HomeMy WebLinkAboutPermit M96-0175 - SWANBERG PHILLIP
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City of Tukwila
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M96 -0175
Type: B -MECH
Category: RES
Address: 14809 51 AV S
Location:
Parcel #: 004200 -0160
Contractor License No: NORTHWH103R2
TENANT SWANBERG PHILLIP H Phone: 206 244 -3719
14809 51 AV S, TUKWILA WA 98168
OWNER SWANBERG PHILLIP H
14809 51ST S, SEATTLE WA 98168
CONTACT LYNN ROWS Phone: 206 282 -4700
NORTHWEST WATER HEATER, 2800 THORNDYKE, SEATTLE WA 98199
CONTRACTOR NORTHWEST WATER HEATER, INC. Phone: 206 282 -4700
2800 THORNDYKE AVENUE WEST, SEATTLE, WA 98199
*,****************************************** * ** ** * * * * * * * ** * * * * * * * * * * * * * * * **
Permit Description:
GAS FURNACE REPLACEMENT.
UMC Edition: 1994
******************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Center Authorized Signature ,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 the provisions of any other state or local laws regulating
construction or' the perfo► any- of work. I am authorized to sign for and
obtain this building pe
Signature:
Print Name:
MECHANICAL PERMIT
Valuation:
Total Permit Fee:
(206) 431 -3670
Status: ISSUED
Issued: 12/17/1996
Expires: 06/15/1997
665.00
42.81
Date: _42
Title:
This permit shall become null and:voi.d if. the work is not commenced within
180 days from tge date of issuance, or if the work is suspended or
abandoned for a. period of 180';days:from the last inspection.
Address: 14809 51 AV S
Suite:
Tenant: SWANBERO PHILLIP H
Type: B -MECH.
Parcel # :: 004200 -0160
CITY OF TUKWILA
Permit • No:. M96 -0175.
Status: ISSUED
Applied: 12/10/1996
Issued: 12/17/1996
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Permit Conditions:
1:. No changes will be made to the plans unless approved by the
Architect or Engineer and the.-Tu}wi.la,Building Division.
2. A1,1 permits, inspe.ct1,0 rector an,d *proved plans shall be
,j
available at the lob si,te' "prior to th'e °of any con -
struction. The,3e ; documents .,are to'. ::be maintai_ne.d,..and avail- avail
able `until final 1 nspect.i approval is g /ranted
3: All construction to be done :in: conformance` with approved
plans and, y equi'rements,.of the Un,iforni Building - .Coded .( :1.994
Editions:'amende;d, Uniform 'Mechanica:l . Code 11994 Edition) ,
and Wasli mate Energy 'Code; (1994 Edition),
4. Va l i d i ,'of 'Perms t The is of a permit. or approval of
plans s pecificati ; ons, and4computat,ions shalt not .be: con
strued�;tos b,e a p- ermit;,far��, or an, approval of, any violation •
of any``of,`rt'h,e provisions•of the building code or'of any
otheryordinance of the .juris,diction No permit presuming to .
give auth_or.lty to .violate or the provisions of this
code; shal� ue valid.
5. MANUFACTURERS;; INSTALLATION INSTRUCTIOryS- REOUIRED ON.: SITE
FOR - ; - H PE
INSCTORS,'F,REVIEW: :
6. P1utbing permit's shall b.e;`ob'tained ;through'the Seattle_ -King
Coclnty ,Depart;meri;t of Pub 1 1 e Health . Plumbing will be
in.pected ~' by ..that4genvy ; including al?l gat piping
(296- 4722)
7. Elec,trice„1, "permits shall be obt'a'ined� through` Wa"sh,i;ngt'on
Sttate',yDl�vlsion < Labor and Indus,trie s °.and_,al.'' electrical
work,'.w }i 11;r be_�1'ins.pected by that agency ' (2'48 -6630) .`
Project Name/Tenant:
/(• 5 Ai 66-xc,
V alue of Construction:
6 to s '
Site Address: / , /q0 5-r- 5 (lg ta Zip
- f J (1 �
Tax �� Parcel -
�Q � /
Property Owner :
ill/ /, (..- 57A/4/11
Phone
Street Address: / C��
/� C . it�St /(gip
Fax #:
City /State /Zip:
Contact Person: zy , ,
0 Water
Phone:
i"
S treet Address: / ) / r y��1
( �( \
Cit
Fax #:
Contractor: /
74j.q ?Tx I/61
Phone:
Street Address: //
wi a 4
Architect:
C't .tat- r 'p ,
� 1 I .
/
Fax #:
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: - ( � / /
c - C,7 r rjf
_C
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 Indicatln uantities & Material Safety Data Sheets
El Above Ground Tanks ❑ Antennas /Satellite Dishes CI Bulkhead/Docks J 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:
Name:
Phone:
Address:
City /State /Zip:
0 Water
0 Sewer
0 Metro
0 Standby
Miscellaneous Permit Application
❑ Channelizatlon /Striping ❑ Curb cut/Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: Size(s):
❑ Flood Control Zone ❑ Land Altering: 0 Cut cubic yards 0 FIII 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):
❑ Watef Meter Temp # Size(s): Est. quantity: gal Schedule:
❑ Miscellaneous ❑ Moving Oversized Load/Hauling
WATER METER DEPOSIT /REFUND BILLING:
Name:
Address:
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:
MISCPMT.DOC 7/11/96
CITY OF TUKWILA
Permit Cente.
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
Date application expires:
Application and plans must be complete In order to be accepted for plan review.
Applications will not be accepted through the mall or facsimile.
APPLICANT;REQUEST FOR MISCELLANEOUS•PUBLICWORKS PERMITS
Phone:
City /State /Zip:
Appllc7n y: (Init/als))
BUILDING OWNER OR A
THO ,
PERMIT REVIEW
Submit checklist No: M -9
r
.
D AGENT?
Signature:
Awnings /Canopies - No signage
::
71
Date; / j��
/
Submit checklist No: M -10
in
Commercial Reroof
Print name: ----- _
f�-
Demolition
IC )Z'
Phone:
Fax #:
Address:
0
Land Altering/Grading /Preloads
Submit checklist No: M -2
City/State/Zip:
rn
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
El
Awnings /Canopies - No signage
Commercial Tenant Improvement
Permit
71
Bulkhead /Dock
Submit checklist No: M -10
in
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
0
Land Altering/Grading /Preloads
Submit checklist No: M -2
J
Loading Docks
Commercial Tenant Improvement
Permit. Submit checklist No: H -17
Mechanical (Residential & Commercial)
Submit checklist No. M-8,
Residential only - H -6, H -16
El
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
ri
Residential Reroof - Exempt with following exception: If roof structure
to be repaired or replaced
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
Tree Cutting
Submit checklist No: M -2
ALL MISCELLANEOUS PE T APPLICATIONS MUST BE SUBMI r 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 EXAMINE TH APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF T!1H- STATE F W SHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS
PERMIT.
MISCPMT.DOC 7/11/96
Account Code
000/345.830`
000/322.100
'Description
PLAN CHECK - RES
MEOHANJCAL — RES
_
*A *a*+*********+* *** *A**a* +**a* ***.A**+***k*+*** ++***+
CI TY OF TUKNILA,`NA ' T RANBMIT
*****k**A**+a**;+�+** k***+*+***+*h k****A**A**
TRANG%TNu.b ! rn R 0522 Amount: 42.81 1217y96 14:30
Payment Method: CHECK Notation: WDF INCORPORATED Init: 8L0
Permit No: M36-0175 Type: B~MECH MECHANICAL PERMIT
Parcel Not 004200_0160 '
Site Address: 14809 51. AV 8 '
� Total Fees: 42.81
This Payment 42.81 Total ALL Pmts: 42.81
Balance: .00
A*******a***Ili+*****^****a*********i*********i***1%*+*Il**A*******
Amount'
8.56
34,25/
Project:
Type of fns ction: p ■ 1/1 4)
Addre7s: f Oj l'1 , V ,- G
J
Date called:
Special instructions:
Date wanted:
a.m.
Requester:
' � 'A
L ,
Phone No.: Z
( ^_ _
INSPECTION RECORD
Retain a copy with permit ( YY0 11) CIO
PERMIT NO.
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 9818
[Approved per applicable codes.
206) -•x}31 -3670
Corrections required prior to approval.
Inspector:
CiScLo--
Date: 1/23
$42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectlon.
Receipt No.:
Date:
'2 -2 '..,.... „''' t: •REGSTRAT1ON NUMBER): ;• .....• ::- ;:-. ••:'' ' :
.i.f' 2) . ( T AT IC 14 . 13 0E . ':
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EFFECTIVEIDATS
:
f .t.2 .. Z2 . 2"/Y10
gz ig.,...wv4v4 . 4(5 YA - 20:4A;Tpokou.:1.;. , 47 , .•?f,**ktr.a0iV.. 10e&t:0 4 ro•rnang,0411.6....AW04 suilvtounreM•tetc
Since 1957
NORTH 41111.
WESTE
WATER HEATER • HEATING/AIR
The Accent's On Service"
DEPARTMENT OF LABQR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HERON IS REGJSTERED AS PROVIDED BY LAW AS A
. •
•
• •.• •
CONSP. CONT;; GENERAL
No)(744itt.:..t.siik'.14tFt /DAVI WI; •
8,..:m•'•:1-1-iciRnitircE AVE W
SEATTLE WA .98195'
.•. • .
STATE OF WASHINGTON
F625-052-000 (3•B2)
42==laki
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 Wednesday, September
25, 1996.
•' .
SEATTLE
0 Please reply to:
2800 Thorndyke Ave. W.
Seattle. WA 98199
206 282-4700 Fax: 206 284-7701
. , -7.•
Marla Shea
Notary Public in and for the State of •
Washington
RECEIVED •
My commission expires on 09/09/99. cry OF TUKWILA
DEC 1 7 1996
TACOMA
0 Please reply to:
Jenco Business Park, 2506 104 Ct. St., Suite A, Bldg, H'
Tacoma, WA 98444
206 984.6404 Fax: 206 688-0393
• PERMIT CENTER
EVERETT
0 Please reply to:
3110 Hill Street
Everett, WA 98201
206 259.5331 Fax: 206 258-4934