HomeMy WebLinkAboutPermit M94-0005 - FOLLETTE DANr
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TTE DAK,I
City of Thkwtlk <.
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M94 -0005
Type: B -MECH
Category: RES
Address: 15103 51 AV S
Location:
Parcel #: 004200 -0415
Contractor License No: GEORGB2081J1
TENANT FOLLETTE DAN
15103 51 AV S, TUKWILA, WA 98188
OWNER FOLLETTE DAN
15103 51 AV S, TUKWILA, WA 98188
CONTRACTOR GEORGE BRAZIL SERVICES
11063 PACIFIC HY S, TUKWILA, WA 98168
CONTACT KIM KUNCL
11063 PACIFIC HY S, TUKWILA, WA 98168
********************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Description:
INSTALL GAS WALL HEATER.
UMC Edition: 1991 Valuation:
Total Permit Fee:
*** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
LPL. 15 I - L 'V
Permit Center Authorized Signature Date
I hereby certify that I have read and examined this permit and know the
same to be true and correct. All provisions of law and ordinances
governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate
or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign for and
obtain this bui ding e mit.
Signature:_ �� �l Date:
14 _
Print Name:__ U -1-� -VU \C. Title: ►` 2. fist,
MECHANICAL PERMIT
Status: ISSUED
Issued: 01/14/1994
Expires: 07/13/1994
Suite:
(206) 431-3670
Phone: 206 523 -4929
Phone: 206 523 -4929
Phone: 206 451 -4800
Phone: 206 767 -0667
2,393.00
24.00
This permit shall become null and void if the work is not commenced within
180 days from the date of issuance, or if the work is suspended or
abandoned for a period of 180 days from the last inspection.
AMOUNT
OWING:
CQIGTACTED
DATE NOTIFIED
SITE ADDRESS
BY:
(init.)
2nd NOTIFICATION
'
BY:
(init.)
3RD NOTIFICATION
BY: •
(init.)
PROJECT NAME
SITE ADDRESS
i b' o .�
` J1
^ v
�
SUITE NO.
PLAN CHECK
NUMBER
TrALI
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 summ rized
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 requ- ted 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.
DEPARTMENT
O BUILDING -
initial review
O FIRE
O PLANNING
O OTHER
O BUILDING -
final review
O BUILDING
OFFICIAL
Mechanical Permit Application Tracking
REVIEW COMPLET
CITY OF TUKVt; 1
Department of Community Development — Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
DATE IN
DATE.
APPROVED
INIT:
INIT:
INIT:
INIT:
INIT:
(ROUTED)
CONSULTANT: Date Sent - Date Approved -
FIRE PROTECTION:
FIRE D g E - ' 'A' ' D: INSPECTOR:
•�J� BAR/LAND USE CONDITIONS? ■ Yes
S E G REO IRED? O Yes O No
REF
ENCE FILE NOS.:
UMC EDITION (year):
QUIREME S / .;COMMENTS
kiers i Detectors UN/A
01/97/93
PROPERTY OWNER f5--Vo 6- _-',
PHONE ff2 3 _ 4'9 2,01
ADDRESS t '5' \ Ci3 5 \ 5*
t\ c--e....,c •
ZIP q 3 Ig
CONTRACTOR _ e),
QC_ •
PHONE --- -7 _D
ADDRESS \ v-- ' :i4-
(._.
ZIP 97 ((,,
WA. ST. CONTRACTOR'S LICENSE # ,..
et S zfr t
----3----
EXP. DATE 4 6 1 L c .
„row'
CITY OF TUKWILA
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431-3670
PLAN CHECK
• NUMBER M O 55
APPLICATION MUST BE FILLED OUT COMPLETELY
SITE ADDRESS
1t5 I ,7)
5\ )\-
DESCRIBE WORK TO BE DONE:
BUILDING USE (office, warehouse, etc.)
;PseICS.1)_/V
NATURE OF BUSINESS:
WILL THERE BE A CHANGE IN USE?
BUILDING OWNER
OR
AUTHORIZED
AGENT
Si
PRINT NAME
I DATE APPLICATION ACCEPTED
PROJECT NAME/TENANT
k
TYPE OF WORK: 0 New/Addition 0 Modifications
_p_o \101 IL •
No 0 Yes IF YES, EXPLAIN:
WILL THERE BUTORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
IF YES, EXPLA,No 0 Yes
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED T
AND CORRECT,ANDIA 'AUTHO Z
SUITE #
MECHAINIZAL PERMIT
APPLICATION
Mechanical Fee Worksheet must also be filled out
and attached to this application.
PLAN CHECK FEE
TOTAL-
11.•
UNIT'S FEE
To
0 Repair
APP LICATION
PER MIT.
VALUE,QF,CONSTRUCT ON -
x 5 .0
V LCQ
FEES (for staff use only)
ASSESSOR ACCOUNT #
OCA2-CCD Cl-A I - "S
,Other: c_A D(y
DAI'E
vAA \i)e,Y
ADDRESS 11 DcoS ■./u
CONTACT PERSON PHONE . ( DGc,7
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 EXPIRES
NUMBER,
PHONIE
CITY/ZIP en;R.C. l 1(.?
00/07/93
JAN -14 -94 FRI 10:49 A MCNEELY GB SRVCS
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A iv r • L;i1 :l t
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REGISTERED AS PROVIDED BY LAW AS A:
CONST CONT GENERAL
REGISTRATION NUMBER
01 I GEORGB2O81 J1
(EFFECTIVE DATE
FAX NO 2067670623 P. 01
� ) ‹. tk) C
EXPIRATION DATE
04/11/94
04/21/92
GEORGE BRAZIL 24 Hit SERVICE
11063 PACIF=IC HWY S
TUKWILL.A WA 98168
SIGNATURE ' ISSUED BY DEPARTMENT OF ND INDUSTRIES
Project:
Or, _
��
Li s�
t ype of Ins
Date Ca :.:
Date Wanted :
Requester:
Ion:
CID
y
0
`l
a (
Special In
ions:
/7.- /e,
Zbe,
Phone No.:
am
Requester. A /4
Phone No.: 2.yi7—
1747 .-
AP'
Type of Inspec4ion: /
Yl
rase: ` /1 �
r
S �—
:, a ' ed: „ `/
2-013's !
Special Instructions:
9 / 7.
�/'�. 3 �;p U
Date Wanted: Zr' �,
4 7
am
Requester. A /4
Phone No.: 2.yi7—
3
COMMENTS:
COMMENTS:
;. •
❑ Approved per applicable codes.
INSPECTION RECORD C
Retain a copy with permit .
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERMIT NO.
VI
(206) 431 -3670
Corrections required prior to approval.
❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Approved per applicable codes.
Reoept No,:
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206) 431 -3670
❑ Corrections required prior to approval.
❑ $30.00 REINSPECTION FE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
uh
YPe :.:..: l n a 1
Mme Called: 1 ' ." 1 ' 9
r : a N Av 5
Special Instruct :
Date wanted:
a - 1 ` I q am. p.m.
Requester:
K.
Phone No.:
--1U1 — O 4*--)
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
❑ Approved per applicable codes.
COMMENTS:
Inspect
INSPECTION RECORD Q
Retain a copy with permit
r rpq -ooy
PERM T NO.
(206) 431 - 3670
Corrections required prior to approval.
.60 _ fJ'-'e 5 f- 7 4 rr 44)' p
�.� // 4.--20,..$ 4/7 01 �
1 74 , e 1 t I 1-Gc 04 -na ee
❑ $30.00 REINSPECTIO FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Rea*, No.:
Dale:
********k h*"*****• k**** k*********** kk * ** * * * ** * * * *•k * *** *k **** * *k **
CITY OF TUKWILA, WA • TRANSMIT
* k * * * * * * * ** * *. ** k * * * * * *•k* k* * *.k * * * ** * *h * h * * * * ** k *kh * * * * * *•k* *it k **.k
TRANSMIT Number: 94000058 'Amount 24.0.0 ,01:/:1.4 :O3
Permit 'No': M94•-000 ; ` Typez 0 -MECH MECHANICAL lti f r
Parcel Na: 004200 -041.;
Site Address: 1.5103 .51 AV.3
Payment Method: HECK Notation: PERFECTION PLUS
GENERA. 24.00
TOTAL ' 24.00
CHECK 24.00
CHANGE :0.00
8132A000 16 :33
• . Total Fees:.
Total All Payments:
Balance:
24.00
24.00.
M 00..
.Irti
**Fa•* c.* *:' * *. *•kk *,�* * * ** *•k *k.• * * 1t�4*******k• kk• ks1 ***it *k * * * *. *yfrk*
Account Cade : Oeacr.i pt i arr Paid
000/322.100 MECHANICAL - RES
Total (This Payment: 24 :00
CITY OF TUKWILA
Address: 15103 51 AV S
Suite:
Tenant: FOLLETTE DAN
Type: B -MECH
Parcel #: 004200 -0415
* *•k * * *•k **•k* fir* * **•k * *•k *•k *•k•****•k** ** k•k** k * * * *•k *** * k *•k*•k***•* k *•k***** k•k *k
Permit Conditions:
1. "NO WORK SHALL BE DONE TO' 1'NOSE.,MODIFICATIONS OR
REPLACEMENT OF EXISTING::'APPLIANCES AS" DESCRIBED ON THIS
ORIGINAL MECHAN,ICAL-, PERMIT ",
2. Plumbing permi..t ha"11 be = ob,ta''ined through the S`eatt =1e -King
County Depar;tnient o . f Publ1A' Hea:l.th': Plumbing w i l l l''� =b`:
inspected 01 5that 4g,ency °- including al'l gays .p- `ping
(296-4722) : f:d F
3. El ectri earl;'' er rn s,ha l l h be obtained through'„the aWashi
State Division Hof 'Labor and Indu t .ies and al'1. el
work war be inspected by , that agency! (248 - 6630);.
r x:3'3 y !1 � c
4. All p,erri ts, i nspect i on`���r?ecor,ds, and approved p fans s 6.
main at ;:;the Job. prior to the `start rof
any i gc t struc ion. These docu ,ent -epe to be mainta=i,ned :
ava�i1`a'bl'e until:4 finalspect�1on approval is granted
5. All' �,00nstr-uc't i�bn to._ ii,n`� f ►r.m
conance;R..w�i th app ro
p1ansl and requirements of the Un �f'oar =m, Bui�ld-i:.ng Code (199x1
Edi�t'•i:on) as anien°ded byy \ tl e '4I.,ash g.t'on State':Bui lding :Co ,,
Uni C ode' (1,99 Editjion) °.•. and_`sWashingto`n State
Energy Code (18991' Second; "Edi�t;i�on) l
Permit No: M94 -0005
Status: ISSUED
Applied: 01/14/1994
Issued: 01/14/1994
6. Val 1 dii ty,,o,f Permit,•./ The iss'uance `of:;. a..per�m"i t or approval,, of J.
p1a r1`s' spec;if i''cations ��ar;d,• comput�ati�ons �,•sha='1 i..not be Con '
stru r t; , m o r s . t ;� .. t
e'd, to -.be a;,permit for, or anl,appr.ova1. o' vi;ola't..ioh
of an � , of�4tlie provisions. s i ons of this code••`�� _of any other .ti ,,_,,,
Y P ,„ r , , ,,
ordi'r�a:,nce eof the Jurisdiction, o' p tooTiv e
authoO > x , , or °`Violate or cancel t� p { rovr i.. sions , '� . 01 this code 4 ��
shall ;bed,, veil d. .; . �f " t.�....,•.a J ' f ...
.
7. MANUFACT RERS �TNSTAL ATION INSTRUCTION `-
S•R:E_OU�IRED ON SITE .'
.B ,
y �� i "1 _ n a'+' r .F
FOR THE �.I,�ILDING ••I, NSPEC ; 0 TORS REVIEW. ;:.;`_' 4 ,.
n; a I A cii
ti � e
Jul 06, 1994
KIM KUNCL
11063 PACIFIC HY S
TUKWILA, WA
98168
RE: FOLLETTE DAN
Dear Permit Holder:
Sincerely,
"Bstbo
City of Tukwila
Shellie Bates /Sylvia Osby
Permit Technicians
Department of Community Development
John W. Rants, Mayor
Department of Community Development Rick Beeler, Director
Our records. indicate that on Aug 07, 1994 one hundred and eighty days will
have passed with no inspections having been called for under Tukwila
Mechnical Permit NumberpM94 00 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 Aug 07, 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) 4313665