HomeMy WebLinkAboutPermit M97-0133 - TAIT KENNETH AND ALICEi
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City of Tukwila C
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M97- 0133
Type: B -MECH
Category: RES
Address: 16006 47 AV S
Location:
Parcel #: 681830-0030
Contractor License No: ROSSOES142QP
TENANT TAIT KENNETH & ALICE
16006 47 AV S, TUKWILA, WA 98188
OWNER TAIT KENNETH C
16006 47TH AVE S, SEATTLE WA 98188
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
******************************************** * * ** * * * * * * ** * * * * *a * * * * * ** * * * * **
Permit Description:
CHANGE OUT EXISTING OIL FURNACE WITH NEW THERMO
PRIDE'OIL FURNACE.
UMC Edition: 1994 Valuation:
Total Permit Fee:
* * * ** *************** * * * * * * * * * * * * * * * *** * * * * * * * * * * **
Signature:
Print Name: _ i ?__
MECHANICAL PERMIT
(0 -9 7
(206) 4313670
Status: ISSUED
Issued: 10/07/1997
Expires: 04/05/1998
,547.00
44.06
Perm tvCenter 1 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 building permit
Date: 1 ' "� 7
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:
/
7- e, ,
C. C /
; City State Z1:
�n .
Value of Constructi n:25-
Tax Parcel Numb r:
7./ 83 Fl cJ
a 3
rr
Site Address: ` O p& /lye-.
(O
Property Owner:
Phone:
Phone: ,
, g 047 7
Street Address:
. n � _
�
City State /Zip:
Fax II:
0 Sewer
Contact Person:
564/ 5 je
Phone:
Street Address: ��,
/C ��� / �r� 6 - ,
S CR City /Zi
Fax #:
Contractor
0477
Phone:
-3
Street Address
it State /Zip:
Fax #: 7z 3
._ 3 3 9
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: 7 d0O /3 y u s
-C / D / t - /le L/
li
,
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes DI no
Attach list of materials and storage location on so•arate 8 1/2 X 11 •a•orindicatin• •uantities & Material Safet Data Sheets
• Above Ground Tanks ■ Antennas /Satellite Dishes ■ Bulkhead/Docks ■ Commercial Reroof
❑ Demolition ❑ Fence ► =• Mechanical ❑ Manufactured Housing - Replacement only
❑ Parking Lots ❑ Retaining Walls ❑ Temporary Pedestrian Protection /Exit Systems
❑ Temporary Facilities ❑ Tree Cutting
MONTHLY SERVICE BILLINGS TO:
�
'
1 a- Q�
Name:
.• - 1 a gS
Application tae by: (Initials)
Phone:
Address:
City /State /Zip:
0 Water
0 Sewer
0 Metro
0 Standby
Date application accepted:
�
'
1 a- Q�
Date application expires:
.• - 1 a gS
Application tae by: (Initials)
CITY OF '°'IKWILA
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' PERMITS `J
❑ Channelization/Striping ❑ Curb cut/Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: Size(s):
❑ Flood Control Zone ❑ Land Altering: 0 Cut cubic yards 0 Fill cubic yards 0 sq. ft.grading/clearing
❑ Landscape Irrigation ❑ Sanitary Side Sewer #: ❑ Sewer Main Extension 0 Private 0 Public
❑ Storm Drainage ❑ Street Use ❑ Water Main Extension 0 Private 0 Public
❑ Water Meter /Exempt # Size(s): 0 Deduct 0 Water Only
❑ Water Meter /Permanent # Size(s):
❑ Water Meter Temp # Size(s): Est, quantity: gal Schedule:
❑ Miscellaneous ❑ 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.
MISCPMT.DOC 7/11/96
BUILDING OWNER OR AU HORIZED AGENT:
SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR PERMIT REVIEW
Signature: j;-2C15'
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
Date:
Q // /9 7
Print name: ��"
,,67.,e /
Phone: 7,25: •
.63-Fax
#t7�( „- ,3��1
.53
Address:
6 ' 3
`7 / e 4 / N ; 4 f” --.
City /State /Zip
Commercial Reroof
ALL MISCELLANEOUS PE r 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
➢ 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 ".
Building Owner /Authorized Agent Ii the applicant is other than the owner, registered architect/engineer, or contractor licensed
by tho State of Washington, a notarized letier iron, 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
)71
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 rewired or re•laced
Retaining Walls - Over 4 feet in height
Residential Building Permit
Submit checklist No: M -6
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 r 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
➢ 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 ".
Building Owner /Authorized Agent Ii the applicant is other than the owner, registered architect/engineer, or contractor licensed
by tho State of Washington, a notarized letier iron, 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
Address: 160 :06 47 AV
Tenant: TAIT KENNETH
Type: E1 -MECH
Farce 1, #: :631830 -0030
LITY OF'TUKWILA
Permit No: M97 -0133.
Status: ISSUED.
Applied 09/12/1997
- Issued: 10/07/1997
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Permit Conditions:
1 . • No changes • wi l 1 be .made to the . plans unless approved by the,'
Architect Or'. Engineer:. and the Tukwila Bui lding Division.. •
A I l permits , inspect i ore t ec. ,c ri'.0 appr oved p i art's sha 1 1 be
available at the .job s'.i.,te' pri to • the`•start of... any con-
struction. These :documents r ' to :fie maintained ;ai,d avai l
able: until final inspection approval; is gr-,anted.
All construct;Ion to crone! in''`c'driformance , `.`wi ; th approved
=plans and reguirenierit • the ,.149J Bui1Ong:C.:ode (•994
Editi ; a .;amended; 'Uniforni Mechemica1 :Code (1994 Edi`t'ion)
and: Washington S Energy Code, Edifiion)': ••
Val Validity, _ :.,of Permit. : 'The issuance of a permit ; or~ ap o
p.lans` �ecit ications, and;- sha11 not be ;con -
stt u t1 ,ro •;be' a permit ; for ► or. an approval of ariv, violat, ion
of a 0) of :the provisions of the....bui lding code or or any
other ~'or di'nance;of. the` > ;jurisdi -ction.:' No permit presuming
give t`uth;or i'ty'`to violate or�:'cancel the provisions` of this
code ;$ha 11 be •:va 1 i d
• MANUF4CTURERS';'IrsTALLArI'ori I{1STRUc-TI0N'S, REQUIRED ON :''SITE
Fc THL pg `
f i ,;,..: z�.r,rsv;�
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ITV OF T 111 UKWILAy WA gi- "l_./� a, TJtAN:iM):7 * * *A* * *A * *kAkA'kk•k *•t* *Ah:k4Ak11:4t • 4 kA **k*A *4 ** *AA
TRANSMIT; Numberr: R97f06t,5 'Amount: 44.06 10/07/97 15 :44
Payment Method: CHECK flotation: ROS 3QE Knit: WAR
Permit No: M97 -01:33 Type: 13-MECH MECHANICAL. PERMIT
Parcel No: 681830-0030
Site Address: 16006 47 AV S
Total . Fees•: 44.06
This Payment' 44.06 Total ALL Pmts: 44.06
.Balance: .00
******** * * *4'* * * * *A *A* *. + * * * * *•4 *A * * *A* tit** AA *'h *•:t. *A* * *kJr * * *•k.1 *:a *4 **
Account Code Description Amount '
000345.830 PLAN CHECK RE;i 8.81
• 000/322.100 • MECHANICAL_ RES 33.25 •
yam ,.fir r : r •n�:i.5�,' i h'.. x ..k .v
� .A .: • j� /''f�.tf'i t }1 'i6i5 s:1�`..' � i �i.J� .1K � '�
403 a.3 10/08 9717 TOTAL. 8F3.12
COMMENTS:
Type of wisps tio
I . ! • J
Date called
1) - `7 - 97
Date wanted:
11 -10 -91
s Y4'0 /.._4 2 .._ p. e ai 114-. . - C . PHV , tz t+
Iv._
II!)"
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T (:).-ori. -. St4kj4W C -o. &ACLW A C1Th
AIR. 0 /41411 -N G 13 J �r y t It c--0 0,1 fr 1 1 O ooF
■..-- _, .. . - q (L.. •2 2 ` NaZ O C 1i
p A , , v i vA r l A- C L A N N i t . . a i k . 7 7 - Th . g > 5 ► 7 v = rf 1 FO S Q . , N •
Project:
A . Ci � .l �[
Type of wisps tio
I . ! • J
Date called
1) - `7 - 97
Date wanted:
11 -10 -91
A 1UZ,
.m.
p.m.
Address:
11200(0 'X S.
Special instructions:
cl G--
Requester: A to
1) 0...12.....,
Phone No.:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
C
Approved per applicable codes.
Receipt No.:
Date:
INSPECTION RECORD A r�
Retain a copy with permit. M QQ "I i'Ul3�j
PERMIT NO.
(206) 431 -3670
Corrections required prior to approval.
Inspector:
Date:
I11,
$42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
READY FOR ISSUANCE
$ "! ut O(D BALANCE DUE
YES NO STATE CONTRACTORS LICENSE
IS THIS CONTRACTOR IN THE SYSTEM?
APPLICANT CONTACTED DATE CALLED CAT.<LED BY
ACTIVITY NUMBER M97 -0133
PROJECT NAME TAIT KENNETH & ALICE
DEPARTMENT:
BUILDING DIVISION al
PUBLIC WORKS
DETERMINATION OF COMPLETENESS: (T,Th)
NOT COMPLETE p
COMPLE
COMMENTS
C:ROUTE -F
PLAN REVIEW / ROUTING SLIP
REVIEWERS INITIAL
APPROVED I 1
REVIEWERS INITIAL
L
APPROVALS OR CORRECTIONS: (ten days)
FIRE PREVENTION p PLANNING DIVISION 0
STRUCTURAL p PERMIT COORDINATOR 0
TUES /THURS ROUTING: PLEASE ROUTE p NO FURTHER REVIEW REQUIRED
ROUTED BY STAFF ri (If routed by staff, make copy to master file & enter Sierra.)
APPROVED W/ CONDITIONS El
CORRECTION DETERMINATION:
DATE
DATE
DUE DATE
NOT APPLICABLE 0
(2 1 )c / - 7
APPROVED p APPROVED W/ CONDITIONS p NOT APPROVED (attach comments) 0
REVIEWERS INITIAL DATE
.- .:avNlst..iRry!i"liri V :f10,r.*.1V&.V.:?;MttgL`4,7,..
DATE 9/12/97
DUE DATE 9/26/97
NOT APPROVED (attach comments) fl
DUE DATE
(Certificadon of occupancy required. )
REGISTERED AS PROVIDED BYLAW AS A: • '
' =I_EC CiwKT:. : E 1^ L•'.
. L S : .E 'TRGI!. sY S't ` C �:,..
.R I 11 I : " A,V AVE 5 • ;:.:
.SEATT • • . u • 98118 •
SIGNATURE
PLEASE DETACH AND SIGN
CERTIFICATE BEFORE PLACING
IN BILLFOLD
e REGISTRATION NUMBER.'" ' ..• • "I •. EXPIRAT,ON DATE . ..
'` s ::. i r ... . .- * .I '' . `''..—;'�` •. >.• r
•
ISSUE') BY DEPARTMENT OF LABOR AND INDUSTRIES
NOTARY PUBLIC
STATE OF WASHINGTON
MARGARET R. LARSON t
My Appointment Expires MAY 15. 1007
RECEIVED
CITY OF TUKWILA
SEP. •1.2.1997..::
PERMIT. CENTER .'