HomeMy WebLinkAboutPermit M96-0040 - ANDERSON LORIAM13•MsDA LDRI
City of Tukwila .(.
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
MECHANICAL PERMIT
Permit No: M96 -0040
Type: 8- MECHAN
Category: RES
Address: 14634 42 AV S
Location:
Parcel #: 004000 -0816
Contractor License No: NORTHWH103R2
TENANT ANDERSON LORI
14634 42 AV S, TUKWILA, WA 98168
OWNER ANDERSON RICHARD M +LORI M
14634 42ND AVE S, SEATTLE: WA 98168
CONTRACTOR NORTHWEST WATER HEATER, INC Phone: 206 282 -4700
2800 THORNDYKE AVENUE WEST, SEATTLE, WA 98199
CONTACT GEOFF ARNOLD Phone: 206 419 -6473
2802 EAST MADISON, SEATTLE, WA 9802
********************* 4** Ar ***************** * * ** * *i** *A * *rY*** * *** *** *** * *A* **
Permit Description:
INSTALL , YORK GAS FURNACE.
UMC Edition: 1994
* * ** * * * ** * * * * * * ** iY** * *1 * * * * *•k, *ok * * * * * *k* ** ** ** **** * * *4 * * * *k * ****
Perm `ft Center Authorized Signature
The granting of this permit d. - - •
or cancel. 'the provisions • an
construction or the pe .forn
obtain this ,building •e r� i
Signature
Print Name:__
Q?Z
Valuation:
Total Permit F.ee:.:
Status: ISSUED
Issued: 03/14/1996
Expires: 09/10/1996
(206) 431 -3670
835.00
35.25
I hereby certify. that I have read and examined this permit and know the
same to•be'true and correct. Al'l provisions. of law and ordinances
governing this:,work will be complied with, whether specified herein or not
st
work.
t presume to give authority to violate
.e or local ,laws regulating
I am'a :u,thorized to sign for and
Date:
Title:
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 i s suspended or
abandoned for a period of 18.0: days -from the oast inspection.
Address: 14634 42 AU S Permit No: M96-0040
Suite:
Tenant:, ANDERSON LORI
Type: 8- MECHAN.
Parcel #: 004000 -0316
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Permit Conditions:
1. No changes w i l l be made to the plans un l ess approved by the
Architect or Engineer and ,the -. TuI i• l a ,Building Division.
2, All permits, t inspec o .. , `` i
r�
i t,tler��r��ds,:':` nci "a��i plans shall be
available at the .:jobk':site prior to Ole s'tart of any con-
... h.
struction. Thee documentsr ate to',C be maintained avail-
able until f i.;n 1 �" ''i' n spe c O t'•' i �; ► n 1 ' ``p p uva l i s granter{
� a r
3.. All construct, ►n to 'sbedon'e ,, irti''''tonformanc:e; with 'approved
plans and xft equ i r'eme`n t'3• `Of the,, Un i Bui r n g ;'Code ( 1994
Edition). a . amended UnIfiorm Mechan'iral Code '0994 ,Edition),
and Was i.ngto'n state ,Eriergy ,Code ,,(1994 Edition) ,
4. Validirtyr' of Permit The is`sdania of a per mi °t, or approval ,of
p l an� spec i f i cat :qms t 'and computations,
stru'e:id.: to' be a permit :fo`r• `i an,•approva l of any violation
of atj.v o-Cthe p'rovis4gns of`.jthe/' building code or<<of ariv ',
otI,ie o of tile .luri No permit ��i,�esuming
g i U.,el aut,ho0 t,jy to violate -or cancel t he provisions off th i s
c i ei shall b e• valid;
: } .
5. M J NUFACT U FER° IN 'STALLATIO(''I?iIN'STRUC :TIONS REDUIRED ON SIIT '
FO,R.' THE..BUILDING ..INSPECTO
ib
ring�,peririts iii shal,�l b'e btain:e.d;ilhrough the Seattle - Kin
ty §,,par��tmen't,,of. �� ° ,tiHea I t r .. �P l un b i dig will 1
K „ . � ��, h lb i �b a
:riecteil:'bv <s tha ' agen ;y z {`I nc l ud i�n' >:';a a °gas piping `�'
, 47,44)% f e ` �•. t i. !
y t
7. Ei rf,s �l permit: _hall be obh��c fC� i.ned .througn',,,the Wrash.i�vtgton t,
'Sta e D`i'vitis` of Labor and Indus't'r•i: s :and.. a1�1 el.'ectr;i'ca1
wo, wi 1 :;$e' inspected by that ; 'genC \ s�(2 8- 6630 >,' ;.
CITY OF TUI:WILA
Status: ISSUED
Applied: 03/14/1996
Issued: 03/14/1996
PLAN CHECK
NUMBER
ma (D Ooqo
INSTRUCTIONS TO STAFF
• Contacts with applicants or requests for information should be summarized in writing by staff so
that the status of the project may be ascertained at any time.
• Plan corrections shall be completed and approved prior to sending to the next department.
• Any conditions or requirements for the permit shall be noted in the Sierra system or summarized
concisely in the form of a formal letter or memo, which will be attached to the permit.
• Please fill out your section of the tracking chart completely. Where information requested is not
applicable, so note by using "N /A ", date and initial.
DEPARTMENTAL REVIEW
"X" in box indicates which departments need to review the project.
DEPARTMENT
O BUILDING -
initial review
O FIRE
O PLANNING
O OTHER
O BUILDING -
final review
O BUILDING
OFFICIAL
Mechanical Permit Application Tracking
'DATE. IN.
REVIEW COMPLETED
AMOUN
OWING:
CITY OF TUKW. I '`
Department of Community Development — Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
PROJECT NAME
SITE ADDRESS
CONTACTED
INIT:
INIT
INIT:
INIT:
INIT:
DATE NOTIFIED
2nd NOTIFICATION
3RD NOTIFICATION
DATE :
'APPROVED
ROUTED
kndq r 6orl Lof i
I L{ l0 LI L1 f\v
:;REQUIREMENTS
SUITE NO.
OMMENTS
CONSULTANT: Date Sent - - Date Approved -
FIRE PROTECTION: • Sprinklers • Detectors • N/A
FIRE DEPT. LE
DATED:
ZONIN IBAR/LAND USE CONDITIONS? O Yes N
SC: ' NING REQUIRED? O Yes O No
FERENCE FILE NOS.:
UMC EDITION (year):
BY:
(init.)
BY:
(Init.)
BY:
(init.)
INSPECTOR:
01/07/93
SITE ADDRESS -'' SUITE # Q
V OF CONSTRUCTION - $
P'OJECT NAME/TENANT
�; P I N \D C.12-SO (\
0
ASSESSO ACCOUNT #6_
ASSESSO «/ t�
TYPE OF WORK: . /Addition Repair Other:
Modifications O O
p
DESCRIBE WORK TO BE DONE:
1i ALL 'El ) &i&I e 03
. ::: .. ..,. RATING /SIZE::.: :.
... :: : :: >: NUMBER:OFUNITS
j
11 c , AK— eZ -nnO D 1 D.NGCnt-4o 1 U,�(- M6-(0
C (S� jl�
PHONE
ZIP G��� �
BUILDING USE (office, warehouse, etc.)
NATURE OF BUSINESS:
WILL THERE BE A CHANGE IN USE? Q No 0 Yes IF YES, EXPLAIN:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
O No O Yes
IF YES, EXPLAIN:
PROPERTY OWNER LD l n
(�`SGl�
PHONE ?
) _ - j m s
ADDRESS ..,1_1, r� 7-1A(
—�
l T1�4� (LL A
C (S� jl�
PHONE
ZIP G��� �
CONTRACTOR
tie_
ADDRESS it f� 1,
C ' �L
1 <-
�
`.
ZIP C Icl,
L
WA. ST. CONTRACTOR'S LICENSE #
6
_l El
��
EXP. DATE
CITY OF TUKWILA
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
PLAN CHECK
NUMBER
APPLICATION MUST BE FILLED OUT COMPLETELY
• I HEREBY CERTIFY THAT:1 HAVE AND EXAMINEP„;htS APPLI ATION AND.KNOW:THE SAME:TO BE.TR
AND CORRECT, AND`I AM AUTHORIZED' TO: APPLY 54TNIS PER IT
SIGNATURE / DATE
PRINT NAME
ADDRESS 7&-0-2- , �� , /f//E(,)( 3/L /.
BUILDING OWNER
OR
AUTHORIZED
AGENT
CONTACT PERSON
MECHANLAL PERMIT
APPLICATION
FEES (for staff use only)
DESCRIPTION
BASIC PERMIT FEE
UNIT(S) FEE
PLAN CHECK FEE
OTHER:
TOTAL -
AMOUNT (RCPT #
DATE APPLICATION EXPIRES
• DATE
APPLICATION SUBMITTAL In order to ensure that your application is accepted for plan review, please make sure to fill out the
application completely and follow the plan submittal checklist on the reverse side of this form. Application and plans
must be complete in order to be accepted for plan review.
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.
VALUATION OF CONSTRUCTION The valuation is for the work covered by this permit and must be filled in by the applicant. This
figure is used for budget reporting purposes only and not to calculate your fees.
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 304(d) of the Uniform Mechanical Code (current
edition). No application shall be extended more than once.
If you have any questions about our process or plan submittal requirements,
please contact the Department of Community Development at 431 - 3670.
DATE APPLICATION ACCEPTED
03/14/94
SUB CHECKLT
MECHANICAL
n Completed mechanical permit application (one for each structure or tenant)
I I
Two (2) sets of mechanical plans, which include:
• Floor plan
• System layout
• Elevations (for roof mounted equipment)
• Heat Loss Calculations
Note: Hood and duct systems require a building permit for the duct shaft.
Structural calculations stamped by a Washington State licensed engineer may be
required if structural work is to be done (2 sets)
Water heaters and vents are included in the UMC — please include any water heaters or
vents being installed or replaced.
Permit ,0m, M36-•0040 Type: I3•- MECHAU MECHANICAL PERMIT
Parcel No: 004000 -•0816
Site Address: 14634 42 AV S
• Total fees; 35.23
This Payment 35425 Total ALL Pmts: 35.25
k3ulance: .00
*4***•+. • **'A* *A***A * * *,t** **k***** *s4 A **•k** *k* * *•A•k* ***A*•k * *4# *i1* 4 * *4*
' Account Code Description Amount
.000/322.100 1 MECHANICAL -• t ES 35.25
GENERA 35.25
TOTAL 35.'25
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CITY OF 7'UKWILA WA
t A� TRANSMIT CHANGE 0.00
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I RANSMIT Number: 96003805 Amount: 35.2'5 03/14/1 '10 :40
Payment Method: CHECK Notation: IMF INCORPORATED Init SLR
Proj ect: / _
,/
Type of inspectio
`.
Address: !
/ — 11 I
Su)
Date called:
Special instruct' ns:
Li 2.0
;
Date wanted
/_
[�
77
a.m.
p.m.
Requester:
Phone No.:
C INSPECTION RECORD
l Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
I1
g . Approved per applicable codes.
Inspector
Date:
Corrections required prior to approval.
COMMENTS:
$42.00 REINSPECTION FEE REQUIRED. Prior to Inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Project:: /1
Address: �°�
Type of inspection:
Date called:
Special instruct
L i 1.
Date wanted:
��
��
Requester:
Phone No.:
INSPECTION RECORD
fetain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206) 431 -3670
Approved per applicable codes. 14 Corrections required prior to approval.
'e" 7d?,
Inspecto
Date:
$42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fe . must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Project) r. I 4 /
Type of inspection %� � � �
Date called:
/`?'x`
Date wanted: /..2 , 6. .
Addres / v
Address:/ y�
Special Instructions:
6'1 / ; /3
Requester:
L 1
Phone No.: zi / ✓78aS
0
c,P ice► c
INSPECTION NO
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes. K I Corrections required prior to approval.
OMMENTS:
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
(206) 431-3670
$42.00 REINSPECTIO FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
:Yi�..�r ^iw `�L'•'.`.Y.. s'l+.i..t'e � �:�a��.
98112
Jan 31, 1997
GEOFF ARNOLD
2802 EAST MADISON
SEATTLE, WA
RE: ANDERSON LORI
Dear Permit Holder:
PSthsk:4? 41,Z-0; .1:62.31,4X
City of Tukwila
Sincerely,
/ /cam. 4 W;7
Kelcie J. Peterson
Permit Coordinator
Department of Community Development
aver 47:4.14 . 1,wsopre ltivarmM`?e{ tY , Ort °3 7 ok t�t4
FILE gApsto.
Department of Community Development Steve Lancaster, Director
Our records indicate that on Jul 23, 1997 one hundred and eighty days will
have passed with no inspections having been called for under Tukwila
Mechanical Permit Number M96 Unless you call for an
inspection, or obtain a written extension from the Tukwila Building
Official prior to that date, your above referenced permit will become null
and void on Jul 23, 1997.
If your project is complete please call for final inspection. If you are
actively working on your project please contact our office.
If you have any questions or need further information to obtain an
extension on your permit please call the Tukwila Building Divison at
431 -3670.
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (206) 431-3665
t'
x a •RE313711AnotaNUMeER i4. cApcpiutioNpAIE:
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. ti • : NORTHWt< I;POR2. . iR/ 2 /
EFFECTIVE DA'TE'' 12f22f4
6
rOY k'u; ;::[twir act av:(1 'lit 1Yii, 0 mrn"... mvwn «. .. w.........+ w•.. +,:.,...,.s,..,...........
Since 1957
NORTH'
WEST=
WATER HEATER • HEATING /AIR
"The Accent's On Service"
T COrT
NORThWEST `WTR F +TR t'YNC /DAtih { 4
28 ' THORNDYKE AVE W '
SEATTLE WA .. 99195' .
State of Washington
County of King
I certify that this is a true and correct copy of the original document as presented to
me by Glenda Seeman of Northwest Water Hea er, InA on March 6, 1996.
Ill
or
Antat
SEATTLE
❑ Please reply to:
2800 Thorndyke Ave. W.
Seattle, WA 98199
206 282.4700 Fax: 206 284-7701
U:
DEPARTMENT OF LABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A
TACOMA
0 Please reply to:
Jenco Business Park, 2506 104 Ct. St., Suite A, Bldg. H
Tacoma, WA 98444
206 984-6404 Fax: 206 588.0393
STATE OF WASHINGTON
(Signatu e of N••W
Marla Shea
Notary Public in and for the State of
Washington
My commission expires on 09/09/99.
F825- 052-000 (3.82)
EVERETT
0 Please reply to:
3110 Hill Street
Everett, WA 98201
206 259.5331 Fax: 206 258.4934