HomeMy WebLinkAboutPermit M01-229 - MALINA GEORGEMO1-229
Malina
Residence
1561747AvS
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Tukwila
City of
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
8108600342
1561747 AV S TUKW
MALINA GEORGE
15617 47TH AVE S, SEATTLE WA
MALINA GEORGE
15617 47TH AVE 5, SEATTLE WA
PAMELA HILL
12601 132 AV NE, KIRKLAND WA
Contractor:
Name: FAST WATER HEATER CO
Address: 12601 132ND AVE NE, KIRKLAND WA
Contractor License No: FASTWHCO52DF
MECHANICAL PERMIT
DESCRIPTION OF WORK:
REMOVE /REPLACE GAS WATER HEATER IN DAYLIGHT BASEMENT.
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 425 - 814 -3124
Phone:
Expiration Date: 02/16/2002
Value of Construction: $449.00 Fees Collected:
Type of Fire Protection: Uniform Mechnical Code Edition:
Permit Center Authorized Signature:
Print Name:
doc: Mech
e." i,
M01 -229
12/11/2001
06/09/2002
Date: - J✓✓ - dl
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 authj rized to sign and obtain this mechanical permit.
Signature: 4 Date:
$34.15
1997
/ 2 - 1/- G2/
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.
M01 -229
Printed: 12 -11 -2001
4
Project Name / Tenant:
Malina
0 ` :040 fEQ?''toffitifi tb..SdtJ� ?;:ri1! 47. NT) ; i.
r heater in c1ay1 i to haRemenF
Description of work to be done (please be specific):
Remnwa /rep1 at-e gas w f-.
Value of Mechanical Equipment:
449.00
Site Address :
47th Ave S
1
Tukwila WA
City State/Zip:
188
98188
Tax Parcel Number:
r
8108600342
Phone. ( I
206 244 -3893
Property Owner
George/Janie Malina
Street Address:
15617 47th Ave S
Tukwila WA
City State/Zip:
98188
Fax 7r; (
I
Contractors
Fast Water Heater
Phone:
425
814 -3124
Street Address:
12601 132 Ave NE
City State/Zip:
Kirkland WA 98034
Fax , : (
Phone: (
)
425
' X133
R14 -9515
Pamela Hill
Street Address:
City State/Zip;
Fax k: (
I
. :'s:'1.jla ti glljaL:be101.10101:X1'V15.'JCR
0 ` :040 fEQ?''toffitifi tb..SdtJ� ?;:ri1! 47. NT) ; i.
r heater in c1ay1 i to haRemenF
Description of work to be done (please be specific):
Remnwa /rep1 at-e gas w f-.
Ptintna Pamela C Hill
Pholse:l 814- 3124 Faxlr: ( 425' 814 -9
1
Address:1 132 Ave NE
Va1ll & ,'OltralED' ' WHORl2' }d1Gf ... . • '
Signature: .41302 Date: -7 -01
Ptintna Pamela C Hill
Pholse:l 814- 3124 Faxlr: ( 425' 814 -9
1
Address:1 132 Ave NE
city/stale/zip: Kirkland WA 98034
u1 i2? '11' 134 '3,1'f rt. 11LR 1:1(71.;
Mechanical Permit ,Application
Application and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mall or facsimile.
Current 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 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/engtneer, 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 pan of this submittal.
1 HEREDY 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.
Expiration of Plan Review • Applications (or which no permit is issuen within 180 oays following the date of application shall expire b\
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 114,4 of the Uniform mechanical Code (current edition,. No application shall be
extended more than once.
Date application accepted: ()ate application expires
1/7/99
neck pennel.aoe
/2 -7 -D I
CITY i TUKWILA
Permit Center
6300 Southcenter Boulevard, Suite 700
Tukwila, WA 98188
(206) 431 -3670
'PPdjact Numbt.r
'PermIL'Nuthbort
5 "7 "d�
Application taken by (Initials)
YW ?>•
W• : Ai'4.:tstiirhwSxrrr.e4v
City frl4kila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 8108600342
Address: 15617 47 AV S TUKW
Suite No:
Tenant: MAUNA GEORGE
PERMIT CONDITIONS
1: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
2: All permits, inspection records, 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 inspection approval is granted.
3: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997 Edition) as
amended, Uniform Mechanical Code
(1997 Edition), and Washington State Energy Code (1997 Edition).
4: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations shall not be con- strued to be a
permit for, or an approval
of, any violation of any of the provisions of the building code or of any other ordinance of the jurisdiction. No permit presuming to
give authority to violate
or cancel the provisions of this code shall be valid.
5: Manufacturers installation instructions required on site for the building inspectors review.
I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws
regulating construction or the performance of work.
Signature:
Print Name: 4
doc: Conditions
M01 -229
„.0
Permit Number: M01 -229
Status: ISSUED
Applied Date: 12/07/2001
Issue Date: 12/11/2001
Date: /2 -11-
Printed: 12 -11 -2001
Receipt No.: R010001528
Initials: SKS
User ID: 1165
Payee: FAST WATER HEATER COMPANY
TRANSACTION LIST:
ACCOUNT ITEM LIST:
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Current Pmts
Amount
MECHANICAL - RES
Type
RECEIPT
Parcel No.: 8108600342 Permit Number: M01 -229
Address: 15617 47 AV S TUKW Status: APPROVED
Suite No: Applied Date: 12/07/2001
Applicant: MALINA GEORGE Issue Date:
Method Description
Payment Check 013734 34.15
Description Account Code
000/322.100 34.15
Payment Amount: 34.15
Payment Date: 12/11/2001 11:04 AM
Balance: $0.00
Total: 34.15
162712/3211716 TOTAL
34 -1
Printed: 12 -11 -2001
t
• • t: 1 ,
r 6 f
Type of Inspectiorr /
al -in / rifo
A
Date cal • t
ID(C1(0/
Special instructions:
3
P Phone:
0.0
Date wanted: i
P 1' IN
a.
Reques6.60-
,
INSPE ION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 9818
n10 2 )9
PERMIT NO
(206)431-3670
Approved per applicable codes.
■04, /0 F C
Corrections required prior to approval.
I f.
$47.00 REINSPECTION E REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No:
Date:
F625-052-000(8/97)
Z tai :r a•
� : • PVti `1
eoF .6
F625-052-000 (8/97)
DEPARTMENT OF LABOR AND INDUSTRIES
_
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
EGZST #r:"`,;' . EXP DATE
4 TWHG052DF 02/16/2002
AC ZV>d141 0 f : t'? 03/d6 /1995
FAST WATE ' HEATER COMPANY
12601 132NDH AVE NE'
KIRKLAND WA 98034
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
REGIST. # EXP. DATE
CCO1 FASTWHCO52DF 02/16/2002
EFFECTIVE 'DATE 03/06/1995
FAST .WATER HEATER COMPANY
12601 132ND AVE NE
KIRKLAND WA 98034
DLtach And Display Certificate
Signature
Issued by DEPARTMENT OF LA
R AN'NDUSTRIES
Please Remove
And Sign
Identification
Card Before
Placing In
Billfold
•
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