HomeMy WebLinkAboutPermit M97-0067 - BRETTHAUER LEWISCity o f Tukwila (
Permit No: M97 -0067
Type:.B -MECH
Category: RES
Address: 14065 33 AV S
Location:
Parcel #: 553720 -0031
Contractor License No: NORTHWH103R2
UMC E d i t i.on:` 1994
Signature:___
Print Name:
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
MECHANICAL PERMIT
TENANT BRETTHAUER LEWIS
14065 33 AV S, TUKWILA, WA 98168
OWNER 'BRETTHAUER LEWIS G & ANN E
14065 33RD AVE S, SEATTLE WA 98168
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
**** k**** k** * * * *** *** ** * **k** * * * *k *k * **** ter** ******** * *k* **k ** * ** *** **** * ***
Permit. Description:
GAS TO GAS HOT, WATER HEATER REPLACEMENT.
* * * * * * * * * * **, ** 14 k** k*** U * * *k *k ** ** * *** * * * * ** * *k
(0
Permit :Center Authorized Signature Date
I hereby.,certify that'I have read and examined this permit and know the
same to; true. and correct. All•pro'visions law and ordinances
governing', this work will be complied with, whether specified herein or not
The gran.ti,ngof.this permit does not presume to give authority to'
violate
or cancel the, provisions a. -r state or local laws regulating
construction or the p- forty of work. I'am authorized to sign for and
obtain this buildin
Date:
Valuation:
Total Permit Fee:
(206) 431 -3670
Status: ISSUED
Issued: 06/03/1997
Expires: 11/30/1997
Phone: (206)000 -0000
350.00
42.81
L �L
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: J �
+ Au re,
r
Lew C
Value of Construction:
- Attt l ach
LJ Above Ground Tanks U Antennas /Satellite Dishes uIkhead/Docks Commercial Reroof
El Demolition El Fence ,'J Mechanical ❑ Manufactured Housing - Replacement only
El Parking Lots El Retaining Walls El Temporary Pedestrian Protection/Exit Systems
❑ Temporary Facilities El Tree Cutting
� _
v
Site Address:
( t-- ((� CG
— 3 .� /� \i .l
r
14A.i (
City tate/ '
Lt �� !,t /� l�c
�.. --- A G
Tax Parcel Number:
��_" 2- o oc /
Phone:
Property Owner: -- _
J r t e
Street Addres
City /State /Zip:
_ City Mate /Z �� i yy p ,/�/
Fax #:
0 Sewer
Contact Person:
L .
A G '� -`-- A
Phone:
2,02 .
//`�
7
�c
Street Address:
00
+
y St, t- iR:
Fax #:
Contractor:
Phone:
Street Address:
2- c & U
1.77(6<i\ TA (CG
City tat�s/ i
14,1,t n `t� 1
Fax #:
Phone:
Architect:
Street Address:
City State /Zip:
Fax #:
Engineer:
Phone:
Street Address:
City State /Zip:
Fax #:
MISCELLANEOUS PERMIT REVIEW AND APPROVAL REQUESTED:' BE FILLED OUT BY APPLICANT)
Description of work to be done: /1 __.
C ' — a 1.../ - . (- -) L. QC C_ L I'
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes ❑ no
list of materials and stoma e location on separate 8 1/2 X 11 paper indicating quantities & Material Safety Data Sheets
- Attt l ach
LJ Above Ground Tanks U Antennas /Satellite Dishes uIkhead/Docks Commercial Reroof
El Demolition El Fence ,'J Mechanical ❑ Manufactured Housing - Replacement only
El Parking Lots El Retaining Walls El Temporary Pedestrian Protection/Exit Systems
❑ Temporary Facilities El Tree Cutting
MONTHLY SERVICE BILLINGS TO:
Name:
Phone:
Address:
City /State /Zip:
0 Water
0 Sewer
0 Metro
0 Standby
El Channelization /Striping
El Flood Control Zone
El Landscape Irrigation
❑ Storm Drainage
El Water Meter /Exempt #
El Water Meter /Permanent #
❑ Water Meter Temp #
El Miscellaneous
Address:
Date application accepted:
MISCPMT.DOC 7/17/96
CITY OF TI1KWILA
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
WATER METER DEPOSIT/REFUND BILLING:
Name:
❑ Curb cut/Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #:
❑ Land Altering: 0 Cut cubic yards 0 Fill cubic yards 0
❑ Sanitary Side Sewer #: ❑ Sewer Main Extension
❑ Street Use ❑ Water Main Extension 0 Private
0 Deduct
Size(s):
Size(s):
Size(s): Est. quantity: gal Schedule:
El Moving Oversized Load/Hauling
5 - &Q- li
Phone:
City /State /Zip:
Date application expires:
FOR STAFF USE ONLY
O Public
O Water Only
Size(s):
sq. ft.grading/clearing
0 Private 0 Public
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.
Application to entry: (initials)
BUILDING OWNER OR AUTHORiZE� r:'.�'
/
C
.•---
Antennas /Satellite Dishes
Signature:
Print name:
i' �/ ./ A
Awnings /Canopies - No signage
Commercial Tenant Improvement
Permit
Date:
C
l
C
J
Commercial Reroof "
Submit checklist . No: M -6
❑
.......40.431.-
►40.!31 r �
I
t
�-'+
Phone:
Submit checklist No: M -9
Fax #:
Land Altering/Grading /Preloads:
Address:
❑
Loading Docks
City /State /Zip:
Mechanical (Residential & Commercial)
Submit checklist No M -8,
Residential only - H -6, H -16
Submit checklist No H -9
❑
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
❑
Mechanical (Residential & Commercial)
Submit checklist No M -8,
Residential only - H -6, H -16
Submit checklist No H -9
❑
Miscellaneous Public Works Permits .
❑
Manufactured Housing (RED INSIGNIA ONLY) '
Submit checklist No: M -5
❑
Moving Oversized. Load /Hauling
Submit checklist No: M -5 "
❑
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
➢ 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 ".
Bullding.Owner /Authorized Agent If the applicant is otherthan 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.
MiSCPMT.DOC 7/11/96
Addrress : 14065 33 A
Suitec
Tenant: BRETTHAUER LEWIS.. Status: • ISSUED
Type: B -MECH' ; Applied: 05/22/1997
Parcel # :'_553720 -0031 = Issued: 06/03/1
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Permit Condition:.:.
l :;: No . changes ; wi 1 1: be made to the plans unless approved by the.
Architect or, Engineer and t,h,e. Tulkwiul.a Building Division.
A 1 l ; i nspect i �t�;t"ec8rds . andr approved plans sha 1 1 be
available at.,the ioh it prior to the start,;; of any con-
struction. These, documents °,aa a to ;be mainta:ih' d. avai i-
able until final` i'n ap:prov`a;l is gran
A11 construct; ion to be "'clone 'in �°confor.•:manCe with approved
p lans .and r equireman;ts, o`f 'the Unifarrii Bui ldi`ng .code (1`994
Edition), as'`amende'd,w' Uniform Mechani` cap :l,,Code��
and Wasl1'in ° gto r State Energy Code C1994 Ed i t io n?
4 . Val idi;t . bf ° Pei^:mit. " The 1 ss.Ua'nce';.,of a permit or,,..a pproval;:of
plans. specifications, an,dj'computa,t:ions shal lnot be,,
st'r ued.`to„, .�) a permit f;ar, car an .approval of, any vio1la } tics
of any: of th 'provisions of ' the,bui ',ding code or`.of anv
other t' or ;d i'nance of the :: Jurisdiction. No permit presuming
givey,euthority to violate or the . provisions ;of this
codei rs ha l l''1`be:;,va l i Vii;,;.° ..,•.. y:
5. MA, UFACTURERS,t? INSTALLATION iINST;RUCTIONS..:REI)UIRED ON;.SI�E
E(a THE BUILDING.-I.MSPECT0RS. R,EI/ "IEW
6. P1 ipibing;perrniis sha11.`tie,;o.b'tained tiro'iigh.the Seattle -Kin
Co my Departmen of Pu 1
lea icea1ths s' -Plumbing wi11 be
in, cted`'`by that �.ag l in c.Ridin,g,,al l : piping
c 296` 4722 .'.4 ; r ''
El e,ctr� i4,4,Ah� permi shall be obt Wa'shirrgt. "on
'Sta ,t , * of Labor and Ind str`;ries -and•.a1l el.ectr1ca =1
wor lie; inspected by that a (248- 6630? .:," v ' r.
u!t
PLAN REVIEW / ROUTING SLIP
ACTIVITY NUMBER M97 -0067
PROJECT NAME BRETTHAUER LEWIS
DEPARTMENT:
BUILDING DIVISION a FIRE PREVENTION ❑ PLANNING DIVISION ❑
PUBLIC WORKS ❑ STRUCTURAL ❑ PERMIT COORDINATOR ❑
DETERMINATION OF COMPLETENESS: (T,Th)
COMPLETE
COMMENTS
NOT COMPLETE
TUES /THURS ROUTING: PLEASE ROUTE fl NO FURTHER REVIEW REQUIRE
ROUTED BY STAFF ❑ (If routed by staff, make copy to master file & enter Sierra.)
REVIEWERS INITIAL
1 c7,
APPROVALS OR CORRECTIONS: (ten days)
APPROVED ri
REVIEWERS INITIAL
CORRECTION DETERMINATION:
REVIEWERS INITIAL
C:ROUTE -F
�tr��ta; ���ti,.? i.'nf;.Y;'y'y:«�7�7:;�if.::4 ^ •. J.i.'Y�z�htr.:�cr.i':fi�'t< sae• „•+n ^s.�•,:,aa.rvx;':r.�mYr >• ;••ao.::i ^.t: w; :t;N:Sr:rr;soJ.rxre;s rrrczze;
DATE S
DATE
DUE DATE
NOT APPLICABLE ❑
DATE 5/22/97
DUE DATE 6/05/97
APPROVED W/ CONDITIONS NOT APPROVED (attach comments) ❑
DUE DATE
APPROVED ❑ APPROVED W/ CONDITIONS ❑ NOT APPROVED (attach comments) ❑
(Certifcadoa of occupancy required. )
Project:
Type of inspec on:
li
Addres :'L0 (0c ,
. � ,
Date called: 7
,'' .
Special instructions: s:
�SQ(1/ Q, i� '. (
'
Date wants
a
Requester:
t,S
�V t A } ✓IG
tj�'
Phone No.:
[
/_
COMMENTS:,
lnspecto
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
INSPEC ION NO
CITY OF TUKWILA BUILDING DIVISION ,
6300 Southcenter Blvd., #100, Tukwila, WA 98188 ' .-- (206-) -43j 3670
Corrections required prior to approval.
Receipt No.:
Date:
Date:
$4 0 REINSPECTION FEE REQUIRED Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
. * # ; *.*. A** 0{**** . *# *0% * ** * * *dt * *A * * * * * * *** * *** • # * * * * ** * *0l * * * **- A* ***
CITY OF TUKWIL( WA ° TRANSMIT
***** 04 *** *,k0**h *h * * *k��Ci� #
TRANSMIT Number: 89700591 Amount: 42:81 .06/03/97 14:06
Payment: Method :. CHECK Notation: WDP' INCORPORATED Init: SLR
Permit No: M97-0067 Type: B -MECH MECHANICAL PERMIT
Parcel No 550720 -0001
Site Address: 140.65 33 AU 5
Total Fees: 42.81
This Payment 42.81 Total ALL Pmts: 42.81
J ��11 �(� J � y 11 11�� 1�
Balance: , 1 J .00
* * * * * * * It * * * * * * # * • * * * * * T * * * * * * * * * * * * * * * * * * * * * ** * * * * * # # * * * it * * * * * * T *
Account Code, Description Amount
000/345.830 PLAN CHECK - RES 8.56
000/322.100 MECHANICAL * RES 34.25
Steph Sle M. Ramirez
DEPARTMENT OF LABOR AND INDUSTRIES
•
Notary Public in and for the State of Washingtoh.
My Commission Expires on September 1, 1998
STATE OF WASHINGTON