HomeMy WebLinkAboutPermit M94-0053 - SELLMAN THERESAe(Ima)1
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Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M94 -0053
Type: B -MECH
Category: RES
Address: 5534 S 144 ST
Location:
Parcel #: 336590 -0206
Contractor License No: NORTHWH103R2
TENANT SELLMAN THERESA
******,******************************,*,**** * * * * * * * * * * * * * * * * * * * * * * * ** * * * * **
Permit Description:
MECHANICAL PERMIT
OWNER OWNER
5534 S 144TH ST, TUKWILA WA 98188
CONTRACTOR NORTHWEST WATER HEATER, INC. Phone: 206 282 -4700
2800 THORNDYKE AVENUE WEST, SEATTLE, WA 98199
CONTACT RICHARD +GUILLORY Phone: 206 282 -4700
2800 THORNDYKE AV W, SEATTLE, WA 98199
INSTALL. FURNACE HOT WATER HEATER
1,200.00
30.50
******************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
UMC Edition: 1991
Permit Center Auth ized.Signature Dat
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 building perm t.
Signature:_
/ A '
Print Name: .TZ�F 1 Y E S"7X0
Valuation:
Total Permit Fee:
Date:
Status: ISSUED
Issued: 04/11/1994
Expires: 10/08/1994
Suite:
Title: u to tat
(206) 431 -3670
This permit shall become null and void if the work is not commenced within
180 days from the date of issuance, o if the, work is suspended or
abandoned for a period of 180 days from the last inspection.
SITE ADDRESS SUITE #
5 L/ S /q Si
VALUE OF CONSTRUCTION - $
/ 200
PROJECT NAME/TENANT
/( .__Slez 1/ti1/ 9 --t/
ASSESSOR ACCOUNT #
33(5 206
TYPE OF WORK: .New /Addition 0 Modifications 0 Repair
0 Other:
a.) 2 ht- iv.7 -,
` l l l /) 9 Cl c^f)
NUMBER OF UNITS
DESCRIBE WORK TO BE DONE: / es 7/f(L 6 ,vt14// /9i11
4P/IOx 5 ' 6/3.s P/ Pe / C
TYPE RATING/SIZE ; .
fV/I t//fce 39s C/q v u /749 / 70 ,i4
/
/,ur n // 9 r o P2 v' SD / 3 & rt4
PLAN CHECK FEE
BUILDING USE (office, warehouse, etc.)
NATURE OF BUSINESS:
WILL THERE BE A CHANGE IN USE? O No 0 Yes IF YES, EXPLAIN:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
IF YES, EXPLA( No O Yes .
I HEREBY CERTIFY THAT I HAVE READ AND. EXAMINED THIS APPLICATION AND KNOW THESAME:TO BE TRUE;
AND CORRECT, AND I AM. AUTHORIZED TO`APPLY FOR THIS PERMIT.:' : .
BUILDING OWNER
OR
AUTHORIZED
AGENT
4. cad J J SIGNATUR- n / e0 G
l �
DATE 9, /
PHONE `/
Z�Z��17vv
PRINT NAM-
� c., Alta v . , / e.42
ADDRESS ?SOO 7716WA/r)W.t'e'" hA/E w
CITY /Z
CONTACT PERSON
PHONE Z,S.2 -4/706
' / Z 40 /GzD/l
PROPERTY OWNER 77/02034 s
PHONE 4 ,3_8 5 -9 /
PHONE 2
��--
ZIP yg .
/ 700
ZIP 8,f/9
ADDRESS SS 5. fill/ rN S:
CONTRACTOR Ali �/g�ri /� .-T1.+'L-
ADD R ESS 2600 7 7'ffv/1.{/B % /c/G /¢U6: ,f
WA. ST. CONTRACTOR'S LICENSE # A b, _ uoh/ i 2
EXP. DATE /? 94/
DESCRIPTION
AMOUNT
RCPT #
DATE
BASIC PERMIT FEE
$15.00
UNIT(S) FEE
PLAN CHECK FEE
OTHER:
TOTAL -
CITY OF TUKWILA
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670 � C 1 �� -1, ^J 22
PLAN CHECK � _.. `. 1 f
NUMBER :! S C - �
APPLICATION MUST BE FILLED OUT COMPLETELY
MECHAN_ CAL PERMIT
APPLICATION
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.
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 AC Q EPTED // DAT APPLICATION EXPIRES
c */ Oe- /0-8- 9y
01/20/93
AMOUNT
OWING:
CONTACTED
`.
DATE NOTIFIED
`
` .
BY
(init.)
2nd NOTIFICATION
BY:
(Init.)
3RD NOTIFICATION
BY:
(init.)
PLAN CHECK
NUMBER
.01`1 Lt - (05
Mechanical Permit Application Tracking
REVIEW COMPLETED
CITY OF TUKL "'.A
Department of Lommunity Development — Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
PROJECT NAME , •
X1'1 k.CCA -I _
(L/ L4. C
SITE ADDRESS
SUITE NO.
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. --,ff
DEPARTMENTAL REVIEW E kL.t �; (�C�lJtL'L
"X" in box indicates which departments need to review the project.
DEPARTM T:
O BUILDING -
initial review
DATE II
O FIRE
O PLANNING
O OTHER
O BUILDING -
final review
O BUILDING
OFFICIAL
1UI
D
A PP RO V .EI
INIT:
INIT:
(ROUTED)
INIT:
INIT:
INIT:
CONSULTANT: Date Sent -
.MENT
Date Approved -
FIRE PROTECTION: (j Sprinklers U Detectors UN /A
FIRE DEPT. LETTER DATED:
INSPECTOR:
ZONING: -- 1BAR/LAND USE CONDITIONS? U] Yes U No
SCREENING REQUIRED? O Yes 0 No
REFERENCE FILE NOS.:
UMQEDITION (year):
01/07/93
'ro ect: �► Ma
ype o ns • = o • : ' ha
Address 3 / 5 i 1 4
� /
_
Date Called: 5 '
Special Instructions:
Date Wanted:
" q
®P.m.
RequesterF r
11 /4.--70 .
Phone No.11' 0
♦,
-+•
INSPE CTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
COMME
inspector:
4
INSPECTION RECORD /i 'q'-(-
Retain a copy with permit CO 53
PERMIT NO.
❑ Corrections required prior to approval.
Date: 5
fi
q
❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southonter Blvd.; Suite 100. Call to schedule reinspection.
roe :sQk
ype o nspect n: rl 0'
Address:
, Iwo! U
Date Called:
1 I ,,, ci 14
Special Instructions:
Date Wanted:
I l +, a
am, p.m.
Requester:
R i c hUr 6
Phone N3.:
- Li — no
Receipt No.:
O INSPECTION RECORD 0
' Retain a copy with permit
ring -
005 12 PERMIT
CITY OF TUKWILA BUILDING DIVISION
6300 South enter Blvd., #100, Tukwila, WA 98188 (206) 431 -3 60
❑ Approved per applicable codes. k Corrections required prior to approval.
COMMENTS: •
() g_k
" r6 F-- rntiY-- D
FrAPNIP-tf (4 61 i
I Inspector : (5 LL._
Dale: ( / / 2 3
❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
Total Fees:
All payments
0alance:
30 «50
30.50
.00
* *kAk * ** • *k * ** * * * *k *kkk ***** k'• k* k*** *k *k *** *A * * * * *k * *kA• *•k * * * ** **
TRANSMIT
CITY OF.TUKWILA, WA
* * *A * * *•kA•ki **k ** k* k****** * ***A * * * *A ** *k•k *•kk*** * * * *k e*A**Irl kk *k
1•RFINSMIT Number: 94000415 Amount: 30.50 04/11/94 10057
Permit No: M94-0053 • Type: R-MECH MECHANICAL PERMIT
Parcel No: 336590-0206 14/11/94
"a i to Address: 5534 S 144 ST
Payment Method: CHECK Notation: NW WATER HEATER Ini•t:.DLM
*Ak* * *A * * * *** *k *kAiF*** *kk *k kik/ k• k Ak *'k **** * * * * *•k * *** *ir ** * *** **Ale **
Account Code Description Paid
000/322.100 MECHANICAL •- RES 3
Total (This Payment) M 30..
GENERA 30.50
TOTAL 30.50
CHECK 30.50
CHANGE •• • 0.00
0955A000 21 :43•
Address: 5534 S 144 ST
Suite:
Tenant: SELLMAN THERESA
Type: B -MECH
Parcel #: 336590 -0206
CITY OF TUKWILA
*******• k****************************• k********* * *** *** * * * * **•k * * *** * *** * * *•k **
Permit Conditions: r
1. "NO WORK SHALL BE DONE IN-v'ADDI,T`ION `wtT.O .. T HOSE., MODIFICATIONS OR
REPLACEMENT OF EXISTING A AS DE°SC ON THIS
ORIGINAL MECHANICAL :PERMIT, " ,,
2. Plumbing permit s)1a . 11 be y"obtazi rjed through the Sseatt.,l a -King
County Depart of j PublY1c'.Hea41..t,h;'' P1umb�n ,wi 1 l':.be ,-
inspected by. ,that.,agency, including al.-) ga,s piping ',''
(296 -4722) i r: r, r
3. E1ectrica :,per.mi•t shall ,.,be obtained throCigh, ,Was,hi,ng't�in,�,
State Ui1i1sio`n of` and 'I,ndu's`tr:ies and a•lyl- el
work w4 be inspected by that ag ° ericy (248-6630),. . `' °
4. All perm'its,,� inspe,c'tion ;h rz;e'cbris, and`�'`'approved pla►,is` sh�al�l b „et
maint`aci,ned,,,available at;.f,'.the jofbw s,i prior to the asta:rt.,,of \,, any coristriu'c't . These documents. are to be maintained
available until:;'fina1 "l nspe app`rova1 is granted'. ' "`,,
5. Al 14 to be;-°do.ne in` conformance with approved " ` wy
p 1 ans � and as a requri rements"• f ` -th;e Un i far t n Bu i l d_ipng Code (f199,1�''''
Ed ”
ition) s m,.' nded . b�y•- -tlle t Wash,hgt'o,' S tat e rig .'Code;4 d•,'t, 1
Un:i :.M� ha ica(l .Cod r3 9 ;1\,Erd Ol?in`;., .and" :WaCfti; tngton S
Enei' = CO, ( 1991 ` . .;Seconds° Ed1'€ion•Y:4�'' 1 ,„, - , ' ( �:r '
.gy l ; , tG
6. .Val "dAiwty`of p 'rm . ; ;%; Tlie' i.^ 'uaricf.0'1'ci',�;!' p.'e.r (..t, or,. ,-0'.1va1 ' of
1a s.� it
• p , , spe�� f i;cat i ons.;,�an,d;, ompui.at i•onY�,,...�sti•�a <J..J.., nut be cony `` ' � „�.
strut to' ?be:. a ` °per••`mi� for,- or an ',appr a viaia
o f a o the provisions of `this •co:de -• of, an,y1 oth r ,r .1.
ordi rna'nce,of �,the', 'diction. No;''p.erinit Pi'e•sit'ming>�to,
authority` or 1, violate or cancel th'e, p this co.4
shall ' b e v a 1 i d . ";, � ,: '1, \ ,, i ,
/ i ,. v raftF .
7. MANUFACTURERS , I.NSTA`LLATION INSTRUCTIONS ,,, REQU.IRED ON SITE
FOR THE ''BUILD'ING I „NSPEC,TORS' REVIEW. �„ :,. ya , F
Permit No: M94 -0053
Status: ISSUED
Applied: 04/11/1994
Issued: 04/11/1994
�,�.:”
Apr 06, 1995
RICHARD GUILLORY
2800 THORNDYKE AV W
SEATTLE, WA
98199
RE: SELLMAN THERESA
Dear Permit Holder:
City of Tukwila John W. Rants, Mayor
Department of Community Development Steve Lancaster, Director
Our records indicate that on May 22, 1995 one hundred and eighty days will
have passed with no inspections having been called for under Tukwila
Mechnical Permit Number 0053. 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 May 22, 1995.
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,
l(J
via Osby
Awting Permit Coo4e
Department of Community Development
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (206)4313665
Name of persgn(s) contacted or in 9ontagt ith you:
ICJ O v4 �•U �(0 v I
Organ (z tion(offfce, dent. b reau, etc.
Location of Visit/Conference:
SUMMARY:
Signature:
CONVERSATION RECORD
DATE: II / I s-194 moN
SAT �SUN U TIME: ( g f CA P.M.
TYPE: ❑ Visit ❑ Conference YTelephone — O Incoming 'Outgoing
Tel e o No.
' 104)
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Title:
FOR OFFICE USE ONLY
Date: