HomeMy WebLinkAboutPermit M96-0107 - HUSSEY DAVIDrnc*, 0(07
-N DAVID
City of Tukwila (
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100
Permit No: M96 -0107
Type: 8- MECHAN
Category: RES
Address: 13457 MACADAM RD S
Location:
Parcel #: 261320 -0179
Contractor License No: NORTHWH103R2
TENANT HUSSEY DAVID
13457 MACADAM RD S, TUKWILA, WA
OWNER HUSSEY DAVID F III & SUSAN A
4357 S 135 ST, TUKWILA WA 981,68
CONTRACTOR NORTHWEST WATER HEATER, INCfr Phone: 206 282 -4700
2800 THORNDYKE SEATTLE,. WA 98199
CONTACT LYNH ROWS Phone: 206 282 -4700
2800 THORNDYKE WEST, SEATTLE, WA 98).99
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Permit Descr.ip,tion
INSTALL/:39K GAS FURNACE.
UMC E d i t i o n : 1994
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MECHANICAL PERMIT
Valuation:
Total Permit Fee:
9._
Permit:;.Center Authorized Signature ; Date
I hereby,certify .that'I have read and examined this permit and know the
same tti.be true and correct. All'provisions -of law and ordinances
9overning this work wiil be :complied with, whether specified herein or not.
The grant'jng'of this permit does not presume to give authority to violate
or cancel, the provisions a_any her state or local laws `regulating
construction or the p'i ory work. I am authorized to sign for and
obtain thi :c build
Signature:. - �� Date:
Print Name:
(206) 431 -3670
Tukwila, Washington 98188
Status: ISSUED
Issued: 08/15/1996
Expires: 02/11/1997
Phone: 206 243 -4305
1,200.00
35.25
itle:
This permit shall become null and void if the work 1,s'not commenced within
180 days from the date of issuance, or if the.work'is suspended or
abandoned for a period of ' 130 days 'from the last inspection.
Address: 13457 MACADAM RD
Suite:
Tenant: HUSSEY.DAVID
Type: B- MECHAN
Parcel: #: 261320 -01.79
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PLrmit'Conditions:
1. No changes w i l l 1 be made to the plans unless approved by the
Architect or Engineer and the :Tukwila Building D i v i s i o n .
All permits, inspection reuor. ds, and approved plans shall be
available at the Job site prior to the start` any con-
struction. These: documents ; ar'e to be maintained and avail-
able until final: inspection: approval is granted:; '
3. All construction to be'don'e in 'contormance° %with .apt
~owed
plans and ;t t equ i semen is at the Uniform Building'; Code : ( 1994
E d i t i o n ) '`ias amended, Uniform Mechanical Code' ( 1994 Edition),
and Washington 'State Energy Code .(1994 Edition);
4, Validity, of Permit. ; The issuance of a permit or approval of
plans ;. pecitications, and computations shall not be con
strued` to: be a permit ., for., or an approval of . any V io l at iori
of any of `tide provisions of ' . the b u i l d i n g code or of any
atliet`, orrdinance of the. jurisdiction. No permit presuming t,
give<auttloOty to violate -orti'cancel the provisions of this
code' shat l be valid'.
Permit No:
Status:
Applied:
Issued:
M96- 01'07.
ISSUED
08/15/1996
08/1541996'
5. MANLIFACTURERS INSTALLATION INSTRUCTIONS• REOUIREO ON SITE
FOR'iTHE;t.BUILDINU' INSPECTOR'S REVIEW'.
E. PIunh1ng „perrits shall be obtained s through;, the Sea ttle I.1ng
Gc un;ty ,Deipartment of 'P ub i i c ' Hea 1 th.' Plumbing will be '
i n:sp''ecteii''by that:- :agene ° i ncl ud in g all ga�_, piping
i n
yt� g d F p g
(20'6=4722),'
7. Electrical T•ermits shall be obtained through'.the Washi;ngton:
State; Div,ision:,of Labor and Industries and all electrical
work w,i 1l be inspected by that agen (248- 8830)
Project Name/Tenant: fr j /$S E
l,'(
Description of work to be done: / 1--,E •• L` .--, ;,� ///mi�l1
Value of Constructiony Z .x , M
Site Address: Ci at /Zip:
(7i-7 i 7tc " � Z
Tax ac I urn er
�- r l LO t
c�
")
Property Owner-;_,
(/ (.t. SS L ` r
Phone:
Address:
Street Address: �- _ �,
`'mac- --�.
City State/Zip:
Fax #:
0 Water
Contact Person: / - , ( U (.1/
l � ,(' 1/
0 Metro
Phone:
e ��
7 U � )
Street Address: ,
,
City State /Zip:
Fax #:
Contractor: j / / / / / f
Phone:
Street Add ess: r ___
. ---- 7-s< <_c_ trr/cD / /7/ /
City State/Zip:__
c- ( ?)/ .7
Fax #:
Architect:
Phone:
Street Address:
City State /Zip:
Fax #:
Engineer:
Phone:
Street Address:
City State /Zip:
Fax #:
MISCELLANEOUSPERMIT REVIEW AND :APPROVAL REQUESTED: (TO BE FILLED OUT 13Y APPLICANT) •
Description of work to be done: / 1--,E •• L` .--, ;,� ///mi�l1
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes o_,--.
Attach list of materials and storage location on se • crate 8 1/2 X 11 • a • er indicating • uantit /es & Material Safet Data Sheets
■ Above Ground Tanks ■ Antennas /Satellite Dishes • Bulkhead/Docks ■ Commercial Reroof
❑ Demolition ❑ Fence ,;;;flMechanical ❑ 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
MISCPMT.DOC 7/11/96
CITY OF TUKWILA
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.
APPLICANT MISCELLANEOUS PUBLIC WORKS PERMITS'
❑ Channelization /Striping
❑ Flood Control Zone
❑ Landscape Irrigation
❑ Storm Drainage
❑ Water Meter /Exempt #
❑ Water Meter /Permanent #
❑ Water Meter Temp #
❑ Miscellaneous
❑ 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
Size(s):
Size(s):
Sizes: Est. quantity: gal Schedule:
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:
a - I5 - 9 1
Application taken Ii
BUILDING OWNER OR AOT,H
/ZED AGEN •
PERMIT REVIEW
Submit checklist ,, No: :. -9 :'.. .
/
-
Submit checklist', No M -1
Signature:
' � t
' Commercial Tenant Improvement
Permit
Date:
(
�
Print name: ------:
. '''
'"
/ - p 7)\ "
Phone:
❑
Fdx #:
Submit checklist No: M-9
Address:
Land Altering/Grading/Preloads:.
Submit checklist No: M -2
in
City /State /Zip:
Commercial. Tenant. improvement
Permit:: Submit checklist No: 1-1-17
❑
❑
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: :. -9 :'.. .
❑
Antennas /SatellitwDishes,
Submit checklist', No M -1
❑
Awnings /Canopies - No signage
' Commercial Tenant Improvement
Permit
Bulkhead/Dock . ;.
Submit. checklist. No M -10
❑
CommercialReroof,
Submit:checklist ..No: M -6'
❑
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
in
• Loading Docks.' :
Commercial. Tenant. improvement
Permit:: Submit checklist No: 1-1-17
❑
Mechanical & Commer`cial).
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
0
Retaining Walls - Over'4 feet In height .
Submit checklist No M -1
in
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 r 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
> 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.
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. / 1
MISCPMT.DOC 7/11/96
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CITY OF TUKWILA, WA c �( �101 1(:Al'la"iill'
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TRANSMIT Number:. R1G00464 Amount: 35.25 08/15/90 14:00
Payment Method: CHECK Notation: WDF INC. Init: SLR
Permit No M96• -0107 Type: R•-MECHAN MECHANICAL PERMIT
Parcel No: 2Gi320.03
Site Address: 13457 MACADAM RD S
This Payment 35.25
Total Fees:
Total ALL Pints:
Balance:
(account Code
000/322.100
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Description
MECHANICAL - RES
35.25
raw . 2 5
.00
Amount
35.25
Project :1 :$ ! R S .
Type i� n: F r ^
• called
-
04 3*7 AA,� t 1�-+
Date, :. q _ i O_ 9 b
I
Special Instructions:
6/c 3'30
ate nted:
a.m.
Reques er: i- T N N
Phone No.: so i _4 i
Y 'I1 e , ,
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO,
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applica
CO MENTS:
Inspector:
odes
F
7
Date:
I
PERMIT NO.
(206) 431 -3670
d prior to approval.
/346
P1 $42.00 REINSPECTIO ( FEE REQUIRED. Prior to inspectiop, fee trust
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receiil No.:
1
Date:
REGISTRATION NUMBER•'∎; c ;' t•; EX
"Q1
•
• ` ; NORTHWHIO. R2 22796
EFFECTIVE.. DATE ,12`/22/90
Since 1957
NORTH 4111116.
WEST=
WATER HEATER • HEATING /AIR
"The Accent's On Service"
�
h
I•�
DEPARTMENT OF LABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HERON IS REGISTERED AS PROVIDED BY LAW AS A
CONST CON•T:, .6ENER - AL.
NORTHWEST." WTR HTR .INC /DAVIS' WH•
2900 THORNDYVVE AVE W
SEATTLE WA 96199
STATE OF WASHINGTON
F625.052.000 (3.92)
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 Heater, Inc. on June 10, 1996.
/1
N
SEATTLE
is Please reply to:
2800 Thorndyke Ave. W.
Seattle, WA 98199
206 282.4700 Fax: 206 284.7701 i
g natureo
foei
Marla Shea
Notary Public in and for the State of
Washington
My commission expires on 09/09/99.
TACOMA
o Please reply to:
Jenco Business Park, 2506 104 Ct. St., Suite A, Bldg. H
Tacoma, WA 98444
206 984.6404 Fax: 206 588.0393
EVERETT
0 Please reply to:
3110 Hill Street
Everett, WA 98201
206 259.5331 Fax: 206 258.4934