HomeMy WebLinkAboutPermit M97-0139 - GWINN CINDYu3 on
,AIL
cit
City of Tukwila (
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M97 -0139
Type: B -MECH
Category: RES
Address: 11624 40.AV S
Location:
Parcel #: 734060 -0124
Contractor License No: BRENNHC077NC
TENANT GWINN CINDY
11624 40 AV S, TUKWILA, WA 98168
OWNER SALA ARTHUR L
11620 40TH AVE S, TUKWILA WA 98168
CONTACT DONNA JACK
4601 SOUTH 134TH PLACE, TUKWILA,.WA.98168
CONTRACTOR BRENNAN HEATING
4601 S 134.PL, TUKWILA, WA 98168
****************** * * ** * ** * * * * * * * * * * * * * * * * ** * * ** **
Permit Description:
INSTALL PROPANE FURNACE.
UMC Edition: 1994
ermi nter�r zed Signature
1 ig ure t
Signature:__
2
Print Name: ren
MECHANICAL PERMIT
Valuation:
Total Permit Fee:
Date
/0
(206) 431 -3670
Status: ISSUED
Issued: 10/06/1997
Expires: 04/04/1998
Phone: (206)246 -9185
Phone: 206 - 248 -7900
Phone: 206 248 -7900
5,500.00
44.06
* * * * ** ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
I hereby.cert.ify 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.
61 r10 /1 D a e : EC,— -9;
_...t_ ?_2beTit __ CLa zA. cs—
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;v r//4/
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes SI no
Attach list of materials and stora a location on se arate 8 1/2 X 11 a er indicating quantities & Material Safety Data Sheets
Value of Construction: c--
J s0°
Site Address: fi b
/ b y S
� C�
. ,4ve
S7" °
Cit State /Zip:
�� ' /�
Tax Par c inn r
tr7c 60 -o 0 c .
Phone:
Property Owner:
City /State /Zip:
0 Water
S ess:
0 Metro
0 Standby
y
City State /
Fax #:
(4
Contact Person'.
!/ e2a/// /e4
��-K
Phone:
2. y_ e 2
Fax #: .5....._ 7 9ey S
S ress:
/ 3 (/ y
'
- 7 /�
City State /Zip:
�6�
Contractor:
t /ir//?/,;Irr�
i .
i 7
la
Phone: 2- 4 7
0
Street Address
O �
J
City State /Zip:
Fax #: 2_ U ( 4 7 � `S _
O
Phone:
Architect
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 do e:
al / /' i f //.d . 4t- l: .
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes SI no
Attach list of materials and stora a location on se arate 8 1/2 X 11 a er indicating quantities & Material Safety Data Sheets
Above Ground Tanks Antennas /Satellite Dishes Bulkhead /Docks LJ Commercial Reroof
71 Demolition CI Fence 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 Sewer
0 Metro
0 Standby
Miscellaneous Permit Application
APPLICANT -REQUEST. FOR MISCELLANEOUS PUBLIC WORKS PERMITS
❑ Channelization /Striping Cl 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 El Street Use ❑ Water Main Extension 0 Private 0 Public
❑ Water Meter /Exempt # Size(s): 0 Deduct 0 Water Only
❑ Water Meter /Permanent # Size(s):
El Water Meter Temp # Size(s): Est. quantity: gal Schedule: _
❑ Miscellaneous ❑ Moving Oversized Load/Hauling
WATER METERDEPOSIT/REFUND BILLING:
Name:
Address:
CITY OF" TUKWILA
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.
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:
c-)
MISCPMT.DOC 7/11/96
Date application expires:
OR STAFF USE ONLY
Project Number:
, Permit Number: M C C -2---
Phone:
City /State /Zip:
D qc
Application take n y: (initials)
BUILDING OWNER OR AUTMQt41ZE ' ENT:
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
:
Signature i ?, ,
. ., G ., , --
X11 4
❑
Date:
j1
7_,,- r `/ r2
Print name: �y ( , / ,
1/
Phone o/d 2
Fax # 2- V /9 ,_ 7 � a f .•
Addross:y s /.3 /i lk gj
Bulkhead/Dock
City /State /Z +p: --"f 61,,, ���
❑
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
0
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
❑
Miscellaneous Public Works ;Permits
Submit checklist No; H-9
❑
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 71 •
❑
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
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
➢ CIVILISITE 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 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
.���
` 0 .
CITY OF TUi;WILA
Address: 11624 40 AV S Permit No: M97 -0139
S u i t e :
Tenant: GWINN CINDY Status: ISSUED
Type B -MECH. Applied: 09/22/1997
Parcel #: 734060 -0124 Issued 10/06/
1k• k• k* k.• k•kk• k* *•k•kk*•kk•k** *** ***k•kk*** **** *A*4* **k* 4k***•k *
Permit . Conditions:
1. No changes will be made to the plans unless approved by the
Architect or Engineer and uk
the Twi,.la Building Division.
All permits, inspec• tion. plans shall be
available at the .j,ob o ;te`•prior to the tar t`•of,, any con-
struction. These docurnent are to b.e maintained and avail-
able until final inspection approval i= gra
3. Al A i : eonstruct to. be done in' approved
plans and requIrernent 01 thetln•ifor ~m Bufld ng :►ode'(1,994
Edition) as;'amended;, •Uniform " Meehan i ca 1` .Code '•( 1994; .Ed i t i on) •,
and Wash'.ington.State Ener'gy;.Code. Edition)
4. Val i d i tiv:,of Permit. The issuance-of. a permit or appr'ova'l of
plana andyconrputations shall not be'' "con-
strued rto •be' a permit for or an approval of, any violation
of an . ! ;he. prov,i s i onS of the. b u i l d i n g code or of any
other` :or dirance the :jurisdi•ction, No permit presuming t
gi veauthor i tyto ,violate " or ,cancel the provisions of ,this
code %sha l T be ;va 1 i �i
S. MANUF'\CTURER .INSTALLATION ,INSTRL!CTIONS. REQUIRED ON SITE
F0f . THE BUILDING INSPECTORS .REVIEW. , •'
6. .E1ectrical z..pet m ts, Shall be obtained :through the Washington
5t to Division of , ; .Labor ,anti t' ndustriey anti al l electrical
worlc` l l '"he inspe;c'ted by that•, agency 1248 6630) ,
7. ,PlunibvIng er'mi•,ts shaflrbe'obtaftrithpOUghthe 'Seat0e 4in'g
County; C'epar*tmeept of Public Hea Ith ,pluming wi l 1 :be:
,r
i nspe.c;ted ,.:b=y'•that. agency, i n c l u d i n g : %a.1 1'gas •.p•i p i ng
t 2 9 6 = 02 M... , , .
$ 1 -1 u .Op BALANCE DUE
READY FOR ISSUANCE
NO STATE CONTRACTORS LICENSE REQUI
IS THIS CONTRACTOR IN THE SYSTEM? YES
APPLICANT CONTACTED
Do i
DATE CALLED . . . CALLED BY
•I . '7G1111111111111Wi
..,.....,....,,,,.> ......
ACTIVITY NUMBER M97 -0139
tM. f�Av:.Y.'lJ'
PLAN REVIEW / ROUTING SLIP
PROJECT NAME GWINN CINDY
DEPARTMENT:
BUILDING DIVISION r FIRE PREVENTION I I PLANNING DIVISION ❑
PUBLIC WORKS ❑ STRUCTURAL ❑ PERMIT COORDINATOR ❑
DETERMINATION OF COMPLETENESS: (T,Th)
COMPLETE ❑ NOT COMPLETE
COMMENTS v1 .8-
TUES /THURS ROUTING: PLEASE ROUTE ❑ NO FURTHER REVIEW REQUIRED El
ROUTED BY STAFF n (If routed by staff, make copy to master file & enter Sierra.)
REVIEWERS INITIAL
APPROVALS OR CORRECTIONS: (ten days)
APPROVED n APPROVED W/ CONDITIONS 2
\ REVIEWERS INITIAL
CORRECTION DETERMINATION:
DATE
DATE I II-3
DUE DATE
NOT APPLICABLE fl
APPROVED I l APPROVED W/ CONDITIONS ❑ NOT APPROVED (attach comments) ❑
REVIEWERS INITIAL DATE
C:ROUTE -F
n��'att 5w, ror. rAl:f�'f'.�.:!C. +1T'.>.r; -S 4�PL '.!'�! °!f;.;;•'iXF,GT��F-irnM; nv.}1..r,. ,^ fir;,
DATE 9/22/97
DUE DATE 10/06/97
NOT APPROVED (attach comments)
DUE DATE
(Cert fcadoa of occupancy required.
Project: ' 1
IA, r ,
pe of sp- flow
A ress:
I r 7 '4
Lfa p4-v
�
•
Date :lied: La- is – 9 i
Date wanted: 1o _ ��_ a.m.
P.m.
Special ins ructions:
Requester:
Phone No.(�
0 2 S oir_
INSPECTION RECORD
Retain a copy with ,_,.•nit
, INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
COMMENTS:
[Inspector:
I
1v►�(�1 -0 131
PERMIT NO.
206) 431 -3670
Corrections required prior to approval.
.
Date: / Ij -q 7
$42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
+' p
Project: .
�^ `�
Type of insp; • ; i ,
`�- N— /�rj
Address:
1 00cD
Date.called: t i 1 ,,,
NV
Special instructions:
Date wanted: t ' — I a
Requesters
Phone No,�, r y/ ! _
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
I
Approved per applicable codes.
COMMENTS:
Inspector
l Receipt No.:
INSPECTION REC n
Retain a copy with it
Corrections required p 1 r a prove .
/f aid L
$42.■ ' 'REINSPECTIO' FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
Date:
(206) 431 -3670
.S �,t•' ta' ; ri .'1 'Syr ' {� �T; • .'r.',
• t *•4 *kAA•A 4 .4.•k.kk*k** *ak k**A. *•h ** . /c A /t * ** A *AAAkA*is *A.ic
ITN •OF Tt!KWILA,. WA _- TRANSMIT
*. Ak* 71rk +� e k k k* lr 4 rA :4 Iit:4kk.lkkkkk k 4 .4A
TRANSMIT..Number^ 89700654 Amauut;: • 44.06 10/06/97 1110
, Payiaen •Method: ,CHECK Notation: •brennan heating •In•it: KJP •
'Permit No. M97- 0119 " Type: 13 -Mi CH MECHANICAL PERMIT
Parcel. Noy: 734060-0124
5 i tr? Addr 11b24 ;40 AV $
Total Fees: 4'4..06
TM i 5. Paymerlt 44.06 • Total ALL Pmts: 44.06
L3nlance: .00
+1• ** * +.44 * * * A*• k• k• A•* Akst* Ak• A•.***** f* •A *d.A *•k *:'.*". * * * *A1•.t *•** * ** *A* **
Account Desor.iption Armount
000/345:.830 'PLAN CHECK -. RES 8.81
000,/322..100 MECHANICAL •- RE,S 335„23
i1`, P't, ' ;T. :;Vi77 . 77,:Tr7 , • ,7r7ti tsi•i', _ er , ,
r
June 25, 1999
Donna Jack
4601 South 134 Place
Tukwila, WA 98168
Dear Ms. Jack:
Sincerely,
Brenda Holt
Permit Coordinator
City of Tukwila
RE: Permit Status M97 -0139
11624 — 40 Avenue S
Department of Community Development Steve Lancaster, Director
In reviewing our current permit files, it appears that your permit for the installation of a propane
furnace issued on October 6, 1997 has not received a final inspection as of the date of this letter
by the City of Tukwila Building Division.
Per the Uniform Building Code and /or Uniform Mechanical Code, every permit issued by the
building official under the provision of this code shall expire by limitation and become null and
void if the building or work authorized by such permit is not commenced within 180 days from
the date of such permit, or if the building or work authorized by such permit is suspended or
abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, if a final inspection is not called for within ten (10) business days from the
date of this letter, the Permit Center will close your file and the work completed to date will be
considered non - complying and not in conformance with the Uniform Building Code and/or
Mechanical Code.
Please contact the Permit Center at (206)431 -3670 if you wish to schedule a final inspection.
Thank you for your cooperation in this matter.
ciikedIL;
Xc: Permit File No. M97 -0139
Duane Griffin, Building Official
John W Rants, Mayor
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (206) 431-3665
CITY OF TUKWILA Id: ACTP125 Keyword: UACT User: 1672 05/25/99
Activity Table Processing MECHANICAL PERMIT
Permit No 1497 01'39t:z' Tenant GWINN CINDY
Status: ISSUED Address :'11624 :`40,;AV.
Enter Option: I
9
9
v
9
9
9
9
9
S
*** Press any key to continue * **
Type: B -MECH Vera: 9602 Screen: 01
Base Information
Parcel No: 734060 -0124
Owner: SALA ARTHUR L
Validated By: SLB Plan Ck Approved: 9/23/1997
Status: ISSUED Applied: ";9/22/1997; -.r issued: 10/ 6/1997
Active /Inactive: A. Completed: / / To Expire: 5/12/1998
Final Notice Sent! / / Final Response By: / /
Nature of Work:''INSTALLPROPANE4URNACEt
Location:
Category: RES (RES, NRES, STOV)
Inspector Area:
Valuation: 5,500.00
UMC Edition'(Yr): 1994
Fire Protection:
Use Change (Y /N): N
Storage of Flammable /Hazardous Materials :NO
P7•Update, P2•Previous Line, F1.Screon Index, ESC-Cancel Update
CITY OF TUKWILA Id: ACTP140 Keyword: UACT User: 1672 05/25/99
Activity Maintenance - People Proceosing MECHANICAL PERMIT
Permit No: M97 -0139 Tenant: GWINN CINDY
Status: ISSUED Address: 11624 40 AV S
Line Name Relationship License No. Date
1 GWINN CINDY TENANT 09/22/1997
2 SALA ARTHUR L OWNER 09/22/1997
3 DONNA JACK CONTACT 09/22/1997
4 BRENNAN HEATING CONTRACTOR BRENNHC077NC 10/06/1997
Inspect a Person
Relationship: CONTACT
Name: DONNAJACK::i
Address: 4 SOUTH. 134TH PLACE
TUKWILA,: WA
Zip: :98168,.
Phone: 206 -248 -7900 Date: 09/22/97
Notation:
5
•
REGISTRATION NUMBER
EXPIRATION DATE
01..
EiR . N Nil C 0 77NC•
0 4 / 1 2 /98
17: Pr a+v �.. �• .t � . }}�t �t� ' ,i i � v +�
.rf f` P P ¢ ' �.F !'� 1 A J r ••
t,� tti + ,r
r 4 . } . / �r "� /r C 1
REGISTERED,AS PROVIDED BY LAW. AS A:
��lh�A3
r 7 Y i« i 1 `1 i" L {' HEATING G ife' 'L+Y I `7'
H R7
4$ O 1 ; 134TH Pi,..,
i E}' .! lie., . i' L 9 '8 . . 6 `„ — 2 4 0
SIGNATURE f
ISSUE