Loading...
HomeMy WebLinkAboutPermit M97-0132 - PLUMB TERRYrY) q �► - DI3L .„) City of Tukwila ( Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 MECHANICAL PERMIT Permit No: M97 -0132 Type: B -MECH Category: RES Address: 4646 S 148 ST Location: Parcel #: 004000 -0680 Contractor License No: ROSSOES142QP TENANT PLUMB TERRY 4646 S 148 ST, TUKWILA, WA 98168 OWNER PLUMB D M 4646 S 148TH ST, SEATTLE WA 98168 CONTRACTOR ROSSOE ENERGY SYSTEMS INC. Phone: 206 725 -7555 9367 RAINIER AV. S, SEATTLE, WA 98118 CONTACT J. SCRIBNER Phone: 725 -7555 9367 RAINIER AVENUE SOUTH, SEATTLE, WA 98118 ****************************************** x* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Description:. CHANGE OUT EXISTING OIL FURNACE WITH NEW THERMO- PRIDE. OIL FURNACE, UMC Edition: 1994 Valuation: Total Permit Fee: (206) 431 -3670 Status: ISSUED Issued: 10/07/1997 Expires: 04/05/1998 3,115.00 44.06 * * * * ** * *. * * * * * * * ** **********.*************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** C. 16-7 7 Per1n1 -$ Cente) A horized 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 bui1 +ing per it Signature Date: _ -- 4 1 ,3-7 .-- 9 2 Print Name: _ 1571 2g'2__j2, 4CLLL____ 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: -- e c( .e.� / v" /� Value of Co truction: 0(2 •3 i t Site Address:L / ,J: , j .. / / - - /j 5 . - r Name: - ir` o,, ` / City State /Zip: / ; T� OicOO� er: 6.• g 0 Property Owner: -- Address: Phone: • eit ,_ U /g JD Street Address y- 0 Water City State /Zip: Fax #: Contact Pers on: . . �- / x "/...) .-'�l_ `t ! / /L Phone: '- �. -- / �`. e:.: fi i ce' " e Street Address 3 /( .J J / /` { . _� ��� `' c City State /Zip: Fax #: 7J z,,. .. Contractor i .- Phone: - - - ' -- Street Address: /� 67 "' 7 /9,1 / Iv i C ,c am , . City State/Zip: :--� %4' (/ .:5" Fax #: •;' - ' 3,,)1/ 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: i 577 - , a 1-1) a , Y ,_ / N LL-. 7 f /r/,/ 4 l '1);,:--- (1 /I_ , //i(, /d 4(_ r_- Will there be storage of flammable /combustible hazardous material in the building? ❑ yes El no list of materials and storage location on separate 8 1/2 X 11 paper indicatin uantities & Material Safes Data Sheets — A tt ttacch t� Above Ground Tanks Antennas /Satellite Dishes ❑ Bulkhead /Docks Commercial Reroof ❑ Demolition Cl Fence 0 Mechanical ❑ Manufactured Housing 'Replacement only ❑ Parking Lots ❑ Retaining Walls ❑ Temporary Pedestrian Protection/Exit Systems ❑ Temporary Facilities ❑ Tree Cutting MONTHLY SERVICE BILLINGS TO:. Name: Phone: Address: City /State /Zip: 0 Water 0 Sower 0 Metro 0 Standby CITY OF'"'/KWIL.A Permit Center' 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 F• STAFF USE ONLY Project .Number; Permit Number: ov 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. ❑ Channelization /Striping ❑ Flood Control Zone ❑ Landscape Irrigation ❑ Storm Drainage ❑ Water Meter /Exempt # ❑ Water Meter /Permanent # ❑ Water Meter Temp # ❑ Miscellaneous APPLICANT REQUEST. FOR MISCELLANEOUS PUBLIC.WORKS PERMITS ❑ 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 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: ❑ Moving Oversized Load/Hauling WATER METER DEPOSIT /REFUND BILLING: Name: Address: 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: l MISCPMT.DOC 7/11/96 Date application expires: Applicatio t en by: (Initials) 3_. is -�� BUILDING OWNER O A UTHORIZED AGENT: 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 Signature :'r .� l f ! . 7 1 `' > ❑ Date: ��� / y( � r" - I / ❑ Print name: ' J ,/ r i / / /"i i / Z ❑ Phone:���i __- 5 9 - Fax #:27 . ; 2, -,. . ' , t(7 Address: ( 9 .� _T C (-:../..-../ r City /Sate /Zip: : /�/ ALL MISCELLANEOUS PE • , T APPLICATIONS MUST BE SUBMI ' D WITH THE FOLLOWING:0, ➢ 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 ". Building Owner /Authorized Agent If the applicant is other than the owner, registered architecbengineer, or contractor licensed by the State of Wash /ngtcn, a notarizedlutter 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 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 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 SUBMI ' D WITH THE FOLLOWING:0, ➢ 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 ". Building Owner /Authorized Agent If the applicant is other than the owner, registered architecbengineer, or contractor licensed by the State of Wash /ngtcn, a notarizedlutter 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 $ (44,04) BALANCE DUE YES READY FOR ISSUANCE STATE CONTRACTORS LICENSE _5UIRED? IS THIS CONTRACTOR IN THE SYSTEM? NO Address: 4646 S 14$ ST Suite: . Tenant: PLUMB TERRY Type: B-MECi Parcel #: - { , ***************************k**************** TUKWILA Permit No M97 -0132 Status: I'SSUED. Applied: 09/12/1997 Issued: 10/07/1997 k**.kb * k k•.kk•k* k•k•k * * * k** Permit Conditions: 1 N : changes will be made to the plans unless approved by the Architect or Engineer and the Tukwila. Building Division. 2 . All permits, inspect i on . euord ; and, :Wiens shall be available'. at the )o..0: si;te'Orior to the start of.any.con•- truction. These Are to/be maintained and avai 1 able until final inspection: approval. is grYanted . All construction to< done { , fn''confor °mance With approved plans and xe;guirements , of the •Unitorm Building Code 01994 ,Edition) t,a's amended, ''Un i f M ' Mechan i ca`1' .Code "(1 994 Edition) , and '.W'ashI Ene'rgy..Code ;, (1994 Edition) >, • ValiditYrOf Permit, The issuance. of a permit' or approval of plams :,s;pecifications, and+..computa shall not be`-'con- strue;t1. to bes' a permit for, or an approval of, any violation of a0,/of the p r o v i s i o n s of th,e•�,bu i l d i ng code or of any other j or dinance., of the : ;jurisdiction, No permit presuming t give.:author ~i"ty,. r• to violate o. cancel the provisions of this .code: ;shall` " be valid; ,: '', MANUFACTURERS '."INS�TALLATION ,,INSr,RLI TIONS� REQUIRED ON SITE F'OR. • HE. BUILDI�NU . INSPEr TOR ` •REVIEW. ;. ' Project: / / Type of inspectio Date called: z- < a Address: _ s:9. Ly , Special instructions: Wed, Date wanted: / � a.m. (� l — /"�7 p.m. Requester: -- 266' c(6-ogoo INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 COMMENTS: Inspector: Approved per applicable codes. Receipt No.: INSPECTION RECD Retain a copy with iL mit Date: NV-0/3Z,- PERMIT NO. (206) 431 -3670 Corrections required prior to approval. Date: / p C 1 $42.00 REINSPECTION FEE REQUIRED. Prior. to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. COMMENTS: of inspection: I 'l e_ e—N, � less p-7 s,,L,A 1.- kv _1 _C-=-' E 0 Cr d, S._ • __e /l x_1 2-'J , 61/4 tic-_____e, i.__L'2Ggl_ S % / /6 ___C--0 4 b ,-_ ---rte 6f____T•t /t e,t iv S 4 / l 4' t4 ft L 44, i 7 /mil , -, 1--' p.m. Requester: 1) C..40...,p.4 gih r _f `D 4 4.-( 1---.., e- I1 , Ze one fa ay, A c i'l p 6 , , // . . n .PtSjAct X�_\,(� of inspection: I 'l e_ e—N, � `-l mtu? 5 , \`-.►1� S._ • ;a �_e call � ^ ( Special instructions: � (j C D wa ` —�7 \( _ t p.m. Requester: •,.r •0. ,.... - -a'.,. one fa ay, A c CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 IP\ (206) 431 -3670 Inspector: I I Approved per applicable codes. J Corrections required prior to approval. INSPECTION REC ' RP Retain a copy with L__) it le' F VcAl tt PERMIT NO. Date: tG7 $42.00 REINSPECTI • N FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: * * *** *fi* * *o * * *. * * * ** * * *0V -*•k ITN OF:Tugw40.44tii -77 4.,.......,..,,, o.. TRANSMIT Number:. R97 „006 5 Aron Payment; Method: CHECK Mot`at • • • • Pernmit. No: M97 Parcel No: 0040 Site Address: 4646 race q unt Cade (100724a.:£30 . 000/322.10() 0132 T 9 148 9 Phis Paymrit * * 41V A * * ** ***..V *A ** ** * * ** k * * * *sV *4V. *4 *r *r * * *-k4t *A * * * *Ai ** * * *•A•i.fi“. * * ''TRANSMIT A *Ask A*i *•. * ** Unt: i OM: ROSSME ype: U-MECH MECHANICAL PERMIT T Total Fees: 44.06 41Total ALL Pmts: 44.06 Rai Description PLAN' CHECK - RES MECHANICAL .. RCS 41* * *AA *4AA **k* * Akh ** 44.06 10/07/97 15:39 ]:rr it: WAD • * *A * * * *4** *** *st * *A* *A k **stIA * *A.* Amount 35.25 • :4: ... REGISTRATION NUMBEER•''' .. EXPIRATAH DATE ELD. ••••-.....;-, ..,:'.....••• " .;',. ;3OSSJ.ES.1?�•?,+►P; . , ; :.,;: :', .? 1.1:/.1.3./.9,8: ' 1..';'N:::: i PLEASE DETACH AND SIGN CERTIFICATE BEFORE PLACING IN BILLFOLD REGISTERED .S PROVIDED•BY'LAW AS r •, ' - : • G Y.. °s Y.s'. ; ! s :'�•i. ' • • 93'67' cA•I`2I=•i: 'A.Vc.'• 5 • '' •.. SEAT.Y..... .. ...'W . 0...118 SIGNATURE IssuE$ SY DEPARTMENT OF LABOR AND INDUSTRIES NOTARY PUBLIC STATE OF WASHINGTON MARGARET R. LARSON My Appointment Expires MAY 15. 107