEDERAL WAY
\BUILDING PERMIT APPLICATION
— Please Prim-
BOX 1 TENANT NAME:
OWNER • MERV ' ► ITE LOCATION d`i/c" �. , '- Al P _
OWNER'S ADDRESS - _ �. W W . " J A, CITY J PHONE 13 �'t
DESCRIBE JOB ) � .224��-e a�
THE PROPERTY OWNED BY: SI GLE/MA IED PAR ERSHIP_ —CORPORATION
BOX 2 CONTRACTOR'S NAME ,& . '/_. Le //a7,/.7. ,_,`/22 CONTRACTOR'S REG. #lA71'/9_ )Z/
A � Card M ,,T presented
CONTRACTOR'S ADDRESS ng' xJZ.�• 3V/ /91. _ CITY it.-4r41/ Oa/ PHONE 9�5 -55', 3 _
EXPIRATION DATE /o9--3 / - 9c7,
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 .ArIMINI , 4?-<-1 4,27 - 3 VP PHONE 7507 y3,3 a
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST _EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER Si 9y/10 " 0 /5
, 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 /_ t
i 3RD FLOOR _/ BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY
( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO, OF UNITS =
) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT I
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
I NO. WATERCLOSETS GAS PIPING, FEET O $
4 _. BATHTUBS NO, / FURNACE, ELEC. . GAS AV $
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 $
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 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 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: 4 DATE: 1/f-c") — g-2