HomeMy WebLinkAboutPermit M97-0069 - BUEHLER ANITACity of Tukwila
Permit. No:
Type:
Category:
TENANT
OWNER
CONTRACTOR
CONTACT
UMC Edition: 1994
Permit!"Cen
Signature:
M97 -0069
B -MECH
RES
Address: 1374845 AV S
Location:
Parcel #: 734760 -0355
Contractor License No: AFFORGH053D8
BUEHLER ANITA
13748 45 AV S, TUKWILA WA 98168
BUEHLER ANITA
13748 45 AV S, TUKWILAWA.98168
AFFORDABLE GAS HEATING :INC:
3515 99 DR SE, EUERETT WA 98205
CHARLES GORD,ON, SR
3515 99,1M EVERETT WA 98205
Authorized' S "ignature
MECHANICAL PERMIT
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
************************** * * * * *, * * * * * *x * * * * * * * ** * * * * * * * ** * * * * * * * * * * * * * * * **
Permit Description:
REMOVE ; ELECTRIC FURNACE AND ELECTRIC WATER HEATER
AND INSTALL GAS FURNACE AND GAS WATER HEATER.'.
Valuation:
Total Permit Fee:
Phone:
Phone:
Phone:
Phone:
cy :
* * * * * * *: *jhik * * * *k ** ***********************;***. * * * * * * * * * * * * * *: * * * * * * * * * * * * * * **
i
Date
Date: Lk ° 1
(206) 431 -3670
Status: ISSUED
Issued: 06/17/1997
Expires: 12/14/1997
(206)439 -1913
(206)439 -1913
425- 397 -0297
425 - 397 -0297
;700.00
54.69
I hereby „certify that I'have read 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 grantirng ofi this permit does not.presume to give authority to violate
or cancele p"rovisions of any other state' or local, laws regulating
construction or the performance of work. I am authorized to sign for and
obtain thisbu,.lding permit
Print Name: Title:
This permit shall become 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,fr:om the last inspection.
MISCELLANEOUS PERMIT APPROVAL.= REQUESTED; 0 BE FILLED OUT B - ,
Description of work to be done: -- .. LL / /
4 I ( '1'r\ Ct c C:_ -t Ode Nc f Ce 1:'._ C /'!LS' , f , ! f1Q•
`) J d , . A. 0 C C -liS ` l
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes El no
Attach list of materials and storage location on se agate 8 1/2 X 11 paper indicatin uantitles & Material Safety Data Sheets
■ Above Ground Tanks ❑ Antennas /Satellite Dishes Bulkhead/Docks LJ Commercial Reroof
❑ Demolition ❑ Fence 1 Mechanical ❑ Manufactured Housing-Replacement only
❑ Parking Lots ❑ Retaining Walls ❑ Temporary Pedestrian Protection /Exit Systems
❑ Temporary Facilities ❑ Tree Cutting
MONTHLY SERVICE BILLINGS ;TO. ....
e coo_ K . c._
::
.: ` . ;'
Site Address:
/ 3 7
Name:
City State /Zip:
- e
Tax Parcel Number:
—
Property • ,
Phone:
Address:
Address: Street
City /State /Zip:
0 Water
0 Sewer
0 Metro
0 Standby
Project Name/Te nt:
e coo_ K . c._
Value of Construction: di" e' r
Site Address:
/ 3 7
-
• _�
-- C(, r. - (='ci
City State /Zip:
- e
Tax Parcel Number:
—
Property • ,
Phone:
Address: Street
Fax #:
Contact Person:,
Phone:
4 ,..,
G> C -l1.I)e_nG3G
Street ..
Fax #:
Phone:
�, 5
3`i7 0 2.,c(
Address: Street
Fax #:
r
/ 72__
Architect:
Phone:
Street Address:
City State /Zip:
Fax #:
Engineer:
Phone:
Street A : Ve04\eNN.
ity State /Zip:
Fax #:
Miscellaneous Permit Application
AP,PL''ICANTiRECIUEST<FOR MISCEL''LANEOUS,PUBL'IC.WORKS PERMIT'S' :.'.',':'.'
❑ Channelization/Striping
❑ Flood Control Zone
❑ Landscape Irrigation
❑ Storm Drainage
❑ Water Meter /Exempt #
❑ Water Meter /Permanent #
❑ Water Meter Temp #
❑ Miscellaneous
WATER METER DEPOSIT /REFUND BILLING: . .
Name:
Address:
CITY OF Tv"KWILA
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 mall or facsimile.
❑ Curb cut/Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: Size(s):
❑ Land Altering: 0 Cut cubic yards 0 FIII 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:
LI Moving Oversized Load/Hauling
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:
4;. c� �7 1 7
MISCPMT.DOC 7/11/96
Date application expires:
Pho
City /State /Zip:
Application fa en by: (initials)
/I ,
BUILDING O
ER'OR AUTHORIZ• ' , GENT: "
Signature:
r
. •
I
.i .
Date:
Print name:
L� �7rc' ► � � C — r� r���
—S
Phone : o ,
•_ ,
_
Dz
Address:
City /State /Zip:
.
ALL MISCELLANEOUS P SIT APPLICATIONS MUST BE SUB
ED WITH THE FOLLOWING:
• p►LL•.DtIAWINGVHAM.IL BE AT A LEGIBLE SCALE AND NEATLY DRAWN
> BUILbING Siff PLANS 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
D CIVIL/SITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER
(P.E.)
❑
SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR PERMIT REVIEW
'SGbMit'checklist No M -9
Above: Ground :Tanks/Water.Tanks - Supported directly upon 'grade
exceeding 5,000 gallons and a ratio of height to diameter or•width,
which exceeds ? t
Antennas /Satellite
Awnings /Canopies :; - 'No . signage ;
Bulkhead/Doc
Conimercial.Reroof.
Demolition:
. Fences:- Over :6'feetihHeight
Land Altering/Grading/Preloads ..
Loading Docks .
Mechanical :(Residential & tereisl)::
Moving: Oversized Load /Hauling
Parking Lots
Temporary. Facilities
Tree Cutting;
MISCPMT.DOC 7/11/96
MIscellaneousTublic Works' Permits
Manufactured ;Housing :(RED`INSIGNIA ONLY)
Residential Reroof - Exempt' with following exception: If roof structure
to be.repaired or replaced
Retaining ;Walls -: Over 4 feet in height
Temperary<Pedestrian: Protection/Exit Systems:
.Submit checklist ` No: M -1
Commercial Tenant, Improvement
Permit
Submit checklist" No: " M -10:
Submit checklist; No M -6
ubmit chedkiist .No::. M -3; M -3a
Submit checklist' No: M -9
•
Submit checklist No: M -2
Commercial Tenant Improvement.
Permit "Submit No: H -17
Submit checklists ��'No: "> M =8',
'Residentigoniy:- H -6; H-16-,!
Submit checklist' No: H -9
Submit checklist No: • M -5.
Submit checklist No: M -5
Submit checklist No: M -4
Residential Building Permit
Submit checklist . No: M -6
Submit "checklist No: .M-1
Submit checklist • No: M-7
Submit checklist. No: M -4
Submit checklist . No: M -2
❑ 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 1 AM AUTHORIZED TO APPLY FOR THIS
PERMIT.
CITY 'OF .TUKWILA
'PermttH No: M97 -0069
Address: 13748 45 AV
Suite:
Tenant: BUEHLER ANITA Status: ISSUED
Type: B -MECH Applied: 05/27/.1997
Parcel #: 734760-0355 Issued: 06/17/1997
**k k k**• k• k**• k*• kk* k** k• k* A******** *• k• 1k*'**• kk• k** k* k• k• kk* •** * ***•k**•k****•k•k **•k*
Permit Conditions:
1. No changes wi 11 be made to the plans unless approved by the
Architect or Engineer and the Tukwila : Building Division.
2. All permits, inspection- re,Cb ds ' and approved. plans shall be
available at the lot si.te °'pr'ior to the s.tar.t:,: of any con-
struction. These ,doc rme_nts :.are toy be mainteined avail
able until fi, nail .1 "hspection approval is grant •
3. All construction to i .be done in' conformance with approved
plans and reguirements,of the Un Bu'ild'ing. C .,(
ode1994
Edition amende'd; Uniform 'Mechanical ,Code ='(1994.,Ed ti;on),
and Washington State Energy Code (1994 Edition)
4 Validi Permit., The issua'nce,of a permit or. approval-of
plans 'pecificattOns. and :computa,tions shall not ,be' ,
strued• a permit for °`or an approval of any violeti
of army. ot"'t.he provisions of the, 1ding code or'of any
othp'r: ond'i�nance`' of the = .jurisdiction. No permit presuming
giv. author:ity to vic1 ate•.. the provisions'-of this -.,°
e£
co sha i l be .valid
MAINUFACTURERS INS:TALLATION =INSTRUCTIONS:REQUIRED ON .;Z
FOR;€ SHE BUILD'ING • INSPECTOR REVIEW,
COMPLETE
COMMENTS
REVIEWERS INITIAL
REVIEWERS INITIAL
REVIEWERS INITIAL
C:ROUTE -F
1 md» ate. CbPy
PLAN REVIEW / ROUTING SLIP
ACTIVITY NUMBER MGM, OO(O DATE GeV. 97
PROJECT NAME Bue l 9» ri i tad
DEPARTMENT:
BUILDING DIVISION 1St FIRE kr i g NTION E PLANN SION 0
PUBLIC WORKS STRUCTURAL C PERMIT COORDINATOR is
DETERMINATION OF COMPLETENESS: (T,Th) DUE DATE /1/4)
1
NOT COMPLETE NOT APPLICABLE
TUES /THURS ROUTING: PLEASE ROUTE fl NO FURTHER REVIEW REQUIRED
ROUTED BY STAFF Ej (If routed by staff, make copy to master file & enter Sierra.)
DATE
APPROVALS OR CORRECTIONS: (ten days)
APPROVED APPROVED W/ CONDITIONS ❑ . NOT APPROVED (attach comments) fl
DATE
CORRECTION DETERMINATION:
APPROVED APPROVED W/ CONDITIONS E
DATE
DUE DATE - 10° 17
DUE DATE
NOT APPROVED (attach comments) 0
(Certification of occupancy required.
Project:
Type of inspect' rr"'
Address:
r S S
Date called:
Special instructions:
Date wanted:
aa..m..
Requester;
t m.
Phone No.:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
COMMENTS:.
Inspector:
Date: /
/2-5 j9
I 1
$42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite .100. Call to schedule reinspection.
I Receipt No.:
INSPECTION RECORD
Retain a copy with permit
II
•
i)
PERMIT NO.
(206) 431 -3670
Corrections required prior to approval.
Date:
Jfr i j _�.,.
Pb(,( ,,'(,
Type of ins
a J
A 1
Date called:
Special instructions:
3:00 p Iec5
ahG ha6 tO COMc to
1/1-C. hov5 e .
Date,wa
:
_ ..l+.l
"/
p.m.
Reques r:
.../
-6176
Phone No.:
COMMENTS:
Inspect
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA, BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 9818
Approved per applicable codes.
I Corrections required prior to approval.
Date:)
AiAti
a7 -00(oq
PERMIT NO.
(206) 431 -3670
$42.00 REINSPEC ON FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 $outhcenter,Blvd., Suite 100. Call to schedule` reinspection.
( Receipt No.:
P jec : Vk .: w�„�
Type of inspechoP - Ai
1� 1
Date called:
t —'�
Addr
� � fa
instructions:
ted
.
G
equester•
uCr_
P V
311- -1
0
Approved per applicable codes.
COMMENTS:
Inspector:
Receipt No.:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
•
rrr r �c'1r dtell
AM** M 4=u, it-N 1*c vn A1.1v. Ptt... Qi.) S (CC
Date:
Date:
0 - 1 -o0 (0
PERMIT NO.
1 A
1'
(206) 431 -3670
Corrections required prior to approval.
(pirtshi
[] $42.00 REINSPECTION FEE REQUIRED. Prior to inspect on, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
t ** **h * * *k *hkk * * * * *kk. ** ** * ** k ** * * *h* *1 *** ..* * * * * ** e1k * * ***h*
;I1•Y of 'IUKWILA WA' TRANSMIT
r (* * * * * * *kA• * * * * * * * *kA * * * *k * ** 71*.
TRAN:iMIT..N"«mO,r: R9700600. Amount:
54.69 01;/17/97 . i.3 :20
Pavunent. Metha'dx CHECK 'Ncitation: AFFORDABLE GAS Init: KIP
Permit. No: M97-0069 'rvpe: B• -MECH 'MECHANICAL PERMIT
Parcel No« 734760 »03j5
Site :Addres,s'': 18745 45 AV a
Total Fees: 54.69
This Pa.vment 54.69 Totcl ALL Pmts: ' 54.69
) Balance: .00 .
*` *.* ** * *1' * * *•A*. * * * *A * * * ** * *, **** * * * *k * * * * * * ** * * ** * ** * * * k** * * **
Account Code Description .
000/345.830 PLAN CHECK' RES
000/3222.100 MECHANICAL— RES
Amount
10.94
43.75.
1436 06/18 9705 TOTAL.
CI R1KWILA
RECEIPT'
PW DCt' 10.94
PW 13CI' 43.75
CHECK 54.69
1:
06/18/97 05
14:32 0097 1436
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REG
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SIGNATURE
•
9•
ISSUED BY DEPARTMENT OF LABOR AND INDUSTRIES