HomeMy WebLinkAboutPermit M98-0061 - SINADOSKI CHERYLCity of Tukwila
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M98 -0061
Type: B -MECH
Category: RES
Address: 14106 55 AV S
Location:
Parcel #: 336590 -0150
Contractor License No: BRENNHC077NC
TENANT CHERYL SINADOSKI
14106 55 AV S, TUKWILA WA 98188
OWNER SNIADOSKI CHERYL
14106 55TH AVE S, SEATTLE WA 98168
CONTRACTOR BRENNAN HEATING
4601 S 134 PL, TUKWILA, WA 98168.
CONTACT DONNA
4601 S 134 PL, TUKWILA WA 98168
**********• k********* **************************** * * * * * * * * * ** * * * *•k * * * * * * ** * **
Permit Description:
INSTALL GAS TO GAS FURNACE.
UMC Edition: 1994
Permit Center Authorized Signature'
MECHANICAL PERMIT
Valuation:
Total Permit Fee:
Date
(206) 431 -3670
Status: ISSUED
Issued: 03/25/1998
Expires: 09/21/1998
Phone: 206 248 -7900
* * * *; **** *** *****.,* .'******* ** *****.**** ** *** * * *•k * * *•k " **`k * ** * ** * * * **
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 toyiolate
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: --d ! -- - ---__ Date:. 3 Z = y
Print Name - 15.1fricLi Title:
This permit shall become null and.,vold ,1f; -- the work ,Isr.not commenced within
180 days from the date of issuance, or 'if the,,:wor.'k,'.:i s suspended or
abandoned for a period of 180, d.ays,.from.:,the.•last' inspection.
Project Name/Tena t: .
) /la doSfG r
Description of work t•
\ - c
be done:
. it a C C_
i v
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes ci no
Attach list of materials and storage location on se•arate 8 1/2 X 11 •a • er indicatin• •uantities & Material Sa /et Data Sheets
Value of Construction:
,800
Site Address:
I-'(0ty 15G C(vC S
City State /Zip:
j �kw;1�
T Tel Number:
,56(0.5 C')1 0
Pro•arty Owner:
f - ctCO
City /State /Zip:
Phone:
P
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e Address: ss:
Street
c:
S <'
City State /Zip:
Fax #:
Phone:
00 L o
L/F 7 e l o 0
Street A..
Fax #:
O(o
a- L(Y- 7c, 0S .—
tractor:
C. b1 ti c o
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S rest Addres
(a • ,.
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City State /Zip:
, ( (p
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Arch'eect:
Phone:
Strebt ddress:
City State/Zip:
Y P
Fax #:
Entge®,f:
Phone:
Street Address:
City State /Zip:
Fax #:
MISCELLANEOUS PERMIT REVIEW AND APPROVAL. REQUESTED: (TO BE FILLED OUT BYAPPLICANT)
Description of work t•
\ - c
be done:
. it a C C_
i v
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes ci no
Attach list of materials and storage location on se•arate 8 1/2 X 11 •a • er indicatin• •uantities & Material Sa /et Data Sheets
■ Above Ground Tanks ■ Antennas /Satellite Dishes rrrr Bulkhead /Docks ■ Commercial Reroof
❑ Demolition CI Fence g Mechanical ❑ Manufactured Housing- Replacement only
El 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
CITY OF T "'KWI LA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
Miscellaneous 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.
APPLICANT REQUEST. FOR MISCELLANEOUS PUBLIC WORKS PERMITS-'
❑ Channelization /Striping
❑ Flood Control Zone
❑ Landscape Irrigation
❑ Storm Drainage
❑ Water Meter /Exempt #
❑ Water Meter /Permanent #
❑ Water Meter Temp #
❑ Miscellaneous
WATER METER DEPOSIT /REFUND BILLING:
Name:
Address:
Date applicat/o
MISCPMT.DOC 7/11/96
❑ 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
Phone:
City /State /Zip:
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 appllc: •n expires:
ApplIca. •n ken by: (Initials)
2
J 47-'
BUILDING NER OR AUTHORIZED AGENT:
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
Signature: G vC C \
c A L
Date:
❑
Awnings /Canopies - No signage
Print name: 1 O ��G,
G,e__ __
�
(513`013 4i it 7S 0 �
City /State /Zip;
— rr'�k to, I (..
01
Fax
r ,90.9 9 ,)-
A CYico
- 7W c
S
Address:
/6m_ I 3
�` -p
❑
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
Iq{
`t
Mechanical Residential & Commercial)
Submit checklist . No M -8,
Residential only - H -6; H -16
❑
Miscellaneous Public Works. Permits
Submit checklist No H -9
El
Manufactured Housing (RED INSIGNIA ONLY)
Submit checklist No: : M -
❑
Moving Oversized Load /Hauling
Submit checklist . No: M - 5
El
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
❑
Tree Cutting
Submit checklist No: M -2
ALL MISCELLANEOUS PE( T APPLICATIONS 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
CIVIL/SITE 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
the permit will be required as part of this submittal.
I HEREBY CERTIFY THAT 1 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 1 AM AUTHORIZED TO APPLY FOR THIS
PERMIT.
MISCPMT.DOC /11/96
'•
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2
CITY OF TUKWILA
Address: 14106 55 AV S Permit NO: M98-0061
Suite:
Tenant : CHERYL SINADOSKI Status: ISSUED
Type: B-MECH Applied: 03/20/1998
Parcel #: 336590-0150 Issued: 03/25/1998.
***************************************************************************
Permit Cond t ions :
1. No changes wi 1 I be made to the plans unless approved by the
Architect or Engineer and t!e Tu:wl1a Building Division.
2 . All perm i ts inspect p 1 an s s h a l l be
available e at. the ,j,p0H.Site prior to the any con -
.s truCt i on . Thee ;.:ddii; men t are to,...,be ma inta:tried an d a va i 1 •-
able until •flnal lnspectlon approval is gran
3. All construction to he done in conformance rWith approved
plans and/re,qui rement.,.. Of the 1.19.1 orM Bui ding,. (1994
Ed i t ion) 'amended Un i.forM "Me.chani ti on )
and Washington State ,Energy Code (1994 Edition)
4. Va 1 Id i„tY Permit . The ,i SSUanije,of a pernii or approvai :of
plans pee f ea t tons , and Co mp u t ati ons s ha 1 1 not be„ eon-
strued../to;',be a permi t. for,' 'or an approval of , any vi01 at i
of anY of the provisions of the hulldinq code or of any
oth&i7,:or'ilibance of the Juris41 et tom; No permi t presuming t o.
q ,e authori to v ate- o cancel the • prov ons of :
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d , MAN 1! FA C TUR R 1 :i t , INSTALLATION INS.TRUCTTONS...REDUIRED ON
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FOPHEBP..4.6ING 1 ;./.:./ ' --;;',' • . '::' ',;■:•;': 6',"'
6. P1 permi ts sha I I: tie..„Obta fined . ' , through the • Sea t t 1 e 74( ng .. ...
County ..Depar tment ,..of ipt01.1 6 'Plumbi ng w i 11 be
i nSpect eit" y-:t h a t i n c l u d i n g ng:...:A11„...-:+jas p i 0 i n g : .
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7. E 1 ecet.r i cal,::..0 erm i t s s ha 11 be obtained d.' th rthigh he . W...$ is hthg to irf '
S tate Di V101on:, Of Labor and I n dUst ri eSy.ands,a)..1: e lectrt:Cal
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wort ti be. i n by that agency. . (248-6630). • . ''"-i: ....P.!
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PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M98 -0061 DATE: 3 -20 -98
PROJECT NAME: CHERYL SINADOSKI
DEPARTMENT:
Building Division ❑
Public Works ❑
Routed by Staff
REVIEWERS INITIALS:
CORRECTION DETERMINATION:
\PR•ROUTE.DOC
1/98
Fire Prevention
Structural
TUES /THURS ROUTING: Please Route ❑
APPROVALS OR CORRECTIONS: (ten days)
Approved El Approved with Conditio
DETERMINATION OF COMPLETENESS: (Tues, Thurs) DUE DATE: 3 - 24 - 98
Complete n Incomplete ❑
Comments'
C (if routed by staff, make copy to master file and enter into Sierra)
Planning Division ❑
Permit Coordinator
Not Applicable n
No further Review Required
REVIEWERS INITIALS: DATE: 2d kg
DUE DATE: 4 -7 -98
Not Approved (attach comments) ❑
DATE 1
DUE DATE:
Approved ❑ Approved with Conditions ❑ Not Approved (attach comments) ❑
REVIEWERS INITIALS: DATE:
Project. •
—► A_' s — ..Cuil
Addrelt ^/ -
Ty. :0. 'n. pectio 1
i - to -east - — - —92>
Special instructions:
Date want
_�j
1 p.m.
Requester nom- -
Ph N .: <
-�� "'Ig ...16100
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
COMMENTS:
Inspector:
INSPECTION RECOI
Retain a copy with pet, it
1 1
Date:
11/1 8 pow I
PERMIT NO.
(206) 431 -3670
Corrections required prior to approval.
1 $42.00 REINSPECTION FEE REt UIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection.
Receipt No.:
Date:
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CITY OF TUI(WILA, WA TRANSMIT
h*A *** &*' * 4*• A* kA*** A**A** *** *A*•k **4h**** ** ***•k*•1 ** k*A*•k *• ***A*
TRANSMIT Number: R9700733 Amount: 42.81A3/25/98 1.2:17
Payment Method: CHECK Notation: BRENNAN HEAVING Init: I.ILH.
Permit Not M98--0061 Type: B -MECH MECHANICAL PERMIT
Parcel No: 3365')0 -•0150 ►-
Site Address: 14106 55 AV 8
Total Fees: 42.81
This Payment; 42.81 Total ALL Pmts;: 42.81
Balance: .00
****• k*** 0#4 A*'* dAAkA• 144cAA *** * *A0*.A1•sF0* *•*•AAA.VA**1 A•drAdi�4 *• *11. + *4 *4•k
Account Code Description
000/345 »EI30 PLAN CHECK - RES
000/322.100 MECHANICAL - REG.
•
Amount
8. 56
3a •5
• No ift ec�> or Ae tin'F
:.} '•r.L.::•:::4:•:: }::::v ...... n ........... : r:: rrC}:•} istib: OY:•: 3Y:• Y:• YY Y} ............... } � •Y ' ::•:
< D ` " ..<. `::S
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f
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:....: unv: Y:w::.•: xv:: }. Yi:: n{v.
01 4
a
ma$
I
Balance Due: $
4i.&r
Need Current Contractor Registration Card: ac Yes ❑ No
Contractor Information in Sierra: s ees 4:1 No
.■