HomeMy WebLinkAboutPermit M93-0173 - HO BENJAMIN6
City of ?tcc Jcwll�
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No:
Type:
Category:
Address: 4628 S 150 ST
Location:
Parcel #: 004200 -.0232
Contractor License No: ASSOCI *238R7
TENANT
OWNER
CONTRACTOR
CONTACT
*********** k***' ti' k r` r****** k* * *, * *** * * **** ** * * * *..* * * ** *' * * ** ** *fir * ** **
Permit Descri ptsi'on
INSTAL•GAS FURNACE W AND HO,T ' HEATER.
'UMC Editi,ari;' 1991
********s1''*'***'***.*** : * * * * * *. *. *'* ** * **' * * * ** *' * *_ * * * * * * * * * * ** **)k'4i4***,*k { * * *k **
obtain this,., `01
Signature:
Print Name:
M93 -0173
B -MECH
RES
MECHANICAL PERMIT
HO BENJAMIN
4628 S 150 ST, TUKWILA, WA 98168
WEBSTER, DANIEL
4630 S 150 ST, TUKWILA:'WA':- .; -;
ASSOCIATED HEATING &.SHEET"METAL-
P.O. BOX 30 :MONROE, WA, 98272
LEANNE GRIFFITH
P.G. BOX ; '309, MONROE, ;. WA;98272':
Valuation:
Total Permit Fee':;
(206) 431 -3670
Status: ISSUED
Issued: 11/05/1993
Expires: 05/04/1994
Phone:
Phone:
'hone:
242 -8445
206 823 -5000
206 823 -5000
000.00
38.13
Permit Center .Authorized .S i gnature
I hereby,�':cer�ti';fy that :I har,e and examined this permit and khoW';the
same to'.b,'e true , -.an"d correct.; :'A11 p,ro,viO'ons;;of law and ordinances „`3
governing = ,th,is,.w:ork. will be complied with, ,whether:.specif;ied �
, herein or not.
The granting of, thisc does not presume ,'to give authority,:: to Violate • or cancel the ;pr,o of any otherstae'',or ;.l,oca;l laws `regulatin g
constructi or' Ah eper.f. r m nc of wo'r. ?k.' I ram authorized to sign,jor and
y° el
This permit shall beco ie`F,'n
180 days an v.o,:id';, wor °i commenced within
s froth the ;'•
y 'date N o 3 s • s:u.an.c.e, or if ,t.he,w'or� suspended or
abandoned for a period of 180 a. i`;; fr o;m <,t °h e:' l:ast 'inspection. '
AMOUNT
OWING:
*5.. • ��
CONTACTED
��
'! ..J
� f �� � 150
DATE NOTIFIED
_
l
11� C O
BY:
(init.)
•
■ rf
2nd NOTIFICATION
BY:
init.
3RD NOTIFICATION
BY:
(init.)
PROJECT NAME
tk0 , €5-Qn oxri■ n
SUITE NO.
SITE ADDRESS
� f �� � 150
PLAN CHECK
NUMBER
0
D EPARTMENT
BUILDING -
initial review
O FIRE
O PLANNING
O OTHER
f BUILDING -
final review
BUILDING
OFFICIAL
CITY OF TUKW' 7
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 note by using "N /A ", date and initial.
DEPARTMENTAL REVIEW
"X" in box indicates which departments need to review the project.
TE
II IZ
REVIEW COMPLETED
DATE
PROVE
it IV,
( OUTED
INIT:
INIT:
INIT:
II 2 f
CONSULTANT: Date Sent -
FIRE DEPT. LETTER DATED:
ZONING:
SCREENING REQUIRED?
REFERENCE FILE NOS.:
UMC EDITION (year):
)UIREMEN'
0 Yes Q No
MENI
Date Approved -
FIRE PROTECTION: • Sprinklers • Detectors U N/A
INSPECTOR:
1BAR/LAND USE CONDITIONS? [] Yes
01/07/93
SITE ADD SS ` SUITE #
o g So . /< ,..
VALUE OF CONSTRUCT ON - $
3 D Do
PROJECT NAM ENANT
� 1 A�Cl i :i rrI . •O • n ' am'
ASSE S011 ACCOUNT #
0 1 4: • *.e.
0 Other:
TYPE OF WORK: ill New /Addition 0 Modifications 0 'epair
DESCRIBE WORK TO BE DONE:
::
... <:iNUtJI�:OF tT
. . _..
i �/ q /.1;) ,vwo.a 4AJ d c. t., 47 U
/ 00 .--
1 C -° 1)x92 c >-r
j
PHONE ' j'
BUILDING U E (office, f warehouse, etc.)
NATURE OF BUSINESS:
.'k;t ( rte H to b Ni.41
WILL THERE BE A CHANGE IN USE? No 0 Yes IF YES, EXPLAIN:
WILL THERE B STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
IF YES, EXPLAL No 0 Yes
PROPERTY OWNER EV 6 S c—t� j 7 i
>i ><AMOUNT<i>
RCPT:: >i #.>
PHONE : i�
0700
ZIP 9p062)
_i 0
ADDRESS • 1/ E 7
"
CONTRACTOR i c it dio ht iii
<:: < ><< > :: >,: > « »:;;'; >; >: >:
j
PHONE ' j'
w •.7r :
- i
at E
•
ADDRESS Ro /15 t
Q.
EXP. DATE ),..._,9,7
ZIP K nn a'.._.
`I,
WA. ST. CONTRACTOR'S LICENSE #
: >: ><>:AESCRIP:TI.ON > <::::;> ':
..
>i ><AMOUNT<i>
RCPT:: >i #.>
::::::::::::::::::.',DATE > >
I : : PERMIT?FEE!<:> : < < <:.:
BAStC .P
<; >�$y q0
S
S :lµ: >:: > < <; >: < ;: >:« €::; > ::
UNt7( ) f? E
<:: < ><< > :: >,: > « »:;;'; >; >: >:
PLAN CHECK'FEE € € ><::::
:;:::;.
OTHER; <': ::
: ; :
CITY OF TUKWILA
Department of Community Development - Building
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
PLAN CHECK
NUMBER
YY)q5 o
l�?
APPLICATION MUST BE FILLED OUT COMPLETELY
ADDRESS
D W
CONTACT PERSON PHONE sa
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 filed 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
k-- c13
MECHAN`�AL PERMIT
APPLICATION
Mechanical Fee Worksheet must also be filled out
and attached to this application.
FEES (for staff use only)
DATE
DATE APPLICATION EXPIRES
PHONE
CITY/ZIP
/0 9 3
5- I — q �l
06/07/ 93
C C:
SUBMITTAL CHECKLIST
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
Note: Hood and duct systems require a building permit for the duct shaft.
Structural calculations stamped by a Washington State licensed engineer may be
required if structural work is to be done (2 sets)
Water heaters and vents are included in the UMC — please include any water heaters or
vents being installed or replaced.
1 .:• . `'''•;'. ' ::,;.REGISTRATION NUMBER • .: , • : • . •
,' EXPIRATION DATE •
1.• 1 ,C.C
iii., •;.
...I A,S,SO C1;41 . 2,3 F3A?.•.
'EF
12 /27/4'.3
1 :/27%.77
1 i LL�•LL�V,�ALLL1LLAl,.4\ •,f��\ \ \IUl1� \�W. V�Uf!„ AUMlVt\ UlU \N\Al. \LL \\�iLL\l \ \ZV.,. \U.\L� \Alt.\
DEPARTMENT OF LABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A
iS'OC"I`AITE`D'';:IITG /SdT METAL INC •
0•X:••'3.09•,.,
H ...
r DETACH TO DISPLAY CERTIFICATE
WA 98272
•
•
• ..;�r:::;�,; ;..;.�;;,;: ,,,,,,,,,,, ,,,,,,,,,, _ xs os2 ooa 12�I
.LL \�\wnVJ.\V�\�,L,V.l11V�4\1.uw \\u W. l�\� \\WU \� }x,11 •,•. \,\I.� \ \��„!. \ } � \ \ \„l F 8 .
L. DETACH TO DISPLAY CERTIFICATE
STATE OF WASHINGTON
* * * * * * * * *• * * **k * * *k*** *•k* *fit ** ** * *k* * * * * * * * * * * * *' * * * *•k * * * *k * *• * * ** GENERA 7.63
CITY OF TUKWILA, ,WA TRANSMIT GENERA . 30.50
********************** k********** k•****h***** :. * * * •k * * * * * * * * * *• * ** ** TOTAL 38.13
TRANSMIT; Number: ;., "93001629,s Amount: 38 .13 11/05/93 13:26 CHECK 38.13
Permit No: M93•- 0173:` Type: `8 MECH MECHANICAL. PERMIT CHANGE :. 0.00:.
Parcel :No : 004200 023. :" 11/08/93 15:53
O 93. 6060A000 ':�:.
Site Address:` 4628: :S 150 ST
Payment Method: C HECK. Notation: SK R.INSKI CONST In it: SLH '
************:**********;****************** * * ** "* *•k* * *** :k*** *** ** ****
Account,; Code Dozer i pt an Paid
0.00./345.830 PLAN CHECK �- RES. 7;63
000/322.100 <;MECH ANICAL RED _ 30;. 50
Total (This Payment): ;: 38.13
Total Fees:
Total °: A1,.l `Payments:
Hal a n o eq
38.13
Address: 4628.S 150 ST
CITY OF TUKWILA
.-w
-Ia
Permit No: M93 -0173
Tenant: HO BENJAMIN Status: ISSUED
Type: B -MECH Applied: 11/01/1993
Parcel #: 004200-0232 Issued: 11/05/1993
***********************************•********** •* * * ** * * * * * * * * * * * * * * * * * * * * * ** **
Permit Conditions: '
1` No changes will be made ,.. t:oA: the`' prlrans::'un;less�„ approved by the
Architect and the :Tu.kwl l5a "_Bu i l d i ng"'D`i vi s.i� ,,
2. ,Plumbing permit sha:1.l b'e obtained through thea'Se;a•ttle -King
County Departmeri.t0f Public Hea l th P l umbti ng i�l`i 7 l b.e
inspected by,�;t'ha�t agency,` ina'ludj.,ra all gas, piping`'
(296-4722). ; ;> r' i 'W-,, - , • ,,J,;,'
, , a ss , ^
3. Electricali*rm-jt =shall be „obtained cthr ough the Washin 1 t o
State Division of L'abor, a'nd I idjs�tr i es and to l l electri
work wir ts /berr'inspe°cted'` by that't>,ldg:ericy (248- 663,0)`:fi '', \O,
4. All p� et i' i nspecti on records � a a pproved p.a n n ' `s” `' \ '
1!r 1
maint �ln�
e i`avai labile atth�er`��j(ob sie'"'tprior to the start � ' N
�r i c % �
any c onstruction, These'" documents" are to be maintain`ed.�,.�` �� t �;.�,
i�'l
avaable .unti l •: final-- ,- :i;nspect��i,on''app�r~,o e,val is granted. �"' p ,; �;��n
5. Any,�e posed linsulations° material shall hava Flume V
Spread Rating of 25 or- .l ess, Jand mat bearN i dent i ,, ,,I
f c on showing t h:e. f i r'-p rfor ance�� rat in (''''7-t thereof S i °
6. Al ' constr ctio ` p be> d`one in ?con with approved
p l ans�. and w,Oequ i rreme,nts fof the'', Un i f i-1_d..ing Code (x1991"
E ititon) ,as amende`d by .;`..the We•sh i ngton��'State fBu i l di ng Code;
.Uniform Mechani ca 1y 1(1'99. i t i on), and Washington . Stat
Ene y Code, (1991 .Sec, t io ./.& ,, �,.' . , j , .
7. Val d ty of'Pe,mit. The'issuancev a;'pe approval of
ritz
pla , F stte�c"i�fications and computansF= shall not .bet ';�
strue an j "
c totb "e`r'a permit for, or an ' ro'Va�`i o n violation A
y` of..,the provisions of this e co a a,. o, , ,,art other n
ordina of the Jurisdiction. o pierp i pres to give, f,
author �t , violate:• or cancel ,th provisions .of this code, X��
shall b`e' tv 1 i d ,�, , � ; / , t . f
Yoh 1 {� 'M. ,� j y
8. MANUFACTURERS INS INSTRUCTIONS ,REQUIRED f�ON: SITEr .., J} .
f
FOR. THE B�Ip,G.TNG INSPECTORS REVI+E:W �3 "
9. 38,500 BTU 'M i`,XI.MUM ALLOWED PER 1991 WASHINGTON STAT
ENERGY CODE OR�;, 1 ANUFACTURERS''MIN; MUMOSrIZE O.K. .
o c.. /
Type o1 Inspect
Address:
2,8
Date Cabled:
• : nstnktiais:
Date "anted: /Z.� -/7-7
3
, 0.
Requester.
Phone No.:
INSPECTION RECORD C
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 , __-- (206)49470
Approved per applicable codes„--- Corrections require= • or to approval.
COMMENTS:
O $30.00 REINSPECTION FE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
[ReceNo,:
,
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
El Approved per applicable codes.
COMMENTS: '
l) PP V% 0 'C. . -R-I Lam- P it rEc7vo 1.1 ( iL,_ r--t4 awn
A v‘19 c i Gtelanfi -r4 cE" —to ` ..13 vG r irJ CARAGe- .
Inspector:
3
INSPECTION RECORD C
Retain a copy with permit
Vr 3
0 113
PERMIT No.
(206) 431 -3 70
Corrections required prior to approval.
Date:
( (6/ 3
❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
EaiPn4
Dat
i
K gr
0 Q
4- i 4
ypeo ns. .• /
t �
r ' '
Date Called:
. ^7.1 nst ; ions.
Date ant' — e°
Requester. '
5_ 5k_ /
aw,eNa. :R7 2-- &=
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
0173 .
PERMIT NO.
(206) 431 - 3670
COMMENTS:
❑ Corrections required prior to approval.
❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
1 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
Special Instructions:
COMMENTS:
Requester:
❑ Approved per applicable codes. J-< Corrections required prior to approval.
p-A. _ , so /# . ) O 1 o M 1
!L ".� , c v s L
1a1111111111111111M
nspector:
fin R 0 I F i� ' _ ' i%�r
E] $30.00 REINSPEC O N FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Project:
140
INSPECTION RECORD
Retain a copy with permit
Type of Inspection:
Date Wanted:
Yriyi3 -01`13
PERMIT NO
(206) 431 -3670
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