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HomeMy WebLinkAboutPermit M93-0149 - GIBSON WILLIAM1 WI City of ?lilcwlld Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 Permit No: M93 -0149 Type: B -MECH Category: RES Address: 14707 57 AV S Location: Parcel #: 115720 -0173 Contractor License No: NORTHWH103R2 TENANT OWNER CONTRACTOR CONTACT Permit Descri GIBSON WILLIAM 14707 57 AV 5, TUKWILA, WA 98188 GIBSON WA 14707 57TH AVE S,_-TUKWILA;,,WA -98168;°.... NORTHWEST WATER HEATER; INC. Phone: 206 282 -4700 2800 THORNDYKE AVENUE WEST, SEATTLE, WA 98199 BELINDA SHAFFNER Phone: 206 282 -4700 2800 THORNDYKE AV W, ;,SEATTLE, WA 981`99 ***************' k*:*****4*4'***• k, k***** 4i4**,**,**• k• k k'k * *4 :* * *•k* * *•k *•k *** *•k ** INSTAL :L; ?GAS FURNACE= 7 Print Name: UMC Edition:" Valuation: Total Permit Fee: *-* )+ c* kkX: k**** k.*. k** A*kk''*** * * *;kk *, *_ * *k * ** * * * * *kk.k * * * *** * *�Ar *.'k * **** I hereby certify thatI have;r,ea,d and examined : •this permit and know the same to,be tru e`;and correct,' .:All provisions of. law and ordinances governing,,.this' work will be complied •with, -whether, specified herein;or not 0 The grant } of this',.permit does not presume,to give authority to violate or cancel° +,,;the' of any other.; state laws regulating constructi•onor''the performance of wo'rk.% Lam authorized to sign for and obtain this ;.bui ling perm MECHANICAL PERMIT BTU WITH;,/EXISTING FURNA• This permit shall become and vo4df'` the wor ot commenced within 180 days from the date of :su`ance.,,_. o"r i =:wo'r'k:- is suspended or abandoned for a period of 180 days 'fr0.0 the °;last inspection. Date: Title: Status: ISSUED Issued: 09/29/1993 Expires: 03/28/1994 93 (206) 431 -3670 '500.00 - 38.13 AMOUNT OWING: C' TACTED SUITE NO. DATE NOTIFIED BY: (init.) 2nd NOTIFICATION BY: (init.) 3RD NOTIFICATION BY: init. PRO EC NAME .. 't S DM (fit 1 � ;A-71/1 SITE ADDRESS 1 14101 57 A 5 SUITE NO. PLAN CHECK NUMBER M13-01lfc1 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. O FIRE P F .TME BUILDING - initial review O PLANNING O OTHER BUILDING - final review 3?3- BUILDING OFFICIAL Mechanical Permit Application Tracking REVIEW COMPLET CITY OF TUK 4 " .! a Department of dommunity Development — Permit Cenrel., `. 6300 Southcenter Boulevard - #100, Tukwila, WA 98188 (206) 431 -3670 INIT: INIT: INIT: INIT: (ROUTED) IT: CONSULTANT: FIRE PROTECTION: FIRE DEPT. LETTER DA sc EOUIRE Fllf 196S.: UMC Ji IT46N (year): .................. . EC, UIREME Date Sent - rankle es 0 No Date Approved - L] Detectors UN /A INSPECTOR: ZONIN R/LAND USE CONDITIONS? U Yes U No 01/07/93 SITE ADDRESS • 1 �� (DR `3�41� SUITE # Rio / � ' t C 7 t b---;,01( VALUE OF CONSTRUCTION - $ ' ASSESSOCCOUNT # o o r o f ,9" ...) Other: PROJECT NAME/TENANT ,l C� XYI PE OF WORK: New /Addition ❑ Modifications ❑ Repair DESCRIBE WORK T ( M BE - DONE: .,, (" t (ca 5 r nck S , L t • 7 5��� (3f w, L - r" e),,,--1e),,,--1 / 1 '�v,r t. • ,- -_ t-.. 1 C � LS 7 c l_ Cam l.. k..'- - rr t A - G Cv G S ' 1F. , h - TYPE .; ;:RATING/SIZE . NUMBER OF UNITS DAT IQ CI PHONE. CITWZI i k() :;rn , 3 - 0cxO ` Il PLAN CHECK FEE • BUILDING USE (office, warehouse, etc.) NATURE OF BUSINESS: WILL THERE BE A CHANGE IN USE? No ❑ Yes IF YES, EXPLAIN: WILL THERE B ORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? IF YES, EXPLAM No ❑ Yes • ; .>I HEREBY CERTIFY. THAT. II 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 ATURE r PHONE zip c: $� ( �Sc� _ - �i Z }C� CONTRACTOR Wu �. �-_� \*o r � O_ (� _ 0 DAT IQ CI PHONE. CITWZI i 3 `-I / Q PR T NAM: 1 ` Il PLAN CHECK FEE • ADDRESS �1.� :. CONTACT PERSON , \ \ ( \ D\ - - v j TOTAL - PHONE a yn..,`O PROPERTY OWNER � l t( ,m G C� _fJt'1 PHONE�t�� ._ -3 �.' ADDRESS )..A)-- C �j '�`t� � C ] • PHONE zip c: $� ( �Sc� _ - �i Z }C� CONTRACTOR Wu �. �-_� \*o r � ADDRESS f *►C 1' \A,___ Q Q ()0 EXP. DATE ZIP q p 1 q C `� J i 0 WA. ST. CONTRACTOR'S LICENSE # Noel-44 �.` J rJ DESCRIPTION AMOUNT RCPT # DATE BASIC PERMIT FEE $15.00 UNIT(S) FEE PLAN CHECK FEE OTHER: TOTAL - PLAN CHECK NUMBER CITY OF TUKWILA Department of Community Development - Building Division 6300 Southcenter Boulevard, Tukwila WA 98188 (206) 431 -3670 5 009 APPLICATION MUST BE FILLED OUT COMPLETELY MECHAN:_^'AL PERMIT PL'C AT AP C ION 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 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. EXP!F .4TION 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, p please contact tfl�L� ment of Community Development at 431 -3670. ,� .3 ITY OF UKWIIa DATE APPLICATION ACCEPTED DATE APPLICATION EXPIRES -- c `-cf.-5 1 SEP 2 9 1993 `3 �� _ °I4' PerIMIT CENTER 01/20/93 SU6MITTAL 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 L J 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. REGISTRATION NUMBER , '',.'1, , '-. 1.,, 1 EXPIRATION DATE . _'.t'hI,: 14I' r OATf- l /t / ? /i:i(j NO Si 'MITI. • rTr ;..1'ktip-3'i.'t 26O() . T+iOEihif YK AV' ;tiff . ., ; A . f ‘ i_i 7. . wi. q8599' sIGNATu ' ' UED ISS BY D A TMENT OF LABOR AND INDUSTRIES REGISTERED AS PROVIDED B'(I.'AW AS A:' * 44**A irl e* k**r 4**** A*A** k* A* ** ****h ** *hir•k'G4e *A•:k *A*A 4A****.A* *Aar A• *** CITY. OF' 1'UKWILA, WA TRANSMIT **• A** ar k* 4 ** A* k**: k***k******. A*****k* * *k * * * * * * *•k *A * * *A * * * * * *A4***A TRANSMIT Number: 9400.1420 Amount; 30.00 10/31/9 4, .' , Permit No M.9 Permit Type: 13• -MLCH MECHANICAL' PLTU r Parcel No:. 115720 017 3 S i t e , Address: :14707 '57 ,t V :., S Payment Method: ;.CHECK Natation: NW WATER NEATER - 3 rr it: 9A0 *k* k* k** A** * * * * *h'A* A•k ** *k'4h * *,A•kA* hat * **** tA* A *A **ihyF * * * *'.1* * *A ** *A**' Account Code Description Paid 000/322.100 MECHANICAL 7' REa 30.00 Total (This. Payment) . 30.'0 Total Fees: Total A11.: PF:ymerita Hal`sn`ce: trv 66,13 GENERA . 30.00 TOTAL 30.00 CHECK ' ` 30.00 CHANGE`: 0..00 6960A000 1.6:04 **** k** k**** jr****************** Ir** k** * * * **k**** **kk**** ******* CITY OF TUKWILA, ;:WA TRANSMIT ***• k***********. k***** k** �k * * *k * ** *** * **** *** *k * **k * * * * *k * *** * TRANSMIT Number: 93001373, AMountz 38.13 09/29/93 11:55 Permit `No: M93-0149 Type: H --MECH MECHANICAL PERMIT Parcel No: 115720-0173 09/29/93 Site Address: 14707 57 AV :s Payment Method: ' CHECK ,Notat ion: NORTHWEST WATER . In 1 t.: SAO k * * **** k******** 4 r* ` ******* k* k*** k A** * * * *k *•k* **** *k** *k* * * * : k *,* * Account Code gescr :iption Paid 000/34.5.830 PLAN CHECK - "RE 7. 3. 000/322.100 M .-'RES 30.50 Total (This Payment): 38. 1.3 GENERA . :, 7.63 GENERA. 30.50 TOTAL: '38.13 CHECK .' 38.13 :CHANGE: 0.00 4803A0 14 Tott1' 'Feesa`. ;: :: 38.13 Al 1 ` , Payments: 38.13 Balance: .00: _. Address: 14707 57 AV S tti Tenant: GIBSON WILLIAM Type: B-MECH Parcel #: 115720-0173 CITY OF TUKWILA (41 pFtit Permit No: M93-0149 Status: ISSUED Applied: •09/29/1993 Issued: 09/29/1993 ************************k**********************************k************k** Permit Conditions: 1. "NO WORK SHALL BE DONEIWAD,01.1 OR REPLACEMENT OF EXISTINGANPPLIAkEt ON THIS ORIGINAL MECHAWAV ! :!PERMIT ",•,- • , 'T •".,.:4 '4" 2'. Plumbing perMteW1441,be0400d Wrough ,the Se&Wle-King 0 'County Deparnt o,flpubAO*1Hea3t*.. Jo,lumbill 1 , 3. Electrigt0e0i0a11 obtAaed throl4hthekW (296-4724. t '", ''qi. . ,,, • - ;,,,, State DA;Osidiltkofl'aboi' and,I and 'art-elied*ipat inspected bi;;,6atAp i'nclldIng sT),g45,ApiAg _ ::.^', '•'■ includ work weW be inspected by 1 40 "ager% (248-6630. 4. All'pe i 10, Insp,ectionieCbr:ds, and' approved plSns's*I 13'74, 5. Allk to 0\conf..dr approve • UnqdrwatMedhani6a1 C State Cg4e (t991 101••• main X'Ajled4Vailable af,y.the Job site prior to the'Stardf WA • avatbq u0i1N ap(lbval is granted„ ,,,f Editipn) as l alter:WO, iii Code, plOrand requIrepOti''ortyp drlif Code (1991 any 6 Struc'MloK. These documentS-,are to be mainta4n6* \IA kott • . a).11 ,,r ,- WA . En rgc 1 Second 6 Va . ,,, , ,4 ,,s , • . , . lqity Vssilkh'se.'00.-A,Mit or approval spe6Aficcatidhsc„arimpbtattOSsha*1,not be 66n4' % , ".:i;- ',,:,, • I..,. of . str440 to 'be a'oermit for or an\aSprOaY-Aof violation of alr o%E.44:tte provisions of this sed44,9fi, of _any other ordiiftceedfithgAurisdiction. Nofp04 ,.aptho cancel tii4 code shall jeNvaild, 0• .• ''. ," li,,.•,.. . •,p , r, : • • • 7. •MANUFAtlARERS'4 INSTRUpTIONbvgpillRED'ONSITE FOR THE!iM p 1 lir 77 . REVf . E . W:.. 1:, gi" : .• • \ : • . A ro ect: j / eye; Type Inspection: of / - yJ __ Ws ress. `� 3 Date Called: ' -- —___ _/ Speda Instructions: Date Wanted: 2_47 _ m `� a . Requester: Plane No.: SPECTION O. INSPECTION REiORD C . Retain a copy with permit c CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 COMMENTS: ' Inspector PERMIT NO. 44 C/ 3 . © /j' Approved per applicable codes. ❑ Corrections required prior to approval. -.. _ . _ . (206)- 70 Dale ❑ �� REINSPECTIONfEE REQUIRED. Prior to reinspectIon, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule relnspection. I Reoe4t No.: Date: r T ype o n pect . /G/7a "7 t Co 6- ..../0....9 Special instructions: D a t e Wanted: / 3 9 amp Requester: Phone No.: CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ❑ Approved per applicable codes. COMMENTS: 1`" 3• INSPECTION RECORD Retain a copy with permit I ll Ch (206) 431 -3670 f;?c Corrections required prior to approval. i 7 VA4,C $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date h --/43-9Y CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ro :c l I'tpT1 1 D 1(< 1 Y1 Address: � a q_� 0 'i -' :11) r, Special Instructions: ype o nsped , Date Called: �� , ,92/ Date Wanted: Requester. i ll (a v ❑ Approved per applicable codes. Corrections required prior to approval. COMMENTS:s. f7A' INSPECTION RECORD Retain a copy with permit Coc, 7 ' I I -^~,e i 4h 4e 1 � ; E? " 419 / ras -7D / ,f r 3/4-7 (y / 5 �a s 1 s15./ ,fl (i SpiJ el 5 I Inspector: tit ig ❑ =30.00, REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Sotathcenter Jvd., Suite 100. Cali to schedule reinspection. . 2 C,#Y : J GTL. evd Dale: (206) 431 -3670 4--/k6/ COMMENTS : j �-' mo ` c`��." C / Chi A r 64,e , (44 a 1, t ' .S v<1G 4 b -! /.l' l .11 '7/ PROJECT: CONTACTED NAME: PHONE #: P/A 35 ADDRESS : i ci 7 07 NO ONE THERE - NOTICE OF VISIT LEFT ON SITE LAST RECORDED INSPECTION: ,..-,/ PROJECT: (,X40 S / f^ev((,( , ( , PERMIT NO: 47 el 3 ,_0/1/ 9 / P/A 35 ADDRESS : i ci 7 07 „_. C ,-i--7 A, LAST RECORDED INSPECTION: ,..-,/ CITY OF TUKWILA - BUILDING DIVISION 6300 SOUTHCENTER BOULEVARD, SUITE 100 TUKWILA, WA 98188 (206) 431 -3670 PHONE CALL: PHONE #: 2i 2- TIME: SITE VISIT: INSPECTORS SIGNATURE: PERMIT INSPECTION STATUS REPORT DATE : /c _ L LEFT MESSAGE WITH: / f^ev((,( , ( , I, , Y /04 P/A 35 7 ANSWERING MACHINE CITY OF TUKWILA - BUILDING DIVISION 6300 SOUTHCENTER BOULEVARD, SUITE 100 TUKWILA, WA 98188 (206) 431 -3670 PHONE CALL: PHONE #: 2i 2- TIME: SITE VISIT: INSPECTORS SIGNATURE: PERMIT INSPECTION STATUS REPORT DATE : /c _ L COMMENTS: , i/ , ( 4- ..PPS' / r-� . e eP 2 I, �c,L ANSWERING MACHINE NO ONE THERE — NOTICE OF VISIT LEFT ON SITE / /e - 5c .i/ A.4-e:, C /Gc' or__45,0, a 4- x- r. / PROJECT: 6 f 6 fiv l � 4) CONTACTED NAME: PHONE #: ANSWERING MACHINE NO ONE THERE — NOTICE OF VISIT LEFT ON SITE PROJECT: 6 f 6 fiv l � 4) PERMIT NO: /W3 _, ADDRESS: / /1 1 , 77 .... 15 ---= 7 A , , c S LAST RECORDED INSPECTION: , CITY OF TUKWILA - BUILDING DIVISION 6300 SOUTHCENTER BOULEVARD, SUITE 100 TUKWILA, WA 98188 (206) 431.3670 PHONE CALL: PHONE #: SITE VISIT: INSPECTORS SIGNATURE: Ate. PERMIT INSPECTION STATUS REPORT 2-g2 , 4' '&O TIME: DATE : may LEFT MESSAGE WITH: R` ANSWERING MACHINE CITY OF TUKWILA - BUILDING DIVISION 6300 SOUTHCENTER BOULEVARD, SUITE 100 TUKWILA, WA 98188 (206) 431.3670 PHONE CALL: PHONE #: SITE VISIT: INSPECTORS SIGNATURE: Ate. PERMIT INSPECTION STATUS REPORT 2-g2 , 4' '&O TIME: DATE : may Nov 01, 1994 BELINDA SHAFFNER 2800 THORNDYKE AV W SEATTLE, WA 98199 RE: GIBSON WILLIAM Dear Permit Holder: City of Tukwila ShA lie Bates /Sylvi.•sby Permit Technicians Department of Community Development John W. Rants, Mayor Department of Community Development Rick Beeler, Director Our records indicate that on Dec 10, 1994 one hundred and eighty days will have passed with no inspections having been called for under Tukwila Mechnical Permit Number °`M93- 0149..';.'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 Dec 10, 1994. 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 98199 Feb 03, 1994 BELINDA SHAFFNER 2800 THORNDYKE AV W SEATTLE, WA RE: GIBSON WILLIAM Dear Permit Holder: Our records indicate that on Mar 28, 1994 one hundred and eighty days will have passed with no ins•ections having been called for under Tukwila Mechnical Permit Numbe AMAIN ' 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 Mar 28, 1994. 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. Sincerely, 6 .1u,Q-e City of Tukwila Department of Community Development Rick Beeler, Director Denise Millard Permit Coordinator Department of Community Development 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 . (206) 4313670 • Fax (206) 431-3665 John W. Rants, Mayor