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HomeMy WebLinkAboutPermit M93-0084 - CRUZ ARLENECity of Th `li 1 (206) 431-3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 Permit No: M93 -0084 Type: B -FILCH Cu .cyur•y: hL Acturcss: 1639 51 AV S Location: Parcel #: 537980 -0360 Contractor License No: C BUDZHH *142QR TENANT CRUZ ARLENE 16239 51 AV S, TUKWILA, WA 98188 OWNER BENICKE NELLIE G 16239 51ST AVE S, SEATTLE WA 98188; CONTACT DARRYL DOAK E " Phone: 206 246 6587 11917 4TH AVENUE SW, SEATTLE,,WA 98146= CONTRACTOR BUDZ HOME Phone: 206 631 -0562 P.O. BOX 5477, KENT, WA 98064 * * * * * * *k * * *'k'k * ** fit * *k * ** ** * *k **•k *k* k********** k* k•k** *•k **** *'* * *'k * * * ** * ** ** Permit Description REPLACE r'GAS FURNACE-. IN EXISTING 'RESIDENTIAL HOME. UMC Editio'ni' 199.1 MFC HANICi1L I'EUM i. I Valuation: ..Total Permit Fee : ** . * * * ** ** **.k* *.* * *- * ** sir* Erik• k** *** *.1k, * * * **44* *•k * * * * * * * * * ** *fit * *.lr *** *fir *** *k * ** ed :S -i gnature Signature: Print Name: Title:- 44_,A0K ,. Status: ISSUED Issued: 06/17/1993 Expires: 12/14/1993 Dat Pert/ t Center,.. Atth I hereby c erti f y that I' have read : examined this permit and know the same to :be true° =and correct 'All pr,,ovisionsqof law and ordinances governing ,this,, work will be ' complied .wi_th, :.whe'ther specified. herein or not The grant.1 +g ofthis permit does not presume to - give. authority-•tov,iolate • or cancel ';':the provisions of any other state ' or': - local laws regulating constructyoh`�,or"'the performance of work.': I: am 'authorized to sign-':for and obtain this „b /ldir p� it ' This permit shall become 'nu 1.1 and v,.oi d<<;, >f' work:'. i s not commenced within 180 days from the date o or „f,..,the. ;wor.l is suspended or abandoned for a period of 180''days from rthe:`last'” inspection. DEPARTMENT DATE IN DATE APPROVED REQUIREMENTS I COMMENTS ;' BUILDING - initial review �� 16_ (ROUTED) CONSULTANT: Date Sent - Date Approved - 3RD NOTIFICATION FIRE FIRE PROTECTION: O Sprinklers U Detectors UN /A FIRE DEPT. LETTER DATED: INSPECTOR: INIT: O PLANNING ZONING: USE CONDITIONS? UYes (�No _� BAR/LAND SCREENING REQUIRED? Q Yes 0 No INIT: REFERENCE FILE NOS.: O OTHER INIT: 0 BUILDING - final review UMC EDITION (year): INIT: XBUILDING OFFICIAL INIT: AMOUNT OWING: 11) 30 CONTACTED SUITE NO. DATE NOTIFIED BY: (init.) 2nd NOTIFICATION BY: (init.) 3RD NOTIFICATION (init.) PROJECT NAME . ( K.U1 -- z. A SITE ADDR SUITE NO. PLAN CHECK NUMBER Mg - 00$4 REVIEW COMPLETED CITY OF TUKtor Department of Community Development — Permit Center 6300 Southcenter Boulevard - #100, Tukwila, WA 98188 (206) 431 -3670 Mechanical Permit Application Tracking 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 ncte by using "N /A ", date and initial. DEPARTMENTAL REVIEW "X" in box indicates which departments need to review the project. 01/07193 PROPERTY OWNER �� P u PHONE__ .5 , --,7 �7 ADDRESS (2 3 p f , U • S, / ! , BASICPERMITFEE ZIP CONTRACTOR �r , , PHONE �?4� 6-3/ 5.-6,..• z ADDRESS 0e ifo.r 5 77 / -. 9- , W4 ?s- 6 y ZIP � �J� 5' WA. ST. CONTRACTOR'S LICENSE # C' rf z 1L 11. / 9 e a / EXP. LATE 7 0 r ? a . : >.: :::DESCRIP:TION: ': : >: : : :`: : :iAMOUNT:'> RCPT :::alt:::; €?:: :;.DATE:::: >; BASICPERMITFEE . $15 U ..:. ...:::.:.. PLAN CHECK>:FEE: ..: :; M<:... ,. 010:::::::::: !ifi.1:i1::::::::: ,.TOTAL . : : CITY OF TUKWILA Department of Community Development - Building Division 6300 Southcenter Boulevard, Tukwila WA 98188 (206) 431 -3670 APPLICATION MUST BE FILLED OUT COMPLETELY ti SITE ADDRESS SUITE #7 R JECT NAME/TENANT Ae/e,v C ,"ty ,e- TYPE OF WORK: Q New /Addition "Modifications DES RIBEWORK TO BE DINE: BUIL ING USE (office, warehouse, etc.) NATURE OF BUSINESS: c° P 'E /1( r WILL THERE BE A CHANGE IN USE? 2c-No Q Yes IF YES, EXPLAIN: (c .-1 Lo 'l3 49uN 1 61993 PERMIT CENTER MECHAN. SAL PERMIT APPLICATION Mechanical Fee Worksheet must also be filled out and attached to this application. 0 Repair FEES (for staff use only) V LUE OF CONSTRUCTION - $ ASSESSOR ACCOUNT # S o ©3 cs'c3 O Other: :<RATI . .... ..................... .. ...... NUi�IBFR C?Ft1NITS:> > €<;s; >. >s:. l WILL THERE B STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? IF YES, EXPL/No Q Yes Ef EB., CERTI: ::CORRECT; BUILDING BUILDING OWNER OR AUTHORIZED AGENT CONTACT PERSON SIGNATU VER DATE e ._ PHONEc2 7 DATE APPLICATION EXPIRES I -- l (o -- q3 CITY/ZIP ze y � r PHONE APPLICATION SUBMITTAL In • rder 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. 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 work 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 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 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 theam tg1ent of Community Development at 431 -3670. Or "worm DATE APPLICATION ACCEPTED —ATM 08/07,0.7 SUELMITTAL CHECKLI MECHANICAL n 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. ******** * * * ** * **** **ylr* **** * *vh*k* * * *•k *14*** *•l rye*** ************** *:k CITY OF TUKWI:I..A, WA TRANSMIT * * * * * * * **** * ** 4 ** fir * * *. *k** *, * * * ***** k * ** * *** * ** ** * ** *** *** ** * * * *** TRANSMIT ..Number • 83000763 Amount: 30.00 06/17/33 08:42 Permit, No: M33- :.0084 Type: 8-MECH MCCHANICAL. PERMIT Parcel No 5.37380 0.360: Site Address 16239 51 AV• S 06/17/93. • Payment Method: _CHECK. Notation : ARLENE CRUZ In i to SAO *. * * * * * ** irk****. k.*** 1h***.***** 40�i * * * ** * * *:M** * * * * * * * *k * ** * k t k *. Account Code Descr i p.t i an. Paid: 000/345.830 PLAN CHECK —; 6.00 000/322.100 MECHANICAL -. RES Total (This Payment)a 30.04 Total Fees : All Payments: a.alance: 30.00 s71Ir .00 GENERA GENERA TOTAL, CHECK CHANGE ,1687A000 6.00 24.00 30.00 30.00 0.00. 14:40 Address: 16239 51 AV S Tena'nti CRUZ ARLENE Type:.B -MECH Parcel #: 537980 -0360 **** k*************- k*************************** * * * * * * * * * * * * * * * * * * * * * * * * *•k•k ** Permit Conditions: 1. "NO WORK SHALL BE c DONE_ „I,N.NA�1 T OSE-- ..,MODIFICATIONS OR REPLACEMENT OF EXI,s;1 T G APPLIANCES AS "QESCRIBEa ON THIS ORIGINAL MECHAN.IG4L. :;'PERMIT 'ti .q,?, "'"'”*OZ: . rr 2. Plumbing .permit ",s:ha , be obtained ,through the Seattle -King County Depat"tne.nt of • l c?! Hea�lt.h. i p�l . umb ' w i l l ti b t. inspected p., .; a that gency , including. a gas ,ptip .ng .. (296 - 4722,�)4,x. „ t''''' ,_..a.. . ri, I ''., °'> Y , 3. Electric*;;. pe.r?mi't,. s,hal,1 be obtain,ed throu r State D4it sio`nof and I�7idust .:ies and ill: e1'ea,tr work w, ,T,l' be in by,, tI at agency (248- 6657)•, ; ,•1 , �^ 4. All peg T `it u g� .a ,,,, insp.e'cti =;rye 'o'rds, and' approved plans` shall ”. Thes'e docu es to be mainta�i.ne'd< ava Tl`e;b1e unti 1 A final . t•inspe- cti'p ap,prova1 i s granted:, 5. A11 f.cons6'1 to, -•b.e" dome ; l { n'.,confor.marice,...with approve F Q. plate's i and requ reprents o,f the fo Un t ^ Building Co (1.991` ^: i Edi!t`'�ff on) as? a tended. by••,,the �'Wg,sh'�1nt'on t S.tate.,Bui lding Code, �,I Uniffc,6rm -Mechani6..a1. Code. ( 1, 99, 1-,, Editsioh ).;'.- -•a'nd.-•Washingtoj State En r�g,y Co (1''99 v `5 eco nd:`Ed'i ion) k -. �;�'..,,, "-- ," : :� ,x: f r *! � S:t '.� '< .. i I J e a i y 6. Val t'dlitS":.of Permit y Th ,ss uap ge 'o,f2e; ;. , � „ ,01).,„not be cone ,, ,a- '.- p or approval.,,.of p 1 a s i #., , spec: f ;cat 1 o"ns,,,, d,,computations ,,, y. i , 6 y str .e °'� .Lb to e� a ,vpermit for, or an �a of.,�sany violation of ary' of+>�Ht r e , provisions of this ;code"�;or ) ,,,o.f,,,,anyj athe'r " "1: , ordin dice :{o: �` , he ,A: Jurisdiction. No"• p;er4, it ,+ e urn1ng' toa :gti'ke e autho`ttis y ke'irior4te or cancel the p io ' « t'his code sha11'IC valid '5' �� 1 1 '' 7. MANUFAd�PURERS I NSTAL{L TION INST :E • ON SITE t: Ip '''FOR THE 'BTU; LDINNG I;NSPE`C REVIEW. . .d � �,r' P7, m 1,,{ w jii " fi t ' f ' 'f1F ; a ri �% ,tb ,. s�, e ' iA' CITY OF TUKWILAt, Permit No: M93 -0084 Status: ISSUED Applied: 06/16/1993 Issued: 06/17/1993 - . rir• r \ e) 041 A7 Type ot Ins Ad. r:',.. 1 PrAl Date Called: s l u ci; a 0 I :? ti l s: KO/1 a 0 frt 1 LAAA CejA //1/ - am. .m. Requester: j" \-1--' , • Phone — iih)e a: - 4.4h J..... • Approved per applicable codes. COMMENT 1 k INSPECTION RECORD Retainia copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 431-3670 0 Corrections required prior to approval. • 0 $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectIon. Date: 11=.1.1■110 scittego.,idhtsa.is CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 r"'"'/941&& G•de/ /5c. Address: 23 6 . 7 ,g/d s Date Called: Special Instructions: ❑ Approved per applicable codes. r Corrections required-prior to approval. COMMENTS: Inspector: INSF ' rTION RECORD. ' j 93- Retain a copy with permit PERMIT NO ype o nspection: Phone No.j /� YLe' � ( C jplv4/447..r_+ ,,// I7' s L Jl /r, 7L 7 ✓/ - - ( /! /�J e. ., 5 464 s S u9fe,La 17 t; k erg ?`"` �,- 3� l�ix 7 / ,tee Date Wanted: 411 am. Requester: ,4 2_424.4 9w• -225e Date: (206) 431 -3670 ❑ $30,00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: o. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. .INSPECTION RECORD 0 Retain a copy with permit oopi- PERMIT NO. (206) 431 -3670 ❑ Corrections required prior to approval. COMMENTS: ' Date; 647 _, 1 ❑ ' $30.00 REINSPECTION FEE REQUIRED. Prior to reinspecticn, fee must be paid 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. ff ... r ter. !it . .4. . _ Sp Instructions: Date Wanted: / r -� a m. p.m. Request! r� ;-'�� ,111 o. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. .INSPECTION RECORD 0 Retain a copy with permit oopi- PERMIT NO. (206) 431 -3670 ❑ Corrections required prior to approval. COMMENTS: ' Date; 647 _, 1 ❑ ' $30.00 REINSPECTION FEE REQUIRED. Prior to reinspecticn, fee must be paid 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Svto exL4; Gt�lt;�'VI0�i2e., mJv - 1)4(,rry l e, bykt_ Sr. „ cCS GLA agU-rt '►v WUr►c- Dh 613 tX-haAE o� av9 Gt.vlot Cl ,I 'MviiSfitCtibviS r96t,r rn () procxrtii Cidbl cut 1(o2;5\ 5 112 g. 'f uWi l&. ) 1UA . gSM p,rCe 1 *'3O - a)Ico {A 1S 0.el'►Gffi7,eok sV.oVni+ rwOrK. af1oL G1ppi �Y prm Hs (WO._ ) nS(�cW6YiS � 6v► vn,,,i �oe�r�t �ro -rV�e. cl� aF Lo - Ax-pccrvjt. 4 \'e is avL�'V►arr ed. to � mt fi pcg� r w c�H�, ot vtc� a,pl�� j � pmot 1y6peel RS `Rr short - pCe pC&Vq J G\n -wte - pckrcd nu_rwbcr. 'TLease. G.ccep t - Phis Iotie,►r cL5 a, bean (6A-- , �,r G,I1 pcul9cArt IC. 19Crmi -IS i VISpeC)OMs e . 6vu .-MS rovn QkQwQ Ld twa3 SUBSCRIBED AND SWORN • TO BEFORE ME a this . 162 day of ._. 19, q . Notary Public in and for the State of Washington residing at ---- RECEIVED CITY OF TUKWILA JUN 1 7 1933 PERMIT CENTER