HomeMy WebLinkAboutPermit M96-0114 - STONE PHILSTONE, PR I�
Mqb•-•0114
City of Tukwila
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M96 -
Type: B -MECH
Ca,tegory: RES
Address: 14458 58 AV S
Location: 144858 58 AV S
Parcel #: 336590 -1190
Contractor License No: NORTHWH103R2
TENANT STONE PHIL
14458 58TH AVE S, TUKWILA WA 98168
OWNER STONE PHIL
14458 58TH AVE S, TUKWILA WA 98168
CONTRACTOR NORTHWEST WATER HEATER, INC. Phone: 206 282 -4700
2800 THORNDYKE AVENUE WEST, SEATTLE, WA 98199
CONTACT LYNH ROWE Phone: 206 282 -4700
2800 THORNDYKE, SEATTLE WA 98199
******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Description:
EG WH FURNACE AND AC REPLACEMENT
UMC Edition: 1994
*** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit" Center'Aut razed Signature
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 o -ny t• state or local laws regulating
construction or the p orma ;:��f wo k. I am authorized to sign for and
obtain this buildin
Signature:_
Print Name:
MECHANICAL PERMIT
Valuation:
Total Permit Fee:
Date
Status: ISSUED
Issued: 09/05/1996
Expires: 03/04/1997
(206) 431-3670
1,795.00
42.81
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 is suspended or
abandoned for a period of 180 days from the last inspection.
Address: 1.4450-58 AV's
u1te:.
Tenant:".STONE PHIL
Type :. R -MECH
. Parcel. #: 336590 -1190
CITY OF TUKWILA
Permit
No: M96 -0114
Status: ISSUED
Applied: 09/05/1996
Issued: 09 /05/1996
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Permit Condition.:
1. No changes will be made to the plans unless approved by the
Architect or Engineer and ,.the Tukw1„la.Building Division.
2. All permits, inspecti records, ani approved plans shall be
available at the job site prior to the of any con-
struction. These documents' :; are to be maintained and avail-
able until final '' inspection approval is granted.
3. All construction to ' be '.done ' i n conformance +`wi with approved
plans and °r requirements of the Uniform Building Code (1994
Edition)- amended, Uniform' Mechanical: Code (1994 Edition),
and Washington State Energy Code (1994 Edition).
4. Va l i d i,t i of Permit. The issuance of a permit or , approval :::. of
plansspecificat-ions, and computations shall not be con`
str u;d ta he a Permit ;tar `or an ; approval of, any violation`,
of ar,y of j: the p r o v i s i o n s of ' the 'building code or of :an v
other/ ordinance of the Jurisdiction, No permit presuming to
giver�author to violate or cancel the provisions' of. ':this
c o d i - shall be. v a l i d .
5. MANUFACTURERS INSTALLATION(INSTRUCTIONS REQUIRED ON SITE
FOR t THE ; , BU'ILDING INSPECTO,R REVIEW.
jam(
Project Name/Tenant: n � ' I��
Description of work to be done:
�� l i -- /!�//a C C
Value of Construction:
(7g5
Name:
Site Address:
City Sta / ip:
Tax Parcel Number:
Address:
Property Owner: i
City /State /Zip:
Phone: t l
0 Water
0 Sewer
2 ______±_y_i treet Addres
Contact Person:
O <(� — ice_ A d
City State /Zip:
Fax #:
LIN 11 1e-6 lill f ' o ,�
^
Phone: _7
46
Street Address:
2Ao d 11-1O< piP \O
City St /Zip:
L-6 - c1 X 1
Fax #:
Contractor:
,n( ,\ A ___, , 4
Phone:
(/
_
/ >
Street Address. � i on 71-1,) � /_ '
(�
� St a % dip:
x
Fax #:
Architect:
/
Phone:
Street Address:
City State /Zip:
Fax #:
Engineer:
Phone:
Street Address:
City State /Zip:
Fax #:
MISCELLANEOUS PERMITREVIEW'AND REQUESTED: (TO BE FILLED our BY APPLICANT) :
Description of work to be done:
�� l i -- /!�//a C C
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes El no
Attach list of materials and storage location on separate 8 1/2 X 11 paper indicating quantities & Material Safety Data Sheets
El Above Ground Tanks ❑ Antennas /Satellite Dishes El Bulkhead /Docks El Commercial Reroof
❑ Demolition El 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
F
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.
❑ Channelization /Striping
❑ Flood Control Zone
❑ Landscape Irrigation
❑ Storm Drainage
El Water Meter /Exempt It
El Water Meter /Permanent #
El Water Meter Temp #
El Miscellaneous
WATER METER DEPOSIT /REFUND BILLING:
Name:
Address:
Phone:
City /State /Zip:
RECEIVED
scr u ; 19%
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. PERMIT CF NTr fl
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:
1,41- V j81011.
MISCPMT.DOC 7/11/96
CITY OF
Permit Cente)-
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188 , r), .5
(206) 431 -3670 11"
APPLICANTtREQUEST;FOR MISCELLANEOUS PUBLIC WORKS PERMITS:
El Curb cut/Access /Sidewalk El 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 #: El Sewer Main Extension 0 Private 0 Public
❑ Street Use El Water Main Extension 0 Private 0 Public
0 Deduct 0 Water Only
Size(s):
Size(s):
Size(s): Est. quantity: gal Schedule:
❑ Moving Oversized Load/Hauling
Date application expires:
• R STAFF USE ONLY
Project Nu ibbr;
„Permit Number: i�'tl� , r7(l + -{�
Application taken by: (initials)
BUILDING OWNER OR AUT d RIZE I 1 NT: /.
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 .
— ____
Signature: MI ..-
Date: l
Print name: —✓ D,
Phone:
Fax #:
Address:
City /State /Zip:
❑
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 Irriprovement
Permit . ;
❑
Bulkhead/Dock
Submit checklist : No M - 10
❑
Commercial:Reroof " •
Submit checklist No M-6
❑
Demolition
Submit checklist " No M- 3;.:,M -3a
0
Fences- Over 6 feet in Height
Submit checklist No: " M -9 ''"
❑
Land Altering/Grading/Preloads .
Submit checklist No: M -2
❑
Loading; Docks
Commercial Tenant Improvement"
Permit.. Subrriit checklist No: H -17
i�
1
Mechanical (Residential & Commercial)
Submit checklist No M =8;
Residential only - H -6, H -16 . .
in
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
tb be.repaired;orreplaced
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'Pedestrian' Protection/Exit "Systems
Submit checklist No: M -4
in
Tree Cutting
Submit checklist. No: M -2 .
ALL MISCELLANEOUS PE r ' T APPLICATIONS MUST BE SUB ED 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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TTY OF TUKWILA. WA TRANSMIT
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TRANSMIT Number: 896004 75 Amount: 42.81 09/05/96 12 :32
Payment Method: CHECK( Notation: NW WATERHEATER Ini t;: MEV
Permit No: M96-0114 Tyne: B-MECH MECHANICAL PERMIT
Parcel Na: 336590- 11
S i t e Address: 14458 58 AV S
Location; 144858 58 AV S
Total rear: 42.01
This Payment 42.81 Total ALL Pmts;: 42.81
Balance: .00
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Account Code Description Amount
000/345.830 ,PLAN CHECK = RES 8.56
000/322.100 MECHANICAL - RES
34„25
Project;��,` t -gym R as
�
Ro - fur ge tion m
Date JclalllleCd: ID-22-96
/�
-. , AV 5
t '`t`' s
Special instructions:
Date wantedi0 _G0 j •
VV
Requester:
Pon., ST"omF
Phone No. : `(_ , s 1 i 15
3.
COMMENTS:
Inspector:
pproved per applicable codes.
I 1
H INSPECTION RECORD
Retain a copy with permit IM 110 - 01)4
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 981 :: I 06) 43 70
Correc equired prior to approval.
��- Date :
4.
$42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
I Receipt No.:
Date:
Project: e^ b fr n
Type of inspections{
- i ,
Address: I ,L t c-/
/L : 5 , v
Date called:
(6/(61z
Special instructions:
Date wanted:
' f'i l cO P.m.
Requester:
0 A 1
Phone No.:
c 1 _tp ,
I I
INSPECTION RECORD �I
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
COMMENTS:
Inspector:
r.�
PERMIT NO.
(206) 431 -3670
Corrections required prior to approval.
/tn Date: / 1.9.....t /
$42.Ob REINSPECTIO FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
e ^.! Cf.H' „^O*V. oO:Orf+ndti.4.4 $4..:.kasgiotomISSso3m:!l tvoomt.s. . :+eul•ar
Since 1957
NORTH
WATER HEATER • HEATING /AIR
The Accent's On Service”
DEPARTMENT OF LABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HERpON IS REG)STERED AS PROVIDED BY LAW AS A
CoNST CON•T". GENERAL
State of Washington
County of King
SEATTLE
❑ Please reply to:
2800 Thorndyke Ave. W.
Seattle, WA 98199
206 282.4700 Fax: 206 284.7701
•
NORTHWEST.' WTR HTR "INC /DAVIS• Wt•i
2H0'0' THORNDYkE AVE W
SEATTLE WA 98199
So
."., ASSM 01...144..■■•■
STATE OF WASHINGTON
////// / / / / / / /N / / / /l / //% / / / / / / / / / / /l% / / / / /I/ / / / /// ,,,,-% ///
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, In' .n June 10, 1996.
(Signature of No
Marla Shea
1 7?
Notary Public in and for the State of
Washington
My commission expires on 09/09/99.
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
F625.052- 000(3.92)
EVERETT
0 Please reply to:
3110 Hill Street
Everett, WA 98201
206 259.5331 Fax: 206 258.4934
•REGISTRATION NUMBER• ' . •:' •
: %,<MATIONDATE ;
.. "
..
: `•..NORTTHWH 1 O.3R2'.;
: 1:,2'�.22 % 96
_•,•
,0101 :.
EFFEC DATE
12/22/90
e ^.! Cf.H' „^O*V. oO:Orf+ndti.4.4 $4..:.kasgiotomISSso3m:!l tvoomt.s. . :+eul•ar
Since 1957
NORTH
WATER HEATER • HEATING /AIR
The Accent's On Service”
DEPARTMENT OF LABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HERpON IS REG)STERED AS PROVIDED BY LAW AS A
CoNST CON•T". GENERAL
State of Washington
County of King
SEATTLE
❑ Please reply to:
2800 Thorndyke Ave. W.
Seattle, WA 98199
206 282.4700 Fax: 206 284.7701
•
NORTHWEST.' WTR HTR "INC /DAVIS• Wt•i
2H0'0' THORNDYkE AVE W
SEATTLE WA 98199
So
."., ASSM 01...144..■■•■
STATE OF WASHINGTON
////// / / / / / / /N / / / /l / //% / / / / / / / / / / /l% / / / / /I/ / / / /// ,,,,-% ///
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, In' .n June 10, 1996.
(Signature of No
Marla Shea
1 7?
Notary Public in and for the State of
Washington
My commission expires on 09/09/99.
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
F625.052- 000(3.92)
EVERETT
0 Please reply to:
3110 Hill Street
Everett, WA 98201
206 259.5331 Fax: 206 258.4934