HomeMy WebLinkAboutPermit M97-0132 - PLUMB TERRYrY) q �► - DI3L
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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: --
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Value of Co truction: 0(2
•3 i t
Site Address:L / ,J: , j .. / / - - /j 5 . - r
Name:
- ir` o,, ` / City State /Zip:
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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:
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Phone: '- �. --
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Street Address 3
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`' 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
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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,
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S % / /6
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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
$42.00 REINSPECTI • N FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
* * *** *fi* * *o * * *. * * * ** * * *0V -*•k
ITN OF:Tugw40.44tii -77
4.,.......,..,,, o..
TRANSMIT Number:. R97 „006 5 Aron
Payment; Method: CHECK Mot`at
•
•
•
•
Pernmit. No: M97
Parcel No: 0040
Site Address: 4646
race q unt Cade
(100724a.:£30 .
000/322.10()
0132 T
9 148 9
Phis Paymrit
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''TRANSMIT
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Unt:
i OM: ROSSME
ype: U-MECH MECHANICAL PERMIT
T
Total Fees: 44.06
41Total ALL Pmts: 44.06
Rai
Description
PLAN' CHECK - RES
MECHANICAL .. RCS
41* * *AA *4AA **k* * Akh **
44.06 10/07/97 15:39
]:rr it: WAD
•
* *A * * * *4** *** *st * *A* *A k **stIA * *A.*
Amount
35.25
• :4: ... REGISTRATION NUMBEER•'''
.. EXPIRATAH DATE
ELD. ••••-.....;-,
..,:'.....••• " .;',.
;3OSSJ.ES.1?�•?,+►P;
. , ; :.,;: :', .?
1.1:/.1.3./.9,8:
' 1..';'N:::: i
PLEASE DETACH AND SIGN
CERTIFICATE BEFORE PLACING
IN BILLFOLD
REGISTERED .S PROVIDED•BY'LAW AS r •, ' -
: • G Y.. °s Y.s'. ; ! s :'�•i. '
•
• 93'67' cA•I`2I=•i: 'A.Vc.'• 5 • '' •..
SEAT.Y..... .. ...'W . 0...118
SIGNATURE
IssuE$ SY DEPARTMENT OF LABOR AND INDUSTRIES
NOTARY PUBLIC
STATE OF WASHINGTON
MARGARET R. LARSON
My Appointment Expires MAY 15. 107