HomeMy WebLinkAboutPermit M96-0143 - NULPH HELENMUL 14-e
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City of Tukwila i
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
MECHANICAL PERMIT
Permit No: M96 -0143
Type: B -MECH
Category: RES
Address: 13825 37 AV S St: 01
Location: WITHIN EXISTING SFR
Parcel #: 886400 -0680
Contractor License No: HAYESH *101QE
TENANT
OWNER
CONTACT
CONTRACTOR
UMC Edition: 1994
NULPH HELEN
13824 37TH AVE S, SEATTLE WA 98168
NULPH HELEN
13824 37TH AVE S, SEATTLE WA 98168
STEVE HAYES Phone: 206 243 -4328
HAYES HEATING, 13130 44TH AVE S #A, TUKWILA WA 98188
HAYES HEATING Phone: 206 244 -4328
13130 44 AV S, TUKWILA WA 98168
********************************************* * * * * ** ** * * * * * * * * * * * * * * * * * * * * **
Permit Description:
CHANGEOVER FURNACE AND HOT WATER HEATER
******************************************* * * * * * * * * * * * * * * * * * * * ** * * * * * * * * **
Permit Center Au horized Signature . Date
(206) 431-3670
Status: ISSUED
Issued: 12/19/1996
Expires: 05/25/1997
Phone: (206)241 -8159
Phone: (206)241 -8159
Valuation: .00
Total Permit Fee: 39.38
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 performance of work. I am authorized to sign for and
obtain thi building ermit.
Signature: Date: t. fir'
Print Name: b, . Title: 19
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.
CITY. OF TUKWILA
Address: :13 25 ; 37. AV St: 01 Kermit, Na: M96 -0143
Sul to.
Tenant: NULPH HELEN Status: ISSUED
Tvpe ::B MECH Applied: 10/24/1996
Parcel #: 886400 -0680 Issued: 12/19/1996
• k*• ki4- k' k" k:' k kkIk•k * * *•k•kk * **•k * * *•k *ft* k' k** k• k***k k** *k * *k *•k * * **'k"k*kk•k * * * "k"k* **k *k•k
Re'rii it Conditians:
.1." No changes, wi.11 be made to the plans unless approved by the
Architect or Engineer and the.,Tukw la Bui Tding Division.
2. 4111 permits, .inspe,ction r ecords . approved plans shall be
avai labia at the lob ` s;i:te 'pr Tor to the`:sta,rt' of any con-
struction. The,_,e,:,docume are tor: be maintained .,and avail -
able until final :i`rispection approval is g "ranted
3. All constr uct`i;on to ,be done in''conformanoe °.::wi• approved
plans and ;.r'equiremen ts•.of the Un iforrni Bui lding,.. Code•'(,1:994
Edition),,•',as'�`amende'd, Uniform''Mechan teal .. Cod "e'(°1994, Edition)
and Washington State Energy Code (1994. Edition)
4. Val i di ty ;;'of Per,mi t : The i ss canoe . of a permit or appr-.ovaa1 . of
plane ;s'pe an:d;;computations sha11not b'e con
strued a .permit for or- an approval of any violation'.
at' .any. of • the o
pry i s i:o"n "s of "the. ~bu i 1 d i ng code or of any
other or,d'inance the jurisd,i'otion. No permit presuming t
giv. to vialat e. or provisions-of this
code;? l 'be- :valid
S.. MANUFACTURERS "INSTALLATION INSTRUC:TIONS,..REOUIRED ON:., SITE •
FOR ,THE. „ -- INSPECTORS `REVIEW.' s
. `E1ectrica permit o hal1 .:.be; pbta, n ed;' th roug h the Wa.hIngton
Dji =v s i cn ot. ” abort and ndu tries Land : all el ectr i`c`a l
worl s,wri 1 ;�be inspected .b,v t "h'at'4agency •( 4'8- 6630);.
Project Name/Tenant:
e Y1)14 4-P1
Value of Construction:
, a G LI . q
C ti lik N6L� Q l.) en.--- j" t...`).)-&-<---' ctr k .* ww--k- e °L X11 `e G'l..
Site Address: T '� City S /Zip:
l as 1:_____2? c SD . ' DUI wit w wsr4 141
Tax Parcel Number:
5, ue 80
_z
Property Owner:
t 2- ) r)wL
. Phone:
9 ' - 4 (3 /
Address:
Street Address: City State /Zip:
/ 2 S a 3 "7 '� nob:, , SO , M rCw r u4- t 9cSl tr'
Fax #:
PERMIT CENTER
0 Water
Conte rson•
c 0 (– L. n. Z= ) 3 i s -:5 ¢ (< <4 'T v C'
Phone:
2 t1(-/ -- y s
k
Street Address: City State /Zip:
i; /.� C I Y - 7 - 4 / 4 1 ) r - - ` 56.. 7u-g,� «A./ wo . / , .
Fax #:
' -t 3 q r — 6 7 4 - i ( 5
Contractor:
Phone:
Street A ress: City State/Zip:
f I b yt( rh )14_ S O. #� ,Lt (...4"�1 /a ?. 706,C
Fax #:
. Li 3 0 - 9
Architect:
Phone:
Street Address: City State /Zip:
Fax #:
Engineer:
Phone:
Street Address: City State /Zip:
Fax #:
MISCELLANEOUS REVIEW AND APPROVAL REQUESTED: (TO BE FILLED OUT BY APPLICANT)
Description of work to be done:
C ti lik N6L� Q l.) en.--- j" t...`).)-&-<---' ctr k .* ww--k- e °L X11 `e G'l..
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes ❑ no
Attach list of materials and store. a location on se.arate 8 1/2 X 11 .a.er ind/catin • • uantitles & Material Safet 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: .
our 2 � �
Name:
Phone:
Address:
City /State /Zip:
PERMIT CENTER
0 Water
0 Sewer
0 Metro
0 Standby
Miscellaneous Permit Application
Name:
Address:
Application and plans must be complete In order to be accepted for plan review.
Applications will not be accepted through the mall or facsimile.
CITY OF - ""'JKWI LA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
❑ Channelization/Striping
❑ Flood Control Zone
in Landscape Irrigation
❑ Storm Drainage
❑ Water Meter /Exempt #
❑ Water Meter /Permanent #
❑ Water Meter Temp #
❑ Miscellaneous
AP. PL ICANT=:REQUEST:FORMISCELLANEOUS PUBLIC. :WORKS:PERMITSY
❑ 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):
Size(s 1L Est. quantity: gal Schedule:
Moving Oversized Load/Hauling RECEIVED
ITV O F 1U1CWILA
WATER METER DEPOSIT /REFUND BILLING:
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 1n7.4 of the Uniform Building Code (current edition). No application
shall be extended more than once.
Date application accepted:
'OCT 7 igg6
Date application expires:
Af t' 2 I ;q-
Application taken by: (initials)
M�J
MISCPMT.DOC 7/11/96
BUILDING •
� ER � •RO�IDAGENT:
Signature: ----
•
I
Date: ( y I ( r.::: ,
/
,_____-
` r
Print narne: 5t e 1` �
1 3 ... 0[114 ....... Fax #:
1 )
Le 4 (3? — ` L i (s —
Address
131.30 4�( e =, 56 ,
City/ te/ : p
,l �... a,2v,.$ 1 qv/ 45....
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
.Submitchecklist No M -9
•
0
Antennas /Satellite Dishes •
Submit checklist No . M 1
El
Awnings /Canopies - No.signage
, Commercial Tenant Improvement • ' Permit :':••
0
Bulkhead/Dock
Submit checklist" ,: No ' M-10'
E
Commercial.Reroof
'Submit checklist .. No M -6
0
Demolition:
Submit checklist . No : M 3, :M =3a
fn
Fences .- Over 6 feet in Height
Submit Checklist No: M -9
El
Land Aitering/Grading/Preloads
Submit checklist ' No: M -2
El
Loading Docks
Commercial Tenant Improvement
Permit.,. Submit. checkiistNo:.H -17
0
Mechanical' (Residential& Commercial)
Submit checklist , - No M -8,
Residential only - H -6, H -16
E
Miscellaneous Publics Works Permits
Submit checklist No H -9
E
Manufactured Housing (RED INSIGNIA,ONLY): :."
Submit checklist No: M -5
Moving Oversized Load/Hauling
Submit checklist • No: M -5
0
Parking Lots
Submit checklist No: M -4
ri
Residential Reroof - Exempt with following exception:: If roof structure
to be repaired or replaced
Residential Building Permit
Submit checklist No: M-6
0
Retaining Wails -. Over 4 feet in height
Submit checklist No: M -1
0
Temporary Facilities
Submit checklist No: M -7
Temporary' Pedestrian Protection /Exit Systems :
Submit checklist No: M -4
0
Tree Cutting
Submit checklist No: M -2
ALL MISCELLANEOUS PEP APPLICATIONS MUST BE SUBM
D WITH THE FOLLOWING:
• BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED
ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN
D 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
RECEIVED
CITY OF TUKWILA
OCT 2 4 1996
PERMIT CENTER
4****h ***1 **** **k * ***k**kk***** *rr* *hdrk k* kA*hh*** **k*** * *kkk*kAkk
�XTY OF 1'UKWILA WA Cf-- [a * *k *k *kkk * TRANSMIT
hkkk ** * * * * **h* * * * *k* * k* *A k kkkkkk *kkk ***Ak **
TRANSMIT Number: 89600523 Amount: 39.38 12/19/96 08:41
Payment Method: CHECK Notation: HAYES HEATING Init: 3L0
Permit No: M96'-0143 Tvae: 0-MECH MECHANICAL PERMIT
Parcel Not 886400 -0680
Site Address: 13825 37 AV S
St: 01 Fl: Una
Location: WITHIN EXISTING SFR
Total Feet:: 39.38
T h i s Payment 39.38 Total ALL Pmts: 39.38
Balance: .00
A************* * * * ** * *** *** ****•* * * *4*** * * * **
(account Code
000/395.830
000/322.100
Description
PLAN CHECK - RES
MECHANICAL -- RES
. Amount
7.88
31.50
Project: Hui() !j L k � 5
Type of inspection: Fl
A cl e S S4"
Date c 0 `
Special instructions:
Day M1/ gd: /
r� �c'�
a.11
Re��s /r5 /J 0f p4
Phone ? _ c/
Inspecto
[
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
INSPEC • NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Date:
PERMIT NO.
(206).431 -3670
Corrections required prior to approval.
$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:
,t
Pr ct:
/K A. OA) rte - e - r
a of 1 specti'oh:,' `F� r, ,( WC
7 1Y xci c c n t e
Id ss 3.744?
5
Date cal�e�:
/
Spe nstructions:.
•
a nt
;3
ure:.... 014 l h:..
Pho No.• 47/7 y
COMMENTS: •
h e -t_f- 1„.. g44/
J.Z./JeC.1 el "N.-
i :. -
‘54 6614 // v e 1"' ri
� v
Au 40 S ,. fl.9 d,'c , s0-
5) To.1 5 G. 4 /--- e *,... t • r /il ..n s ,
. .4 -( Ol .. ' rah e.. 0 ar'f Cj/ S
..
o
Inspector:
.42...di....W..:_ale_e -era
Date:
' Z: i3? x'"""^ Y" fiTZ' LVtr ."GYa7��swaaivau•nw..• -.__ .�. __ _
INSPECTION' NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
q4 -6193
PERMIT NO,
(206) 431 -3670
Approved per applicable codes. [] Corrections required prior to approval.
$42.00 REINSPECTION FEE REQUIRED.: Prior to Inspection; fee must
be paid at 6300 Southcenter blvd,, Suite 100. Call to schedule relnsp@ction.
Receipt No.:
Date:
EXPIRATION DATE
12 -31 -96
DATE ISSUED
01/29/96
LICENSE NUMBER
96 -786
FEE
$100.00
SALES TAX CODE
NO.1729
E2.G.�,c_
CITY CLERK
City of Tukwila, Washington
RUMNESS ..[ICENSE
244 -4328 Res. Furnace Cleaning /Repr
TELEPHONE NATURE OF BUSINESS
LICENSEE AGREES TO COMPLY WITH ALL THE REQUIREMENTS OF CITY ORDI-
NANCES AND STATE LAWS APPLICABLE TO THE BUSINESS ACTIVITY LICENSED
HEREUNDER.
Hayes Heating
13130 44TH AVE S #A
TUKWILA WA 98168 -3224
This license is to be displayed conspicuously at the location of business and is not transferable or assignable.
t,
CITY OF TUKWILA
OCT 2 4 1996
PERMIT CENTER
.REGISTERED AS.PROVIDED.BY.LAW.ASA •.--•• •
l ... rn rl.
BIONA1URE ' f// t A
ISSUED BY DEPARTMENT'OF LABOR AND IND
STATE OF
WASHINGTON
TIMOTHY M HAYES
HAYES DISTRIBUTING
2300 S 118TH
SEATTLE
UNEMPLOYMENT INSURANCE t
TAX REGISTRATION
r tY
JJLS 700 028 IHr3'881
. la, : ,'i 1 • i'�: °j .•r)ti;;�5�: d.'
3 EATTL.E ? WAi; 98168 •
I
MASTER LICENSE
WA 98168
ORGANIZATION TYPE
SOLE PROPRIETORSHIP
certify that the above entity has been Issued the business registrations or licenses listed below:
„s.,, aauuaaausauaauuuu.�a au a.•••aua`uu ua -,_-
DEPARTMENT OF LABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A
t ail ;FF g: ti
' • 9�ilhN 0A
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�:.",.^:.. a._ L�a1•a`a'.`�'.`.a`L.`.',a"�a3_- tee
�4u+ aa4a .al�a'+SL�Sa3iail_21. :nom a�� ,. ����i�• l y.a. .......rii•arara! r.a.a.ai
t_ DETACH TO DISPLAY CERTIFICATE .
UNIFIED BUSINESS ID 0: 600 304 449
BUSINESS 10 001
LOCATION: 0001
STATE OF WASHINGTON
Director, Department of Licensing
INDUSTRIAL INSURANCE
CITY OFETUKW
OCT 24 1996
PERMIT CENTER F625.052.00013.92)
t T4 au.a aaa!!f Rt•flf!
!•tt + *ri=
F625.052.000 (3.82)
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TOLL FREE 800.662.8203 (2061 763.4401