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HomeMy WebLinkAboutPermit M96-0115 - SKOGSTAD KENNETHCity of Tukwila ( Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 Permit No: M96 -0115 Type: B -MECH Category: RES Address: 16013 47 AV S St: 01 Location: 16013 47 AV S Parcel #: 537980 -0180 Contractor License No: NORTHWH103R2 EG FURNACE REPLACEMENT UMC Edition: 1994 MECHANICAL PERMIT TENANT SKOGSTAD KENNETH 16013 47TH AVE S, TUKWILA WA 98188 OWNER SKOGSTAD KENNETH 16013 47TH AVE S, TUKWILA WA 98188 CONTRACTOR NORTHWEST WATER HEATER, INC. Phone: 206 282 -4700 2800 THORNDYKE AVENUE WEST, SEATTLE, WA 98199 CONTACT LYNH ROWE Phone: 206 282 -4700 2800 THORNDYKE, SEATTLE WA 98199 ******************************************,* * * * * ** * * * * * * * * * * * * * * * * * * * * * * *** Permit Description: Valuation: Total Permit Fee: Status: ISSUED Issued: 09/05/1996 Expires: 03/04/1997 Phone: (206)433 -1728 Phone: (206)433 -1728 ********************,************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** __) ICI ( 1L (206) 431 -3670 1,698.00 42.81 Permit Center Authorized Signature Date I hereby certify that I have read and examined this permit and know the same to be 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 esume to give authority to violate or cancel the provisions of a is ate or local laws regulating construction or the performs ork I am authorized to sign for and obtain this building per 71 Signature: Date: Print Name: � Title: 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. CITY O!F T KWILA Permit 'No: M96 -0115. Address: 16013 47 AV S St: 01 Suite: Tenant: SI;OGSTAD KENNETH Status: ISSUED Type: <: B -MECH Applied: 09/05/1996 Parcel . #:. 5379110- 01811: Issued: 09/05/1996 . *'k k' ` k***** * * **,'k *'k * *'k *' *'k * ** **'k ** * ** k'k**'*** k***** * **'k*** ***** *'k k ** k**•k***:k'k k* Permit Conditions I. No changes w i l l be made to the plans unless approved by the Architect or Engineer and the-Tukwila ;,Building Division. 2. All permits, inspection re'cov ds t .anti appr ov ed plans shall be available at the ,"lob ='site prior to , the" 'starts of any con - A: structi on. These documents > are to .be ma i nta ined .and avail- able until final inspection ;. apps oval .is c ranted All construction ti.), be ,done in—Conformance with approved plans and. requirements of the.,Uni form BUi 1dirlq Code` (.1994 Edition);:,as' amended;' Uniform Mechanical Code (4994 and Washington. State Energy.,. Code (1994 Edition). 4. Va l i d i tv ''of` Permit. The :issuance:, of a permit or approval of p lans t ;specif i cati ons, and computations shall not be con- strued Y"to; be a permit 'for, or an .approval of, anv. violation of at v 0, provisions of the b u i l d i n g code or of anv: othei'Yordinance of the juriadiction`. No permit presuming gi ■e'authorit to violate orr;cancel the provisions; of, :this code' shall be valid 5. ,MN41.1FACTURERS INSTALLATION :INSTRUCTIONS REOUIRED ON SITE FOR THE. BUtILDING INSPECTOP :S REVIEW. Project Name/Tenant: �`, (, � � - i 3 f), BSc Value of Construction `,( 1, U - I Site Addres$: h b 1 3 LI [� l� i K City I t Zip: L► C T �Parcel N m e 0 ('0 Property Owner: Phone: Phone: Street Address:, u — i City State /Zip: Fax #: Contact Person: . , , , ZL uo e City State /Zi EA - IAA`NI Phone Fax #: 0 Sewer Street Address: Z ()X) 7Ho DgI Contractor: , Al i /% T< R 1 2 . 5 ' l = K - Street Address ,qty State/Zi Fax #: Architect: Phone: Street Address: City State /Zip: Fax #: Engineer: Phone: Street Address: City State /Zip: Fax #: MISCELLANEOUS PERMIT REVIEW AND APPROVAL REQUESTED: (TO BE FILLED OUT BY APPLICANT) ' Description of work to be done: ,_,_, Will there be storage of flammable /combustible hazardous material in the building? ❑ yes ❑ no Attach list of materials and stora • e location on sea arate 8 1/2 X 11 'e'er Indicating • uantities & Material Safet Data Sheets ■ Above Ground Tanks ■ Antennas /Satellite Dishes ■ Bulkhead/Docks ■ Commercial Reroof ❑ Demolition ❑ Fence Mechanical ❑ Manufactured Housing - Replacement only ❑ Parking Lots ❑ 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 ❑ Landscape Irrigation ❑ Storm Drainage ❑ Water Meter /Exempt # ❑ Water Meter /Permanent # ❑ Water Meter Temp # ❑ Miscellaneous ❑ 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 #: ❑ Sewer Main Extension 0 Private 0 Public ❑ Street Use ❑ 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 WATER METER DEPOSIT /REFUND BILLING: Name: Address: CITY OF TUKWILA Permit Cente, 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 L �,`�� (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. 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: 4 ;6 , , -1 . 'S i'J X110 MISCPMT.DOC 7/11/96 APPLICANT; REQUEST. FOR MISCELLANEOUS PUBLIC WORKS PERMITS"'" Date application expires: 1 art won • R STAFF USE ONLY Project Nuinbbr: Permit Number H167 0 Phone: City /State /Zip: HECkIVED (' TV Or TUKWILA Eriml r CENTER Application taken by: (Initials) I BUILDING OWNER OR AUTHORI D ��f ', ❑ Antennas /Satellite Dishes Signature: ❑ Date: Print name: 1r� Ay f � Phone: City /State /Zip: Fax #: Address: ❑ SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR Above Ground Tanks/Water Tanks - Supported directly upon grade exceeding 5,000 gallons and a ratio of height to diameter or width which exceeds 2:1 PERMIT REVIEW 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 ❑ 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 Tenant Improvement Permit.. Submit checklist No: H -17 a Mechanical (Residential & Commercial) Submit checklist No M -8, Residential only - H -6, H -16 ❑ Miscellaneous Public Works Permits Submit checklist : No H - 9 ❑ Manufactured Housing (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 Reroof - 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 ❑ Temporary Pedestrian Protection/Exit Systems Submit checklist No:: M -4 in ❑ Tree Cutting . Submit checklist No: M ALL MISCELLANEOUS PE T APP ICATIONS MUST BE SUBM D WITH THE FOLLOWING: • ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN • BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED • ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT • STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED STRUCTURAL ENGINEER A CIVIUSITE 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! WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. MISCPMT.DOC 7/11/96 *** A*** 74k ***h. +**A *d1••k ** ***** ***** *Ak+h kptitA4r***** *!(•.l•k* h•*4A** *•k CITY. OF :TUKWI'LA. 'WA TRANSMIT ** kk****** k***•*• A* A**• A** k* A****** k4** h * **.k** * *k** ** ** *A** *k * ** TRAN;iMIT Number^: R9600475 Amount: 42.81 09/05/96 13 :37 Payment Method': 'CHECK Notation: NW WATLRHI:AT'ER tni•h: MEV Permit No: M96- •0115. Type : 8 -MECH MECHANICAL PERMIT Parcel No: ; 537980-U180 Site Address: 16013 47 AV. f3 S t : 01 F l : Un: Location: 16013 47 AV 5 Total. Fees: 42.61 This Payment 42.81 Total ALL Pmts: 42.81 Balance: .00. 4,* A h * * *A ***A*'A *•Ih * ** * *•A **•A A *•A- * ** * *A*4 * *4f ** * * *A * *•A * * ** *** ** Account Cade Description 000/345 PLAN CHECK RES 000/322.100 MECHANICAL • -RES Amount p.56 34.'25 May 26, 1999 Lynh Rowe Northwest Water Heater 2800 Thorndyke Avenue W Seattle, WA 98199 RE: Permit Status M96 -0115 16013 47 Avenue S Dear Ms. Rowe: In reviewing our current permit files, it appears that your permit for a gas furnace replacement issued on September 5, 1996 has not received a final inspection as of the date of this letter by the City of Tukwila Building Division. Per the Uniform Building Code and /or Uniform Mechanical Code, every permit issued by the building official under the provision of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Based on the above, if a final inspection is not called for within ten (10) business days from the date of this letter, the Permit Center will close your file and the work completed to date will be considered non - complying and not in conformance with the Uniform Building Code and /or Mechanical Code. Please contact the Permit Center at (206)431 -3670 if you wish to schedule a final inspection. Thank you for your cooperation in this matter. Sincerely, City of Tukwila Department of Community Development Steve Lancaster, Director todiL /ha-- Brenda Holt Permit Coordinator Xc: Permit File No. M96 -0115 Duane Griffin, Building Official John W. Rants, Mayor 6300 Southcenter Boulevard. Suite #100 • Tukwila. Washington 98188 • 1206) 4313670 • Fax (206) 4313665 . • •:. •REGISTRAT30N NUMBER ' ' ;,. :. ' ::•• FXPm 110N DATE •. ":"01: ..' ',NORTHWH10.3R2; 1 22/94 ..: ' EFFECT:IWE.'bATE: 1:2122Y5'O Since 1957 L , - NORTH WATER HEATER • HEATING /AIR "The Accent's On Service" ti I J / /JJ J- .J.J /,/ J ..J..J.J...JJ...J., .Jr J/ W. DEPARTMENT OF LABOR AND INDUSTRIES THIS CERTIFIES THAT THE PERSON NAMED HERpON IS REG)STERED AS PROVIDED BY LAW AS A Ct]NST CONT., .; 4ENER'i4L' State of Washington County of King SEATTLE 0 Please reply to: 2800 Thorndyke Ave. W, Seattle, WA 98199 206 282.4700 Fax: 206 284.7701 NORTHWEST WTR . I4TR XNC /DAViS' ' WIf " 2 Et00 ' THORNDYV. E AVE W SEATTLE WA' 98199 • I certify that this is a true and correct copy of the original document as.presented to me by Glenda Seeman of Northwest Water Heater, In • . n June 10, 1996. (Signature" of No Marla Shea STATE OF WASHINGTON Notary Public in and for the State of Washington My commission expires on 09/09/99. TACOMA 0 Please reply to: Jenco Business Park, 2506 104 Ct. St„ Suite A, Bldg, H Tacoma, WA 98444 206 984.6404 Fax: 206 588.0393 F825. 052-000(3.92) EVERETT ❑ Please reply to: 3110 Hill Street Everett, WA 98201 206 259.5331 Fax: 206 258.4934