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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 • :K; ':C; -= 1rtt.,,.,•. N,+c 4:1 .. .re .itf,':ctYr ":�0?, >�:Sd %tii ^• <,. .�•'k'.fY "e,,:.t1.,a,`. ..,t•+