HomeMy WebLinkAboutPermit M94-0015 - THEODORSEN DANA0
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Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M94 -0015
Type: B -MECH
Category: RES
Address: 5904 S 149 ST
Location:
Parcel #: 359700 -0084
Contractor License No: NORTHWH103R2
MECHANICAL PERMIT
TENANT THEODORSEN DANA L. Phone: 206 244 -6048
5904 S 149 ST, TUKWILA, WA 98168
OWNER THEODORSEN DANA L. Phone: 206 244 -6048
5904 S 149 ST, TUKWILA, WA 98168
CONTRACTOR NORTHWEST WATER HEATER, INC. Phone: 206 282 -4700
2800 THORNDYKE AVENUE WEST, SEATTLE, WA 98199
CONTACT RICHARD GUILLORY Phone: 206 282 -4700
2800 THORNDYKE AVENUE WEST, SEATTLE, WA 98199
******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Description:
INSTALL GAS FURNACE AND HOT WATER HEATER.
UMC Edition: 1991 Valuation:
Total Permit Fee:
******************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
_. _ O qui
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 presume to give authority to violate
or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign for and
obtain this building permit.
Signature:__
Suite:
(206) 431 -3670
Status: ISSUED
Issued: 02/09/1994
Expires: 08/08/1994
Date: 2— /
2,200.00
30.50
Print Name: 4 . /G / g9G Title: CO 7Q4e j
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 th:e. last inspection.
AMOUNT
OWING:
CONTACTED
SUITE NO
DATE NOTIFIED
BY:
(init.)
2nd NOTIFICATION
BY:
(init.)
3RD NOTIFICATION
BY:
(init.)
PROJECT NAME
-- MQ-OCIOr Sk n ,
SITE ADDRESS
5�o � ,5 I I , � �
SUITE NO
PLAN CHECK
NUMBER
Mciu- c N 5
INSTRUCTIONS TO STAFF
• Contacts with applicants or requests for information should be summarized in writing by staff so
that the status of the project may be ascertained at any time.
• Plan corrections shall be completed and approved prior to sending to the next department.
• Any conditions or requirements for the permit shall be noted in the Sierra system or su • arized
concisely in the form of a formal letter or memo, which will be attached to the permit
• Please fill out your section of the tracking chart completely. Where information •uested is not
applicable, so note by using "N /A ", date and initial.
DEPARTMENTAL REVIEW
"X" in box indicates which departments need to review the proje
DEPARTMENT
O BUILDING -
initial review
O FIRE
O PLANNING
O OTHER
O BUILDING -
final review
O BUILDING
OFFICIAL
REVIEW COMPLETED
CITY OF TUKVt( a •
Department of Community Development — Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
Mechanical Permit Application Tracking
DATE:IN .
DATE
APPROVED
INIT:
/NIT: REFERENCE FILE NOS.:
INIT:
INIT:
CONSULT
ROUTED a
FIR • ii ON: • Sprinklers
- E
ONI
UMC EDITION (year):
D - - Sent - Date Approved -
ER DATED:
SCREENING REQUIRED? O Yes 0 No
U MENTS / COMMENT
Detectors
INSPECTOR:
N/A
IBAR/LAND USE CONDITIONS? Q Yes
01/07/93
SITE ADDRESS SUITE #
S9 / /i/9 .. i
VALUE OF �6 STR�T�O� d
ASSESSOR ACCOUNT #
$s"g7 d 8
0 Other:
H6-797 w i7 /S ' 60S /✓iVc
_ _5.
PROJECT NAME/TENANT
2Y9N/� 77/e- PIb2SG
—
TYPE OF WORK: (g,New /Addition O Modifications O Repair
DESCRIBE WORK TO BE DONE: JNSr l -7/9S ,f%u2,t/ / wr9- r[ --7t-
TYPE :. RATING/SIZE :: NUMBER OF UNITS
e4 v o 1/ 4/O `/O 41
/
..3
) 4,' 577 3Fr 44
CITY/ZIP�� . pr/ ?9
PHONE 7k2 - ly7oo.
CONTACT PERSON � /
/62777 103,
BUILDING USE (office, warehouse, etc.)
NATURE OF BUSINESS:
WILL THERE BE A CHANGE IN USE? 0 No O Yes IF YES, EXPLAIN:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
IF YES, EXPLAINS No ( Yes
I HEREBY.. CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE
AND CORRECT, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER
OR
AUTHORIZED
AGENT
SIGNA E ,9
1c t
DATE g e/
e�/
PRINT NAME:
c� t c) / viuor y y
PHONE / 22 - 4 /7' c
ADDRESS
2
774V. c / /l`_ Alb' w
CITY/ZIP�� . pr/ ?9
PHONE 7k2 - ly7oo.
CONTACT PERSON � /
PROPERTY OWNER v� /va /fapo 2Sox0
!�
C.
PHONE zyy-
Dye
ZIP
ADDRESS � ��
NOR silmLIT
,.
CONTRACTOR i 1.1 ,- lI„p
ADDRESS SEATI1E, �.',;1
u.',% r:
TI TAT
r , ..; _
PHONE 05
ri
ZIP
WA. ST. CONTRACTOR'S LICENSE #
/62777 103,
EXP. DATE / 9 i
DESCRIPTION
AMOUNT
RCPT #
DATE
BASIC PERMIT FEE
•.; :$15.00..
-
UNIT(S) FEE. - .
PLAN CHECK FEE
OTHER:
TOTAL -
CITY OF TUKWILA
Department of Community Development - Building
6300 South center. Boulevard, Tukwila WA 98188
(206)113.1'-3670
PLAN CHECK
NUMBER � 00 15
APPLICATION MUST BE FILLED OUT COMPLETELY
MECHAW:AL PERMIT
APPLICATION
Mechanical Fee Worksheet must also be filled out
and attached to this application.
FEES (for staff use only)
APPLICATION SUBMITTAL In order to ensure that your application is accepted for plan review, please make sure to fill out the
application completely and follow the plan submittal checklist on the reverse side of this form. A completed "Mechanical
Permit Fee Worksheet" must accompany this permit application. Handouts are available at the Building counter which
provide more detailed information on application and plan submittal requirements. Application and plans must be
complete in order to be accepted for plan review.
BUILDING OWNER /AUTHORIZED AGENT It 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.
VALUATION OF CONSTRUCTION The valuation is for the work covered by this permit and must be filled in by the applicant. This
figure is used for budget reporting purposes only and not to calculate your fees.
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 304(d) of the Uniform Mechanical Code (current
edition). No application shall be extended more than once.
If you have any questions about our process or plan submittal requirements,
please contact the Department of Community Development at 431 -3670.
DATE APPLICATION ACCEPTED n
DATE APPLICATION EXPIRES
01/20/93
02- 09- 1994 15:11
C
P.01
DEPARTMENT OF LABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HEREON IS MOISTIAED AS PROVIDED BY LAW AS A
• roe Iiir" A ' I )1 Q.VI
ype o nspection.
�r a
•�
ress 0
: to a ed:
Special Instructions:
/1,
r, W P y'1 •
Date Wanted: z
am.
Requester: ,
�
Phone No.: 9.g
`
-In/1
�.;} - .. _.
C INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
PERMIT NO.
(206) 431- 367.0
❑ Corrections required prior to approval.
COMMENTS: '
r
❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
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Sp. .: Instructions:
Date anted:
3) .at U cZ 1 ln,1 2 " of i N.3 k;tc../ 4 . tJSu .AT
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Requester:
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I Inspector: ( . . D
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COMMENTS:
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Jo I t-1 J pJTi � - 117 - 1 /�Ric'L" I N �r - a
I Inspector: ( . . D
a - J. i
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
❑ Approved per applicable codes.
C INSPECTION RECORD
Retain a copy with permit
8— Corrections required prior to approval.
❑ $30.00 REINSPECTION FEE REQUIRED. Prior to rejpspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
re _ cepl No.:
1
*************************A-k************************************Ir
CITY OF TUKWILA, WA TRANSMIT GENERA 30.50
******************************k**********k*****A********* ** * A .k.kir TOTAL . 30.50
TRANSMIT Number 94000144 Amount: 30.50 02/09/94 1424 CHECK 30 50
Permit No: M94-0015 Type : 0-MECH MECHANICAL R,Roa . CHANGE
0
Parcel N 4 35.47007.00E34 , u "7/7`t ', 9051A
o 00 23:1. ,
S ite Address: 5904 S 149 ST .
Paymeht ,Method. CHECK Notat ion: NORTHWEST WATER In it: SLB
Account Code Desar i pt i on P a i d
000/322.100 MECHANICAL - RES 30.50
Total (This Payment) : 30.50
.....
Total Fees: 30.50
Total All Payments: 30.50
Hal an .00
"
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rx:
CITY OF TUKWILA
Address: 5904 S 149 ST
Suite:
Tenant: THEODORSEN DANA L Status: ISSUED
Type: B -MECH Applied: 02/09/1994
Parcel #: 359700 -0084 Issued: 02/09/1994
**• k k*****************• k**********• k**** k********** * * * * *•k * * *** * *•k* * * * ** * * *k **
Permit Conditions: ,.�,.
1. "NO WORK, SHALL BE DONE IN :. DDI<T7I.�:O HOS.E.. OR
REPLACEMENT OF EXISTIf G AP CIANCE 'ES,iCR'IBED ON THIS
NIC
ORIGINAL MECHAAL" ti ,, '.� _, ...
2 Plumbing permit l be x; n;ed t`h`rough the "Seattle-King
County Depar, ;mei t b,-.y ; s + `
N,� of ;pu ,j i Y�'
1�Vi`c',� ; H`'ea�,l:th`� P,1 umbi . w i 1 1 ���.�,e'
inspected by ;that , a g,e ncy � including all g e's piping �:
(296- 4722): 1 .r.; f , , P ;� :;':,:Y
3. Electrical permit shall . obtained through the ,LWhi,
asngton
State D uv iori' and "Industries and e'lsl electrical
work w y i be Inspected by Oat a ( 248 - 6630).;. "'' ' : . : r� ` " ' F
4. All per niits,,., inspection�;;r. e.cor;ds, and'' approved plans shall b'er,
maintai:ned;:;,avai lable a:tthe job s,i`te prior to the 'staff'` {:af
any construction i''. These documents• to be maintiinea,,,
avai. +la'ble until. final''1nspect� ° on ap. roval is granted,. `' �s'
5. All c�onstr�uct i,on to,.,b,e done •l,h \conformance.�,,.iyi th approved: ��
p l a'r s and requirements ''of 'the n i.,f 1 Bu i l,� ng Code (.1991 .,
�'�. 't, , d {'` { S of � � �,,..•d
` �; ,_ '� �a
Edition), as aiij'ended, by�.,tI e 4fa�sh.ingt'o Building ,Cod �
Unff;o Code; - (1,991'. Editjion ),....an'd�..Washingta;ri Sate
Code (1 °991- ; �S ecp.nd�`Edit�i�on) ,•� _ a
i ty:,,of Permi ti:/ The i of a...,perm i t or approval of
a w''^ n p`AS O Y rn t' ,,,
specaifi�cation,s�� d �,.com u°tatifonssteal'- l.,,not be cones
L
too + be y a°permit for, or an``�'a' pr,ovai':..o'f any virolatiig
En
6. Val
k
of a,p of tf'e provisions of this cod • -,or:• ,of, any} other 4 /4
ardi `}�ce of he N'o' i't'���re:siming+ ta,g-
author 1,.ty 4 f`Vi of to or cancel t gray )is i 'ns t n th i s do cJ,e
shall ft valid « r
7. MANUFAC.TI HERS INSTALLATION INSTRUCTIONS ON SITE
FOR •THEE +BUILDING =;I.NSPEtiORS REVIEW. A ,
Permit No: M94 -0015
Dec 01, 1994
RICHARD GUILLORY
2800 THORNDYKE AVENUE WEST
SEATTLE, WA
98199
RE: THEODORSEN DANA L.
........w.wnreuYat�4EYM
City of Tukwila John W. Rants, Mayor
Department of Community Development Rick Beeler, Director
Dear Permit Holder:
Our records indicate that on Jan 28, 1995 one hundred and eighty days will
have passed with no inspections having been called for under Tukwila
Mechnical Permit Number M9 -0015. Unless you call for an
inspection, or obtain a written extension from the Tukwila Building
Official prior to that date, your above referenced permit will become null
and void on Jan 28, 1995.
If your project is complete please call for final inspection. If you are
actively working on your project please contact our office.
If you have any questions or need further information to obtain an
extension on your permit please call the Tukwila Building Divison at
431 -3670.
1 G-
Syl ia Osby
Acting Permit Coordinator
Department of Community Development
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 4313670 • Fax (206) 431,3665
Jul 06, 1994
98199
RE: THEODORSEN DANA L.
Dear Permit Holder:
Sincerely,
A 1S
r_ ✓ v - vLW
City of Tukwila
RICHARD GUILLORY
2800 THORNDYKE AVENUE WEST
SEATTLE, WA
Department of Community Development Rick Beeler, Director
Our records indicate that on Aug 08, 1994 one hundred and eighty days will
have passed with no inspections having been called for under Tukwila
Mechnical Permit Number M9470015'':' Unless you call for an
inspection, or obtain a written extension from the Tukwila Building
Official prior to that date, your above referenced permit will become null
and void on Aug 08, 1994.
If your project is complete please call for final inspection. If you are
actively working on your project please contact our office.
If you have, any questions or need further information to obtain an
extension on your permit please call the Tukwila Building Divison at
431 -3670.
Shellie Bates /Sylvia Osby
Permit Technicians
Department of Community Development
C
John W. Rants, Mayor
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (206) 4313665