Loading...
HomeMy WebLinkAboutPermit M97-0183 - SIEDENBURG DAVID0 (1 4 "' �3 City of Tukwila Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 TENANT OWNER Permit No: M97 -0183 Type: B -MECH Category: RES CONTACT CONTRACTOR CONTRACTOR Permit Print Name r zed Signature MECHANICAL PERMIT Address: 1601247 AV S Location: Parcel #: 681830 -0035 Contractor License No: /JORT}V∎i f'f.1D3)- SIEDENBURG DAVID 16012 47 AV S, TUKWILA, WA 98188 SIEDENBURG DAVID 16012 47 AV S, TUKWILA WA 98188 LYNH ROWE 2800 THORNDYKE, SEATTLE WA 98199 NORTHWEST.WTR HTR INC /DAVIS WH 2800 THORNDYKE AV W, SEATTLE,, WA 98199 NORTHWEST'' WATER HEATER :, INC. Phone: 206 282 -4700 2800 THORNDYKE AVENUE WEST, SEATTLE, WA 98199 * * * * * * * * * * * * * * * * * * * * * * * * * ** Jk * *** k******************* ,k,k tk** **ik** * ** * ** *** * * ** Permit Description: GAS TO GAS FURNACE REPLACEMENT. UMC Edition: 1994 Valuation: Total Permit Fee: ** * * * * ** ********* � * ** * * * * * * *** * * * * * * * * * * * * * * * * * ** *fir * * * * * * * * * ** Date Status: ISSUED Issued: 12/18/1997 Expires: 06/16/1998 Phone: 206 -244 -3878 Phone: 206 244 -3878 Phone: 206 -282 -4700 (206) 431 -3670 250.00 42.81 I herebyscertif y 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 ot• state or local laws regulating construction or the perf• an �;�- 119 ork. 'I am authorized to sign for and obtain this building • -rm ©"" ■ Signature: _ Date:_,( 407■ , "wlif Title: This permit shall become null and void if 'the work is not commenced within 180 days from the date of issuance, or'i.f -the work is suspended or abandoned for a period of 180 days from the last inspection. Project Name/Tenant;;-•1 .\\ \ D 1 'e1 t) I •1/6t e) l� P , City ate /Zip: �, T (( Vol Valu o t ct�n: Tax P arcel umber: "Doi Site Address: l Lk) C) i —q 1--- A\1 , Property Owner: )A It 5 ve P \ i � it State Zip: Phone: Ca . . _ S As Fa • Street Address: City /State /Zip: t ` Contact Person: 0 Sewer I, n c. 0 Standby Phopne: .0 4 - Street Address: cio a �� IA E 7 L Cit St / ip: Fax #: Contract r l lAt VI . f) l< k - rte c I . . ^) ' 111, City State/Zip: y , p ., 4 Phon : Z G C , 2 "( CO Fax #: Street A 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: _ Will there be storage of flammable /combustible hazardous material in the building? ❑ yes ❑ no Attach list of materials and storage location on separate 8 1/2 X 11 aper Indicating quantities & Material Sam Data Sheets I_I Above Ground TanksAU ntennas /Satellite Dishes U Bulkhead /Docks tJ Commercial Reroof ❑ Demolition ❑ Fence RI Mechanical El Manufactured Housing - Replacement only ❑ Parking Lots ❑ Retaining Walls ❑ Temporary Pedestrian Protection /Exit Systems ❑ Temporary Facilities ❑ Tree Cutting MONTHLY SERVICE BILLINGS TO: i 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 ❑ Flood Control Zone ❑ Landscape Irrigation ❑ Storm Drainage ❑ Water Meter /Exempt # ❑ Water Meter /Permanent # ❑ Water Meter Temp # Size(s): Size(s): Size(s): Est. quantity: gal Schedule: ❑ Miscellaneous ❑ Moving Oversized Load /Hauling WATER METER DEPOSIT /REFUND BILLING: Name: Address: 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 applLatlo - e o ask - �� MISCPMT.DOC 7/11/96 CITY OF TUKWiLA Permit Cent:, 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 • R STAFF USE ONLY 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 Fill cubic yards 0 sq. ft.grading /clearing ❑ Sanitary Side Sewer #: ❑ Sewer Main Extension 0 Private 0 Public El Street Use ❑ Water Main Extension 0 Private 0 Public 0 Deduct 0 Water Only Daterrbsx Phone: City /State /Zip: Ap c on a b als) BUILDING OWNER OR AUTHORI ZED'AGENT: ; iX _!l �•'= =� Phone: City /State _��_ Date:t7 Signature: name: Print name : ` ' ' /. " , ' t_.. ' / ' J f�i /Zip: Fax #: Address: - �� Submit. checklist No : M-10 :: ❑ 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 diameteror..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 ` in 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 checklistNo: 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 HousingIRED 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 APPLICATIONS MUST BE SUBMI D WITH THE FOLLOWING: ➢ ALL DRAyviripS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN ! BUILDING SITE PL ? Ai1S 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 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. 1 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_ V4SHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. /'= ' - - ) d ♦ MISCI ?MT,D'UC' 7/11/96 CITY' OF TUKWILA ' Addr`ess :..16012'; 47 Suite. Tenant: SIEDENBURG T.vpe B -MECH Parcel # :. 61 1830 -0035 Status: ISSUED. Applied: 12/1011997 Issued: 12/18/1997 A' k*, kk• kk• k********** k: 4** h. k• k****, k*• k*******• k* kk*** kk*.**** k• k . *kk•4•k'kkk•k*•k * *k•k'k * *** Perinit Condition 1'. No changes will be made to the plans unless.approvedby the Architect - or Engineer and the Tukwila Building Division. All permits, _.inspection',r+ecuds, and = app Pans shall be available 'at the lob s':i:.te' to the' star t *of,an,y .con - 'struction. These idocumen•ts are to''be maintained' and avail- able until fintd1 i`nspec,ti,on approval, is granted; 3; All construction to be done' in `conforrnance with approved plans and requirements '- of the . Uniform form Bu i l d:i ng (1994 �Ed it i on) • as °,`amended, ` Uniform ` Mechanical ` =Cede -` (1994:. Edition), and Wash,ington,,Stat'e Energy. Edition) 4. Validity Of Per 0t. The issuance :'of a permit • or' approval of plans6 specif ications, ..arid computation: shall not be .con strued: Ito,be'a pe,r'�niit...for, or an approval of, any vioiation of anyi•. of the provisions . of the , bu i i d i ng code or of an , othordi of the jurisdiction .: No permit presuming to give a'uthor,ity:'to violate' or;''cancel the. provisions of ,this :cod „s hall' be valid," 5 MANUFACTURERS .`'IN„ TALLATI N'INSTRUCTION'S;•REO1IIRED ON SITE FORS' THE; BUILDiNG INSPECTORS , .REVIEW. ;;: P1unibing permits . s cbta1ned• through the Seattle-K1 Cou Department ' of• d'u'b1 ic, "Health. ` P 1umh 1ng will b ins'pected b`y that agency, ,,including al'1 g piping (296'=.4722Y .. 7. E1e 1 r ,ic'a1 , 4erm)is shall be obtained 'throMgh' the WashinLton State;'Divi:sion of Labor and Indust'rles : and all ; electr•lca;7. ; work \w;t',11 `b ..lnspcted by that agency 1248- 66.30 Perrni t No: hi97 -0183 1 REVIEWERS INITIAL Pearuf cord. Copy PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER M97 -0183 PROJECT NAME SIEDENBURG, DAVID DEPARTMENT: BUILDING DIVISION 0 PUBLIC WORKS L. DETERMINATION OF COMPLETENESS: (T,Th) COMPLETE f NOT COMPLETE LJ COMMENTS TUES /THURS ROUTING: PLEASE ROUTE fl NO FURTHER REVIEW REQUIRED Ell ROUTED BY STAFF (If routed by staff, make copy to master file & enter Sierra.) APPROVALS OR CORRECTIONS: (ten days) REVIEWERS INITIAL CORRECTION DETERMINATION: FIRE PREVENTION E PLANNING DIVISION a STRUCTURAL ❑ PERMIT COORDINATOR DATE DATE DATE 12/10/97 DUE DATE 12/11/9 NOT APPLICABLE El DUEDATE 12/25/97 APPROVED n APPROVED W/ CONDITIONS Ei NOT APPROVED (attach comments) fl DUE DATE APPROVED t l APPROVED W/ CONDITIONS El NOT APPROVED (attach comments) 0 REVIEWERS INITIAL C:ROUTE -F DATE (Certification of occupancy required. ) ProjeS ie /_ _ , i �C.t� Type • i • :ctio Addr: • : Date c. t- . . Special instructions: Date wanted: a.m. Requester �������/�, Pho rc - / A IMMA ..... 1Stro a.atoe V.o.to.s+wwan7+4.wsn.nn. .... *.M.Arr . R INSPECTION RECORD Retain a copy with per INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 9 -2 431 -3670 Approved per applicable codes. COMMENTS: Date: $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: 1 J Receipt No.: t I Corrections required prior to approval. Date: PERMIT NO. COMMENTS: 6 6 /t-- Fu k - N - - �kr' t d CA -,"V, f J f-Ni (A ►J elPhir-INEP _ l 14 IF.L■ _ ...Cr , , , r - r. Q 1 rzt AiVL- ( 44. -A. Fes.-- t.AliCN To np..A -ta oti . '(i. w u. — 07 a/At is Tic »»4.'f' 6h- A/k1V► r c' `.L - Acs CT►. 0........ +,. 11. TSIS)F. , -tr 4 QF �rSn�.�c�torlS _.. 2) V -.11-1,-NC- t,_.t ,_.t 1 6.., L. ,cn a Ti t t ' Cad krSF`'j i s A ? O i e w - n t_- I L ' r� y c a ACE41.f tS A 1 S 7 cm, 111 Mr c.{ A.i..1 ? N 9 A-Ci 71E 4{,i rre Lt l,,c 7 144 ; - ,a*" Pic - � j 4tk w 101 C "A" I t) 1 lkB MA PiTt.64,1 5 ? 1 Drf``� 43evtaAtacf 7 T Wiu.. r '.n Ems p l 1- j -18 A r_ Art IAS 1 -A-r.N R v, t t V� f h r___1 +l 19 E P. Project: ^ \ Address: )6 97 _, / -AU 5 Type of Inspection: A.,..,:-1 ,� Date called: �' �� - Special instructions: Date wanted: 1- j -18 a.m. c Requester: I/ !� Phone No.: -- t-1 U - j "7 INSPECTION NO, INSPECTION RECORD Retain a copy with perm,d Mt -7_p R9 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 .Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431 -3670 Approved per applicable codes. [J"Corrections required prior to approval. T7 $42.00 REIN PECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection. Receipt No.: Date: r *k** *A•h1k * k *4(k•A * * *A k•k•kk *,4•k•4A *A•k•k•kA *A kA k1 Ak• 6 .*•A *•A•kkA'kA•k11ir�444•A ITV t1F TUKWl t:A, WA I TRANSMIT iA•*A* *A: *,t:*h *ItbA•hAGIskk?rk 4 *A4 :4k•' * TRANSMIT- Numb.er••"R9700F Amount: . 42.81 12/18/97 13:41) Paynit ►nt t4ethad�: CHICK Notation: WDF INCORPORATED Init« WAR Permit No 1497••01t33 Type: t3 -ME CH MECHANICAL PERMIT Parc91 Na q 681830-0035 Site Adresst 16012 47 AV 3 Total frees: 42.£31 This Payment 42.81 Total ALL Pmts: 42.81 Balance: .0 {) L *%S F* k* A4•k **A•*1A4•ki411•h *i1iAA)7kIt ki t•A•W kt 1*4d•k•k1A•AA#•A *•h+•%*iki,11 .et.x*#.**•A•h* Account •Code Description 000/345,830 PLAN: CHECK - RES 000/32.100 MECHANICAL ._ RES Amount [ 8.56 34„25 6913 12/19 9717 TOTAL: 42.81 .... ,...i:?', REQIStRA11 1UABEF.:;{.. . A': t' ' i;: , ` : EXf?IRAl1bN DAlE:: •. ., • .- .iVta 'TH ,P7 � ,2//! 7 ;� %4 Sirco 1957 NORTH 411166. WEST= WATER HEATER • HEATING /AIR "The Accent's On Service" N!f!�! n// G'lv{!'%V�M�y1i %if!'n.(!11!N /N! HIV' N%/ G'! j�}!iLvL{.IJn!fiIN1A!W7iF:4wy' iiiliiNlNl% vYGI�! ��vJwSrifivVll��✓!•//' i/ vNiili'!i! /: /i /iN / /! /� / / /l / / /ti, DEPARTMENT OF LABOR AND INDUSTRIES THIS CERTIFIES THAT THE PERSON NAMED.HEREON IS REGISTERED AS PROVIDED BY LAW AS A • 1 1 +c 'Y L•'s� �: N.ti y`�'L�f°S(�.u'ii +:'w•P;i: :;i••' 2800 THO 1∎11 E AcC)l ' -- •: ATTL.E . WA 90199 State of Washington County of King I certify that this is the true and correct copy of the original document as presented to me by Glenda Giroux of Northwest Water Heater, Inc. SEATTLE 0 Please reply to: 2800 Thorndyke Ave, W. Seattle, WA 98199 206 282.4700 Fax: 206 284.7701 STATE OF WASHINGTON Signature of Notary __N11PK,A �Nr� TACOMA 0 Pleas reply to: Jenco Business Park, 2506104 Ct. St., Suite A, Bldg. H Tacoma, WA 98444 206 984.6404 Fax: 206 588.0393 F625-052-0:073-92 Marla Shea Notary Public in and for the State of Washington My appointment expires 09/09/99 EVERETT 0 Please reply to: 3110 Hill Street Everett, WA 982'J1 206 259.5331 Fax: 206 258.4934