HomeMy WebLinkAboutPermit M97-0051 - CAHILL GLORIACity of Tukwila
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
MECHANICAL PERMIT
Permit. No:
Type:
Category:
M97 -0051
B -MECH
RES
Address: 16235 49 AV S
Location:
Parcel #: 884970 -0030
Contractor License No: NORTHWH103R2
(206) 431 -3670
Status: ISSUED
Issued: 04/24/1997
Expires: 10/21/1997
CAHILL GLORIA
16235 59 AV S, TUKWILA WA 98188
CAHILL JERRY L
16235 49 AV S, TUKWILA WA 98188
LYNH ROWE
2800. THORNDYKE, : WA 98199
NORTHWEST WATER HEATER, . .INC.
...
2800 THORNDYKE AVENUE SEATTLE, WA
********************** *********************** * * * * * * * * * * ** * * * * * * * * * * * * * * * * **
Permit Description:
CHANGE =OUT ELECTRIC TO ELECTRIC
REPLACEMENT.
TENANT
OWNER
CONTACT
CONTRACTOR
UMC Edition: 1994
WATER HEATER
Valuation:
Total Permit Fee:
******* J; k*** i * * * * * * * * * * * *, * ** * ** * * ** r**** * * * * * * * ** * * * * * * ** * * * * ** * * * * * **
Permit Center Authorized Signature Date
I hereby:certify that I.have read and.examined • this permit and. know the
same to be true and correct. .All prov,isions and.ordinances
governingf 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 a •. other ate or local .laws regulating
construction or the perfor •.am authorized to sign for and
obtain this.building pe
Signature:
Date:
Phone:
Phone:
Phone:
206 431 -2942
206 431 -2942
206 282 -4700
206 282 -4700
350.00
39.38
Print Name:__ i _ _ if��tr _ [!y — 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.
Project Name/Tenant: colez.
Value of Constructs
Will there be storage of flammable /combustible hazardous material in the building? El yes El no
Attach list of materials and store a location on separate 8 1/2 X 11 a er indicating quantities & Material Safety Data Sheets
_1 Above Ground Tanks Antennas /Satellite Dishes Bulkhead/Docks ❑ Commercial Reroof
El Demolition El Fence ❑ Mechanical El Manufactured Housing - Replacement only
El Parking Lots El Retaining Walls El Temporary Pedestrian Protection /Exit Systems
❑ Temporary Facilities ❑ Tree Cutting
Site Address: � C, -a-t= City Stet e/ t •
L CU • l �" A I u� leg
Tax Parcel h
L
u ber:
9 =-}
. U y `� O
Property Owner:
LCD i< CA I-1 -1 (---L-
Phone:
L
I
/
2_9 L.(-
7 .
Street Address 1 . z ! ` I� Z-{-
A\1 C ' �Rv City u a 4<Fax#: 'p •
__
Phone:
0 Standby
—
Contact Person: ]
Street Address:
2 - - vU 16si
City tate/Zi • •
l GC :. `
Fax #:
Contractor:
A (A J In\ i-v -<1-q
c Tee
• City State /Zi :
41c- t-- -
Phone:
Fax #:
Phone:
?
,' 2- (1 77 r)
Street Address:
z-Z�UIZ 1 (0gA D
Architect:
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? El yes El no
Attach list of materials and store a location on separate 8 1/2 X 11 a er indicating quantities & Material Safety Data Sheets
_1 Above Ground Tanks Antennas /Satellite Dishes Bulkhead/Docks ❑ Commercial Reroof
El Demolition El Fence ❑ Mechanical El Manufactured Housing - Replacement only
El Parking Lots El Retaining Walls El Temporary Pedestrian Protection /Exit Systems
❑ Temporary Facilities ❑ Tree Cutting
MONTHLY SERVICE BILLINGS TO:
atiorya
to {
fed:
•
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Name:
•
P A ca o ( lnitia/s
Phone:
Address:
City /State /Zip:
0 Water
0 Sewer
0 Metro
0 Standby
—
Date a !1
atiorya
to {
fed:
•
` �_
Date application 1
1 p 6 _ 1
•
P A ca o ( lnitia/s
CITY OF TUIKWILA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
FSR STAFF USE ONLY
Name:
Miscellaneous Permit Application
Address:
Project Number:
Permit Number:
Application and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mall or facsimile.
El Channelization /Striping
El Flood Control Zone
❑ Landscape Irrigation
El Storm Drainage
❑ Water Meter /Exempt #
El Water Meter /Permanent #
❑ Water Meter Temp #
El Miscellaneous
WATER METER DEPOSIT /REFUND BILLING:
MISCPMT.DOC 7/11/96
APPLICANT,REQUEST,F.OR MISCELLANEOUS 'PUBLIGWORKS. PERMITS
:.
El 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 Sower #: El Sewer Main Extension 0 Private 0 Public
El Street Use El 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.
BUILDING OWNER OR AUTHORIZED AGENT;.
=-'' `.'', -'
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
Submit checklist No:: M -9
Signature:
; '
-- ,
Date:
✓
/ ,'".'"--7-:----
Print name:
-
� -
Phone:
Commercial- Reroof. • `
Submit checklist No M -6
Fax #:
Demolition
Address:
i n
Fences - Over 6'feet:in Height
City /State /Zip:
0
Land AlteringlGrading /Preloads .
ALL MISCELLANEOUS PE' ' T APPLICATIONS MUST BE SUBM D WITH THE FOLLOWING:
➢ DRAWINGS SIL BE AT A LEGIBLE SCALE AND NEATLY DRAWN
➢ BUILDING4ITE 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 ".
Bullding.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.
v ow
MISCPMT. C7C 7/11/96
ermit No:'M97 -0051.
Address: 16235
Suite:
Tenant: CAHILL GLORIA Status: ISSUED:
'Type: B- MECH' Appl. led: .04 /15/1997.
Parcel #: 884970-0030 Issued: 04/24/1997
* -k AA* •k********************** k***• k****• k******* k A**• k* . *•k* * *•k * * *k * *•k * ** *•k ** * *
Permit Conditions:
1. No changes will be made to the scope of work unless approved
by Tukwila ."Building Division
All . storage water heate,rs shal'i mee t "the. requirements of the
1 987 ' National A,pp 1:,i i,nce'.,. Conservation ' 1at and be so
labeled. All el•ea,t' water heaters in •unhea't'e`d or
on , concrete t l,00r's' shall be p laced 0 on an rlcompr i b 1 e ,
insulated surface wi,th minimum thermal re " sistance o: R -10..
WSEC 504 2 1 ' '
. In se i smic zone 3,' heaters ' Shell, be anchored ,or", strap-
ped to r °fir: i st:hor...i:zontal' displacement ; due to earthquake
motion
• . :�,anv . water system containing g storage water heating eau,i
pment r he provided °w'i�th'. an approved, l iste'd, 'at,equately
size, pressure r.e l i ef., va 1 ve ,;, . . Relief valves Ives ,1 ocated 1
sid ; `se ' building shall be prov with a drain not s�malie
tha , relief. valve" but l.et,: of galvanized steel ,';har,d dra
n'.c,o.pper p'ipin and ' tt ings',';.CPVC or''PB /with fitting` whic'
wi �i1, .'not reduce the. ,Internal bore , of t,he.. 0 b or tubing `
and ,bhal�1 r ext ; end "-from the s a 1 ve ' t ;o i the outside of the bui 1 d-
ing it t h e erid of the pipe not /more' than•, two feet,:;nor
1 e # t +r� ; i nche abo � � ` f F
a , ground and : ,pointing downward ,
No: a t nd si x rt`'' "Of,uuch drain` p1i,p've ;tire ge shall `1be trapped and the
en f th dr in i e•. shall no' . "'t a d e ;d•.; UPC Secs,1007 :
• MAN F l INSTALLATION INSTRUCTIOt+l:' REQUIRED O `SITES ` r�
F J1HE + B f UILDING INSPECTORS REVIEW ,t e4 - t'
Valid .qty c'0-6 Permit. The issuanoe of a i peerm'f t o r ,;apprval o
P A 7 9 j ,
D1ana t iF
r ` spe'cifi c at�ions, and comp on s shal,l no't be con - t}'.
str ued ■ to be a per a
mit for, or n' approvals of, a f ny violatin
of " ey {'p,r
p thovi''s.i ons of We e building code' or o anv ; :'`.
other o r, of the::,Jurisdictioon. No permit presuming' to
give authoi,ity' or cancel the 'provisions `of; this
code sha 1 1 <; :be va 1 I'd ,
ACTIVITY NUMBER (fl C ! - cos I DATE q-15
PROJECT NAME
DEPARTMENT:
BUILDING DIVISION II FIRE PREVENTION ❑ PLANNIN MSION ❑
PUBLIC WORKS l� STRUCTURAL ❑ PERMIT COORDINATOR ❑
N�. N A
DETERMINATION OF COMPLETENESS: (T,Th) DUE DATE Mg
COMPLETE n NOT COMPLETE ❑ NOT APPLICABLE ❑
COMMENTS
, *;tv, .,. rta; t :zr, �,'�F . .K ;F,ft!; .lx �ti.V,:S r,`10. a"'A.7`'..S t:n'i•f ^,?!f:; ".`S'.i� °. r ✓Y':.at:'...nM x,S n�:• ;rr:f ;Ifh'e'•' `tn, rn;?�
TUES /THLTRS ROUTING: PLEASE ROUTE ❑ NO FURTHER REVIEW REQUIRED ❑
ROUTED BY STAFF El (If routed by staff, make copy to master file & enter Sierra.)
REVIEWERS INITIAL
PLAN REVIEW / ROUTING SLIP
I.
APPROVALS OR CORRECTIONS: (ten days)
APPROVED
REVIEWERS INITIAL
CORRECTION DETERMINATION:
APPROVED 17 APPROVED W/ CONDITIONS ❑ NOT APPROVED (attach comments) ❑
REVIEWERS INITIAL
C:ROUTE -F
APPROVED W/ CONDITIONS . NOT APPROVED (attach comments) ❑
DATE 4 -1 (p-97
DATE
DATE
DUE DATE 1
DUE DATE
(Certification of occupancy required.
Project:-+ / - / / c
G
Type of inspec oft
Addre s ....... 6 4. 5
Date called:
Sp cial instructions:
Date nted� 9
V
�
m;
Requester:
Phone No.:
•
INSPECTION RECORD I
INSPECTION
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
COMMENTS:
Inspector:
Receipt No.:
Retain a copy with permit
Approved per applicable codes.
Corrections required prior to approval.
77; 7 .---":7 ()-7
Date:
PERMIT NO.
Li $42.00 REINSPECTION ItE REQUIRED. Prior to inspection, fee must .
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
.(2061431 •
Date:
Proj ct:
T •e o ins. =ction:
1 d , ess: •
yi1 ' n n Cli; : , S
r� ,
Da e called:
Special instructions:
Date want d:
C
'
l
p.m.
Roque
Phone No
1 -{ , 3 l _
e. 1 4
INSPECTION NO,
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
CO MENTS:
4,1414.
V
S42. .O. REINSPECTION EE REQUIRED. Prior to inspection, f must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
I Receipt No.:
Inspector:
INSPECTION RECORD
Retain a copy with per
I I
Date:
(206) 431 -3670
Corrections required prior to approval.
Date:
.
,,-.ice v
4
t * * * * * * * *** \* * ** * * * * * * * * * * *, * * *_ * *** *- t*A * ** *fir * * * * * *• **4 *A* * * * * * * **.*
�ITY -OF TUKWtLAY WA '. q '" � TRANSMIT
c * * * * * *�1A *•k * * * * * •A
*** * *. * * *. A .***' ,k * ***k*************t4.*A*4**
TRAWSMI•t' Number: R970A573 Amount: 39.33 04/24/97'11132
Payment Method: CHECK Notation. WDF INCORPORATED Iriit: SLB
Account Code
000/345.830
000/322.100 .
•
Permit No: M97-0051 Type:.B -MCCH MECHANICAL _PERMIT
Parcel Not 884970 -0030
Site .Address: 16235'. 49 .AV S
Total Fees. 39.38
This Payment 39.38 Total. ALL Pmts: 39.38
Balance: .00
S************ k********************** * * * * * * * *•* * * * * * ** * * * * * * * ** * **
De,ecription.
PLAN .CHECK '7. RES.
MECHANICAL RES'
Amount
/.88
31
DEPARTMENT OF LABOR AND INDUSTRIES
. THIS. CERTIFIES.THAT,THE PERSON NAMED. HEREON IS REGISTERED AS PROVIDED BY LAW AS A
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X800 TNQRN > : : .`A �11
SEATTLE WA '90199
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wit
Steph rkie M. Ramirez
Notary Public in and for the State of Washington.
My Commission Expires on September 1, 1998