92-102122 CITY OF FEDERAL WAY IVI EC IRAN I CAL PERMIT 9a- )�adi as
PERMIT NO.: BLD92-2494
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/01/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 31040 7TH AVE SW
PARCEL NO.: 555770-0130
PROJECT DESCRIPTION: GAS TO GAS FURNACE CHANGEOUT
OWNER CONTRACTOR — LENDER
DUSTIN WOOD ARCO INSTALLATION, LTD.
31040 7TH AVE SW 1902 S.341ST PL. #9
FEDERAL WAY WA 98023 FEDERAL WAY WA 98003
f
3048 I 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..: 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
•ter Line OK Mechanical Inspe tion Notes: f; , ,/
GAS PIPING OK Dated _� c/ By /, 'i�� ,, ��`
f Vi/ 4 ,
_----,ALL PERM! EXPIRE/'180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURN : ED BY ME IS TR`E AN CORRECT 0 THER,,BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
- '1 ..... ^ Cr "-
OWNER OR AGENT �,__ _� DATE
bld_mech 07/01/92 - mi (((
I* RECEIVED BY • • petit #I 9 z ~ 2 y
COMMUNITY DEVELOPMENT DEPARTMEW
CITY OF FEDERAL WAY
NOV 3 0 1992 BUILDING PERMIT APPLICATION
—Please Print-
BOX 1 TENANT NAME: .
OWNER ir. SITE LOCATION " '♦ ji
OWNER'S ADDRESS 3 b D CITYe IY�1 Lt)d 11~ PHON I. -' r a.
DESCRIBE JOB a
• 's r �.� •� i,ii r..
THE PROPERTY I OWNED BY: INGLE CARRIED PARTNERSHIP CQRPORATIQN_
BOX 2 CONTRACTOR'S NAME i i ♦ ii.r /, CONTRACTOR'S REG. #/��f'L'1� .0*/ YL�
CONTRACTOR'S ADDRESS ' i .7.* Card MUST be prasarrted
EXPIRATION DATE - - CiTY PHONE 9074'3 3
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRA
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. CTORS AND
BOX 3 CONTACT PERSON . so 'i♦
BOX 4 SEWER DISTRICT . PHONE (1-3
-"— — _WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST
EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER p -o - - ______
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description,)
K.C. Plat Recording#
BOX 7 BUILDING
••••••• ..........
ARE FOOTAGE: (Exlsting/Proposed) 1ST FL00
3RD FL00R_,_____/____ BASEMENT,���`� -�� 2ND FLOOR ��
BOX 8 ( ) SINGLE FAMILY DECK_ GARAGE�r
( ) MULTIFAMILY(N0. OF UNITS = ~_
( ) COMMERCIAUINDUSTRIAL ) ( ) EXISTING STRUCTUREI
BOX 9 PLUMBING FIXTURES(Including rough-ins) BASIC FEE$
TOTAL AREA OF PROPERTY
NO.�_WATERCLOSETs MECHANICAL APPLIANCES_ SO FT
__BATHTUBS
GAS PIPING, FEET -40 J
_______-__SHOWERS
NO _FURNACE, ELEC $
__LAVATORIES
-�.�GAS HOT WATER HEATERGASZ_______ �- ---
__SINKS
- �_SINKs _ _ ___CONVERSION BURNER $
..____DISHWASHERS
__BOILER, SIZE $
_ELECTRIC HOT WATER HEATER FAIR HANDLING UNITS BTU $ �--
__ LAUNDRY WASHER OUTLET -- NEAT PUMPS, SIZE $ ~'
_URINALS —��UNIT HEATERS $ ~'
__DRINKING FOUNTAINS ___AIR COOLING UNITS, SIZE $ --�
__SUMPS,_SUMPS, SPRINKLER VACUUM BREAKERS
________COMMERCIAL CIAL HOOD -------- $
__DRAINS
��OTHER
____OTHER $
__ _TOTAL FIXTURES -�
ERTlFY UNDER PENALTY OF PERJURY THAT THE INFORMATION t` $ �~
'D FURTHER THAT I AM AUTHORIZED BY THE TOTAL MECHANICAL FEE $
FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KN �^
'DE.I FURTHER AGI AM O BY S THE CITY OF T FEDERAL
OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH
"S INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CU1IMOWLS '
WAY TO ANY CLAIM ANY(INCLUDING ON INCLUDING EXPENSES,AND ATTORNEY
FILED THE CITY OF FEDERAL WAY,BUT ONLY WyERE gU PERMITAPPLlCATlON IS
)FI[ AGAINSTND EMPLOY )S WHICH MAY ARISES MADE BY ANY PERSON, THE IUNDERSIGNED!LUDI '
5, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE
CH CLAIM OUT OF THE RELIANCE OF THECITY INCLUDING ITS
IER/AGENT: 4 ,�� CITY AS A PART OF THIS APPLICATION.
air
DATE: