HomeMy WebLinkAboutPermit M96-0171 - MCLEAN DWIGHTrnLkJ, EJUH1
City of Tukwila �
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
MECHANICAL PERMIT
Permit No: M96 -0171
Type: B -MECH
Category: RES
Address: 13015 38 AV S
Location:
Parcel #: 733240 -0025
Contractor License No: NORTHWH103R2
TENANT MCLEAN DWIGHT
13015 38 AV S, TUKWILA, WA 98188
OWNER McLEAN DWIGHT L. Phone: (206)241 -7528
13015 38th AVE SO., SEATTLE 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:
GAS TO GAS FURNACE REPLACEMENT.
UMC Edition: 1994
******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Center Authorized gnature Date
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 theprovis.ions of they state' or local laws regulating
construction or the perfor n_�.' or I`am authorized to sign for and
obtain thi.s'building per
Signature:
Print Name:
Valuation:
Total Permit Fee:
`-' (206) 431 -3670
Status: ISSUED
Issued: 12/17/1996
Expires: 06/15/1997
3,136.00
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.
•
Permit No: M96 -0171
Status: ISSUED
Applied: 12 /03/1996
Issued: 12 /17/1996
Address: 13015 38 AV S
Suite:
Tenant: MCLEAN DWIGHT
Type: B -MECH
Parcel #: 733240 -0025
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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. All permits, inspection recards, apprzoved plans _hail be
available at the
job site 'pr•for to the of any con -
struction. These l to be maintained and avail-
able until final 'inspection approval is granted:
3. All construction to be done in °confor'mance :with approved
plans and,.requirements of the Uniform Building Code ,;(1994
Edition);as amended; " Uniform Mechanical. Code (1994, Edition) ,
and Washington State Energy Code, (1994 Edition).,
4. Va l i di,ty,of Permit. ; The issuance of a permit. or :.approva.l :.of
planspepificati and computations shall not be .con =,
strued torybe a permit for, or an approval of, any violation',
of any of 'the provisions of the building code or of any
other, ord inance` of the jurisdiction. No permit presuming to
give authority to violate or; cancel the provisions of this
code,`; shall "'be valid.
5
MANUFACTURERS INSTALLATION INSTRUCTIONS REQUIRED ON SITE
FOR `THE. BUILDING INSPECTORS '.REVIEW;
6. Elentrica permits 'shall .be.obtaine'd through the Washington
State G;iv°ision of Lab or;.and Industrfes and all 'electrical
work ` wi l'l be inspected,•' by that agency .(248- 6630) .
7. Plumb,ing.'. Shall' be obtained through the Seattle-Kin
County Department of Public Health. : , ` Pl urnb i ng will be
inspected: by that agency, including all gas piping
t2964722)'
MISCELLANEOUS. PERMIT. REVIEW AND APPROVAL REQUESTED: (TO BE FILLED OUT BY APPLICANT)
Description of work to be done:
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes ❑ 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
❑ Demolition ❑ Fence
❑ Parking Lots ❑ Retaining Walls
❑ Temporary Facilities ❑ Tree Cutting
❑ Bulkhead/Docks ❑ Commercial Reroof
Mechanical ❑ Manufactured Housing- Replacement only
❑ Temporary Pedestrian Protection/Exit Systems
Phone:
Value of Constructi s i
Site Address:
City /State /Zip:
0 Water
0 Sewer
0 Metro
0 Standby
= V
Tax Parcel Numbe :
Property Owner: 1
Phone:
Street Address:
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Fax #:
Contact Person:
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Phone: zsz:
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Street Address:
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City State /ZI•:
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Fax #:
Contractor:
Phone:
Street Address: -7
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/City State /Zip:
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Fax #:
Architect:
Phone:
Street Address:
City State /Zip:
Fax #:
Engineer:
Phone:
Street Address:
City State /Zip:
Fax #:
MISCELLANEOUS. PERMIT. REVIEW AND APPROVAL REQUESTED: (TO BE FILLED OUT BY APPLICANT)
Description of work to be done:
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes ❑ 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
❑ Demolition ❑ Fence
❑ Parking Lots ❑ Retaining Walls
❑ Temporary Facilities ❑ Tree Cutting
❑ Bulkhead/Docks ❑ Commercial Reroof
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
CITY OF T' IKWILA
Permit Center ( •
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
Project'Numbar:
Permit. Number:
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. :REQUEST FOR MISCELLANEOUS PUBLIC WORKS PERMITS
❑ 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 #: ❑ Sower Main Extension 0 Private 0 Public
❑ Street Use ❑ Water Main Extension 0 Private
❑ Channelization /Striping
❑ Flood Control Zone
❑ Landscape Irrigation
❑ Storm Drainage
❑ Water Meter /Exempt # Size(s):
❑ Water Meter /Permanent # Size(s):
❑ Water Meter Temp # Size(s): Est. quantity: gal Schedule:
❑ Miscellaneous ❑ Moving Oversized Load/Hauling
0 Deduct
0 Public
0 Water Only
WATER METER DEPOSIT /REFUND BILLING:
Name:
Phone:
Address:
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:
Datei4CO31410b expires:
CITY OF TUKWILA
Application t by: (initials)
MISCPMT.DOC 7/11/96
DEC 0 3 1996
PERMIT CENTER
BUILDING OWNER,ORAUTM• - ,7•�' -GE /
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
Signature:
� '
Date:
Z-, "" 7
'
Print name:
lIWi
Phone:
Submit checklist No M - 10
Fax #:
Commercial Reroof
Address:
0
City /State /Zip:
Submit checklist . No:. M -3; M -3a.
0
in
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 - No signage
Commercial Tenant Improvement
Permit
0
Bulkhead/Dock
Submit checklist No M - 10
Commercial Reroof
Submit checklist No: M -6.
0
Demolition
Submit checklist . No:. M -3; M -3a.
0
Fences - Over 6 feet in Height
Submit checklist No: M-9
0
Land Aitering/Grading/Preloads
Submit checklist No: M - 2
0
Loading. Docks
Commercial. Tenant Improvement
Permit. Submit checklist No: H -17
0
Mechanical (Residential & Commercial) :
Submit checklist ' No M -8,
Residential only - H -6, H - 16
0
Miscellaneous Public Works Permits
Submit checklist No H -9
0
Manufactured Housing (RED INSIGNIA ONLY)
Submit checklist No: M -5'
0
Moving Oversized Load/Hauling
Submit checklist . No: M -5 •.
El
Parking Lots
Submit checklist No: M -4
in
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
0
Temporary Facilities
Submit checklist No: M -7
0
Temporary Pedestrian Protection/Exit Systems
Submit checklist No: M - 4
ci
Tree Cutting
Submit checklist No: M - 2
ALL MISCELLANEOUS P IT 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
➢ 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.
1 HEREBY CERTIFY THAT I HAVE READ AND EX4 ED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAW8i0 f •
PERMIT.
WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS
MISCPMT.DOC 7/11/96
* **A ** * * * * * * *A• * * *h ** kk:4kk* *k* ***kkitkit ** *•k *h**4.** *kk*A * * **kkk*
CITY of TUKWILA WA C J TRAN8MT1
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TRANSMIT Number: R9600522 Amount:/ '12.81 12/17/96 14:23
Payment Method: CHECK Notation: WDF INCORPORATED Init: SLU
Permit No M96.0171 Type: S -MCCH
Parcel No: 7332'10 -0025
Site Address: 13015 38 AV S
MECHANICAL PERMIT
Total Fees: 42.131
This Payment 42.81 Total ALL Pmts: 42.81
Balance: .00
* * ** ** *** * ** * *• del****** 11************* k ** *** **k * *•* *•k *s1 ** * * * ** * * * **
Account Code
000/345.830
000/322.100
Description
PLAN CHECK - RES
• MECHANICAL - RES
Amount
8.56
34.25'
Project: 'nn C A.4„..r
Type of inspects 4\--
Address: 0 ) S 3S' A .�
Date called: ,s A
1
Special instructions:
Date wanted: s .-1 g , / 9
p
Requester: L1A ��
+ ^
r . � J 0
Phone No.: 361- , / o
' l INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
MMENTS:
-- OA"
Inspect
Date'
PERMIT NO.
(2U6) 43 670
Corrections required prior to approval.
/.
4
i/. /L
$42.00 REINSPECTION EE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
COMMENTS: -
(h4SGI 9 46 ' 4 --1'
/ ) M J de,c-/ '',....4,ef /7 it / --2 s kr. //,?..--/
21_
4fx-1,6( - 603 - / aM1c—
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L .5/.-. L-r-1.4 rip e./h/2F47 6 'che-eZ.-de.ez- u
ec ii-7 4. 44.1.// )0e! ae- / r i 4-r., ,6-t,
3) dco foi),
'-gm,. 4:2
ce-A., s fct..tieeix, s esopt/
9 at, (441I.-e 0 CO
el /3/ ?! re-La tvrf /4 c e ci f4 10 a-t-
/AlikinAlincett. --Clou $i et fr‘ce44 . 243/2d 0. 6-C,
Project:
Type of in c ' n. ,
pate called: i 1 4 1
Date wanted: I s . 9 1
i 1
6:;)
p.m.
Address1 0 i s . 3 , - r
Special instructions: A
y tikg. t5 --1
VP otr.),4....
Requester:
pho ls . ?1 ,, (
I
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO,
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
,reem........nrersiweseNtail41}.111NatiMidtIVIMMUSAVALIWTSIWTRIMSVOCRWAINVOMISMOVIMIElattr
Approved per applicable codes.
• "
FAI
PERMIT NO.
(206) 431-3670
Corrections required prior to approval.
Inspector:
1
S42.00 REINSPECTION FEE REQUIRED, Prior'to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100, Call to schedule reinspection.
Date:
r eceipt No.:
Date:
. .
Project: m p in,
Type of inspection`.;
J A.
Address: 1 fs -_.� i g Aft 5Ea
Date called:
Date wanted: / �^
�J
7
p .m.
Special instructions:
Requester:
Phone No.:
INSPECTIO NO.
Inspecto
II
P o
CITY OF TUKWILA BUILDING DIVISION
xi •
INSPECTION RECORD
Retain a copy with permit
Date:
PERMIT NO.
6300 Southcenter Blvd., #100, Tukwila, WA 98188 ,, .1 (206) 431 -3670
Approved per applicable codes. Corrections required prior to approval.
c)
$42.00 REINSPECTIbN FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule relnspection.
I Receipt No.:
Date:
.._. . _
: REGISTRATION NUMBER? f ; -
,' EXP1RI TIONDATE..
•." 01'
, NORITHWH i 0PE •
kg( : ?? : 4
- t '..'EFFECT:IVE:;')ATE:
12,f227
Since 1957
NORTH 41111.
WATER HEATER • HEATING /AIR
`The Accent's On Service"
C.
DEPARTMENT OF LABQR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HERON IS REGISTERED AS PROVIDED BY LAW AS A
C'ONT:. • GENERAL
NORETHWEST' WTR FFTRANC /DAV wt
2 100 THORNDYKE AVE .W
SEATTLE WA 98199
State of Washington
County of King
SEATTLE
0 Please reply to:
2800 Thorndyke Ave. W.
Seattle, WA 98199
206 282.4700 Fax: 206 284.7701
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 Wednesday, September
25, 1996.
Marla Shea
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
STATE OF WASHINGTON
F626-052.000(3-92)
RECEIVED
CITY OF TUKWILA
DEC 0 3 1996
PERMIT CENTER
EVERETT
0 Please reply to:
3110 Hill Street
Everett, WA 98201
206 259-5331 Fax: 206 258-4934