HomeMy WebLinkAboutPermit M97-0007 - LEMASTER JEFFREYLoOOLbW
City of Tukwila ,
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M97 -0007
Type: B -MECH
Category: RES
Address: 13829 51 AV S
Location:
Parcel #: 000300 -0062
Contractor License No: BRENNHC077NC
TENANT LEMASTER. JEFFREY
13829 51 AV S, TUKWILA, • WA 98168
OWNER LEMASTER JEFFREY CURTIS
13829 51ST AVE S, TUKWILA WA 98168
CONTRACTOR BRENNAN HEATING..
4601 S 134 PL, :TUKWILA, 98168
CONTACT DONNA JACK
4601 S .•134 PL, TUKWILA,,. WA 98168
* * ** * * * * * * * * *** :** ******.******************** ** * * * * * * * * ** * * * * * * * * * * * * * * * * * **
Permit Descrlp.tion: ..
INSTALL.,GAS`FURNACE AND HOT WATER HEATER.
UMC Edition: 1994 Valuation:
Total Permit Fee:
************************************** * * * * * * * * * * * * * * * * * * * * *. * * * * * * * **
I hereby certify that I have read and examined this permit and know the
same to :b'e true.. and correct. All provisions of law and ordinances.:
governing this work will be complied with, whether specified herein or not.
The granting of. this permit does not, presume to give authority to violate
or cancel the provisions of any they state or laws..regulating
construction of\� the e for •f work. I am authorized to sign for and
obtain this .bu1fldin
Signature : _ , ; �.� ./1 �_ . ` _ �'�. Date • i / ) 7—
Print Name:_
MECHANICAL PERMIT
01
Center Authorized gnature
IL L
Date
(206) 431 -3670
Status: ISSUED
Issued: 01/21/1997
Expires: 07/20/1997
Phone: (206)431 -3324
Phone: 206 248 -7900
Phone: 206 248 -7900
500.00
55.94
This permit shall become null and void if the work is not commenced within
180 days from the date of issuance, or if the—work is suspended or
abandoned for a period of 180'days from the last inspection.
Address:
Suite:
Tenant:. LEMASTER
Tvpe :..B =MECH
Parcel . #: 0.00300.0062
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Permit Conditions:
1. No changes will be made to the plans unless approved by the
Architect or Engineer and the Tukwila • _,Bui lding Division.
All permits, inspection recar.ds, and approved plans shall be
available at the Job site prior to the start of any con -
struction. These. documents are to be maintained. and avail-
able until final' i nspecti on approval is granted
All construction to be ``done in conformance ".with approved
plans and:, requirements" of the Uniform Building Code (1994
Edition) , as'`amende'd, Uniform Mechani cal Code (1994 Edition),
and Washington, State EnergyCode (1994 Edition).
4. Validity Yof Permit. , The ,issuance. of a permit, or approval "'of
plans 'specificati;ons, and computations shall not be con-
str ued a permit: far, or an approval of, any violation
of any of - the provisions of the building code or of any
other ord'inance of the..iurisdiction: No permit presuming t
giv,eauthor to violate or cancel the provisions of this
code Shall be,.valid
5. MANUFACTURERS;'` INSTALLATION 1IN'STRUCTIONS,. REQUIRED ON SITE
FOR THE BUILDING IN'SP EC TORS': •,REVIEW.:
6.: Plumbing permits shall obtained .through the Seatt le "
Courity,Depart ment of Public.'Health.' Plumbing will be
instpected'by that agenOY•;` ..iiiCl'uding all gas, piping
(29'6,-4722 - )
Electrical . - permi ts shall be obtained through the Wa sh i ngtonz
State , ,Div.,is ion of Labor and Industries and ..al l electrical
work l l be inspected by that agency', (248 -6630) . "
Permit No M97-0007
Status: ISSUED
Applied: 01/14/1997
Issued 01/21/1
Pr ®ject� :
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Description of work to be donor •
11, ` Imo . '+-&k � 1 • • , t.1..r . " 1. art_..r ilLiigi:aiiimm• .i•• -.— -_. _
Will there be storage • flammable /combustible hazardous material in the building? ❑ yes no
Attach list of materials and storage location on se crate 8 1/2 X 11 a er indicating uantities & Material Safety Data Sheets
TT Ground Tanks ❑ Antennas /Satellite Dishes Bulkhead/Docks Commercial Reroof
El Demolition ❑ Fence g Mechanical El Manufactured Housing - Replacement only
Ell Parking Lots El Retaining Walls Temporary Pedestrian Protection /Exit Systems
❑ Temporary Facilities ❑ Tree Cutting
Name:
Value of Construction: � /,,1 d T
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City /State /Zip:
City State /Zip:
Tax Parcel Number: `
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Phone:
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Property Owner:
Street Address:
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City .tate/Zip:
Fax #:
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Cori Person:
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Phone • ( - ' 0
S re Ad ress:
City Sate /Zip:
Fax #:
Go+ $ractor:
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Phone:
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t eet ddress:
City State /Zip:
Fax #:
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Architecj: A
Phone:
Street Address:
City State/Zip:
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Fax #:
Engi nc
Phone:
Street Address:
City State /Zip:
Fax #:
.._ , MISCELLANEOUSPERMIT REVIEW AND APPROVAL REQUESTED: (TO BE FILLED OUT BY APPLICAN
Description of work to be donor •
11, ` Imo . '+-&k � 1 • • , t.1..r . " 1. art_..r ilLiigi:aiiimm• .i•• -.— -_. _
Will there be storage • flammable /combustible hazardous material in the building? ❑ yes no
Attach list of materials and storage location on se crate 8 1/2 X 11 a er indicating uantities & Material Safety Data Sheets
TT Ground Tanks ❑ Antennas /Satellite Dishes Bulkhead/Docks Commercial Reroof
El Demolition ❑ Fence g Mechanical El Manufactured Housing - Replacement only
Ell Parking Lots El Retaining Walls Temporary Pedestrian Protection /Exit Systems
❑ Temporary Facilities ❑ Tree Cutting
MONTHLY SERVICE BILLINGS TO: '
Name:
Phone:
Address:
City /State /Zip:
0 Water
0 Sewer
0 Metro
0 Standby
Miscellaneous Permit Application
Channelization /Striping
❑ Flood Control Zone
El Landscape Irrigation
❑ Storm Drainage
❑ Water Meter /Exempt #
El Water Meter /Permanent #
El Water Meter Temp #
❑ Miscellaneous
WATER METER DEPOSIT /REFUND BILLING:
Name:
Address:
Value of Construction - In all cases, a value of construction amount should be entered by the applicant. This figure will be
reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review - Applications for which no permit is issued within 180 days following the date of application shall
expire by limitation. The building official may extend the time for action by the applicant for a period not exceeding 180 days
upon written request by the applicant as defined in Section 107.4 of the Uniform Building Code (current edition). No application
shall be extended more than once.
Date application accepted:
MISCPMT.DOC 7/11/96
CITY OF( 'JKWILA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
Application and plans must be complete In order to be accepted for plan review.
Applications will not be accepted through the mall or facsimile.
AP.PLICANI.REQUEST;FOR MISCELLANEOUS'PUBLICf WORKS. PERMITS` :" ."
El Curb cut/Access /Sidewalk ■ Fire Loop /Hydrant (main to vault) #: Size(s):
❑ Land Altering: 0 Cut cubic yards 0 Fill cubic yards 0 sq. ft.grading /clearing
❑ Sanitary Side Sewer #: El Sewer Main Extension 0 Private 0 Public
El Street Use El Water Main Extension 0 Private 0 Public
0 Deduct 0 Water Only
Size(s):
Size(s):
Size(s): Est. quantity: gal Schedule:
❑ Moving Oversized Load/Hauling
Date application expires:
Phone:
City /State /Zip:
BUILDING OWNER OR AUTHORIZED AGENT:
Signature:
Date:
Print name:
Phone:
Fax #:
Address:
City /State /Zip:
ALL MISCELLANEOUS PE IT APPLICATIONS MUST BE SUB
ED WITH THE FOLLOWING:
D ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN
D BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED
D ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT
D STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON
LICENSED STRUCTURAL ENGINEER
D CIVIL/SITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER
(P.E.)
❑ Copy of Washington State Department of Labor and Industries Valid Contractor's License. If
not available at the time of application, a copy of this license will be required before the
permit is issued, unless the homeowner will be the builder OR submit Form H -4, "Affidavit
in Lieu of Contractor Registration ".
Building Owner /Authorized Agent. If the applicant is other than the owner, registered architect/engineer, or contractor licensed
by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this permit application and
obtain the permit will be required as part of this submittal.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS
PERMIT.
MISCPMT.DOC 7/11/96
SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR PERMIT REVIEW
❑
Above Ground - Tanks/Water Tanks - Supported directly upon grade
exceeding 5,000 gallons and a ratio of height,to diameter or width
which exceeds 2:t ::
Submit checklist No M -9 :::
❑
Antennas/Satellite Dishes "
Submit checklist' No: ,.M= 1';
❑
Awnings /Canopies - No signage
Commercial Tenant Improvement
Permit
❑
Bulkhead/Dock :.
Submit checklist No M -.10
❑
Commercial:Reroof`
Submit checklist ` No M -6
0
Demolition:::
Submit checklist; No, <M 3, `M 3a.:
❑
Fences - Over 6`feet in Height
Submit checklist No M -9 '.
❑
Land Altering/Grading/Preloads
Submit checklist No: M-2
❑
,Loading Docks
Commercial Tenantlmprovement.
'Permit:.: Submit checklist No:- H -17
_g_
Mechanical(Residential & Commercial)
'Submit checklist: ` NO. M=8;
'Residential:onl - H -6; H 16
Miscellaneous; PublictWorksiPermits
Submit checklist ; No,H 9
❑
. Manufactured (RED; INSIGNIA ONLY); ,
Submit checklist. No . M -5'
❑
Moving. Oversized:Load/Hauling
Submit checklist' .No: M -5
❑ ,
Parking Lots .
Submit. checklist No: M -4
❑
Residential" - Exempt with following exception: If roof structure .
to be repaired or. replaced
Residential Building Permit
Submit checklist . No:. M -6•
❑
Retaining Walls -. Over 4 feet in height
Submit checklist ' No . M -1
❑
Temporary' Facilities
Submit checklist .. No: M -7
❑
TemporaryPedestrian Protection/Exit Systems
Submit checklist No M-4
in
Tree Cutting
Submit checklist No M -2
ALL MISCELLANEOUS PE IT APPLICATIONS MUST BE SUB
ED WITH THE FOLLOWING:
D ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN
D BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED
D ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT
D STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON
LICENSED STRUCTURAL ENGINEER
D CIVIL/SITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER
(P.E.)
❑ Copy of Washington State Department of Labor and Industries Valid Contractor's License. If
not available at the time of application, a copy of this license will be required before the
permit is issued, unless the homeowner will be the builder OR submit Form H -4, "Affidavit
in Lieu of Contractor Registration ".
Building Owner /Authorized Agent. If the applicant is other than the owner, registered architect/engineer, or contractor licensed
by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this permit application and
obtain the permit will be required as part of this submittal.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS
PERMIT.
MISCPMT.DOC 7/11/96
* A*****k * ** * *** ******* *h * ** %**? r1!** k **.** ** ****** *k**•k **h* *:*.,l*k
CITY of Tif•K!'tILH, 41(1.71-cwi TRANSMIT
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1 RANSMIT. ,Number+: 89700532 Amount: 55..94 01/21/97 14:01
Payment CHECK : Notation: BRENNAN HEATING SEA
Permit No: M97-0007 Type: D-MECH MECHANICAL PERMIT
Parcel', Ns): 000300.0062
Site Address: 13829 51 AV S
Cotal�Fc a: 55.94
Total ALLii Pmts: 55.94
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'Rd 'l�nD .00
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TM i s Payme nt 5 +a 94'
�.
Account Cade
000 /34
000/322.10.+p
Desc.ripti9n
HECK -, RES
MECHANICAL - RES
Amount
11.19
44.7;
tl
Project: L?,
Type of Inspect' \:
Address1 %�9 6-j
ot ,
Date called: z
•
7
Special instructions:
Date wanted: �, /0
0.
Requester: ,
Phone No. :� 3 ,,.,
6 -'
INSPECTION`NO:
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 981
Approved per applicable codes.
COMMENTS:
I1
INSPECTION RECORD
R etain a copy with permit 14
PERMIT NO.
(206) 431 -3670
Corrections required prior to approval.
$42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
l Receipt No.:
Date:
ti
COMMENTS :, \ / 1 / ��
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INSPECT! CJN NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 9818
cv r rorvrtuwxiwmr+.mnau
PERMIT NO.
(206) 431 -3670
Approved per apOlicable codes. [ Corrections required prior to approval.
Date: 2.3 —'7
$42.00 REINSPECTIO ' FEE REQUIRED. Prior to inspection, fee,hiust
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
fr
j.�
ACTIVITY NUMBER M97 -0007
PROJECT NAME
DEPARTMENT:
BUILDING DIVISION
PUBLIC WORKS 0
I
DETERMINATION OF COMPLETENESS: (T,Th)
COMPLETE El
COMMENTS
TUES /THURS ROUTING: PLEASE ROUTE NO FURTHER REVIEW REQUIRED,
ROUTED BY STAFF a (If routed by staff, make copy to master file & enter Sierra.)
REVIEWERS INITIAL /Z
APPROVALS OR CORRECTIONS: (ten days)
APPROVED El
REVIEWERS INITIAL
APPROVED
REVIEWERS INITIAL
C:ROUTE -F
PLAN REVIEW / ROUTING SLIP
LEMASTER JEFF
NOT COMPLETE E1 NOT APPLICABLE El
FIRE PREVENTION C] PLANNING DIVISION C]
STRUCTURAL [J PERMIT COORDINATOR El
67,„,
CORRECTION DETERMINATION:
DATE
DATE
DATE
DATE 1/14/97
DUE DATE 1/16/97
DUE DATE 1/30/97
APPRO D W/ CONDITIONS NOT APPROVED (attach comments) Q
6 /1
DUE DATE
APPROVED W/ CONDITIONS NOT APPROVED (attach comments) 0
(Certiticadon of occupancy required. )
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