HomeMy WebLinkAboutPermit M94-0082 - HIGHLINE MENTAL HEALTH' .
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Permit No: M94 -0082
Type: B -MECH
Category: RES
Address: 14835 42 AV S
Location:
Parcel #: 004100 -0230
Contractor License No: BRENNHC077NC
Permit Description:
INSTALL GAS HOT WATER TANK.
UMC Edition 1991
Signature;
Print Name:
MECHANICAL PERMIT
LOIWID
Permit Center. Authorized Signature
(206) 431 -3670
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
TENANT HIGHLINE MENTAL HEALTH Phone: 206 246 -3825
14835 42 AV S, TUKWILA, WA 98168
OWNER HIGHLINE SEA MENT HEALTH
PO BOX 69080, SEATTLE WA 98168
CONTRACTOR BRENNAN HEATING Phone: 206 248 -7900
4601 S 134 PL, TUKWILA, WA 98168
CONTACT DONNA JACK Phone: 206 248 -7900
4601 S 134 PL, TUKWILA, WA 98168
******************************************** ** * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Valuation:
Total Permit Fee:
*********************************.*********** * * * * * * * * * * * * * * * * * * * * * *. * * * * * **
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 •f I am authorized to sign for and
obtain this bui permit.
Status: ISSUED
Issued: 06/02/1994
Expires: 11/29/1994
Suite:
-cD - 04_
Date
Date: (0- 02'""9c
160.00
21.50
This permit shall become null and void if'the work is not commenced within
180 days from the date of issuance, if the work is suspended or
abandoned for a period of 180 days :'f romsthe last inspection.
AMOUNT
OWING:
CONTACTED
DATE NOTIFIED
BY:
(init.)
BY:
(init.)
2nd NOTIFICATION
3RD NOTIFICATION
BY:
(init.)
PLAN CHECK
NUMBER
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.
DEPARTMENT
O BUILDING -
initial review
O FIRE
Mechanical Permit Application Tracking
DATE
O PLANNING
O OTHER
O BUILDING -
final review
O BUILDING
OFFICIAL
REVIEW COMPLETED
CITY OF TUKW 1
Department of Community Development — Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
PROJECT NAME
■
•
•
SITE ADDRESS
Inv
1 A35 Li @ -A\v
SUITE NO.
DATE
:APPROVED
INIT:
INIT:
INIT:
ROUTED
INIT:
CONSULTANT:
FIRE PROTECTION:
FIRE DEPT. L R D. D:
�v=
ZONI
C
UMC EDITION (year):
Date Sent -
IRED?
NOS.:
UIREMEN
prinklers
Date Approved
INSPECTOR:
Detectors ■ N/A
BAR/LAND USE CONDITIONS? • Yes
Q Yes Q No
01/07/93
SITE ADDUSS \� R:c_ t SUITE #
f • \ J.. f Q, NA 7..
VALUE OF CONSTRUCT ON - $
(,c, (,c, •
P NAME/TENANT
\ 1 \c;� (c �-- ice_
' ASSESSOR
C) C.. (-
AC OUNT #
I I CO 0 .) :�(
TYP : OF WORK: Q New /Addition [3 Modifications 0 Repair 0 Other:
DESCRIBE WORK TO BE DONE:
l' i 1 L �:� \.-C, (•■ l C 1 — ' c \ \(—
:::;TYPE
r o\" \ C; C N\ -' 11 . N C,
WA. ST. CONTRACTOR'S LICENSE # c-_ N IQ, I' 0 0 — 7 - 7 A]
EXP. DATE (-/ / J
BUILDI U Elo ic warehouse, etc.)
NATU E OF BUSINESS:
WILL THERE BE A CHANGE IN USE? 9 - No 0 Yes IF YES, EXPLAIN:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
IF YES, EXPLAEG'NVo 0 Yes
PROPERTY OWNER , ` ` \ � • ``1 I
• - ; i t U \ C. l� \(►b \.( (C.. \
PHONE-)(1 L
��
i .. _ s j
ZIP? 816,
ADDRESS .1 il. .,)�) +'� LL\ RL:ic J.
CONTRACTOR ? .
,1 t-1 i ��-- � f
PHONE ( 9
, y , _ . -- ' C` c
, ZIPP
ADDRESS L C,. l': ( 1
I L
i yi G.
WA. ST. CONTRACTOR'S LICENSE # c-_ N IQ, I' 0 0 — 7 - 7 A]
EXP. DATE (-/ / J
::;;.DESCRIPTION ,:,: : >::>
; ;:: AMOUNT::: : : ::
RCPT >: #
DATE. : :::.
BASIC: PERMIT FEE .
$ 15.00
UNITS) FEE ... .
PLAN CHECK FEE
OTHER .:.... :.;
..::TOTAL' :
. :.
f..45;C <,
CITY OF TUKWILA
Department of Community Development - Building
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
PLAN CHECK
• NUMBER
a Li or.a
APPLICATION MUST BE FILLED OUT COMPLETELY
BUILDING OWNER
OR
AUTHORIZED
AGENT
SIGN E
-.A.
PRINT NAME l�
ADDRESS ( C" \
CONTACT PERSON 1.
DATE APPLICATION ACCEPTED W
MECHAN, :AL PERMIT
APPLICATION
\\c
Mechanical Fee Worksheet must also be filled out
and attached to this application.
FEES (for staff use only)
HEREBY CERTIFY THAT I HAV AND EXAMINED THIS APPLICATION AND KNOW;T
D'CORRECT AND I ANj AUTHORIZED TO A PPLY FOR THI PER .:< .....
DATE
PHONE Lly- �ci00
CITY/ZIP
DATE APPLICATION EXPIRES f
PHONE r L I A' .
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.
Q �'q1I
O 6X93
. REGISTRATION NUMBER :` ':;:: . '.. •. • • EXPIRATION DATE •
';.01
1, :"..BRENNHQ97.7NC. '04/12
EFFECTIVE:., DATE;'08/03/•93 • •
REGISTERED AS P ROAM BY LAW, AS A:
CLINST CONT� GE'NERAL
SIGNATURE
ISSUE
PLEASE DETACH AND SIGN
CERTIFICATE BEFORE PLACING
IN BILLFOLD
'D1iENNAN : :Cp....INC,
. 4601 S •134TH PL
TUKWILA WA 98168
Y DEPARTMENT OF LABO AND INIUSTRIES
F625.052•00013.921
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 f c
Southcenter ( / '1"li Blvd #100, Tukwila � 1 9 ' 1
Address : 1, .> (4-2 At/ , 5e
Special Instructions:
Type of Inspection: y a 1
Date Called:
Date Wanted:
) p.m.
Requester:
Phone No.: , 0 ° 1 °' c)
COMMENTS:
Ins
•
Approved per a e.codes._ __ _.___. - corrections required prior to approval.
Date: �! Gj Li 1
00 REINSPECTIO FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
(206) 431 -3670
•
Total Fees:
'Fatal All. P merits:
Bmlmncg
k**+******+**+****+********+*+**+*+*********+******+**+**++++*+*
L";ITY OF TUKWILA, WA TRANSMIT
+*++**********+****************+**+**h*******+^k****+********+**
TRANSMIT Number: 94000634 21,5 6y03/94 11:36 '
Permit No: ~~~^~''
M94-0082 Type: Q_NE�H MECHANICAL P�
Parcel No: 004100-02 30
8ite Address: 14835 42 AV S
Payment Method: CHECK.Notmtipn: 8RENNHN HEATING In it: WLD
+***********+******+******A***+***+*****w*********************+*
Account Code ` . esr1pt n'�'�.\ ' ' ` . pmid
000/322.100 � MECHANICAL - RES . ' 21.50
| n (This
| Payment) �
om � ' � 21.50
GENERA 21.50
TOTA 21.50
CHECK . 21.50
CHANGE ' 0.0O
2421WOU0 � : �0 � '
N./
CITY OF TUKWILA
Address: 14835 42 AV S Permit No: M94-0082
Suite:
Tenant: HIGHLINE MENTAL HEALTH ' Status: ISSUED
Type: B-MECH Applied: 06/02/1994
Parcel #: 004100-0230 Issued: 06/02/1994
***************************************************************************
Permit Conditions:
1 . "NO WORK SHALL BE DONE _1 w#050IOICJQT kip$,LMOD IFICATIONS OR
REPLACEMENT OF EXIUINGAPftIAN ON THIS
ORIGINAL MECHANICAL PERMIT. 1 ! T; . t„
i . .r, ''''",';','•'?,...,,',,,,,
2. Plumbing permit shall be fiobtained through the S'e0W
County D e p a rt4Ai of Public Health Plumbing wi '
inspected bY ag 4n,cyl I n c l u d i n g all gas , .
t ,
( 296-4722) . ".. - A• '.4 A i' ° '' ''' 1‘ '' '' ( /' ' ( !? ,, '' ' ''' j i
through
3. El ectri ca1//0ermit 0011, b'6 obtained .tne ;W,401
State DO6iciiiof'Caber and '1.i\ di.Oit0 es and all 4' t4 r ice l$ ,,‘,
:',,
work will be inspected by that agency (248-6630), . ''''',4 \
4. All pAi,ffh i t,,, insp,ection009r,ds , and approved p lips' shall bg?''‘
ma inFa„Oled6vai 1 ab 1 e 0t1;', the 10site prior to the Itaqpdf
any i c9pst.rui op% These docu„ePts ane to be ma intaln44,4
ava0eb 4 until V
finainspectIpn apOPOva I is granted
5. Al lioOnstruct On to,b„4'-dc,pe ,l confll 0c aftce with approved
p 10 and requ) repplItiof the
w
Edition) , as amended by, the ;W 5t4te Uiuilding , Coe1 i
i 1 ‘'4 1 9, 100 Btil i jsqng Code (19911'k
Uni4rmi.Me0aniaa 1 -- 09de>109I\ Edi tj cini'l - anillWashingt? State
Energy' Code (199i„ ft4on) f I/ ..,' i
4 4 " ..- N
6. Va Alti tY;'c3f Firmit;., 7 The' ( its sii0nce \o,f; per.m'i t or approval of
,
plan, s p e 0 t ic a t i tIns 4r14 computations 0011not b e con-
struO to be e„permit for, or arV4lipr violation /
t',,..,
,
of any\ dfothe p r o v i s i o n s of this \99449i any o t I* 4, 0, i4 „ 4
INSPECTORS REVIEW ordii)Oce 4h4jurisdict ion. N9' p4rillilt i.4,sliming td,g*Ve
authdOty F1r/V i o tate or cancel tn,a ta'roV ns , ,eif this de
shall 1, ,
\,b,d' va I id. ,./
ERS 'INSTALLATION INSTRUCTIONS. i .: , , -,,', REQUIRED ..
7. MANUFACTURERS IUgTIuNS 1E ON SITE ,
FOR THE\BAIILDING'v
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