HomeMy WebLinkAboutPermit M97-0004 - KLOPPEL GORDON AND ELAINE17 000
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City of Tukwila c.
Community Development / Public Works • 6300 SouthcenterBoulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M97 -0004
Type: B -MECH
Category: RES
Address: 16444 51 AV S
Location:
Parcel #: 537920 -0112
Contractor License No: NORTHWH103R2
TENANT KLOPPEL GORDON & ELAINE
16444 51 AV S, TUKWILA, WA 98188
OWNER KLOPPEL GORDON & ELAINE
16444 - 51ST. AVE. SO., TUKWILA WA 98188
CONTRACTOR NORTHWEST WATER HEATER, INC.: ;::. :. Phone: 206 282 -4700
2800 THORNDYKE AVENUE WEST, SEATTLE WA 98199
CONTACT LYNH ROWE Phone: 206 282 -4700
2800 THORNDYKE, SEATTLE, WA 98199
* * ** * * * * * * ** * * * ** ****************************** * * ** *** * *** * * * * * * * *,r ** *** ***
Permit Description:
GAS TO GAS FURNACE REPLACEMENT.
UMC Edition: 1994 Valuation: 922.00
Total Permit Fee: 42.81
****************.*************.**********'****** * * * * * * * * * ** * * * * " * * * *` * * * * * * * * **
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MECHANICAL PERMIT
Status: ISSUED
Issued: 01/16/1997
Expires: 07/15/1997
(206) 431 -3670
Fermi enter Authorized Signature Date
I hereby., certify that I have read and examined this permit and know the
same to. .,be true and correct. AllAprovisions.;•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•- er state or local laws regulating
construction or the , p.eeforn -•_e wo k. I am authorized to sign for and
obtain this .buildi.ng p
Date: / r
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
Permit No M97 -0004
Address: 16444`
. Suite:
Tenant KLOPPEL GORDON.`& ELAINE Status: ISSUED
Type : :B -MECN Appl i ed': 0:1/09/997
Par.cel # 537.920'0112
Issued: 01/16/1997
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Permit Conditions:.
1 .. : No changes, :will be made to the plans unless approved by the.
'Architect or Engineer and t.ha, Building Division.
All permits, inspection
: rerds,* and approved plans shall be
available at the j prior to the•'star't of any con -.
.struction. These .'are to be maintained;,and avail -
able. until . fina'l •1`nspe"ctIon approval is granted.
All .construct•ion to be dame i'n conformance w.i th . approved
plans and .,-requirem the .Un:ifor,m Build',incg (1'9,94
Edition)4s•` amende:d "Uniform Mechanical•," Code' (19 < . Edi.ti.on)
and Washington, State Energy. Code, (1994 Edition).
,Validity of Permit. <.'The iss rance :of a permit or'.approval; of
plens,..s'pec.ifications,, en;d:' c'omputa.tions shall not be;..con
str ued.i: to•. a permit., for ~'•, or an a "pproval of, . any.. v
of aiiy of the provisions of ;the...building code or of an v :.
other. ordin of the jurisd'iction",: :, No permit presuming to
. give ` t a u thority'to vio or,� the provisions`of this
code 1 be val i,d. ', ,,
MAI4UFACTURER'S;';' IN.S-TALLATION. iINSTRUCT - REQUIRED ON SITE
FO> :� BUILDING ..INSP.EC.T,OR � �, REVIEW • ..
6. P l �.i,mb i ng per n i t`s :hall � be 1 ob i ned ; thro'ugh' .the Seattle .1
Cou,n� y jOpart,ment of Pub lri c4ea l th` „ Plumb i ng will be
inspected by' ,hat; a : gency� .i'nc`luding ..al I qas piping
.9� 2 e ,,: , o 11,-W•'-',f
t 29b- 47 2 y� TM
,
E:l e`ott•'i caI +oerTi is shall be obtained: .through "• the Washsitngt'o
StLt.ed4Div,ision ..o Labor and Indus�tr °nand :a.11 electrical
work i w.:1 i 1 b e. t i ns by that agericy (:,248 -6630)
Project Name/Tenant: e ,-----
,
6" APSM A.: 0 A Af ./ , A
Value Value of Constructi• .:
e.„
,
--
Site Addres •
/
71 Above Ground Tanks LJ Antennas /Satellite Dishes
❑ Demolition ❑ Fence
❑ Parking Lots El Retaining Walls
El Temporary Facilities ❑ Tree Cutting
Phone:
Address:
City Stat :2'.:
.4 , " II
City /State /Zip:
rcel Number:
0 Water
w
Property Owner:
0 Standby
P one:
_
•
Street Address: //^
/ Cl
Y
City State /Zip:
/ -." �`
J
Fax #:
-
Phone:
—
Street Address:
ZZ0
1 /■
. I kC 61
Cit State /Zip:
i 'g r'
Fax #:
Contractor:
/ ..
i
/
, [•1
•
-
Phone:
— i _ ,
•
Street Address: •
City Stat : / '.•/
is
Fax #:
Architect:
Phone:
Street Address:
City State /Zip:
Fax #:
Engineer:
Phone:
Street Address:
City State /Zip:
Fax #:
M!SCELLANEOUS REVIEW AND,APPROVAL.REQUESTED: (TO BE FILLED OUT .BY'APPLICANT)
Description of work to be done:
" ■ ta
— . • Al %%A
Will there be storage of flammable /combustible hazardous material
Attach list of materials and storage location on se agate 8 1/2
in the building? ❑ yes ❑ no
X 11 as er indicating quaanntities & Material Safety Data Sheets
rrr El Bulkhead/Docks n Commercial Reroof
Mechanical ❑ Manufactured Housing - Replacement only
Temporary Pedestrian Protection/Exit Systems
71 Above Ground Tanks LJ Antennas /Satellite Dishes
❑ Demolition ❑ Fence
❑ Parking Lots El Retaining Walls
El 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 MISCELLANEOUS PUBLIC WORKS. PERMITS '
❑ Channelization /Striping
El Flood Control Zone
El Landscape Irrigation
El Storm Drainage
El Water Meter /Exempt #
El Water Meter /Permanent #
❑ Water Meter Temp it
El Miscellaneous
Name:
Address:
MISCPMT.DOC 7/11/96
CITY OF TI IKWILA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
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 ti Fire Loop /Hydrant (main to vault) #: Size(s):
❑ Land Altering: 0 Cut cubic yards 0 Fill cubic yards 0 sq ft grading /clearing
El Sanitary Side Sewer #• ❑ Sewer Main Extension 0 Private 0 Public
❑ Street Use El Water Main Extension 0 Private 0 Public
0 Deduct 0 Water Only
WATER METER DEPOSIT /REFUND BILLING:
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 accepted: Date application expires:
Application to 0: (initials)
BUILDING OWNER OR AUTHORIZED AGENT'
I
}
;,- Date: �� . "" •
Signature: ---
Print name:
/ � -- ti.:
_ "
Phone:
Fax #:
Address:
Bulkhead /Dock
Submit checklist No: M -10
City /State /Zip:
El
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
El
Antennas /Satellite Dishes
Submit checklist No: M - 1
El
Awnings /Canopies - No signage
Commercial Tenant Improvement
Permit
El
Bulkhead /Dock
Submit checklist No: M -10
0
Commercial Reroof.
Submit checklist No: M -6
®
Demolition.
Submit checklist No: M -3, , M -3a
0
Fences - Over 6 feet in Height
Submit checklist No: M -9
nj
Land Altering /Grading /Preloads
Submit checklist No: M - 2
0
Loading Docks
Commercial Tenant Improvement
Permit. Submit checklist No: H -17
El
Mechanical (Residential & Commercial)
Submit checklist No. M -8,
Residential only - H -6, H -16
Submit checklist No: H - 9
0
Miscellaneous Public Works Permits
0
Manufactured Housing (RED INSIGNIA ONLY)
Submit checklist : No: M - 5
El
Moving Oversized Load /Hauling
Submit checklist No: M - 5
El
Parking Lots
Submit checklist No: M -4
n
Residential Reroof - Exempt with following exception: If roof structure
to be repaired or replaced
Residential Building Permit
Submit checklist . No: M -6
El
Retaining Walls - Over 4 feet in height
Submit checklist No: M -1
0
Temporary Facilities
Submit checklist No: M -7
0
Temporary Pedestrian Protection/Exit Systems
Submit checklist No: M - 4
El
Tree Cutting
Submit checklist No: M - 2
ALL MISCELLANEOUS PE T APPLICATIONS MUST BE SUBM ED WITH THE FOLLOWING:
A ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN
A BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED
A ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT
A STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON
LICENSED STRUCTURAL ENGINEER
A CIVIUSITE 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
obtain the permit will be required as part of this submittal.
I 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.
M1SCPMT.DOC 7/11/96
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CITY OF' TUKWILA. ' NA Q00 . TRANSMIT
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1RWNSMIT Numb,ert: R9?O0531 •Amauntr 42.81 01/16/97 12:27.
Paviaent S4ethadi CHEC1 Not: ti,on: W{)F INCORPORATED 'nit. SMC
'Permit No: .. H970004 Tvne. D --MECH MECHANICAL PERMIT
arse 1 Na: 537920 -0112
Site Address: 1644451 AV S
:Total Feea:
— Payment 42:81' Total ALL Pmts:. 42.81
000/345.830 !PLAN CHECK - RES
000/322.400 MECHANICAL - RES
Amount
34.25
COMMENTS: S t
04y L
110 Lit-114 ` �
/ ,
Special instructions:
Date wianted� G .
r(9 p.m.
Requester • ' 0
\. ),C 1 1•P ti) A [Y1eYgt
'- i
7;:e./E‘
C
/€-'!
45
‘
C�"�
: �1
�/J
• , ct:
T of Inspection:
110 Lit-114 ` �
Da called: ; 3- /
Special instructions:
Date wianted� G .
r(9 p.m.
Requester • ' 0
\. ),C 1 1•P ti) A [Y1eYgt
Pho3 r 1 (.0g41
INSPECTION RECORD
l Retain a copy with permit
INSPECTION NO,
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
(206)431 -3670
D Approved per applicable codes. corrections required prior to approval.
J $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No: Date:
t
COMPLETE ❑
COMMENTS
REVIEWERS INITIAL
REVIEWERS INITIAL
C:ROUTE -F
PLAN REVIEW / ROUTING SLIP
ACTIVITY NUMBER M 9 7
PROJECT NAME
DEPARTMENT:
BUILDING DIVISION r FIRE PREVENTION ❑ PLANNING DIVISION ❑
PUBLIC WORKS ❑ STRUCTURAL ❑ PERMIT COORDINATOR ❑
DETERMINATION OF COMPLETENESS: (T,Th)
APPROVALS OR CORRECTIONS: (ten days)
APPROVED I I APPROVED W/ CONDITIO
V
NOT COMPLETE ❑
DATE
DATE
DATE
DUE DATE
NOT APPLICABLE ❑
TUES /THURS ROUTING: PLEASE ROUTE ❑ NO FURTHER REVIEW REQUIRF,
ROUTED BY STAFF ri (If routed by staff, make copy to master file & enter Sierra.)
(
I
DUE DATE
NOT APPROVED (attach comments) ❑
lZ.) /y
REVIEWERS INITIAL
r
CORRECTION DETERMINATION: DUE DATE
APPROVED ❑ APPROVED W/ CONDITIONS rj NOT APPROVED (attach comments) ❑
7
(Cerdfcadon of occupancy required.
May 26, 1999
Dear Ms. Rowe:
Sincerely,
City of Tukwila
Department of Community Development Steve Lancaster, Director
Lynh Rowe
Northwest Water Heater
2800 Thorndyke Avenue W
Seattle, WA 98199
RE: Permit Status M97 -0004
16444 51 Avenue S
In reviewing our current permit files, it appears that your permit for a gas furnace replacement
issued on January 16, 1997 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.
Brenda Holt
Permit Coordinator
Xc: Permit File No. M97 -0004
Duane Griffin, Building Official
John W. Rants, Mayor
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (206) 431-3665
Department of Labor & industries
Contractor Registration Section
PO Box 44450
Olympia WA 98504 -4450
TEMPORARY
. � F3
... I � agts�tcr rc c�d name
•1 a�� � �. ei't t45T . �"�� T,UG� QGL.c� { 5 Co y i r
(tcgi�tratiim expires
Tq
Contractor: Your Certificate of Registration will be sent from the Olympia
should be received within 2 to 3 weeks. Please keep this record until o receive y our
Certificate of Registration.
Raw int eApires
F625.036.0)0 registration vcriticuliOn .s 2.95
-/ �
Stephan RA
Notary Public in
My Commission
mircz
and for the State of Washington.
Expires on September 1, 1998
•
REGISTRATION VERIFICATION
Pram
Olympia Headquarters
(36o) W2.522(
FAX (36U) 9112 -5228
'Thank 9
RECEIVED
CITY OF TUKWILA
JAN 0 9 1997
PERMIT CENTER