HomeMy WebLinkAboutPermit M93-0117 - WELCH EARLCity of 711kwtli .` (L
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Address: 15234 40 AV S
Location:
Parcel #: 004300 -0228 A
Contractor License No: NORTHWH103R2
TENANT WELCH EARL
OWNER WELCH E D
15234 40TH S , SEATTLE WA 98.1
CONTRACTOR NORTHWEST WATER HEATER, INC Phone: 206 282 -4700
2800 THORNDYKE.';AVENUE WEST, SEATTLE, ,98199
CONTACT NOAH NOAKER :' ° Phone: 206 282 -4700
2800 THORNOYKE:AV W, ',SEATTLE,` WA 9819
** **** * * * *•k k** *k' *;* ************************.****** **
Permit n:
INSTALL 398AA0660„
UMC 1091
Permit No: M93 -0117
Type: 6 -MECH
Category: RES
MECHANICAL PERMIT
Valuation:
:Total Permit Fee`::.
* ***` *^ * lck' k;*** k• k****•.*• k**********'**,*)k* ** ** *** ** * * *. * *k **** * * * *** * *•k*
4 • .
Signature:
Print Name:_
Date
- Ti 't 1e. C��S�'!')
(206) 431 -3670
Status: ISSUED
Issued: 08/11/1993
Expires: 02/07/1994
;200.00
• z4. 00
44
I hereby ?certify that `,I•-hav'e,`read and examined this permit and knout the
b.
same to,`a true `an'd cor�T ec't.+ 1'A1'1 provisions of . ,law and ordinances
governin,g.sthis!, work will be ''compl ied'kwi;thha't.h,er+ specified herein °or not
The grant`in,g o,,f;;this' permit does not presume'; to 'give authori.ty.�-to;':v,iolate
or cancel`i ��.pi x ovisl'ons of any otherCstate' +,or' :loca:l haws regulating
constructiOkor" the performance of work. ; I'am' to signfor and
obtain this b'ui l n permjt/i /�
• This permit shall be.conie;nu,l , l and ko:id,:i'f.tlie wor).;ri'ot commenced within
180 days from the date of i sua.nce, or if :t woad, is suspended or
abandoned for a. period of 1804a,ys ham: {the'' l. aat' inspection.
AMOUNT
OWING:
• •
CONTA ED
D NOTIFIED
BY:
init.)
2nd NOTIFICATION
BY:
(init.)
3RD NOTIFICATION
BY:
(init.)
PLAN CHECK
NUMBER
M
CITY OF TU
Department of Community Development — Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
Mechanical Permit Application Tracking
PROJE T NAME
SITE ADDRESS
l Z.--- 1 + L E - o MI n
SUITE NO.
O FIRE
O PLANNING
O OTHER
O BUILDING
OFFICIAL
O BUILDING -
final review
INIT:
INIT:
INIT:
INIT:
INIT:
ROUTED
ZONING:
FIRE PROTECT' SJ . • Sprinklers
FIRE DEPT. R
C EDITION (year):
BAR/LAND
Detectors • N/A
TED: INSPECTOR:
INSTRUCTIONS TO STAFF
• Contacts with applicants or requests for information should be summarized in writing by staff
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 depart -nt.
• Any conditions -or requirements for the permit shall be noted in the Sierra system or : mmarized
concisely in the form of a formal letter or memo, which will be attached to the per
• Please fill out your section of the tracking chart completely. Where information : quested 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.
PARTME
-
initial review
REVIEW COMPLETED
,Q'UIREME
CONSULTANT: Date Sent Date Approved -
USE CONDITIONS? • Yes
01/07/93
SITE ADDRESS SUITE #
1 2.3q L t o f u9. `S
VALUE OF CONSTRUCTION - $
6.2 -.�
X ,6.20:940-41-:—'
PROJECT NAME/TENANT
cf kJ (_. L.K_Y -.- l_ c -
ASSESSOR ACCOUNT #
ca-_)G1 3 c 0 d am )
❑ Other:
TYPE OF WORK: New /Addition ❑ Modifications ❑ Repair
DESCRIBE WORK TO BE DONE: T=( \Skca__(,_. c c.s t)( f\Ca_C
C pi pi r\ C c? tkr� - n ��i
— (DO, C_`i ) 43t-S .'IC..i0
1 ; ( c, S U pLI
NUMBER OF UNITS
TYPE . RATING/SIZE .:
--
PHONE GpsId _t000
ADDRESS � y
o - 4 Lvk E \ D
9u -t
, ,
BUILDING USE (office, warehouse, etc.)
NATURE OF BUSINESS:
WILL THERE BE A CHANGE IN USE? No O Yes IF YES, EXPLAIN:
WILL THERE B,TORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
IF YES, EXPLAN No ❑ Yes
I HEREBY.CERTIFY THAT I HAVE READ AND :EXAMINEDTHIS APPLICATION,' AND : KNOW THE SAME:TO :BE TRUE• •
• AND CORRECT, AND I AM.AUTHORIZED TO APPLY FOR THIS PERMIT.' :
BUILDING OWNER
OR
AUTHORIZED
AGENT
SIGNATURE
/
A
Ge ,
fJLL 3
$./!(/ DATE
PRINT NAME 4A Ades IA GUu`et,
A. -
--
PHONE GpsId _t000
ADDRESS � y
o - 4 Lvk E \ D
9u -t
, ,
C I y87 77
PHONE�, .
CONTACT PERSON
A6 AI r ; _
I �/�
/ " ' `
PROPERTY OWNER �^ L w
Q r CJ r
PHONE �.�
PHONE ���
( .s--
ZIP a 0 l( 0
a -- ��.
ADDRESS 1 Z-.-L1/4 \(j'
CONTRACTOR CUW Lam`
� �--��_
ADDRESS 9 - 11.
L iC..Q ()J
ZIPq� 1C/C
WA. ST. CONTRACTOR'S LICENSE #
o - 4 Lvk E \ D
9u -t
EXP. 9E J i
DESCRIPTION
AMOUNT
RCPT #
DATE
BASIC PERMIT FEE
$15.00
UNIT(S) FEE
PLAN CHECK FEE
OTHER:
TOTAL -
PLAN CHECK n ,
NUMBER \' I 1 (..:) (
APPLICATION MUST BE FILLED OUT COMPLETELY
CITY OF TUKWILA
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
• MECHAN.AL 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 i s 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.
RgCA4D
DATE APPLICATION ACCEPTED ` CITY OF TUKWILA DATE APPLICATION EXPIRES
I n 1---
PERMIT CENTER
01/20/93
!. ..
G.
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.
,HoRYH
2800 TOR
SEATTLE
DEPARTMENT Of LABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMID NIAION IS RI0rIMID AS PROVIDED SY LAW AS A
•
.� ir1, ?I{b A.', '14;4 •.4 ... i i!�, iiil i�.;�.,'f. tT, r '� , �y• r ;� ; �" ' f� , ��'!�`'�'. �• '1
,.Lt�iaW� �•''r
•
WA 9$3.99, `,
WTATE OP WASHINGTON
F10001-000 (1•611
CITY
RECEIVED
AUG 1 1 199
PERMIT CENTER
P. 02
r"k`"TYrfr.OtlareVIMP ' AT rTirirUFOrilVY ' rZIS ° : r '1? 1 ii?tR".w9Yr IPV9} ;MN 4"r"",•!:1.
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. • CITY OF TUI(WIL.A, • WA• • : TRANSMIT
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GENERA 24.00
TOTAL, 24.00.
CHECK 24.00
CHANGE 0.00.
3354A000 13.12
Total Fees: 24.00
tl Al ;l Peymerttsa 24.00,
Salahcez .00
TRANSMIT Number: " Amount: 24.00 08/11/.93."12:31
Permit Na: M93-0117 Type: ,0- MF.CH '. MECHANICAL N E O t T� �
Parcel No 004300-022E1
Site Address: 15'234 40 `AV S
Payment Method: CHECK Notation: NORTHWEST WH HTR. In it: DLM
********** kk*********k********k* k* kh k*: 4k k *** * *kk *kk *kk **** * *k *kk
Account Code Description
F! ia;i d
009(322.100 KE CHANICAL RES 24.00
TOtjtl is'-Payment) a 24.00
•
Address:
Tenant:
Type:
Parcel #:
15234 40 AV S
WELCH EARL
B -MECH
004300 -0228
CITY OF TUKWILA
Permit No:
Status:
Applied:
Issued:
M93 -0117
ISSUED
08/11/1993
08/11/1993
***** k* * •k* * * ** * * * ** * * *** ** * * * * * ** **** **
Permit Conditions:
1. "NO WORK SHALL BE DONE , = .IN1 ADDITI t;'TO nTH•OSE..,MODIFICATIONS OR
REPLACEMENT OF EXISTING; °APPL"IANCtS i5``DES:CRIBED ON THIS
ORIGINAL MECHANICAL] PERMIT, . r
2. Plumbing per ;
i 's �" l b . , r , Sat
m �,i� �Yta a �gb��airt ed through the .,ea�t;:t�,l•e -King
County Department of Publ icI:, H"ealtth P l umb4 ng will b`
inspected c t e d y � ` �;t h a t g `: � 5 opt
p9
b _,, , ,;�a �ncyR� including all g a :p;'OP yng
(296 -4722 3 ,
3. Electric l p ermit, spell , be obtained through } Washingt.o
State. D ; ti s i o'n of ' Labor and 'T d,usiir es and a lfl el ectr i ca l�
t• r
r1 be inspected by tha agen (248 - 6657) ::F:
work w i
4. All p .t rits, inspe o
4Fr e.cr,ds, an,d�''`approved plans' ° 1
`main ;t edy..a lable a,tf :{;'the .iob„,s.i'te prior to the 'stai't.,.0
any a str.uct10 S' ". These docurn,en`t•s,ar.e to be maintalned,
avaq4' le unrtit finalv approval is granted-.
J. Al l, to ib,e' -do,ne i.n•�,confor approve''
p 1 a i and requirements' of `the Uniform Bpi i l,.d•i Code (1 991
Edition) as# am'enyde,d, by,,the �i a.sh'ingt'o {n,State J`Building Code, _�
Un i e fo.rm��n�lMechan i c.a l Code � Ed i tfion ) i ngtoii St
Ene«y C de' (1°991 sec rid n) l '1•
4 o
6. Val d t Yq,o , Pe,rmi t : :> The' issuance \ofx.a• }' i t or approval_.. o�f
pia `i, specifi�catio'nsf.. and, compute } a ti'on.s,sh °1-1�.,.� be con�'`
str e o qba. a •permit for, or an,e' pro.val.TT.,o - ,-4ny violat.
of a•ny\ of,ot e v provisions of this 4cador . ny a other ,
ordi a cer�otf °ro the;;, jurisdiction, N'o p•e nji't\pr'esc,ming totrg�•i°ve
authority •violate or cancel the provi,sip' ns \ tof this cod
b.
sha11 valid ,t,, 1 1 '1 l ' -,; o
7. MANUFAG� • RERS INSTALLATION INSTRU.CTIONSoR ON SITE
FOR THE'BUILDIN. INSPECTORS REVIEW. 0 , �`
Project:
( �, C v
(
Type of Inspection: KO u h t
Address: '
IP)a3C( -o SUS
D C auQ •
` X I� �3
Special Instructions: I D ; 0 0 o it ,
D
Date Wanted. .
i'" la` 9j Om .m.
Requester:
Phone No.: 9S2-- r I
nspector:
❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
COMMENTS:
INSPECTION RECORD C
Retain a copy with permit
PER IT
CITY OF TUKWILA BUILDING DIVISION •
6300 Southcenter Blvd., #100, Tukwila, WA 98188 J ° , •. '� (206) 431 -3670
❑ Approved per applicable codes. Corrections required prior to approval.
Project: -
ype o ns • :
« • n:
Nap
.3
Special nstructions:
,-
7Z
Date Wanted:
'2.
am.;
Requester:
Phone Na:
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
❑ Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
❑ $30,00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
e:
(206) 431 -3670