HomeMy WebLinkAboutPermit M96-0098 - YOUNG FRANCIS1(A6, V4NC6 �I.
1()196001
City of Tukwila (206) 431 -3670
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
MECHANICAL PERMIT
Permit No: M96 -0098 Status: ISSUED
Type: 6- MECHAN Issued: 07/25/1996
Category: RES Expires: 01/21/1997
Address: 13708 37 AV S
Location:
Parcel #: 736060 -0030
Contractor License No:
TENANT YOUNG FRANCIS M
13708 37 AV S, TUKWILA WA 98168
OWNER YOUNG FRANCIS M
13708 37TH AVE S, SEATTLE WA 98168
CONTACT FRANCIS M YOUNG
13708 37 AV S .TUKWILA 'WA 98168
******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Description:
CHANGE FROM EXISTING OIL HEAT TO GAS HEAT
UMC Edition:: 1994 Valuation:
Total Permit Fee:
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Per uthorized Signature Date
I hereby'certify that I have readLand examined this permit and know the
same t;o.,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.
S i g n a t u r e : . .
Print Name:. 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 perio o f 180 days from :t he last..inspection.
Phone: 206 242 -4173
Phone: (206)000 -0000
Phone: 206 242 -4173
1,000.00
34.25
7-025-ci
CITY OF TUKWILA
Address 13708 37 AV a Permit Nu M96-0098
Suite:
Tenant: YOUNG FRANCIS Ni Status: ISSUED
TYoe: B- ME(::HAfd Applied: 07/25/1996
Parcel #: 736060 -00311 Issued: 07/25/1996
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Permit Conditions:
1. No changes will be made to the plans unless approved by the
Architect or Engineer and the Tukwi,ia Building Division.
2 All inspection records,.. and approved pans .hall be
available at the i aite prior to ithe'•start of any con-
struction. These .;documents are to be maintaiied and avail-
able until t,ita'l ''in.pectian approva l is granted:
3. All construction to be "'dine in' conformancewith approved
plans and�requiremnents of th,e,Unifor�m Build'ing;, Code' ,:(1' 94
Edition ,as amended, Uniform Mechanical .Code (1 994.: Edition),
and Washington State,,Energy ,Code (1934 Edition),.
4 . Va l i d.i�tv` of Permit. The ; i a. uance of a permit or appr ova 1'•, of
plan tpecificat,ion :, and Computations :hall , not he cori:'-
str ued' to lie a permit tor or an approval of, any violation
r
of a�hy . of'` the provisions ofthe building code or ot
other. ordinance of, tl e• Jurisdiction. No permit presumi ng
gi,veatrthoritt to vialate'or cancel the provisions of this
,code shall be valid.
5. MANUFACTURERS INS TALLATION: yINSTRUCTIQN':. REOUIRED ON SITE
F + , B,IiILDINC INSPECTORS, REVIEW.
Project NamF ` > C)V �
c
Description of work to be done: , _� /�'��� "
c �f) UE'�� roJn L) 1 (�G) oat-) /es
Value of C / ()t0 00
s�� VV
Site Address: t `� L ,� ) � ty St to /Zip:
r,3 7v4 37 ) Q 1 ` 7 q) e d Z
Tax Parcel Nu ber: 03c
`� 31�v
Property Owner: I ` -4/ra5 Al. Y e 4
if
Phone: :2. // _ q ( )
Street Address. a e 47 L 0 u _
�/
City State /Zip:
Fax #:
Contact Person:
Phone:
.
Street Address:
City State /Zip:
Fax #:
Contractor:
Phone: -
Street Address:
___—
-- City State /Zip:
Fax #:
Architect: l
,__ ,
Phone:
Street Address:
City State /Zip:
Fax #:
_
Engineer:
t
Phone:
Street Address: ___.____..
City State /Zip:
Fax ii:
MISCELLANEOUSPERMIT REVIEW AND'APPROVAL REQUESTED: (TO BE FILLED OUT BY APPLICANT) ..
Description of work to be done: , _� /�'��� "
c �f) UE'�� roJn L) 1 (�G) oat-) /es
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes �i no
Attach list of materials and storage location on separate 8 1/2 X 11 paper indicating quantities & Material Safety Data Sheets
• Above Ground Tanks ❑ Antennas /Satellite Dishes ❑ Bulkhead /Docks ❑ Commercial Reroof
❑ Demolition Q Fence Si 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, TUKWILA
Permit Centel
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
Miscellaneous Permit Application
G ( C° Application and plans must be complete In order to be accepted for plan review.
Q L3 .5%C°
Applications will not be accepted through the mall or facsimile.
❑ 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:
El Miscellaneous ❑ Moving Oversized Load/Hauling
WATER METER DEPOSiT/REFUND BILLING:
Name:
Address:
MISCPMT.DOC 7/11/96
APPLICANT:REQUEST FOR MISCELLANEOUS PUBLIC WORKS PERMITS '
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:
ras ? 7
Application taken by: (Initials)
/~
BUILDING O NER OR AUTHORIZED AGENT:
Signature: c _ '
„zy . -1,--cif
Date:
Print name: Ffanc 1 J u
�
Phone: _ . 4173
I Fax # .
Address:
��7ne 3 ^)f1� ., so
' /t te/ j
C � S t /�: . t ll
0
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
0
Antennas /Satellite, Dishes;
Submit checklist No 'M =1
0 ”
Awnings /Canopies. -' signage
Cormercial- Tenant Improvement
Permit
El
Bulkhead/Dock
• Submit checklist . No M -10
0
Commercial.Reroof.
• Submit checklist..: No M=6'
E
Demolition:
';Submit checklist; : No; ,M-3, a
E
Fences - Over &feet in.Height
Submit checklist. No: M -9
0
Land Altering/Grading /Preloads.
Submit checklist . No: M -2
0
Loading Docks
Commercial Tenant Improvement
Permit: Submit checklist No :'H -17
ii
, Mechanical (Residential & Commercial)
Submit checklist No. . M -8,:.
Residential only - H -6, H -16
0
Miscellaneous Public;Works,Permits .
Submit checklist No: H -9
El
Manufactured Housing'(RED INSIGNIA ONLY) ' '
Submit checklist No: M -5
0
Moving 'Oversized Load/Hauling
Submit checklist ' No: M -5
0
Parking' Lots
Submit checklist No: M -4.
Residential•Reroof - Exempt following exception: If roof structure
to be repaired or replaced
Residential Building Permit,
' Submit checklist No: M -6
0
Retaining Walls - Over 4 feet in height
Submit checklist 'No: M -1
O
Temporary Facilities
Submit checklist : No: M -7
O
Temporary Pedestrian Protection/Exit'Systeins
Submit checklist No: M -4
E
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
RECEIVED
CITY OF TUKWILA
JUL 2 5 1996
PERMIT CENTER
Permit; Nc
u >Parce1 No:
Site Address;
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'f RANSMJT Number; 96004526 Amount: 34.25 07/25/96 09:39
Payment Method: CHECK Notation: FIif1!C.la YOUNG Iniit; IlUP
1 Type: H- MECHAN MIICHANICAL PERMIT
. 736060- 0.030
137Q8. 37 A►1 a
Total Fees :. 34.25
This Payment 34.25 Tota1 ALL pmts„ 34.25
Balance: .00
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Account Code Description Amount
000/322.100 MECHANICAL - PEt3 34.25
1481 07/26 9617 TOTAL
Project: 1 u Franc`-
Type of inspection' c ,
`-J `
Address: L {'` A Us3
Date called:
.., -II.
®�
Special instructions:
Date wanted:
i pci II
Requester:
• rl t
o0
Phone No.:
rlut q i--)
INSPE TION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 96188
4 Approved per applicable codes.
CO 0
MENTS:
Receipt No.:
l INSPECTION RECORD
Retain a copy with permit
Corrections required prior to approval.
Inspector : Date: ��9 '""`��
[ 1 $42.00 REINSPECTION FE nEQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
vc'
q(D -oacl
PERMIT NO.
S.201.0-43 -3670
Date: