HomeMy WebLinkAboutPermit M96-0108 - CLAY RALPHCLA\l, LPN
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City of Tukwila
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M96 -0108
Type: B- MECHAN
Category: RES
Address: 13826 38 AV S St: 01
Location:
Parcel #: 886400 -0930
Contractor License No: BRENNHC077NC
TENANT CLAY, RALPH
13826 38 AV S, TUKWILA WA
OWNER CLAY RALPH L & PATRICIA F
13826 38TH AVE S, SEATTLE
CONTRACTOR BRENNAN HEATING
4601 S 134 PL,,TUKWILA, WA
CONTACT DONNA JACK.`
BRENNAN::H 4601 S 134
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Permit Descripti'on:,
REPLACE EXISTING GAS FURNANCE. &.HOT WATER HEATER
UMC Edition: 1994
Print Name:
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MECHANICAL PERMIT
Phone: 243 -0407
Phone: (206)000 -0000
Phone: 206 248 -7900
98168
Phone: 248 -7900
PL, TUKWILA ``WA 98168
98168
WA 98168
Total Permit Fee:
Per it Center Authorized Signature' ' • Date
Valuation:
(206) 431 -3670
Status: ISSUED
Issued: 08/19/1996
Expires: 02/15/1997
4,000.00
44.75
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
governih'g thi 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: ,thy?' provisions of a y other state or local laws: regulating
construct.iun o th prrfo•'nj rJ.e of work, I am authorijed to sign for and
obtain thibuidin
- -- Date (J-
l f 7�
Jr �. pG Title: i[{Cll ..11te-
This permit shall become null and Void: if :the work is not commenced within
18'0 days from the date.bf issuance, or if the wbr:k�is suspended or
abandoned for a period of 180 days .from the "1"att 'inspection .
Address: 13826 38 'AV
Suite:
Tenant: CLAY, ; RALPH
Type: B - MECHAN
Parcel #: 886400 -0930
St: 01
CITY OF. TUKWILA
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Permit No: M96 -0108
Status: I'SSUED
Appl ied: 08/19/1996
Issued: 08/19/1996
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Permit Conditions:
1 No changes will be made to the plans unless approved by the
Architect or Engineer and.... the Tukwila Building Division.
2. Al l permits, inspection re "cor'd: , and i p`prov.ed plans shall be
available at the :job s,i te" Prior to the `'s tart" of any con-
struction, These documents are to be maintained and avail-
able until final 'inspection a`pproval is granted.
3. All construction to ,be" done An conformance ;'with approved
plans and- -requ i rements of the,,: Uniform Building/Code (1 994
Edition ) ; as amended, Uniform'Mechan)cal •Code "(1994,E0tion),
and Washington State Energy Code (1994 Edition)..
. Validity, of "Permit..:'" The .issuanceof a permit or, approval.' of
plans,t,,specifications, and' computations shall not be con°-
str ue.d to be a permit far, or an approval of, any violation'`t
of any of. the provisions of the ; 'bu i Id i ng code or of any . "
other ordinance of the juris,d "ict ion . No permit presuming t
give,;authority to violate or cancel the provisions of ,this
code sha ll be va 1 td.-,
5. MANUFACTURERS IN TALLATION; IN'STRUCTIONS REQUIRED ON SITE
FOR :THE BUILDING INSPECTORS`, REVIEW', s,:'
Project Name/Tenant: ' i` i ` a / I r
Descriptio of work to be don;
Dt • r 1 k C t . 4 k ti
Will there be storage f flammable /combustible hazardous 1 aterial in the building? ❑ yes � no
Attach list of materials and storage location on separate 8 1/2 X 112aper indicating quantities & Material Sdefy Data Sheets
Value of Construction: ,� y , y
i x e
t (J /
Site
Address:
.") � 3 — 0■At. .
Phone:
ax Parcel Number:
Y(1 v 0 C it30
City State /Zip:
�l 1 uX ..A, CA„.
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Owner: (NI
0 Water
Phone: — 0907
0 Metro
treet Alidress:
.._ ----^
City St te/Zip:
Fax #:
o ct Person:
OryrC�. — t re. a n
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nc
Phone:
, <.(Fc- CiDc7
Street
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it State ip:
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Fax #:
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tractor:
- )('Ch (Tx tt ` \er)- 4-t
Ph e•
- (F - 79 a 0
tr t bldres [ 3
City ate /Zip:
Fax #: c
ArchirI:
Phone:
Street Address:
City State /Zip:
Fax #:
Engineer;,/\ (\
Phone:
Street Address:
City State /Zip:
Fax #:
MISCELLANEOUSPERMIT REVIEW AND APPROVAL.RE(UESTED (TO BE FILLED OUT BY' APPLICANT)
Descriptio of work to be don;
Dt • r 1 k C t . 4 k ti
Will there be storage f flammable /combustible hazardous 1 aterial in the building? ❑ yes � no
Attach list of materials and storage location on separate 8 1/2 X 112aper indicating quantities & Material Sdefy Data Sheets
❑ Above Ground Tanks ❑ Antennas /Satellite Dishes
❑ Demolition (71 Fence
❑ Parking Lots ❑ Retaining Walls
❑ Temporary Facilities ❑ Tree Cutting
❑ Bulkhead /Docks ❑ Commercial Reroof
o Mechanical ❑ Manufactured Housing - Replacement only
■ Temporary Pedestrian Protection /Exit Systems
MONTHLY SERVICE BILLINGS. TO:
Name:
Phone:
Address:
City /State /Zip:
0 Water
0 Sewer
0 Metro
0 Standby
Name:
Address:
Date application a cepte
MISCPMT.DOC 7/11/96
CITY OF TUKWILA
Permit Cent &,
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 mall or facsimile.
WATER METER DEPOSIT /REFUND BILLING:
AP. PLICANTsREOUEST ,,FORMISCELLANEOUS PUBLIC WORKS PERMITS'
❑ 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:
❑ Miscellaneous ❑ Moving Oversized Load /Hauling
Date application axpire �:
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.
Appllcatio en b (Initials)
r
BUILDING ER OR AUTHO D "AGENT:
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.
❑
( i
Signature: \
W
Date:
cV ic
Fax #:
Commercial Tenant Improvement
Permit
❑
Print name:
Submit checklist No M -10
❑
Phone.
Address:! 1 C(l
`-� �
•
.\.- p\.
City /State /Zip!
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�1t�
G
Q
pi
A
1
❑
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
❑
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/Preioads
Submit checklist No: M -2
❑
Loading Docks
Commercial- Tenant Improvement
Permit.. Submit checklist No: H -17
4
Mechanical (Residential & Commercial)
Submit checklist No M -8;
Residential only. H -6, H -16
Submit checklist No H-9
❑
Miscellaneous, Public Works-Permits
in
Manufactured Housinw(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
in
: 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: W2:
ALL MISCELLANEOUS PE T APPLICATIONS MUST BE SUBMI 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.
MISCPMT.DOC 7/11/96
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XT;V • OF TUKWI;LA. WA - 0 1 Q
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TRAWSMI:T Number': R9600 Amount: 44.75 Q0/19/96 15 : :3?
Payment: Method: CHE:CI( Notation: BRENNAN HEATING Init: :3MC
TRANSMIT
Permit No: M96• -0.105 Type: 13-MECHAW MECHANICAL. PERMIT
Parcel No: 006400-0930 .
Site Address: 13026 :3S . AV 3
St: 01 Fl: Un:
Total Fees: 41.7"
This Payment 44.75 Total ALL hots:. 44.7
4 a l anc li : .00
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Account'Code Description Amount
000/322.100 MECHANICAL - RES 44.7;
2390 08/20.9617 TOTAL
Project: �
Type of inspectign
�'i n� �
Address: 15 W
N.6
Date called:
d IDO/Q r^
Special instructions:
•
Date wanted:
/i 1 )(�
p.m.
"I I l i Z1 .
Requester:
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Phone No.:
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INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 981
Approved per applicable codes.
COMMENTS:
Inspector:
INSPECTION RECORD
Retain a copy with permit
•
Corrections required prior to approval.
Date: Q►
$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:
COMMENTS:
'1�
Type,pf intion:
r
Address:
)38a6 3
Ct
S ,
Date called:
as
Special instructions:
Date wanted:
s a l
,a m)
p.m.
Requester:
Phone No.: A NS - 990
, .
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; b
/
IF tP PiAe41
Project:
Type,pf intion:
Address:
)38a6 3
Ct
S ,
Date called:
as
Special instructions:
Date wanted:
s a l
,a m)
p.m.
Requester:
Phone No.: A NS - 990
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(_, 1
I
INSPEC ION NO.
Inspector:
Date:
INSPECTION RECORD
- Retain a copy with permit
PERMIT NO.
(206) 431 -3670
Approved per applicable codes. LCorrectiops required prior to approval.
$42.00 REINSPECTI • N FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 outhcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
E%I iMTION DATE "\
REGISTERED. AS. PROVIDED BY. LAW „S A:.•
.'•?,REGISTRATION NUMBER :' . • t .
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' 1OE AT•x,PJU'� °.C 'INN ,.:; . .'rr'.
46u t S •. 34T1 -I PI. • •
TUKWILA WA • 99166 -3240
SIGNATURE
IssUt BY DEPARTMENT OF LABOR. ND INDU RIES
RECEIVED
CITY OF TUKWILA
AUG .1 9 1996
PERMIT CENTER