93-103047FUEL TYPES.:GAS
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.:
20 ft
93-
/63oY7
CITY OF FEDERAL WAY
MECHANICAL
P
PERISSUED:
12/02/9377
33530 First Way South
0
3-15 HP.....: 0
NEC APPLIANCE FEES.=
$ 9.50
Federal Way, WA 98003
Building Inspection Requests 661-4140
BY:
FLF
661-4000
EXPIRES:
05/31/94
ADDRESS:34664 10TH PL SW
0
30-50 HP....: 0
NO.: 132173-0610
0
MISC...........
0
5+ HP........ 0
PROJECT DESCRIPTION: HVAC - INSTALL
GAS LOG i PIPING.
GAS DRYER..:
0
AIR HANDLING UNITS
ONNER
CONTRACTOR
LENDER
RANGE ...... :
ROBERT SEMINGSEN
AMERICAN HEATING SERVICES INC.
0
ABOVE GROUND: 0
34664 10TH PL SN
7503 PORTLAND AVE STEAB
1
> 10,000 CFM:
0
FEDERAL NAY NA 98023
TACOMA NA 98404
935-9911
539-1702
TOTAL FEES
$ 29.50
ANERIHS083N5
FUEL TYPES.:GAS
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.:
20 ft
HOOD..........:
0
0-3 HP......: 0
NEC PRMT ISSUANCE...
= 20.00
FURN<100K..:
0
DUCT NORK..... :
0
3-15 HP.....: 0
NEC APPLIANCE FEES.=
$ 9.50
GAS HMT....:
0
HOOD 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
$ 29.50
the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then water expansion tank is required on Hot Nater Tank)
Inspection Record Mater Line OK
GAS PIPING OK
Mechanical Inspection Notes:
Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO NORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNONLEDGE AND THE APPLICABLE CITY
OF FERERAL NAY REQUIREMENTS MILL BE MET.
OWNER OR AGENT`=W=-------------------- -------------- DATE
---
FILE COPY
A6 53196 P.02
8='NT 13Y,DEPT, OF COMMUNITY * 9-1593 ; 1,30PM ; CITY OF F£DE 4AY, 5318595;# 2
Permit q , � L f (q-1
CITY OF F90EFIAL WAY
BUILDING PERMIT APPLICATION
Please Print —
BOX 1 TENANT NAME:
OWNER -. S L-- SITE LOCATlO
OW'NER'S ADDRESS1_12w._ L -, GiTY _/ PHONE_ f__. �
tk,>CRIBF JOB
- ^-mmTHE PROPERTY 13 OWNED BY: SINGLEIMARAIED�„- .� _, PARTN!~fiSFiiP=-- CORPORATION__ —��--�
BOX 2 CDNTRACTOR'S NAD,1EA►tiir rar rtftJ ,� �; int may= ��« —CONTRACTOR'S REG.
Card MUST he presented
CONTRACTOR'S ADDRFSS23>'r��,vb PHONE_'_-
EXPIRATION OA -ft a'__
�-7v 7�
1 HAVE REA{) CHAPTER 18,21,010 RELATING TO UEKINITIONS OF GENERAL CONTRACTORS AND SPEOiIALTY CONTRACTORS AND
CRAPTER 1$.27.110 WHICH PROH!BITS ISSUING PERMITS WIT1401JT PPI00P CP F VOIST'RATION.
BOX 3 CONTACT PERSON~
F3R;{ 4 SEWEp DISTRICT WATER DISTRICT ---, ___--
BOX 5 ESTIMATED PROJECT COST _..T. _ EXISTING BUILDING VALUATION
BOX O PROPERTY "I'AX ACOOUNT NUMBER/ _
LCOAL DESCRIPTION ---_-
(if tiacessary, please sunlit a soparate page with the legal desorlptlon.)
K,C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE' (EXIStIng/Proposed) 1ST FLOOR _,_,,,J—,_,_._ 2ND FLOOR
3111) FLOOR—..LL,::,.:1__— BASEMENT_______- GARAGE—_)_
BOX
ARAGE .J ---BOX 8 ( ) SINGLE PAMILY r ( ) NEW CON5TRUGTION
} MULTIFAVILY (NO. OF UNITS Q ) ( } EXISTING STRUCTURE
( ) COMMERCIAViNDUST RIAL TOTAL, AREA OF PROPERTY _- _.__.50 FT
80,X 9 PLUMBING FIXTURES (including rough ins) VECHANi IL APPLIANCES — BASIC FEE $ _-
N0,—WATERCLOSE TS GAS PIPING, FEET �._
BATHTUBS NO..—.—FURNACE, ELEC.— GAS_...._.,_--- S ----_,
_SHOWERS —GAS HOT WATER HEATER $
—LAVATORIES -LAVATORIES CONVEASION BURNER $
_,SINkS BOILER, SIZE — BTU S
.__DI$HWASHEAS _.,,AIR HANDLING UNITS $
-- ELECTRIC HOT WATER HEATEfl _____-HEAT PUMPS, GIZC ._—_ $ —
LAUNDAY WASHR OUTLET —,,_„UNIT HEATERS $
__URINALS _ — A1R COOLINO UNITS, SIZE
--DRINKING DRINKING FOUNTAINS COMMEs1C L HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS =OTHFR __--.------ $
..._..—_._DRAINS — �_, _ —._. $
OTHER ---� --- ---_._ ._ .___ — _..— $
TOTAL FIXTURES
_ TOTAL MECH_AWCAL FEE
1 CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY 141E IS TRUE AND CORRECT TO THE REST OF MY KNOWLEDGE
AND FURTHER THAT I AM AUTHDRIZED BY TH:OWNER OF THE ABOVE PREMISESTO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
MADE, I FunTHER AGREE TOSAVE HARMLESS THE CITY OF FEDERAL WAY ASTO ANY CLAIM (iNCLUDI NG COSTS, EXPENSES, AND ATTORNEYS'
FEES INCURRED IN INVESTIGATION AND Di=
CITY OF FEDERAL WAY MECHANICAL
PERMIT
33530 Fi.rst Way South
Federal Way, WA 98003 building Inspection Requests 661-4140
6§1-4000
ADDRESS:34664 10TH PL SW
NO _ : 132173-0610
PROJECT DESCRIPTION: INIAC - INSTALL GAS LOG 4 PIPING.
+INNER
ROBERT SENINGSEN
3+4664 1010 Pt SO
ivEDERAL NAY NA 98023
935-9411
FUEL TYPES.:GAS
GAS PIPING.: 20 ft
FURN<IOOK..: 0
GAS HOT..... 0
CONY BURNER: 0
BBQ_ ......: 0
GAS DRYER... 0
RANGE......: 0
GAS LOGS...: I
CONTRACTOR
ANERICAN HEATING SERVICES INC.
7503 PORTLAND AVE STEAR
TACONA NA 98404
539--1102
FANS...... AFP com
HOi1D......... 0 0- RP
DUCT NORK.. - Ir
NOw 5TI1 :... I' 0 ',
FURN10"......
r 0'
Ni P,
ft
AIRSIS FUc. 10 a
LENDER
PERMIT NO: BLD93-1277
ISSUED: 1"102/9'
BY: FLF
EXPIRES: 05/31/94
FEES:
NEC PRNT ISSUANCE.,. I 20.00
FEES., I 9.50
< Iii"W1Yf
10 NC'f Rt m.: C�
TOTAL FEES S 29.50
'Does the nater supply systes contain a Pressure Reduction Devior Check valve? () Yes () No (If 'Yes' then rater expansion tank is rewired cin Not Nater Tank)
Inspection Record Nater Line OX �t�rhanir,; / c ' n Notes: M._....,
GAS PIPING OK 0. /1 _ By _
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL ANIS GRARING PERNIIS EXPIRE 001 YEAR AFTER DATE Of ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY NE IS TRUE ANTI CORRECT TO THE BEST Of NY ENOVtEOGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIRENENT7-,NILL BE NET.
OWNER OR AGENT ;NT
FIELD COPY