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