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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. *** k* Ah***` k• k *h•k **k•kk **k* * * *•k** *** * * *• **** A* *•k•k•k•k•kkk•hk *•k A***k-kk•kkA*kk *•k *kk* 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: « �- Site Address: ___.- —' WK/1/7//4 CiitySt atte /ZY.,6/6 ! l 72 U / -- - , \I ) , _lax Parc Nu b_er: 5- • 73 4 - - � ii � � Property Owner: - Phone: Street Address: • 2 ,,. City Ste ip: 4 Fax #: 0 Water Contact Person: � � , 7.. )6.;( - Phone: , l S z - ` ) 00 - �'� - Street Address: City State /Zips, Zfg( 71MA//�� r " S - l(/ i 7 Fax #: Contractor: / r 4,2 0 //t A 7 ,- , ( /'/ /'c: /2 Phone: ,_ C/` /70a Street Address: r . Ci Sta a /Zip: � . � %�/ zz . cr;/ /3ip, 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 • 4* hat* v4:4ac*t4h•hs► *;kac:h:4•kk:. fit***k* * kk h*h***k**A* ** *Akh ** el ;ITV OF TUKWILA, WA h (� (0 - ' 1 PANSMI. * kh ******* * *** **** ** A h** A* *****h* **kk * * *****kA*A ****hA ** 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 k *** ***a, *•A* ****** **t **h* *A•******** ********ar k ** **A il ***a *****l** *** 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