HomeMy WebLinkAboutPermit M96-0092 - ROBERTS LUCILLEb•
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City of Tukwila L
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
MECHANICAL PERMIT
Permit No: M96 -0092
Type: B- MECHAN
Category: RES
Address: 3435 S 140 ST
Location:
Parcel #: 152304 -9115
Contractor License No: GENESFH370006
TENANT ROBERTS LUCILLE
3435 S 140 ST, TUKWILA, WA 98168
OWNER ROBERTS LUCILLE Phone: (206)243 -7077
3435 S 140TH, SEATTLE WA 98168
CONTRACTOR GENESEE FUEL AND HEATING CO INC Phone: 206 722 -1547
P.O. BOX 18206, SEATTLE, 98118
CONTACT STEVE CLARK ' Phone: 206 722 -1547
3616 SOUTH GENESEE STREET, SEATTLE, WA 98118
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Permit Descripti'on:
REPLACE'; EXISTING OIL FURNACE WITH NEW AND INSTALL
AIR CONDITIONING.
UMC Edition: 1994 Valuation:
Total Permit Fee:
(206) 431-3670
Status: ISSUED
Issued: 07/19/1996
Expires: 01/15/1997
4,543.22
47.50
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Q112A- Lan9
Permit. Center Authorized 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 perform ce /of rk. I am authorized to sign for and
obtain this bu ld permi
Signature:
Print Name:_
Date: - 2 �Jg ~4�
Title: 1_: SifAes.3
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.
ANN
Address: 3435 '5 . 140 ST
Suite:
Tenant: ROBERTS LUCILLE
Type: B- MECHAN
Parcel :•1! 152304-9115
CITY OF TUKWILA-:.:
Permit No: M96 -0092,
Status: ISSUED
Applied: 07/19/1996
Issued: 07/19/1996
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Permit Conditions:
1. No changes will be made to the plans unless approved by the
Architect or Engineer and„ theTukw:i•la Building Division.
2 All permits, inspection ' records and approved plans shall be
available at the A ,2 ; ,obsite ° ' prior• to the start of any con-
struction. Thee . documents' are tos be maintained and a v a i l -
a b l e until final inspection :,approval is granted.
3. All construction to be , done in ''conformance with approved
plans and ;requ i reme:nts of . the, Un iform B u i l d i n g Code (1994
Edition) as amended, Un i for^in Mechanical Code (1994, . Edition),
and Washington State Energy .Cci,de ,.(1994 Edition).
4. Validity of Permit, The - issuance of a permit or approval : of
plans`•.,: pecifications, and computations shall not be con-
str u'ed to be a permit' for, , an approval of, any violation -
o f . any of' the provisions of b u i l d i n g code or . of any
other ordinance of the jurisdiction. No permit presuming to
giye�autho to violate or cancel` the provisions of this
code shall be val,id;.
5. MANUFACTURERS INS TALLATION;rINS,TRUCTIONS REQUIRED ON SITE
FOR,' THE,..,BUILDING ••INSPECTOR . REVI;EW.. : ;`.; '.
El permits shall ;he <obta;�i.ned through the Washin ton
Stwi Division 'a,f _,Labo � and •I,ndiistr.le and all electr icCIJ
wqt k wi l l w,be . inspected' b that agency 42 - 6631 10. ' ,
Project Name/Tenant
Luc_ � lie
Pol).9r1:5
Value of Co structio :
.� 1/3a
Site Address:
City Sta e/ ip:
y Z• -.r e i l�V '. e i:.:
Tax Par Nd ✓ J
) .1 Y •
Property Owner:
Phone:
Phone: L)
20
Street Address: 5
City State /Zip:
Fax #:
Contact Person:
0 Sewer
Phone:
0 Standby
Street Address:
?at & ,
City St a /Zip:
t-erte 5 ee Si. ,a , usi ci ri 9
Fax #:
7?„3 -?
S 33
Contractor: /` e4ut5,
. (4ms) H e<t tI ) co ` s
Phone: 7
/s
Street Address:
(� City State /Zip:
Fax #:
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: (� 1
1 I .1-c, I( - c /9 „ \ O� ails Cpl mcA t `} 1 - s%1r\ 11 / 'r`P1cl Cie e 4/Y.rn. I. d r -rvt► e___
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 1 I paper Indicating quantities & Material Safety 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:
Name:
Phone:
Address:
City /State /Zip:
0 Water
0 Sewer
0 Metro
0 Standby
CITY OF ( 7UKWI LA
Permit Centel
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 mail or facsimile.
APPLICANTREQUEST- FOR MISCELLANEOUS PUBLIC WORKS PERMITS
❑ Channelization /Striping
❑ Flood Control Zone
❑ Landscape Irrigation
❑ Storm Drainage
❑ Water Meter /Exempt It Size(s):
❑ Water Meter /Permanent # Size(s):
❑ Water Meter Temp # Size(s Est. quantity: gal Schedule:
CI Miscellaneous U 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:
Date application expires:
Application tby: (initials)
MISCPMT.DOC 7/11/96
❑ 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
BUILDING OW
*II AUTO. •
Ei ' 4 ENT
❑
Signature:
<
,
❑
U U
Date:
7 - iR _ ?
Print name: S
r‘
0
\ (
(�
`
Phone: 7
(4
Fax #: -7z - 75
Address: PO
(
I
City /State /Zip:
Qa l j 4- p Xi d
❑
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 :,
0
Commercial!Reroof:
Submit checklist . No M -6
❑
Demolition:
:Submit checklist No M 3, :: M-3a.
❑
Fences - Over 6 feetin Height
Submit checklist No: M -9
Land Altering/Grading/Preloads.
Submit checklist No:. M -2.
El
litt
Loading Docks
Commercial Tenant" Improvement
Permit. Submit checklist No: H -17.
Mechanical (Residential & Commercial)
:Submit checklist No . M8;:.
Residential. only - H -6, H -16 .:
❑
. Miscellaneous Public Works. Permits
Submit checklist No H79
❑
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,
f❑
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'PedestrianProtection /Exit Systems'".
Submit checklist No: M -4
❑
Tree Cutting
Submit checklist No: M-2
ALL MISCELLANEOUS PE' 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
• 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 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
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CITY OF .TUKWILA, NA
• * TRANSMIT
* * * * * * * *A*** * *A h * *.'4 * * �1' *'l * �4/ *A*0 k#e•A *�F'i **k * * ***A k * * * *�l�• *.A *k * *A• **
TRANSMIT Number-: 96004401 Amount: 47 :50 07/19/96 11:29
payment Method: CHECK Nutat i an tiENE5LE FUEL & l:ri i t: SLR.
Permit Na: M96 -0092. Type: D-•MECHAN MECHANICAL Pl-'A MIT
Parcel Na: 152304-9115
Site :Address: 3435 r 140 ST
Total Fees: 47 :50
This Payment 47.50 Total ALL Pmts: 47.50
Balance: .00
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Account Code Description Amount
000/322.100 MECHANICAL - RES 47.50
130 07/4:9617 TOTAL 47.50 ,
Project:
I ipr Luc 1:2
Type of inspectiop '
A
Address:`
I4
Date
called: 0 G ,
Date wanted: 1 _3 0 .... m.
`1 tm
5
Special instructions:
� - el D: oo P.m.
R equester:
Lod \\.Q.
Phone No.: 0.43
Approved per applicable codes.
( 1 Corrections required prior to approval.
COMMENTS:
41110I
y A ,
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.4
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Inspector:
Date: 7.20
$42.00 REINSPECTIOIVFEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
n,z_ A R.E5 ,
Type of Inspection:
Add e � `7 5 ,
Date called: --7-
�� Z _
instructions:
.
..a.m.
elifiatgl:_i . 'z.Lj. -.�o
.m. I ,
Requester: be
Phone No.: — 722- — 6
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO,
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
L
Date:
q ,1
PERMIT NO.
(206) 431 -3670
Approved per applicable codes. %I Corrections required prior to approval.
COMMENTS:
Ret Cr
Inspector:
Date :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.:
1Y
'',;t, i:r 'c ;. ; ? it REQI8TRATION NUMBER'. '
EXPIRATION DATE °
:' ,..,.:,...#.....0
-
„-,0ENEsFH37006
:EFFECTI DATE
09/01,14%:0
09/26'/63
;
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DEPARTMENT OF LABOR AND IN!;jSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A
.ECIALTY ' .'AR'"
. S. .�. �•
ENESE;'F't1>r CO
STATE OF WASHINGTON
F625 -052.000 (3 -92)
• RECEIVED'
CITY. OF TUKWILA •
JUL .1.
PERMIT,.'CENTER