HomeMy WebLinkAboutPermit M93-0111 - REYNOLDS WILLIAM AND DEBBIEMOLbS
(LLI? +bBL.
City of 7�Ckw1lA-
Community Development / Public Works • 6300 Southcenter Boulevard; Suite 100 • Tukwila, Washington 98188
Permit No:
Type:
Category:
Address: 4626 S 150 ST
Location:
Parcel #: 004200 -0234
Contractor License No: ASSISBE121MA
TENANT
OWNER
CONTRACTOR
CONTACT
M93 -0111
B -MECH
RES
REYNOLDS WILLIAM & DEBBIE
4626 S 150 ST, TUKWILA, WA 98188
WEBSTER, DANIEL
4630 S 150 ST, TU,WKI.L.A ,.`W�A' 9
ASSISTED BUILDER.ENT 'INC:
26918 204TH S.E. , KENT : , WA 9804
DEBBIE REYNOLDS
3726 SA54' ST, 'TUKWLLA, WA. 981 :88
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Permit Descri
INSTAI_:L2',GAS FURNACEAND HOT WATERHEATER.
UMC Edition 1 =99„1
Signature:_
Print Name:__
MECHANICAL PERMIT
Permit C e'nte.r . Auth`;ori zed' Si gnature
This permit shall become,.410,1 and vod;.;i'
180 days from the date of as;u'a , ,. or�,.
abandoned for a period of 1'80`�';daf.rgn
Valuation:
. Permit Fee:
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I herebert'1fy that':T have read and examined this permit and kno;the
same to* true ,and correct A1`1 pr o,v i s i ons ��of._,...l,aw and ordinances
governing his work will be complied;wi•th' , Whether.specif,:ied herein':or not
The granting of `this- ,permit does not presume'to"'"give authority to vi
or cancel't;tithe pr of any other state -:local laws re.gula.tinng
constructi{onor the per..,formance of work.': I{ am ?authorized to sign,; for and
obtain this, • i p�.rn)i�. 11 ,
Date,:
Status: ISSUED
Issued: 09/28/1993
Expires: 03/27/1994
Phone:
Phone:
Phone:
'h.one :
Title:___
(206) 431 -3670
206 242 -2729
206 242 -8445
206 631 -6006
206 242 -2729
2
1 ,3 8.13
the wor ' is not commenced within
f ,..t t o r k- ° i s suspended or
"e�, ":1'ast'` inspection..
AMOUNT
OWING:
$3% A
CONTACTED
����,�
bie,
SITE ADDRESS
DATE NOTIFIED
( - 1 .-- 93
BY:
BY:
(init.)
(/),b
2nd NOTIFICATION
3RD NOTIFICATION
BY:
(init.)
PROJECT NAME
��noid -3
W■k11oen fie_
bie,
SITE ADDRESS
)
SUITE NO.
DEPARTMENTAL REVIEW
"X" in box indicates which departments need to review the project.
PLAN CHECK
NUMBER
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.
BUILDING -
initial review
O FIRE
................
PAR..ME
O PLANNING
O OTHER
)(BUILDING -
final review
C BUILDING
OFFICIAL
REVIEW COMPLETED
CITY OF TWIT 4
Department of Community Development — Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
Mechanical Permit Application Tracking
E
3
� - a " 1- 93
PROV
?
OUTED
INIT:
INIT:
INIT:
INIT:
INIT:
CONSULTANT: Date Sent -
fled 1r 64 1411 h pan«J # ,4
FIRE PROTECTION: • Sprinklers • Detectors • N/A
FIRE DEPT. LETTER DATED:
ZONING:
SCREENING REQUIRED? 0 Yes Q No
REFERENCE FILE NOS.:
UMC EDITION (year):
ME
Date Approved -
INSPECTOR:
BAR/LAND USE CONDITIONS? r1 Yes
OPT/ bN
76 — Aer, DOO $it) 004-x
01/07/93
SITE ADDRESS SQI*# 1 u ,'
( -(f y` t sa
VALUE OF CONSTRUCTION - $ 1p 13, 3
.4) 4( S . l573 J - -
ASSESSOR ACCOUNT' #
D0 4.0n - DaZj4
PROJECT NAME/TENANT
;._)',\; \r (\ - t • , ,Y-: \.) \.;,`... )',.<<'. S
TYPE OF WORK: IN New /A€titie-a- [) Modifications O Repair O Other:
DESCRIBE WORK TO BE DONE: c)-V W ( -er �}-e r k -fOrrI e—
-) �_ \\ � I �..J S ,Cam . � - ((_, ` ` ` =, . ` . ' . •
TYPE - . TING/SIZE 4 NUMBER OF UNITS
ADDRESS 7 r _
-!�?��
` Qe,a.NAfo
CITY/ZIP S -s-.,t� �
_7(n 7 - l — X
CONTACT PERSON D \ ; ,Q��
BUILDING USE (office, warehouse, etc.) ,
NATURE OF BUSINESS: - 0 fi `Nle:3(� ` \0MR__ _„
WILL THERE BE A CHANGE IN USE? No O Yes IF YES, EXPLAIN:
WILL THERE BETORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OIL HAZARDOUS MATERIALS IN THE BUILDING?
IF YES, EXPLAI No 0 Yes
I HEREBY CERTIFY THAT•.I HAVE .READ :AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE
AND CORRECT, AND I AM:AUT *RI II TA AP FOR THIS P R :1
BUILDING OWNER
OR
AUTHORIZED
AGENT
SIGNATU' E �'
�
. ''---) 1
4
- V)0 c
ZIPS
DATE
PHONE
` 7 _ s
"` �7 a?
PRINT NAME
� � ��
ADDRESS 7 r _
-!�?��
` Qe,a.NAfo
CITY/ZIP S -s-.,t� �
_7(n 7 - l — X
CONTACT PERSON D \ ; ,Q��
-. (J
a `��
PROPERTY OWNER `� Q_ - , 14 1 it
PHON \ -14 �'
Y �
ADDRESS :' - ''t:..\-› �,
ZIPS
15.00
CONTRACTOR 7�
PHONE \) , s i
(i9 00 (0
ADDRESS 9 i:
ZIP
PLAN CHECK FEE
WA. ST. CONTRACTOR'S LICENSE # A c}. ( r I1 F. 1, ,1 i 4 , 1
EXP. DATE �. L
DESCRIPTION
AMOUNT
RCPT #1
DATE
BASIC PERMIT FEE
15.00
I
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
PLAN CHECK
NUMBER
'rng3- Oil
APPLICATION MUST BE FILLED OUT COMPLETELY
MECHANMZAL PERMIT
APPLICATION
Mechanical Fee Worksheet must also be filled out
and attached to this application.
FEES (for staff use only)
DATE APPLICATION EXPIRES
1
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 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 the Department of Community Development at 431 -3670.
DATE APPLICATION ACCEPTED
&] — q3
01/20193
�.
MECHANICAL
SUBMITTAL CHECKLIST
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
a
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.
- 71" •
, • ,
•
• :t • • • •
• • !It " •
• :.••••
MI WAINIMCITOM
•
TO 431
. ASSISEE134MU
1: F.: 0 (1 E.
ri7/27/1993 11:22
p 001.-± lorilgRalgrn AMIPPOPAIMILIII
me. alakillerttlAr PERSON NAMED N4346014 OS ROUSTENE0 AS POWDYIDeD WY LOIN AS A • •
0,81-44140
'42;t4;:gr.
Total Fees: 38.13
Total Al l: Payments: 38.:18
8 a'Larnce :' .AD''
,
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CITY OF :' TUKWILAI : WA,., ,TRANSMIT
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: TRANSMFI Number:3Q0,1360` Amount: 38 .13: •09/28%53 10:06
hey ^mi t . No: M93 -0111 Type: B -MECH MECHANICAL _ PERMIT'
Par cal Nee : 004200 - ,0234, 09/28/93
SiteAddr.ess:.4G2 5 1 0
Payment Method:: CHECK : Natation ;' GEBH.I.E'- REYNOLDS.. Irtit: •SLU,
* ** *tioulf * * ***** *, **.k * * ** * •k *k * * * * *fir,kit.A. *k**** * * *•k* *, * *:k,k,
Account' Cade Description Paid:
000/345.830' PLAN °CHECK RES
000/322.10: MECHANICAL RES 30.50
Total "(This: Payment
GENERA 7.63
GENERA 30.50
TOTAL 38.13
CHECK:: 38.13
CHANGE 0.00
4773A000 14:48
Address: 4626 S 150 ST
CITY OF TUKWILA
Permit No: M93 -0111
Tenant: REYNOLDS WILLIAM & DEBBIE Status: ISSUED
Type: B -MECH Applied: 07/27/1993
Parcel #: 004200 -0234 Issued: 09/28/1993
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Permit Conditions:
1. No changes wi l l be made... ` p,•lans,U'n=iaes.s.,. approved by the
Architect and the ru,H a`°.Building }
2. Plumbing permit 01:0;P fs obtained through theSeat -King
County Departm,erit: Publ`3icj Heelth. �� . Plumb,ing wi:`.11:.�be
inspected by,� n �t xi , h:..,:.t: f r
r agency, i:r,1clL',d,in,g all gas 'piping'
(296 -4722) 4x "` "° ,. �� t' : ,., j/ , �� _ ,
3. Electrica,,i; „ sh beob'ta°ined' through "the'<:,,
Washin'gto.n
State Division y of. Labor and Indus,tri es and , :al 1 electrical
work w 1 be< In,s14cted'''by tha;l;',a ; geti,cy (248 - 6630) •
4. All perm ts, inspection records, arid; epproved p'lan's ", al 1 '',
maint availab =le att,h'erwj;ob site prior to the. .•stan, "t�,
any co,nst6u,;tion. These documents' are to be maintained
ava i ij l e. unti l, i na l °-Wi.r spect j on''appr?ova l is granted. '"' . _:
5. Any . kpa ed `'Onsuiations' back=iWg material shall have 'a Fi. me
Spread Rating of 25,or'less,r' and ma;ter'i`asl—,shall bear'identi -
f i 0 ion showing the fire performance rat i,ng thereof .`:,
a �i ' Y , i ' ,Itfo m ,c.e ,,i with approved , :.
6. A11�•r�u�onstrU�cti:on ° �t,o b�e � : dona'¢ r �in con' �o.r ahce w,
p1ap,' ands* r? equir ,merit's : B u -i1d; ng Code (:1991`'
Edi°tlon) ,a s7 amended by4t,he; %Wa•shingtorl;`State Building : Code-,
Unil o Code /(1'99:1 ;Edit and Washington State
Ene,f Code {: (1 Seco rEdition),. ,�, ;:t,,,;,.,..., i
d .,, .'ti
7. Val t.4 c f �P°rm
eit. The issuance' elf j a''' perm� t or apps oval,,of l�
plan ,, spif
ecications and computati:ons; not be. ;'con„<:.... It
stru ! to: b` 'F '
�+ x a parmlt far, ar an ppro�rasl` '� of;' my violation
n
of a � � H of .the'' provisions of this , ode or o' % other `'n
��
ordina � �a cton. , � e of the j urisdii No � pe.,� `' m r l i i
t p re . s o gym., i''n : give
: g to gi
author or violate or cancel the proi1s;,i,ons`
- Of this• code
sha be k r y ; l i d . `f�r, ''' x '�b mo 8. MANUFACT k t S INS INSTRUCTIONS REQUIRED .ON SITE'
U�I
FOR THE BUILDING INSP REV�IEW; r}, z. + ` N "'r'y;
9. 66,000 BTU OWIMUM ALLOWED 1991 WASHINGTON STAT , E ;
ENERGY CODE A *TER 9. ”.
Fr + . : ►
' ,1
T . of Inspedib: ' /0 A(
i i , " ,
5.
1 50
5T:
� : e Or �- -- 11- q g-
-=r stnictions:
Date wanted
1 g "9� Gp. m .
Requester• , �
�J� �� p
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
COMMENTS: '
INSPECTION RECORD ', M93
D 1 l
PERMIT NO.
Retain a copy with permit
C ofted iol- g 14/406 19eek 111
OK - - n moo•\
(206) 481 -3670
❑ Corrections required prior to approval.
❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Dale:
COMMENTS: ' '
Z.." el etc rz,c, I r.-.4/ i (-4
A /'- fl /.I /Q1 „s 4 el- /h ,1-lt / /Ci
Address: t \ 0
lC7 t i4 , /V 1 4 (/ f? ( ! I ►�Sli r ea
Div /U( rue o- o.../1-- 4 4e.....- 4! -.ceS 5, 1
,3,5/ea-L cp.-24,6„... S /,,2h 4,,e- eiiel
Sped Instructions:
Date walled: 0.2 l 1, ci L i a m
.! rI. // . 0,4".....:� _ J111111111117J41MM!. fin
y---, _
_ --
u �.c�� d n)
r'�° �� "R~t;i�al
Address: t \ 0
t 0 s .
` ' ,'1
Called: I � t 1
Sped Instructions:
Date walled: 0.2 l 1, ci L i a m
Phone Igo.: rya _ �-) , (7A
0, INSPECTION RECORD 0
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
,,
-��
(206) 431 -3670
❑ Approved per applicable codes. 'mil Corrections required prior to approval.
❑ $30.00 REINSPECTIO FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Project:
ii ' • I Il i G j/
Type of Inspect i f
Special Instructions:
Date Wanted:
! 7 — j am. !pin.
15
Requester
f
Approved per applicable codes.
COMMENTS:
L .:
INSPECTION RECORD 0
Retain a, copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Date:
D!I
PERMIT NO.
(206) 431 -3670
0 Corrections required prior to approval.
2 ) G
$30.00 REMISPECTION FEE REQUIRED. Prior to reinspection, tee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection,
COMMENTS: . ,� P,� v t o
2- cu- ILA c� TV Cam eMST1 %LL
'/
Fes, it-. . 12.. r 4c
V
Address:
4fCv S.
2-) 12 it ■ x o 4 4 ''
C L` A ILA n, CC- f e-T�n.
► Y� 1,, cT'
!!! .0 G O.o u 00
Dade Wanted:
/�
i f Z /J3i
s 67 .- Avt.ourJ?
(Ai 14a e Ao.&S F•09 i•..)
v•7• .
Phone No.:
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
❑ Approved per applicable codes.
Inspector:
INSPECTION RECORD
Retain a copy with permit
I Date: 11- n /T3
(206) 431 -3670
[Corrections required prior to approval.
❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
[Receipt No.:
Address:
4fCv S.
Dade Called:
Special Instnid
Dade Wanted:
/�
i f Z /J3i
am. p.m.
Requester:
t
Phone No.:
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
❑ Approved per applicable codes.
Inspector:
INSPECTION RECORD
Retain a copy with permit
I Date: 11- n /T3
(206) 431 -3670
[Corrections required prior to approval.
❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
[Receipt No.: