92-101999 9a-)b$ 999
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92-2411
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 11/10/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 426 SW 316TH ST
PARCEL NO.: 555920-0230
PROJECT DESCRIPTION: GAS TO GAS FURNACE CHANGEOUT
- OWNER — CONTRACTOR — LENDER
MARIE TROTIGNON ARCO INSTALLATION, LTD.
426 SW 316TH ST 1902 S.341ST PL. #9
FEDERAL WAY WA 98023 FEDERAL WAY WA 98003
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
BBO • 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:
eVPIPING OKJ, ; ;N.¢,,/ 6 ' Date /-?-6) 5 By /h2 '
ALL PERMI = EXPIRE 180 DAY AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION • 1 /D BY UE AN* CORRFrCT TO TH- =-ST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
•
/ �-
OWNER OR AGENT /,� �A DATE (7/ �
bld mech 07/01/92 �` 1
r'(,1 -
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE__......_.-_.....- BY-.. - ..- DATE . BY DATE ...- BY
PLUMBING ROUGH IN WATER LINE O.K. _ MECHANICAL INSPECTION
DATE__ _ BY _ . GAS PIPING O.K. DATE BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE ..... __... - ..BY __ -......._-__ DATE - ....BY ... DATE -..... BY
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE IH 7-9 3 BY_M/1/
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I.ITY OF FEDERAL WAY ,
BUILDING PERMIT APPLICATION
—Please Print-
BOX 1 TENANT NAME:
OWNER + ' - + Iii
lient -fSITE LOCATION .t-1 4-- ' _
OWNER'S ADDRESS -. • - . - � CITY ►- .0. PHONE `
DESCRIBE JOB - ' a� ` • �� �� ��' •.
THE PROPERTY I OWNED BY: NGLE/MARRIED P RTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 1! 41M '+ z CONTRACTOR'S REG. #�Q,Q �, 1y1<
rd MUST presented
CONTRACTOR'S ADDRESS b� "s '/ .j 06/o CaCITY PHONE fsTeP--c5Y473
EXPIRATION DATE Ja--
--OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 ICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON _=may . 'Thi---- 011
E
BOX 4 SEWER DISTRICT _ WATER DISTRICT -
—
BOX 5 ESTIMATED PROJECT COST - _EXISTING BUILDING VALUATION _ _
BOX 6 PROPERTY TAX ACCOUNT NUMBER 5 0.. a — Oa5 0 _
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 _ I_
_ 3RD FLOOR J_ - BASEMENT_______/ DECK / GARAG E____`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 "-0
SHOWERSBATHTUS NO----__..-_.FURNACE, ELEC, GAS , $
LAVATORIES GAS HOT WATER HEATER $
SINKS CONVERSION BURNER $
DISHWASHERS BOILER, SIZE BTU $
ELECTRIC HOT WATER HEATER AIR HANDLING UNITS $ ""
LAUNDRY WASHER OUTLET HEAT PUMPS, SIZE $
URINALS UNIT HEATERS $ `
DRINKING FOUNTAINS AIR COOLING UNITS, SIZE $
__SUMPS, SPRINKLER VACUUM BREAKERS ` _
COMMERCIAL HOOD
DRAINS OTHER __ $
_OTHER
__OTHER_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 $
VO FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APP
ADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING AND KNOWLEDGE
ES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE APPLICATION IS
ID FILED AGAINST THE CITY OF FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM Ap! E COSTS,EXPENSES, ATTORNEYS'
"KERS AND EMPLOYEE', UPON THE •CCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF UNDERSIGNED,
S S OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
THIS APPLICATION,
NER/AGENT: -i , �41.�
DATE: " i — et&