HomeMy WebLinkAboutPermit M93-0127 - CALIBUSO SANDRA,
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City of 711kw4l4
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M93 -0127
Type: B-MECH
Category: RES
Address: 15859 47 AV S
Location:
Parcel #: 222304 -9088
Contractor License No:
TENANT CALIBUSO SANDRA
15859 47 AV S, TUKWILA, WA 98188
OWNER CALIBUSO SANDRA F
21333 108TH AVE
CONTACT DWIGHT MCRAE .;:: -'
21333 108TH °:;5 `E`: , KENT, WA 98031
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Permit Description:
INSTALL/G' 8 HOT';WAT.ER TANK AND REPAIR DUCTWORK.
UMC Edition -1991
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Permit Gerjter Authorized Signature
MECHANICAL PERMIT
Valuation:
Total Permit Fee:
I hereby Certify that I "'have read`and a 'xa,mi'ned this permit and know the
same toe true.,;an•d correct A prov;isi'ons •of• law and ordinances
governlrl.g tti,ia wt
work 11 - :b compl l d with, whether specified her�ein':� not.
The grant permit'`does not pr to. give authority to violate
or cancel the,,..px ov i s i ons of any other`., state, o 'r local laws regulating
construct f on r or ; ;'the performance of work'—' am authorized to..sign';-for and
obtain th' sF,bU•i 1 g /l,' /.
Signature
Print Name: ;�s�/� C Title
This permit shallcome null an.d� v,o�iO,;:4f.4=t;he work is nqommenced within
180 days from the dai a of issuance, or if,ithe work is suspended or
abandoned for a .period of -x1,8 days(r�.f,,roin Rthe last.,:i.nsp,ec'tion.
(206) 431-3670
Status: ISSUED
Issued: 08/26/1993
Expires: 02/22/1994
Phone: 206 972 -8802
500.00
`x.38. 13
AMOUNT
OWING:
A ONTACTED
DATE NOTIFIED
BY:
(init.)
2nd NOTIFICATION
BY:
(init.)
'
3RD NOTIFICATION
BY:
(init.)
PLAN CHECK
NUMBER
"ffic13-01as1
PARTME
REVIEW COMPL - ED
CITY OF TUKW 4
Department of Community Development Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
BUILDING -
initial review
O FIRE
O PLANNING
O OTHER
sk BUILDING -
final review
INIT: REFERENCE FILE NOS.:
INIT:
INIT:
ZONING:
UMC EDITION (year):
EGUIflEMEN,
AN : Date Sent - Date Approved -
SUITE NO.
TECTION: • Sprinklers U Detectors ON /A
FIRE DEPT. LETTER DATED: INSPECTOR:
BAR/LAND USE CONDITIONS? • Yes
Mechanical Permit Application Tracking
PROJECT NAME
Co\ o, 5 r,dr
SITE ADDRESS
1 5 %
INSTRUCTIONS TO STAFF
• Contacts with applicants or requests for information should be summariz -: 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 sendin• o the next department.
• Any conditions or requirements for the permit shall be noted in e Sierra system or summarized
concisely in the form of a formal letter or memo, which will b- - ttached to the permit.
• Please fill out your section of the tracking chart completel 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 re ew the project.
MEt .
SITE ADDRESS SUITE #
7 — / / »'25 J — T /1 Z gi%o(' e
VALUE OF CONSTRUCT ON - $
C)D
ASSESSOR ACCOUNT #
PROJECT NAME/TENANT
TYPE OF WORK: 0 New /Addition 0 Modifications 0 Repair
Other:
DESCRIBE WORK TO BE DONE:
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r �
..m.:.;::..:,:.<:,;.:.;. TYPE :::::..:.:::::::: ,,..::::: 1:::::<: :;:: ;:. ..:. .... ... .
t��
UNIT(SyFEE;r::::::::..10:::::;:::::
v
/
CONTRACTOR
BUILDING US ff ice, warehouse, etc.)
NATURE OF BUSINESS:
WILL THERE BE A CHANGE IN USE? ) No 0 Yes IF YES, EXPLAIN:
WILL THERE BE S ORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
IF YES, EXPLANo 0 Yes
PROPERTY OWNER 2 /
C G/,
'
` :! >: : : :
PHONEg
PHONE
_6(5 o7
ZIP *,,S C3/
ADDRESS .,
t��
UNIT(SyFEE;r::::::::..10:::::;:::::
v
/
CONTRACTOR
ADDRESS
....
•THER
ZIP
WA. ST. CONTRACTOR'S LICENSE #
::::.:.:.;< :TOTAL:.
.
EXP. DATE
:D.ES.CRIP:TI.ON >< € : >
><'<AMOUNT :
RCPT;: •: ::
` :! >: : : :
:ASIC:PERMIT:FEE.. : <
>;` 15.00...
..: :.
M
.:;..:.. ....
:_ ::::
UNIT(SyFEE;r::::::::..10:::::;:::::
„:
PLANCHECK:: FEE<«> i<;>: ::iin:
. ::::;:::::::...i:i.? . ...;W:',;!0:: >< >: >: > <:>
....
•THER
::::.:.:.;< :TOTAL:.
.
CITY OF TUKWILA
Department of Community Development - Building
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
PLAN CHECK
NUMBER
APPLICATION MUST BE FILLED OUT COMPLETELY
BUILDING OWNE
OR
AUTHORIZED
AGENT
SIGNAT
PRINT NAM2y,,,62.4 6,,,56
CONTACT PERSON
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. 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
MECHAN, :AL PERMIT
APPLICATION
Mechanical Fee Worksheet must also be filled out
and attached to this application.
FEES (for staff use only)
DATE
c 1 - -�
PHONE F7z G
CITY/ZIP (//
PHONE i Z
DATE APPLICATION EXPIRES
Q(f) �
00!07193
SUBMITTAL CHECKL
MECHANICAL
n Completed mechanical permit application (one for each structure or tenant)
n 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.
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CITY OF TUKWILA, WA • TRANSMIT
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TRANSMIT Number:.930.Q1183 :Amount« 38.13 08/26/.93 16«12
Permit. No« M93 -0 Type: 0 -MECH MECHHN,I,CAL PE i /93
Parcel Nor 22234- 9088
Site • Address: '15859 AU S
• Payment 'Method: CHECK Notation -DWIGHT MCRAE • In 0L13
•
** * * * * * * * ** * * *k1
Account Code
0.00/345...830
000/322.100
GENERA 38,13
TOTAL 38.13
CHECK 35.13
CHANGE ' 0.00
38e5A000 16 :20
`Decriptiori
*PLAN' .CHECK 7 RES
MECHANICAL '- RES
Total (This Payment)
Paid
7.63
3
38.13
Address: 15859 47 AV S
CITY OF TUKWILA
Tenant: CALIBUSO SANDRA Status: ISSUED
Type: B -MECH Applied: 08/26/1993
Parcel #: 222304 -9088 Issued: 08/26/1993
************ k***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Conditions:
1. "NO WORK SHALL BE " DONE a , rI�N ADDITION M 't� `ft;Tt OSE�..MODIFICATIONS OR
REPLACEMENT OF EXISTING. :AP PLIANCES AS - `DES`iC.RI; ON THIS
ORIGINAL MECHANI.dAI PERMITO,, ,, ; , ,x
. Plumbing permsfh ,.b
al1e obtained thtzough the Seattl -King
Cou Department of .Pub',l i'c He alth Plumbing will b.e;"
s and
inspected b` th t a
p r 5� , a Derrcy ► i n c l ud i n,B a l "l gas , `p ,' i " l� : i:n9
(296 - 4722)' {r�; 1 �. � x. :�� } ', - ,. :4 '.15,
3. Electric�a;,�laf')ermi`t {. shall ,:sbe obtained through ...the %Wa
State Dn
°`jvi'siontof Labor an d
,, I��ciu`�.t:r'�,i e all ll l�ectr' i as
work "ll be ins ec,ted b iw� ` (248-660Y. k '
��;.;�� � p , Y,. ' �`a a g e n c j r. a ,., ,.a • d,�
4. All p�e�;rrrfits,;, inspection'r the ob
eco'r'ds, acrd' approved plans shall
mainta, vai lable atti .';.,..s�ite prior to the''sta � i
any i r�uct'ion. The"se. docum en are to be mainta�in " °1;
avai�l'a'bl'e un`til`` final" "inspectfi�`on approval is granted.
¢� t a v' +, r.. ; r �r qa u
5. Al li ya ion to +be^ 'done 0,1•1\ � contormance . with approved
pla- a and requirements °of "t Uniform Bu tl.d'tng Code (1991
EdMon ) as amended_..by'�,the Washington 'State Bui lding °Code,
Un . Code%'° " \Editlion), -arid- ingto'n State
En Cad ( 1 '99 ~a " E ` ' `' `� 1'` - ... V •
6. Vai, ;5:;
idit f { =.t ; Permit".' The issuance `o i i t or appr`oval.,.,,,of
planes, specs fi ' ns.,j ompu"tat " ,. l•1 not be cons ; 1+
str ue t`o ,b a�' permi for, or an approva.l of•, ny violation i
of a` +� o t' �„e p'r i s i ons of this cod "s v of. any other ' "f
ordina, ceeo:4f them Jurisdiction. No permi t' resuming' to °v e
autho o or cancel the ` b ' d �
rl y prov�i� i nf this s ca'de , ,
shall 'be'va1id. '` «e ffi 4, > j 4^, ,
I LR
. MANUEA0ERS 'I,NSTAL'LATION INSTRU,CTIONS° •REQU�IR " ED ON j S�ITE
FOR THE'BU LDIN ; INSPECTORS REVIEW. „', "''
,
Permit No: M93 -0127
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
t Approved per applicable codes.
COMMENTS:
-- INSPECTION RECORD
Retain a copy with permit
1 -3670
O Corrections required prior to approval.
O $30.00 REINSPECTION EE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Romp) No.:
Dale:
•
..
COMMENTS:
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Address /�. ,
...e; % (.d -4.. . i_..
- .: I , .. - r'� L e'
Date Called:
Date Wanted: `l�
� �!J Gcwt _1 a.s, x, G •C_ /e ne
6 firl vl4 /?cede 3 sc... ,_.S e .4.,d
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Requester:
'roject: „.--+ /
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ype o nspedwn:
Address /�. ,
- ! e.7 ,
(
/ e
N�+�
Date Called:
Date Wanted: `l�
2 �
am(ph)
Special Instructions:
Requester:
Phone No,:
I INSPECTION RECORD
Retain a copy with permit
CITY. OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERMIT NO.
(206) 431 -3670
El Approved per applicable codes. Corrections required prior to approval.
[Receipt No.:
❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.