92-100881 MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
91- j0 2-g/
PERMIT NO. 92-0914 M OWNER'S NAME GERLACH 32122 4TH AVE SW
SITE ADDRESS
CONTRACTOR ARCO INSTALLATION LTDADDRESS 1908 341ST PL S #9 FEDERAL WAY CONT.PHONE 952-5433
CONT.REG.NO. ARCOIC141LE EXP. 6/1/193OWNER'S PHONE 874-5229 OWNER'S ADDRESS 32122 4TH AVE SW FEDERAL WAY
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEWCOMMERCIAI COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 9265490-1320 LEGAL DESCRIPTION _
ISSUED BY JOANNE JOHNSON DATE OF ISSUE « O -c 1.-- DATE OF APPLICATION 6-12-92
BUILDING INFORMATION
ZONE _ SET BACKS:FRONT SIDE - REAR HEIGHT LIMIT
OCCUPANCY - TYPE OF CONSTRUCTION . CENSUS NO. TYPE OF HEAT BLDG.SO.FT. STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING 50 FT. 2.00 GAS LOGS RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE 10.00 DUCT WORK
SHOWER'S' URINALS GAS HOT WATER HTR. 6.50 AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS MISC. BBQ BASIC FEE 20.00 RETURNED
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL _38. 50 AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
'LUMBING FEE INSPECTION RECORD
MECHANICAL FEE 3 8_50
TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
PART P/C FEE
SEPA REVIEW GAS PIPING OK Date By
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
AMOUNT DUE 38. 50 Total Fee $ 38.50 Receipt No. / ! > -s C
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
,..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 ET: G�
%OWNER OR AGENT /22-7-2DATE
MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
92-0914 2 ERLACH 32122 4111 AVE
PERMIT NO. OWNER'S NAME j SITE ADDRESS,
CONTRACTOR
ARCO LN5TALJ ADDRESS 1908 3413T PL *�"S �IAY CONT.PHONE -5433
CONT.REG.NO. AIiCOIC141LE _ EXP. 6/1/03OWNER'S PHONE 874- 129 OWNER'S ADDRESS 32122 x" ME SW FEDERAL WAY
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIA! NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS )-MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 94. -- - 0-1320 LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSUi4 DATE OF ISSUE DATE OF APPLICATION _ ^"'12-92
BUILDING INFORMATION
1100NESET BACKS:FRONT SIDE REAR HEIGHT LIMIT
OCCUPANCY __TYPE OF CONSTRUCTION _ CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. GAS LOGS RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE 10. . DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. 6.56
AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS MISC. BBQ _ BASIC FEE
20-40 RETURNED
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 38-50 AMOUNT
VALUATION
,�/r GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
WCHANICAL FEE Ai-50
TAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
PART P/C FEE
SEPA REVIEW GAS PIPING OK cc-C % 2 /3 Date -C S? By .=''
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
AMOUNT DUE 38.50 Total Fee $ Receipt No.
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. ✓
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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 �' Via
REQUIREMENTS WILL BE MET: I
Vec., -
OWNER OR AGENT DATE 1
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N1 Z 1992 CITY OF FEDERAL WAY
eirucigeDERAL w BUILDING PERMIT APPLICATION
DEF' AY -Please Print-
BOX 1 TENANT NAME:
OWNER 3C5?S4_01.-t,ik. SITE LOCATION 3a rice' . S L) .
OWNER'S ADDRESS S&' -e v_S S i 4 - CITYreOeP a Q. (..061..yr PHONE Tf 41-SZ2 /
DESCRIBE JOB C.(ecA- c_ gam, ee ict_t w,. 1fec4P.'
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Ae[%i .. r ssca o_ ;c7 n�LT3 CONTRACTOR'S REG. #(P_P_C l.L.'ly/Z.7
Card MUST be presented
CONTRACTOR'S ADDRESS L 9 3 I� PL, S #/ CITY FerDe.e�4 �,�a�, s,5
PHONE 9 /�
EXPIRATION DATE (- I /3 (3
- 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 Li'h 6-0. PHONE ?Soy�SY3 J
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BU DING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER qa 64/9 30C)
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 /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 P- MBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES - BASIC FEE$
NO. WATERCLOS TS GAS PIPING, FEET 6-n --
$
BATHTUBS NO. t FURNACE, ELEC. GAS 4-
SHOWER
SHOWER I GAS HOT WATER HEATER $
LAVATI•IES CONVERSION BURNER $
SIN : BOILER, SIZE BTU $
DI WASHERS AIR HANDLING UNITS $
ECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
AUNDRY WASHER OUTLET UNIT HEATERS $
INALS AIR COOLING UNITS, SIZE $
DR KING FOUNTAINS COMMERCIAL HOOD $
SUM'. , SPRINKLER VACUUM BREAKERS OTHER $
DRAIN $
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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION./L- &
OWNER/AGENT: ) DATE: &-/c))
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ANP-008 3/90