HomeMy WebLinkAboutPermit M98-0063 - CAMACHO RESIDENCECArno.eino
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City of Tukwila ( t ` (206) 431-3670
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M98 -0063
Type: B -MECH
Category: RES
Address: 14012 MILITARY RD S
Location:
Parcel #: 609940 -0020
Contractor License No: ROSSOES142QP
TENANT
OWNER
CONTRACTOR
MECHANICAL PERMIT
CAMACHO RESIDENCE
14012 MILITARY RD S, TUKWILA WA 98168
JOHNSON LESLIE R
14012 MILITARY RD 5, SEATTLE WA 98168
ROSSOE ENERGY SYSTEMS. INC.
9367 RAINIER AV S,. SEATTLE, 'WA 98118
************************ k********************* *•k * * * * * * * * * * * * ** * * * * * * * * * * * **
Permit Description:
INSTALL BRYANT.GAS FURNACE 56,000 BTU.'S - SAME
FOR SAME. •
UMC Edition: 1994
Valuation:;:
Total Permit Fee:
* * * * * ** * * * ** *** ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * *!i *fit. **. * ** * * * * * * * * **
Perm CenterAAuth: s ized Signature, Date
I hereby certify that I have•read and examined this perniit'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 no 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: •
Print Name:
4pg J'Aq-d-A
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.
Status: ISSUED
Issued: 03/25/1998
Expires: 09/21/1998
Phone: (206)000 -0000
Phone: 206 725 -7555
,200.00
42.81
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T,i.tle:
Project Name/Tenant: (?
n „ '
(G (i
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes ❑ no
Attach list of materials and st a location on separate 8 1/2 X 11 a er Indicatin• • uantities & Material Safet Data Sheets
Value of Con��r -ti��Ste
Number:
Address: City State /Zip:
/(40(0. 41 J) S Tu /t5 ��
Tax Parcel
J C C1 -/
Phone:
o�' ao
Property O ner
k Air),R/71 Cs%1N tA c l6
Street Address:
City State /Zip:
City /State /Zip:
Fax #:
0 Water
0 Sewer
0 Metro
Contact Person:
Phone:
Street Address:
City State /Zip:
Fax #:
Contractor: G J foe_
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Phone:
SS
Street Address�, 3
"1
1/1 / e-R
'1°. fre C jt ( � r ,t� tli
/�
Fax #:
?
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3 y G/ q
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'OUTBY °APPLICANT).':
Description of work tq be done• ",_i alb / Q ' �••
<- ��-7-
it/..C ( R v c, Z U i'/) qc f 5 t‘ 6 °' . / ci
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes ❑ no
Attach list of materials and st a location on separate 8 1/2 X 11 a er Indicatin• • uantities & Material Safet Data Sheets
Above Ground Tanks U Antennas /Satellite Dishes Bulkhead /Docks ■ Commercial Reroof
❑ Demolition ❑ Fence echanical ❑ 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
APPLICANT'REQUEST.FOR MISCELLrANEOUS PUBL'IC'WORKS.PERMITS>
❑ Channelization /Striping
❑ Flood Control Zone
❑ Landscape Irrigation
❑ Storm Drainage
❑ Water Meter /Exempt it
❑ Water Meter /Permanent #
❑ Water Meter Temp #
❑ Miscellaneous
WATER METER DEPOSIT /REFUND BILLING:
Name:
Address:
MISCPMT.DOC 7/11/96
CITY OF T
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
F• ' STAFF USE ONLY
Application and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or facsimile.
❑ 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 application c��:��
Date application expires:
'I 25-1'8
Applica k k en by: (initials)
BUILDING OWNER 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
10
Signature:
/ / rye r
,
4 e....
4�UPry 0 zri. Date: 3 /
/ s -
o c,
j
Print name:
r
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44 y- I P14 i /1
4�--
pp - f G
ICGJ, L
t ��: /�
f
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s ir
Phone - - .7S5
Fax #:
Address:
�� r�
�,
J C
Land Altering/Grading /Preloads
J
,,
C3
City /State /Zi c 6 .. _67..../e . or if " frp
71
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
10
Antennas /Satellite Dishes;
Submit checklist No: M - 1
Awnings /Canopies - No signage
Commercial Tenant Improvement
Permit
El
Bulkhead /Dock
Submit checklist `. No: M -10
0
Commercial Reroof
, Submit checklist No: M -6
0
Demolition
Submit checklist . No: M -3; M -3a
Fences - Over 6`feet in Height
Submit checklist : No: M -9
0
Land Altering/Grading /Preloads
Submit checklist No: M - 2
C3
Loading Docks
Commercial Tenant Improvement
Permit. "Submit checklist No: H -17
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
0
Moving Oversized Load /Hauling
'Submit checklist . No: M - 5 ' .
0
Parking Lots
Submit checklist No: M -4
0
Residential Reroof - Exempt with following exception :. If roof structure
to be repaired or replaced
Residential Building Permit
Submit checklist No: M -6
in
Retaining Walis - 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.
0
Tree Cutting
Submit checklist ' No M -2
ALL MISCELLANEOUS P r ' IT APPLICATIONS MUST BE SUB ED WITH THE FOLLOWING:
• ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN
•
> ,,� 4 BP!JLDINe STT Ftlyf*S AND UTILITY PLANS ARE TO BE COMBINED
D ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT
STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON
LICENSED STRUCTURAL ENGINEER
A 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/Authorlzed Agent If the applicant is other than the: owner, registered architect/engineer ,
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.
1 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 OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS
PERMIT.
MISCPMT.D 5c 17/11/96
el 41 «• -.A ...
ar-kl ". E
Address: 14012 MILITARY RD S
Suite:
Tenant: CAMACHO RESIDENCE
Type: B-MECH
Parcel #: 609940-0020
• *****4*.********44********A**A**********************A************************
.P.ermit Conditions:
J'qo changes will be made to the plans unless approved by. the
Architect •or Engineer and the.4.0:ylluilding Division. '
2: All permits, inspecttorv plans shall be
avai lab l e at the . j 0 : , : 4 4 . . i sit - - pri to r the'S;i',e*,t:;;;,of any con-
struct ion . These;:':4.do , :f.6t-e to he ma init0edand a v a i l -
a b l e until final ',; ;i*ti 6p esc 0*, a pproval is 4).-69 te4,
3. All cons tru4i:Oti to be ' ',:i ii,-cOnfiirmandt,O approved :
plans and,41qiiirements_Of the Uniform Buf140gApode0994
EditionaS'amendi OniforM'Mechanicalpode
and Washington State Energy Code 0994 Editionj.
4. ValidiSy/OrPetmit Issuance of a ois
plans and compi.ftions shall not be con-
trup to be a permit for, an approval of, any v101:: . in:
rirr„
of o f provisions of' code or''.,,of',anY,,,, - . ...i a
othe/ordlnance" of the jurisdiction'. No permit presumfng VO
gi%;66u6lorAty‘to viblate of.
code'ishall'be:valtd
s,O_,
H
5. MANUFACTURERSINSTALLATION oli:,srit
FoW11-T_BuitAin0-1,wf0:oR,c;\REVIEw;
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CITY OF TIIKWILA
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Permit No: M98-0063
Status: ISSUED,
Applied: 03/25/1998
Issued: 03/25/1998
July 13, 1999
Rossoe Energy Systems, Inc
9367 Rainier Avenue S
Seattle, WA 98118
City of Tukwila
Department of Community Development Steve Lancaster, Director
RE: Permit Status M98 -0063
14012 Military Road S
Dear Sir:
In reviewing our current permit files, it appears that your permit for the installation of a gas
furnace issued on March 25, 1998 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,
pig
Brenda Holt
Permit Coordinator
Xc: Permit File No. M98 -0063
Duane Griffin, Building Official
John W. Rants, Mayor
6300 Southcenter Boulevard; Suite #100 • Tukwila, Washington 98188 • (206) 4313670 • Far (206) 431,3665
V..1 .REal9.TFIATIONNt9MBEFfi':` ''' • ":;:.';:`:
104.....
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003/25/1998 15:30 2067233349
•. .- ._..,.. .. .... • ■• .•• .. ..
PLEASE DETACH AND SIGN
CERTIFICATE BEFORE PLACING
IN BILLFOLD
!r 'Cfi2FP.R'f.. ,t••;, •
:CJ ; O EP4�r(•G s:: IT.514,;r . :V6i::c.. ; . . . h 6. ,p
' 9 . 347.;;,. R A 1 O'ER AVE • . • ''' ' • .`. 4
J •At;T•L;= iii A' 9 8 f t.$ ,•
lr . %:.....i• _. . .,.' . .1... . . • ••./• • • '
SIONATURt - mom "w,
ISSUED BY DEPARTMENT OF LABOR ANO INDUSTRIES
ROSSOE ENERGY SYSTEM PAGE 01
..
•
, '',''
Project:
LA) i r.i MilLS tae,.-sr--;
Type of inspection:
situte Th
Address:
5. C... t o te4Apr,
Date called: 1 1/ 30 / q8
Special instructions:
(?.*-
_ . .. .
Date wanted: S/. i 5 / / 98
fr
p.m.
Requester:
Phone No.: K [as 7
/
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
1*m...fp "v.,.
INSPECTION RVORD
Retain a copy w& permit
4/177—X63
PERMIT NO.
(206) 431-3670
K Corrections required prior to approval.
Inspector: Date: a
Li $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must
be Raid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
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CITY OF' TUKWI:L.A, WA TRANSMIT
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i'Rl'iN8MIT Number: R9700733. Amount: 42.81 03/25/98 15:51•
Payment Method: CHECK Notation: RO$801 ENERGY Init: I3LH
Permit Na c M98-00632. Type,. 13••MECH MECHANICAL PERMIT
Parcel No: 609940-- 0020
Site Address. 14012 MILITARY RD S
Total revs% 42.81.
This Payment 42.81 Total ALL Pmts: 42.81
Balance:,
. 00
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Account. Coyle Description
000/345.830 PLAN CHECK - RES
000/322.100 MECHANICAL RES
Amount
p4.20: