HomeMy WebLinkAboutPermit M92-0043 - MATHEWS BRIANM92-0043 MATTHEWS BRIAN HVAC
15123 42ND AVENUE SOUTH
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PERMIT NO.
CONTACTED
DATE READY
DATE NOTIFIED
BY:
(init.)
PERMIT EXPIRES
2nd NOTIFICATION
BY:
(init.)
AMOUNT OWING
3RD NOTIFICATION
BY:
(init.)
PLAN CHECK
NUMBER
REVIEW COMPLETED
PROJECT NAME
MECHANIC'. PERMIT
APPLICATION TRACKING
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SITE ADDRESS II
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SUITE NO.
INSTRUCTIONS TO STAFF
• Contacts with applicants or requests for information should be summarized in writing by staff so that
any time the status of the project may be ascertained.
• Plan corrections shall be completed and approved prior to sending on to the next department.
• Any conditions or requirements for the permit shall be noted on the plans 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 ".
DEPARTMENTAL REVIEW
"X" in box indicates which departments need to review the project.
BUILDING - q
initial review
E 'U. IR, E .;. -:
CONSULTANT: Date Sent - Date Approved -
O FIRE
O PLANNING
O OTHER
BUILDING -
final rAviAw
(ROUTED)
INIT:
INIT:
INIT:
INIT:
FIRE PROTECTION: Sprinklers () Detectors ( ) N/A
FIRE DEPT. LETTER DATED:
INSPECTOR:
ZONING:
IBAR/LAND USE CONDITIONS? ( )Yes Li No
SCREENING REQUIRED? flYes n No
REFERENCE FILE NOS.:
UMC EDITION (year):
08/17190
PROPERTY OWNER DQf kt
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RCPT: #;;
PHONE
ADDRESS 40S6 ,,
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ZIP ( nig g
CONTRACTOR 5 y I
UNITS) FEE
PHONE
ADDRESS
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ZIP
WA. ST. CONTRACTOR'S LICENSE #
:TOTAL: ,
EXP. DATE
:::::DESCRIPTION
`AMO.UNT>:::
RCPT: #;;
DATE:::
BASIC:PERMIT FEE
$15.00
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UNITS) FEE
PLAN CHECK FEE
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OTHER
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CITY OF TUKWILA
Department of Community Development - Building
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
PLAN CHECK
NUMBER c — 00
APPLICATION MUST BE FILLED OUT COMPLETELY
BUILDING OWNER
OR
AUTHORIZED
AGENT
CONTACT PERSON
DATE APPLICATION ACCEPTED
PRINT NAME A II 9
ADDRESS 40Gt C, 1S2Np
MECHA:..CAL PERMIT
APPLICATION
Mechanical Fee Worksheet must also be filled out
and attached to this application.
FEES (for staff use only)
SITE ADDRESS
15123 4,Z S
SUITE #
VALUE OF CONSTRUCTION - $
0� 00 f30
PROJECT NAME/TENANT
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TYPE OF WORK: 0 New /Addition 0 Modifications 0 Repair 0 Other: RE al() vier kRNtkt 614G1oJG
DESCRIBE WORK TO BE DONE:
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BUILDING USE (office, warehouse, etc.)
NATURE OF BUSINESS:
WILL THERE BE A CHANGE IN USE? 0 No 0 Yes IF YES, EXPLAIN:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE
BUILDING? 0 No 0 Yes IF YES, EXPLAIN:
UCAT1
DATE
PHONE X43 178
CITY /ZIP viK fig/ (g
PHONE
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 EXPIRES
06/18/90