HomeMy WebLinkAboutPermit M96-0182 - FERTAKIS MARYCity of Tukwila
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M96 -0182
Type: B -MECH
Category: RES
Address: 11822 42 AV S
Location:
Parcel #: 334740 -0225
Contractor License No: NORTHWH103R2
TENANT FERTAKIS MARY
11822 42 AV S, TUKWILA, WA 98168
OWNER FERTAKIS JON & MARY
11822 42ND AVE S, SEATTLE WA 98118
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:
ELECTRIC TO GAS FURNACE REPLACEMENT.
UMC Edition: 1994
Perm
Cc-
Signature:_
Print Nam
CR
Center Authorized Signature
MECHANICAL PERMIT
Date
Valuation:
Total Permit Fee:
******************************************* * * * * * * * * * * * * * * * * * * * * * ** * * * * * * **
Status: ISSUED
Issued: 12/31/1996
Expires: 06/29/1997
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•oth- tate or local laws regulating
construction or the performa -k. I am authorized to sign for and
obtain this building perm
(206) 431 -3670
1,282.00
42.81
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': 11822:42 AV S
Suite: .
Tenant: FERTAKIS MARY
Type: B -MECH
Parcel #: 334740 -0225
CITY OF TUKWILA
Permit No: M96 -0182
Status: ISSUED•
Applied: 12/24/1996
Issued: 12/31/1996.
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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, All permits, inspection- Pe,cords't' and app plans shall be
available at the lob .site prior to th°e 'start:._ 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 in- conformance with approved
plans and,requirements:of the Uniform Building;. Code ;(1994
Editionas 'amended, Uniform Mechanical .Code`'(1994,:..Edit'ion),
and Washington State Energy Code, (1994 Edition).
4. Va l i d i,ty, of 'Permit The issuance . of a permit or approval of
plans,~ s'pecifications, and shall not be. con- •, .
s trued to;,;be a permit for,' or an approval of, any violation _
of arty of the provisions of *the . building code or of arty
other' ordinance` of the Jurisdiction : No permit presuming to
give .author,ity' to violate or cancel the provisions of this
cote , sha l l ` be v a l i d :
5. MANUFACTURER , INSTALLATION INSTRUCTIONS ..REQUIRED ON .SITE,
F0 c,� HE 'BU,ILDINU IN ;PECTORS, REVIEW
6. Plum i,ng 'perni1ts , shatil l be obtained through .the Seattle King
County Department c .f Fcib l,i a;, Health Plumbing will be
Inspected by +that•. i`ncluding all .gas piping
(29'6:74722,):'
7. Elegt "r • ieal . ,permits shall be obtained through ',the Washington
'= .ta 'te';Diuision " Labor and Ind6str,ie :and .all, electrical
worV,t' ^ ,f 1 1 be inspected by that agency (248 -6630)
Project Name/Tenant: - ' .�
Value of Construction:
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Site Address: ___.-
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l 72 U / -- - , \I ) ,
_lax Parc Nu b_er:
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Property Owner:
-
Phone:
Street Address: • 2 ,,. City Ste ip:
4
Fax #:
0 Water
Contact Person: � � ,
7.. )6.;( -
Phone: ,
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Street Address: City State /Zips,
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Fax #:
Contractor: / r
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Phone: ,_
C/`
/70a
Street Address: r . Ci Sta a /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: •• -
_. .- ... , ; t: ' L ( E /A' . 4
Will there be storage of flammable /combustible hazardous material in the building? El yes ❑ no
Attach list of materials and stora. a location on se • arate 8 1/2 X 11 • a • er indicatin • • uantities & Material Safet Data Sheets
• Above Ground Tanks ■ Antennas /Satellite Dishes ■ ulkhead/Docks ■ Commercial Reroof
El Demolition El Fence Mechanical ❑ Manufactured Housing - Replacement only
❑ Parking Lots El Retaining Walls El Temporary Pedestrian Protection/Exit Systems
❑ Temporary Facilities ❑ Tree Cutting
MONTHLY SERVICE BILLINGS TO:
Name:
I Phone:
Address:
City /State /Zip:
0 Water
0 Sewer
0 Metro 0 Standby
CITY OF T' IKWILACEIVED A
Permit Center
6300Southcenter Boulevard, ($uite 1n0 gin
Tukwila, WA 98188
(206) 431 -3670
PERMIT CENTER
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.
APPLICANT:REQUEST.FOR MISCELLANEOUS PUBLIC WORKS PERMITS
El Channelization /Striping ❑ Curb cut/Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: Size(s):
❑ Flood Control Zone El Land Altering: 0 Cut cubic yards 0 Fill cubic yards 0 sq. ft.grading/clearing
El Landscape Irrigation ❑ Sanitary Side Sewer #: El Sewer Main Extension 0 Private 0 Public
El Storm Drainage ❑ Street Use ❑ Water Main Extension 0 Private 0 Public
El Water Meter /Exempt # Size(s): 0 Deduct 0 Water Only
El Water Meter /Permanent it Size(s):
❑ Water Meter Temp # Size(s): Est. quantity: gal Schedule:
El Miscellaneous ❑ Moving Oversized Load/Hauling
WATER METER DEPOSIT /REFUND BILLING :
Name:
Phone:
Address:
I 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:
Date application expires:
(f)--,y.l-
Application �: (initials)
MISCPMT.DOC 7/11/96
BUILDING OWNER OR AUTHORIZED AG N ;✓' / -' "..-
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:
Antennas /Satellite Dishes
Submit checklist No: M -1
,i
Awnings /Canopies - No signage
Commercial Tenant Improvement
Permit .
1
Date: j _ %
� CO
Print name: j -,_
�
'
/ -
, (
1
❑
Phone:
Fax #:
❑
Address:
Submit checklist . No: M - 2
❑
'
Commercial Tenant Improvement
Permit. ,Submit checklist No: H -17
❑
Mechanical (Residential & Commercial)
City /State /Zip:
❑
ri "--F
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 feet in Height
Submit checklist: No: M-9
❑
Land Altering/Grading /Preloads
Submit checklist . No: M - 2
❑
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
❑
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
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 P IT APPLICATIONS MUST BE SU
TED 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 THjAPPLICATION 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
S •
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TRANSMIT Number: 89600526 Amount: 42.51 12/31./96 12:1.4
Payment Method: CHECK Notation: WDF INCORPORATED Init: SMC
Permit No :- M96 -0132. Type: 8•-MECH MECHANICAL PERMIT
Parcel No: '334740 --0225
Site Address: 111322 42 AV S
Total Fees: 42.13:1
This Payment 42.81 Total ALL Pmts: 42.81
Balance: .00
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Account Code Description Amount
000/345.030 PLAN CHECK - RES 1 8.56
000/322.100 MECHANICAL •- RES 34.2
May 26, 1999
City of Tukwila
Department of Community Development Steve Lancaster, Director
Lynh Rowe
Northwest Water Heater
2800 Thorndyke Avenue W
Seattle, WA 98199
RE: Permit Status M96 -0182
11822 42 " Avenue S
Dear Ms. Rowe:
In reviewing our current permit files, it appears that your permit for a gas furnace replacement
issued on December 31, 1996 has not received a final inspection as of the date of this letter by the
City of Tukwila Building Division.
Per the Uniform Building Code and /or Uniform Mechanical Code, every permit issued by the
building official under the provision of this code shall expire by limitation and become null and
void if the building or work authorized by such permit is not commenced within 180 days from
the date of such permit, or if the building or work authorized by such permit is suspended or
abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, if a final inspection is not called for within ten (10) business days from the
date of this letter, the Permit Center will close your file and the work completed to date will be
considered non - complying and not in conformance with the Uniform Building Code and /or
Mechanical Code.
Please contact the Permit Center at (206)431 -3670 if you wish to schedule a final inspection.
Thank you for your cooperation in this matter.
Sincerely,
Brenda Holt
Permit Coordinator
Xc: Permit File No. M96 -0182
Duane Griffin, Building Official
John W. Rants, Mayor
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (206) 431-3665
•
Department of Labor & Industries
Contractor Registration Section
PO Box 44450
Olympia WA 98504 -4450
F625 036.000 registration verification 2 - 95
REGISTRATION VERIFICATION
TEFg/1PQF?,4 R Y FAX _ zz
To ----_.
From
p
T � ar
c�istercd Wne .
Olympia Headquarters
•
Contractor: Your Certificate of Registration will be sent from the Olympia office and
should be received within 2 to 9
c ot iati nu lrl�
m .
Registration xp.. ,.......
!; tratiun expires
.weeks. Please keep this record until you receive your
Certificate of Registration.
Stephanie M. ' amirez
Notary Public in and for the State of Washington.
My Commission Expires on September 1, 1998
keccipt expircs
CITY OF TUKWILA
DEC 3
1• 1936'
PERMIT. CENTER