HomeMy WebLinkAboutPermit M93-0033 - KRUIZE SCOTTm93-0033 kruize scott
4457 south 158th street
hvac
COTT
Ci O ?�tkwil
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M93 -0033
Type: B -MECH
Category: RES
Address: 4457 S 158 ST
Location:
Parcel #: 810860 -0320
Contractor License No: DIJOI * *088JF
TENANT KRUIZE SCOTT
4457 S 158 STREET, TUKWILA, WA 98168
OWNER KRUIZE SCOTT H +CAVANAUGH S
4457 S 158TH ST, SEATTLE WA:>. "98188::
CONTRACTOR DIJO INC. r'
11630 S.E. PLACE, KENT, WA 98031=
CONTACT MORGAN FINSETH
20257 S% E: 151 STREET, RENTON, . WA 98059
Signature:
Print Name:
MECHANICAL PERMIT
Permit Center Authiori ed Signature' :, Date
Permit Descript•ion, :'
INSTALL -ATION OF GAS FURNACE, BY 'COLEMAN D. E. S: 80
60, 000'BTU':
UMC Edition: 1991
Valuation :
Total Permit Fee:
(206) 431-3670
Status: ISSUED
Issued: 03/09/1993
Expires: 09/05/1993
Phone: 206 854 -2728
hone: 206 271 -8361
*************** 9Y******* * * * * * ** * * " * * * *:k * * * * * * * * * * * * ** *fit * * * * *:k * ** * * * ****
* * * * * * * * *"* * * * *•k k * ** * * * * *i44C** * * * * * * ** * * *; *** •
•
I hereby';.certi`fy that I "have read and examined ,this permit and know -the
same to l* true and correct `'`All pro i ons of l aw and ordinances
governing %this work ;,will be complied 'with','.whether specified'herei,n or not
The granting o � is permit does not presume to give authority to violate
or cancel'thee provisions of any other'state! or '<.local ,laws regulating
construction or the performance of work. `` I am .authorized to sign' for and
obtain this'.
;•,9;
'63' 0. 0 0
Date
>
..
:Title.
This permit shall become°>nu:1and...,,v,oid i,f .the.. ;; ;work, i"s not commenced within
tip. i,_n Y: `,
180 days from the date of issuanc ; ;, or' „f ;'Jtf'e -:work is suspended or
abandoned for a period of 180 day's"from''°thi last inspection.
DEPARTMENT
DATE IN
APPROV DATE
ED
REQUIREMENTS /:;COMMENTS
IN BUILDING -
initial review
3 .4 -6/3
5 c
(ROLTE
€
)
CONSULTANT: Date Sent - Date Approved -
BY:
(init.)
FIRE
BY:
(init.)
FIRE PROTECTION: (J Sprinklers Q Detectors QN /A
FIRE DEPT. LETTER DATED: INSPECTOR:
INIT:
O PLANNING
ZONING: IBAR/LAND USE CONDITIONS? • Yes • No
SCREENING REQUIRED? 0 Yes 0 No
INIT:
REFERENCE FILE NOS.:
0 OTHER
INIT:,
•BUILDING -
final review
3
c, („,4
j
"7 ar5
UMC EDITION (year):
( v(, 1
INIT: .
BUILDING
OFFICIAL
3'
INIT: ` -" 1 •
AMOUNT
OWING:
.O�
CONTACTED
Scams
DATE NOTIFIED
5
BY:
(init.)
2nd NOTIFICATION
'
BY:
(init.)
3RD NOTIFICATION
BY:
(init.)
PROJECT NAME
I' K ul l zE)
Scams
SITE ADDRESS
4 5 - 1
5
Isg
sr
SUITE NO.
PLAN CHECK
NUMBER
Mq3 - 0033
Mechanical Permit Application Tracking
REVIEW COMPLETED
CITY OFTUKI4( 4
C.
Department of Community Development — Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
INSTRUCTIONS TO STAFF
• Contacts with applicants or requests for information should be summarized in writing by staff so
that the status of the project may be ascertained at any time.
• Plan corrections shall be completed and approved prior to sending to the next department.
• Any conditions or requirements for the permit shall be noted in the Sierra system or summarized
concisely in the form of a formal letter or memo, which will be attached to the permit.
• Please fill out your section of the tracking chart completely. Where information requested is not
applicable, so note by using "N /A ", date and initial.
DEPARTMENTAL REVIEW
"X" in box indicates which departments need to review the project.
01/07/93
ADDRESS T
SITE /DS
/ i-75 5. Ls - 8
/ SUITE #
VALUE OF CONSTRUCTION - $ �^ ,�q W 1
% sly I. ite c �q _! VD,
PROJECT NAME/TENANT
PRINT f�I AME r-
DGCZfl/ 0. ,i n-f$ . ,/
ASSESSOR • CCOUNT # I
TYPE OF WORK: (V• New /Addition
Cj Modifications 0 Repair [] O er:
DESCRIBE WORK TO B
. ^ r of
/9770// or 645 �A f4 c
TYPE
RATING /SIZE NUMBER OF UNITS
c.:PC,Fifi T•/ a r5, 9O
( o, 000 0-7"t)
TOTAL -
BUILDING USE (office, warehouse, etc.)
NATURE OF BUSINESS:
No Yes IF YES, EXPLAIN:
WILL THERE BE A CHANGE I USE?
WILL THERE B . ORAGE OR USE OF FlAMMABLF_, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
IF YES, EXPLAI 1 No L1 Yes
I HEREBY CERTIFY THAT.I.HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE.SAME TO BE TRUE •
AND CORRECT, AND I AM AUTHORIZED TO APPLY FOR.THIS PERMIT...
BUILDING OWNER
OR
AUTHORIZED
AGENT
SIG UU RE .7---Ze �/
%�
DATE mgr 3
PRINT f�I AME r-
DGCZfl/ 0. ,i n-f$ . ,/
PHONE c7.2/ - 8360/
CITYrL Wro ge0 5"'7
ADDRESS? 7 S 7S7 s7-
CONTACT PERSON A +^r ,Gi ,VSerTyl
PHONE 7 f — 836 y
PROPERTY OWNER
,.<2'.6 �7 T � �cJi Z �
AMOUNT
RCPT # DATE
PHONE
c9
ZIP 98 i8
ei
gs-r ' ?7�0
ZIP .- 8 I
L 9�
ADDRESS 4/! 5 / Se ril
CONTRACTOR D; --d �I.l G .
� �i�T —
" �r J
(,�JA
PHONr �
EXP. DAT, ,, j
, Tfj
ADDRESS //030 5. d al P
WA. ST. CONTRACTOR'S LICENSE #
O y 3-63....i :f�
DESCRIPTION
AMOUNT
RCPT # DATE
BASIC PERMIT FEE
$15.00
UNIT(S) FEE
PLAN CHECK FEE
OTHER:
TOTAL -
CITY OF TUKWILA `
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
PENN CHECK /'
NUMBER / 493 — 0033
APPLICATION MUST BE FILLED OUT COMPLETELY
DATE APPLICATION ACCEPTED
„
MECHAN.CAL PERMIT
APPLICATION
Mechanical Fee Worksheet must also be filled out
and attached to this application.
FEES (for staff use only)
APPLICATION SUBMITTAL In order to ensure that your application is accepted for plan review, please make sure to fill out the
application completely and follow the plan submittal checklist on the reverse side of this form. A completed "Mechanical
Permit Fee Worksheet" must accompany this permit application. Handouts are available at the Building counter which
provide more detailed information on application and plan submittal requirements. Application and plans must be
complete in order to be accepted for plan review.
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.
VALUATION OF CONSTRUCTION The valuation is for the worts covered by this permit and must be filled in by the applicant. This
figure is used for budget reporting purposes only and not to calculate your fees.
EXPIRATION OFPLAN 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 304(d) of the Uniform Mechanical Code (current
edition). No application shall be extended more than once.
If you have any questions about our process or plan submittal requirements,
please contact the Department of Community Development at 431 -3670.
MAR 8 1993
DATE APPLICATION EXPIRES
01/20/93
r
C 'r'
SUBMITTAL CHECKLIST
MECHANICAL
Completed mechanical permit application (one for each structure or tenant)
Two (2) sets of mechanical plans, which include:
• Floor plan
• System layout
• Elevations (for roof mounted equipment)
• Heat Loss Calculations
Structural calculations stamped by a Washington State licensed engineer may be
required if structural work is to be done (2 sets)
Note: Hood and duct systems require a building permit for the duct shaft.
Water heaters and vents are included in the UMC — please include any water heaters or
vents being installed or replaced.
* * * * * * * * * * * * * * * *A****** X14********* ******* * ** *k** ******k***** ***h*
CITY OF T•UKWXLAe;-�,A,,, Reprinted: 03/09/93 08:38 'TRANSMIT
* ** ski * * * * * * **h * ** * , *:fir * * * * * * * * * * * * * * ** k * ** kA• * * *k * * *k * * * * * *k *k * * **
TRANSMIT Number :, ,.Amount: 30.00 03/09/93 08 :37
Permit No M3-033 ' .Type: 8 --MECH MECHANICAL pIRMIT
Parcel No: 81'08GG0- 0:3
Site Address: 4457. a 11840.SrT,..
Payment ,Method :.CHECK Notat rh. KRUIZE., SCOTT.' l:riit DLM
********* k**:******* k******** * * * *'*'h * * * * * ** * * * * *A•h * ***'** *kit **fr * ***
Account Code Descr i pt,ian Paid.
000/3.4 §.830 PLAN CHECK - RES 6.00
000/322.100 ' MECHANICAL : -.RE5 24.00
Total '(This Payment): 30.00
03/09/93
GENERA 6.00
GENERA 24.00
TOTAL 30.00
CHECK 30.00
CHANGE 0.00
B665A000 16 :57
Address: 4457 S 158 ST
CITY OF TUKWILA
Permit No: M93 -.0033
Tenant: KRUIZE SCOTT Status: ISSUED
Type: B -MECH Applied: 03/08/1993
Parcel #: 810860 -0320 Issued: 03/09/1993
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Permit Conditions:
1 . No changes will be made, ,isa� .i ' psl_ ns, un:.le. s approved by the
Architect and the Tukwi``a Bui`l'd . ng" "Division. =.
obta r)ed through th a;t
ee,t l e -King
,
Pupil c H,e 1 t h i i P 1 u m b i n g
,
C 'ibc a01 gas /piping'
''t
3. E lectrical'�`pirrmit sh,l be obta`irie'd'hro gh 'theey
4.
6.
7.
Plumbing permit sha
County Departmer t ° f
inspected by age
(296 - 4722)
,r�C� ' , �,.
ashin
State Di441on.�r aofx::.L�abor, aiid Industries and'wa.11 a ect"r1c
work w i r `. a •i' e":c t o `� b i•i a' r �. �
nsp d by t �t, :ag >ency (248-6'657 ) .s
All petM ts, inspection re or�tls and approved p'j,an` '''_s r'a11
ma i nta red kva i l abAe atk..th_e''.ob site �� prior to the sl arkt bf
any ¢o str�,u,cction The''s�eA are to be maint'a1n'ed
avaieit1e i;�spec tlon ap pr'ova1 is granted. `
Any posed insulations ba..ckii' ;g material shall have 'le F'l
S r a Red f 25 aroma 1 ess a d matet�`i`e 1•...
p s; g shall bearoi -
fi ton showing the fig: e #pe fair 4 ancie' rAting, thereof
n � 7 i �1 x ;' -.M i �
lid,.r nstru:cti•on:. to be- d ne�..c•in cdrl�f-orma irce r3:i th approved,.
Al be
Uni
4 ell
plan ), stpWili cat ions and
b.
�. , y y ,.. . a - tea
strukd to pe r m1t for , or an f pprov
of an •f tie' pr'o'visions of this /pogo o ! o - any other �,
ordine { ' of the fur•isdiction. N rani res :ng to giv
author i or v. &olat'e4, or cancel the rovi i n. - f this
MANUFACT cod ji
s h a 11 b' el id. *01, r" P ' �.,�,t . .
U R I ALLATI�0N,�, INSTRUCTIONS RFO1IIRED 1 q sr
FOR THE B�CP N N.SPECTORSQ'REV,IE t 4 , �
•r.:
•
ypeo ns , ...
0 o ress: 4/45.,
7C..
/5,..e (9,
: , e ::.: i...../?...... /
Special Instruc ons:
Date Wanted: , ��
— c,'
am, p.m.
Requester.
Phone No.:
0 INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
431 -3670
PS per applicable
COMMENTS:
Inspeclor:
ions required prior to approval.
� ;›,e,te
Date:, /
O $10.00 REINSPECTION FEE REQUIRED. Prior to relnspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Dale:
Project: /
1(4 % Z
/
(S-4, 4 -
type of Inspection•
oar.. / h
Address: zi'J ,c'
,
/.55's
Date Called:
�
Special Instructions:
Date Wanted:
35i
53 a
,I a►
Requester:
Phone No.:
COMMENTS; •
O $30.00 REINSPECTION FEE REQUIRED, Pri r to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection.
fiiititiiproved per applicable codes.
INSPECTION RECORD ,, --
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Nter3
C. 73 3
PERMIT NO.
(206) 431.3670
0 Corrections required prior to approval.
Aug 17, 1993
MORGAN FINSETH
20257 S.E. 151 STREET
RENTON, WA
98059
Dear Permit Holder:
/0)242(4--e-
City
of Tukwila
Sincerely,
Denise Millard
Permit Coordinator
Department of Community Development
John W. Rants, Mayor
Department of Community Development Rick Beeler, Director
Our records indicate that on Sep 05, 1993 one hundred and eighty days will
have passed with no inspections having been called for under Tukwila
Mechnical Permit Number M93- 0033.;. Unless you call for an
inspection, or obtain a written extension from the Tukwila Building
Official prior to that date, your above referenced permit will become null
and void on Sep 05, 1993.
If your project is complete please call for final inspection. If you are
actively working on your project please contact our office.
If you have any questions or need further information to obtain,an
extension on your permit please call the Tukwila Building Divison at
431 -3670.
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (206) 431-3665