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Permit M99-0058 - LARSON MAURITS
M99 -0058 14216 58t'' Ave. So. Maurits Larson City of Tukwila ( le . Am- zoo L (206) 431 -3670 Community Development / Public Works • 6300 Southc'enter Boulevard, Suite 100 • Tukwila, Washington 98188 MECHANICAL PERMIT Permit No: M99 -0058 Type: B -MECH Category: RES Address: 14216 58 AV S Location: Parcel #: 336590 -1090 Contractor License No: ROS'SOES142QP Status: ISSUED Issued: 05 /18/1999 Expires: 11/14/1999 TENANT MAURITS LARSON Phone: 14216 58 AV S, TUKWILA WA 98188 OWNER LARSON MAURITS 4817 S 144TH, SEATTLE WA 98168 CONTRACTOR ROSSOE ENERGY SYSTEMS INC. 9367 RAINIER AV S, SEATTLE, WA 98118 CONTACT JEANIE SCRIBNER 9367 RAINIER AV S, SEATTLE WA 98118, * * *•k * * * * * * ** *** * * **•k ** * * *. * ** k * ** **•k * * ** * ** ** * * ** Ic * * ** *sic * * ** * ** * ** * * *** * **** Permit Description: REPLACE GAS FURNACE WITH A 50,000 BTU BRYANT GAS FURNACE. Phone: 206 725 -7555 Phone: 206- 725 -7555 UMC Edition: 1997 Valuation: Total Permit Fee: 908.00 29.38 ******:*.**, 1k*******_ k*********.***************** ** ** ** * *** * *** * * ** * * * * * * ** ** ** 3X2 Q0 Permit. Center AutTiorized 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 Date: c 7 Print Name flt%/',j 7$ 0C4F O4J Title: 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. City of Tukwila C. (206) 4313670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 MECHANICAL PERMIT Permit No: M99 -0058 Type: B -MECH Category: RES Address: 14216 58 AV S Location: Parcel #: 336590 -1090 Contractor License No:•ROSSOES142QP TENANT MAURITS LARSON 14216 58 AV S, TUKWILA WA 98188 OWNER LARSON MAURITS 4817 S 144TH, SEATTLE WA.98,168 CONTRACTOR ROSSOE ENERGY SYSTEMS INC. 9367 RAINIER AV Si. SEATTLE,'WA 9811.8 CONTACT JEANIE SCRIBNER 9367 RAINIER AV':S,'SEATTLE WA 98118: Status: ISSUED Issued: 05/18/1999 Expires: 11/14/1999 Phone: Phone: 206 725 -7555 Phone: 206 -725 -7555 * k****** k* k************************************ -k* * * * ** * * * * * * * ** * * * * * ** * * * ** Permit Description: REPLACE GAS FURNACE WITH 50.;00.0 BTU BRYANT GAS FURNACE. UMC Edition: 1997 Valuation Total Permit Fee: 1,908.00 29.38 *******************************4*********** ** * * * * *** ** * * ** * ** ** * ** * ** * * * ** 5-e-q9 Permit CenteflAuthorized 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 dues 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 :_ Print Name :_.,�'L�.�1�0 _JUi6.ia=- Date: s5- lira `1 73 of Title: This permit shall become nul.1 and void if the:work is not commenced within 180 days from the date of .issuance', or:i,f. the work is suspended or abandoned for a period of 180 days frum''the last inspection. CITY OF TUKWILA Address: 14216 58 AV Suite: Tenant: MAURITS LARSON Type: B-MECH Parcel It: 336590-1090 Permit No:. M99-0058 Status: ISSUED Applied: 03/17/1999 Issued: 05/18/1999 ..11,AkAA*****.A*1.*/.***AAVA.4.1.k4.114*****A*VAA*i*WkkAA***k****A********A*******Ick* 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 j-db1Site 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,i-with approved plans and requirements of the Uniform Buildino ;Code (1997 7 1 Edition),'as amended, UniformMechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition) 4. Validity of Permit, ' The issuance of a permit or approval of planS„:Specifications, ancPcomputa'tions shall'not be con- strued to be a permit for, or an approval of, any violation, of a'rry 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 instruction required on site , for':the-buildfng inspectors review: " . • CITY Q r TUKWILA 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 mail or facsimile. rte o ©ct NamelTen nt: ‹- j ��J�� Description of work to be done: ,0(C,Qn ctioeR n a CfU Tax jcpl Number: / + l9 5W) 69 c Site Address: f-h - City Sta Z, :6 ' /9,7,, / / __ 5- q, CO If /1 1fS p� J Property Own t: 2..../9/Z SeW Phone: Street Address:, 1D /6 d f If J, 5_ fi City to /iZi 2 Fax #: ontaVerson: 4•J, so Cr INf=-% Phone: 2d� `7 =ter -75.s_ -5 Stre d es 7 0//0/0_,/z. C'ty State / g, Fax # 3 ,r/ 9 Contractor --' Rv sO.e Lr)4_5?4)/ 5ySr-/rs 0 Metro Sod -7 .>6--755 6 Street A r s: City St to /Zip: 7 �C i9 /,c.) >,�. ",e_ U�: S . Se fi zi / /‹.% Fax #• .1_ 01 -- 7, 3 — 3 3 47/ 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 OUT BY APPLICANT) Description of work to be done: Will there be storage of flammable /combustible hazardous material in the building? ❑ yes no Attach list of materials and storage location on se.arate 8 1/2 X 11 .a•erindicatln• • uantities & Material Safet Data Sheets • Above Ground Tanks ■ Antennas /Satellite Dishes ■ Bulkhead /Docks ■ Commercial Reroof ❑ Demolition ❑ Fence Sil Mechanical in Manufactured Housing- Replacement only ❑ Parking Lots ❑ Retaining Walls ❑ Temporary Pedestrian Protection /Exit Systems ❑ Temporary Facilities ❑ Tree Cutting •APPLICANTREQUEST .F.OR.MISCELLANEOUS•PUBLIC WORKS•PERMITS ` -: ❑ Channelization /Striping ❑ Curb cut/Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: Size(s): ❑ Flood Control Zone ❑ Land Altering: 0 Cut cubic yards 0 Fill cubic yards 0 sq. ft.grading /clearing ❑ Landscape Irrigation ❑ Sanitary Side Sewer #: ❑ Sewer Main Extension 0 Private 0 Public ❑ Storrn Drainage ❑ Street Use ❑ Water Main Extension 0 Private 0 Public ❑ Water Meter /Exempt # Size(s): 0 Deduct 0 Water Only ❑ Water Meter /Permanent # Size(s): ❑ Water Meter Temp # Size(s): Est. quantity: gal Schedule: ❑ Miscellaneous ❑ Moving Oversized Load /Hauling MONTHLY SERVICE,BILLINGS TO::.. ; ; : " • ' Name: Phone: Address: City /State /Zip: 0 Water 0 Sewer 0 Metro 0 Standby WATER METER DEPOSIT /REFUND BILLING: Name: Phone: Address: 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 accepted: .17 - 1� Date application expires: MISCPMT.DOC 7/11/96 Application taken by: (initials) :A ALL MISCELLANEOUS PERIL: APPLICATIONS MUST BE SUBMIT WITH THE FOLLOWIN ➢ 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 ➢ CIVIUSITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER (P.E.) SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR PERMIT REVIEW ❑ 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 ubmit checklist +:;: Antennas /Satellite Dishes.. ..:$ubmitoheckliatqr s Awnings/Canopies,' No signage ••: Commercial •Tenant'.Irnproverjmon Bulkhead /Dock Subrnit;checklist:;::`? No 'Commercial Reroof Subnift :ohecklist' =:,No Demolition. ' "Siubrpit: chegkiist` :: Fences - Over 6 feet in Height Submit.checklist: <l� Land Altering/Grading /Preloads, Subfl lt,checklist:: No: Loading,Docks Mechanical'(Residential & Commercial), CommercialTehant� improvement; Perm t ';: Submit checklist'sNoi :H =.17 'Submit" checklist;. `• `Residential'only %> 8 s Miscellaneous Public'Works ;Permits Submit:checkiist':. Manufactured Housing:(RED.INSIGNIA ONLY).;: Submit checklist::; Moving Oversized Load /Haulings .. Submit:checklist No . Parking Lots Submitchecklist;: Residential'Reroof - ;:Exempt with following exception `If;roof,structure: to be.repaired :or:replaced Retaining Walls - Over 4:feet in height,. ,:Residential Building Permits. :. Submit. checklist` ;;No; : M 6 . $u6r11it checklist No, Temporary. Facilities Submitch'ecklist ❑ Temporary' Pedestrian ' Protection/Exit'Systems :"Subrnit;checklist;. NO;;': ❑ Tree Cutting. Submit ch ecklist'. ❑ 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 ". LBuilding Owner /Authorized Agent; If the applicant Is oth, er'thani.the owner; re 'gisteredarchltecdengmeer, :;or coritracto��licenaed, by the State of Washington,. "a,notarized letter from. the propertv:ownerauthoriaing the agent'to submit this permit appllcation.,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. BUILDING OWNER OR AUTHORIZED ENT: Signature: - 1- 1:6" - -' CAI-A1 E Date: 9 Fa 4 Print name: & , P . e: - -- Fax #: 36/ / Address: 73 b7 X-71,9 / lJ/ k= %� '1%r - Cit a Z1p'i4 f1' : L `c0 1 • MISCPMT.DOC 7/11/96 * •A is * A •k k •k A• ;4 k k k A ,4 •:t i; k ,4 A k . •k ,Fr• is j��k ;4 :t .k :4 .5• h :4 k �4 :k h h * * �.k:k 1 ir :t •k A k k h �k ,l •k.:A •k ..t. 'k"h*( CITY OF TUKWIL.A, WA *k•kA•k:4•k•A•k *•k•kk,4*A•h *isk•k,4•!r kit•k • kis?4'>ri!i7Fl,' 'k�X" ! rk4!rhk:k:l,4khkA•k•Ak•A•k•k•k* TRANSMIT Number: R9000066 Amount: 293S 05/3'8/99 Sit 39 Payment, Method: CHECK Notation': RDSCOE Ini t: TL.B TRANSMIT Permit; No: M99-0068 Type: B-MECH MECHANICAL.• PERMIT Parcel No: 336590-•1090 Site Addi ^e5s: 141216 53 AV S Total hots: This Payment 29.38 Total ALL P?trtts» Balance: d>♦td,k•k *4,i *,1•ktlitAiti< it. *ititst•h it it. **k',4* art* it•A,4A **k* ;!*hAsh0 *it*stkA•A•* i< #,tit4 *•it•k Account Cade. Description ' Amount 400/345.830 PLAN CliJEC K RES • � ; H£3 000/322.100 ML:CHANI't:AL RES 23,.,"0, 29.38 :q0 INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 PERMIT NO. (206)431-3670 Project:i 1-014irSCh '.-...P S'ICIP1,( 4 Type of Inspectio Address: 1 1-11.1 to 50 e . Date called: 3— 00 Special instructions: O Irk V 51 C I k 1 ; f' I tlY“'e i Date wanted: 3 3— — ) 00 e Requester: k A ovr , In i-s Phone: 1?-s' 0153 Approved per applicable codes. Corrections required prior to approval. COM ENTS: Inspector: $47.b1iINSPECTYONUEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No: Date: . • 1'1,4 .4, 1:4:•••.•d: , ' r"-T 71 INSPECTION RECORD Retain a copy with permit INSPECTION NO. ' CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 PERMIT NO. (206)431-3670 Project: I i_opir --P.es,cterit-c Type of Inspection:1— . 1 k 1 N reAt 171 ec ''‘ Address .)J 0 5 g ."— Aw s Date called: .. ey 74- II rto-k r 10 /24/ Special ins uctions: A COM `V\ v-St : Date wanted: n a.m. P.m Requester:, ../v/....1., . .4.,.• L.c4 v sov Phone: OW, ElApproved per applicable codes. irg Corrections required prior to approval. COMMENTS: I) / ."-- a., A d dt.,..e...---/-- .. ey 74- II rto-k r 10 /24/ Ziloi ...,,e*. e l'e /-*/.. er i. ,... /dia.? ../v/....1., . .4.,.• , . ?---) Fil le.t. il of ..e-e4 . t // / Inspector: Date: ri $47.00 REINSPECT ON FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No: Date: city of Tukwila Department of Community Development March 10, 2000 Jeanie Scribner 9367 Rainier Ave S Seattle Wa 98118 RE: Permit Status M99 -0058 14216 58TH Ave S Dear Ms Scribner: Steven M. Mullet, Mayor Steve Lancaster, Director In reviewing our current permit files, it appears that your permit for a gas furnace change out issued on May 18, 1999, 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. Sincer Bill Rambo Permit Technician Xc: Permit File No. M99 -0058 Duane Griffin, Building Official 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206-431-3665 PL EVIE /ROUTING SLIP" ACTIVITY NUMBER: M99 -0058 DATE: 3 -17 -99 PROJECT NAME: M. LARSON JUL__ Original Plan Submittal Response to Incomplete Letter Response to Correction Letter# Revision # After Permit Is Issued DEPARTMENTS: Building Division INC 4'011 Public Works Fire er /JO iv 3.--1p4q Structural Planning Division Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues, Thurs) DUE DATE: 3 -18 -99 Complete E0 Incomplete ❑ Not Applicable ❑ Comments: TUES /THURS ROUTING: Please Route No further Review Required Routed by Staff ❑ (if routed by staff, make copy to master file and enter into Sierra) REVIEWERS INITIALS: DATE: APPROVALS OR CORRECTIONS: (ten days) DUE DATE: 4 -15 -99 Approved ❑ Approved with Conditions Not Approved (attach comments) ❑ REVIEWERS INITIALS: DATE: CORRECTION DETERMINATION: Approved E DUE DATE: Approved with Conditions Not Approved (attach comments) REVIEWERS INITIALS: DATE: \PR•ROU'rE.DOc 6/98 F625.052.000 (8/97) DEPARTMENT OF LABOR AND INDUSTRIES LICENSED AS PROVIDED BY LAW AS ELEC CONTR GENERAL ;.. C '; LICENSE ' # `:' :', EXP . DATE ECOl. ROSSOES142QP 11 /17/2000 EFFECTIVEDATEY . 11/17/1986 ROSSOE ENERGY SYSTEMS INC 9367 RAINIER AVE S SEATTLE WA 98118 Detach And Display Certificate . •,