93-100595CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 34664 10TH PL SW
PARCEL NO.: 132173-0610
PROJECT DESCRIPTION: HVAC - DRYER
OWNER
ROBERT SEMINGSEN
34664 10TH PL SW
FEDERAL WAY WA 98023
1
FUEL TYPES.:GAS ?
GAS PIPING.: 25 ft
FURN<100K..: 0
GAS HWT....: 0
CONV BURNER: 0
BBQ.......: 0
GAS DRYER...: 1
RANGE......: 0
GAS LOGS...: 0
Water Line OK
, PIPING OK
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
CONTRACTOR LENDER
WASHINGTON NATURAL GAS
3130 S 38TH ST
FEDERAL WAY WA 98003
475-6700
WASHING285CB
R 3 - Zd 6 IQs
PERMIT NO.: BLD93-0260
ISSUED: 03/12/93
BY: FLF
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
HOOD..........:
0
0-3 HP......: 0
MEC PRMT ISSUANCE... $ 20.00
DUCT WORK.....:
0
3-15 HP.....: 0
MEC APPLIANCE FEES.* $ 9.50
WOOD STOVES...:
0
15-30 HP....: 0
FURN>10OK..... :
0
30-50 HP....: 0
MISC..........:
0
5+ HP.......: 0
AIR HANDLING UNITS
FUEL TANKS ---------
-10,000 CFM:
0
ABOVE GROUND: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES $ 29.50
INSPECTION RECORD
Mechanical Inspection Notes:
Date By
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
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 MET.
OWNER OR AGENT A I,j�'�d�a � DATE
bid -meth 07/01/92
RECEIVED BY PopIt #
COMMUNITY DEVELOPMENT DEPARTMENT
MAR 8 1993 CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
1ST FLOOR------/— 2ND
OWNER
SITE LOCATION
OWNER'S ADDRESS
CITY e�u PHONE 3s- Y9
DESCRIBE JOB
THE PROPERTY I WNED INGL
A RIED—�( PART RSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME
CONTRACTOR'S REG. #LNI45 W I LY_0 S_
TOTAL AREA OF PROPERTY
Card MUST be presented
CONTRACTOR'S ADDRESS 312: o
S ag !T CITT__LC1C_D1y PHONE 1*f 7_S –1 o`100
EXPIRATION DATE –1–QLA
GAS PIPING, FEET a5
$
—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 �2-C10. Tve.j
PHONE Y]3–%33`1
BOX 4 SEWER DISTRICT
WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST
EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER /
?)�3 1_12p L ( (-)
LEGAL DESCRIPTION
AIR HANDLING UNITS
(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
( ) COMMERCIAL/INDUSTRIAL
TOTAL AREA OF PROPERTY
SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE $
N0. WATERCLOSETS
GAS PIPING, FEET a5
$
BATHTUBS
N0. FURNACE, ELEC.
GAS $
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
_X THER ��r
$
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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE:
ANP4003 3/90
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 34664 10TH PL SW
PARCEL NO.: 132173-0610
PROJECT DESCRIPTION: HVAC - DRYER
OWNER
ROBERT SEMINGSEN
34664 10TH PL SW
FEDERAL WAY WA 98023
1
FUEL TYPES.:GAS ?
FANS..........: 0
GAS PIPING.:
25 ft
HOOD..........: 0
FURN<100K..:
0
DUCT WORK.....: 0
GAS HWT....:
0
WOOD STOVES...: 0
CONY BURNER:
0
FURN>100K.....: 0
BBQ........:
0
MISC..........: 0
GAS DRYER..:
1
AIR HANDLING UNITS
RANGE......:
0
—10,000 CFM: 0
GAS LOGS...:
0
> 10,000 CFM: 0
Water Line OK
03 PIPING OK
MECHANICALPERMIT PERMIT NO.: BLD93-0260
BUILDING INSPECTION - 661-4140 ISSUED: 03/12/93
BY: FLF
CONTRACTOR
WASHINGTON NATURAL GAS
3130 S 38TH ST
FEDERAL WAY WA 98003
475-6700
WASHING285CB
BOILERS/COMPRESSORS
0-3 HP......: 0
3-15 HP.....: 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP.......: 0
FUEL TANKS -----.----
ABOVE GROUND: 0
UNDERGROUND.: 0
INSPECTION RECORD
Mechanical Inspection Notes:
Date By
LENDER
FEES:
NEC PRMT ISSUANCE... S 20.00
NEC APPLIANCE FEES.* $ 9.50
TOTAL FEES $ 29.50
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
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 REQUIREMENT WILL BE MET.
a
OWNER OR AGENT DATE`
bld_mech 07/01/92
-V
SET BACKS AND FOOTINGS
DATE BY
PLUMBING ROUGH IN
DATE BY
O.K. TO ENCLOSE FRAMING
DATE BY
FINAL O.K. TO OCCUPY
DATE BY
OX TO POUR FOUNDATION WALLS
DATE BY
WATER LINE O.K.
GAS PIPING O.K.
INSULATION
DATE BY
DCD I PSD
.3 --2%!F'J A,c _ 0 -
PLUMBING GROUNDWORK
DATE BY _
MECHANICAL INSPECTION
DATE BY _
WALL BOARD AND FIRE WALL
DATE BY _
FD