HomeMy WebLinkAboutPermit M94-0095 - BARGHAUSEN THOMAS AND SANDY2.4
•
•T
rhausen,
fhbmct5 lfebma tn6tiy
Mg/4,0095
VArgnawben,
Mt'E -t
- •
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M94 -0095
Type: B -MECH
Category: RES
Address: 16440 53 PL S
Location:
Parcel #: 779640 -0140
Contractor License No: RELIASM345LF
MECHANICAL PERMIT
TENANT BARGHAUSEN THOMAS & SANDY
16440 53 PL S, TUKWILA WA 98188
OWNER BARGHAUSEN THOMAS & SANDY
16440 53 PL S, TUKWILA WA 98188
CONTRACTOR RELIABLE SHEET METAL INC. Phone: 206 823 -6807
11447 120TH AVENUE N.E., KIRKLAND, WA 98033
CONTACT STEVEN SMITH Phone: 206 823 -6807
11447 120TH AVENUE N.E., KIRKLAND, WA 98033
***************************,**************** * * * * * * * * * * * * * * * * ** * * * * * * * * ** * **
Permit Description:
ADD 5 -TON A/C UNIT TO EXISTING HEATING SYSTEM.
UMC Edition: 1991
* ********* **** ********* *** *******:*** *** *****. * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Valuation:
Total Permit Fee:
Lo
Suite:
Date:
(206) 431-3670
Status: ISSUED
Issued: 06/23/1994
Expires: 12/20/1994
Phone: (206) 246 -2691
Phone: (206) 246 -2691
3,300.00
21.50
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 building permit.
Title: ..$4,04Cai., true.-ia6".
This permit shall become null and void if the work is not commenced within
180 days from the date of i or if the work is suspended or
abandoned for a period of 180 days .from the last inspection.
AMOUNT
OWING:
CONTACTED
•
DATE NOTIFIED
BY:
Lill
2nd NOTIFICATION
BY:
MULL__
3RD NOTIFICATION
BY:
(init.)
PROJECT NAME
rp-' oy' h o,Q5e n
SITE ADDRESS
`
lq) L I 1 10 5
P i ,J'
SUITE NO.
PLAN CHECK
NUMBER
mqu -
CITY OF TUKVIr A
Department of bommunity 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 request :d is not
applicable, so note by using "N /A ", date and initial.
O PLANNING
O OTHER
O BUILDING -
final review
:. ...:........:... ::.:..
<DEPARTMENT
BUILDING -
initial review
O FIRE
O BUILDING
OFFICIAL
(ROUTED)
1NIT:
INIT:
INIT:
INIT:
NIT:
UI
•
•
CONSULTANT: Date Sent -
Date Approved -
FIRE PRO
FIRE D
ION: Sprinklers
/
S GR:alb • D? OYes QNo
REF NCE ^ L OS.:
Q Detectors
INSPECTOR:
ON/A
IBAR/LAND USE CONDITIONS? Yes No
UMC EDITION (year):
DEPARTMENTAL REVIEW
"X" in box indicates which departments need to review the project.
REVIEW COMPLETED
01/07/93
SITE ADDRESS SUITE #
I 6 S 3d pL S,
VALUE OF CONSTRUCTION - $
-,".314 "
ADDRESS / (..NO S v (�/ $T to a_
(�
PROJECT NAME/TENANT
5_ 13e tN
ASSESSOR ACCOUNT #
— 2706) yo- 0) VO
0 Other:
ZIP
TYPE OF WORK: New /Addition 0 Modifications 0 Repair
DESCRIBE WORK TO BE DONE:
•4Jot m - A- ( 4 :leis - Le.0 - o`9 sy ,<,..
UNIT(S) FEE .:.:..
:.TYPE : :: :: : ::: :.: ;RATING/ SIZE : ... <:: ...`:.
: .:... . .:;:NUMBER: OF : UNITS:::;:;::. :: >;::
f gig P Coil , 1 6 Nse,-
.:
u- y. / s -}-wv.
OTHER:
TOTAL
BUILDING USE (office, warehouse, etc.)
NATURE OF BUSINESS:
WILL THERE BE A CHANGE IN USE? —ti No 0 Yes IF YES, EXPLAIN:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
gr No 0 Yes
IF YES, EXPLAIN:
PROPERTY OWNER 5 1 1 #1, :
JPHONI ul6 ._a6q/
ADDRESS / (..NO S v (�/ $T to a_
(�
A
PHONE ,f,23 ___ /52 - 6 --.2
ZIP
CONTRACTOR (2 `a _t [ N
ADDRESS , 1 Li Lin 1A .4 .P� cr a - *la '
UNIT(S) FEE .:.:..
EXP. DATE
ZIF 33
WA. ST. CONTRACTOR'S LICENSE # R 3(s/j
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
PLAN CHECK
NUMBER
BUILDING OWNER
OR
AUTHORIZED
AGENT
CONTACT PERSON
APPLICATION MUST BE FILLED OUT COMPLETELY
I HEREBY CERTIFY THAT I'HAVE READ AND EXAMINED THIS; APPLICATION AND KNOW THE SAME TO
:AND CORRECT, :AND.I AM.AUTHORIZED'TO APPLY FOR THISPERMIT
SIGNATURE
PRINT NAME Stet, L `.
ADDRESS it LL7 /0(
DATE APPLICATION ACCEPTED Q
MECHAf .CAL PERMIT
APPLICATION
FEES (for staff use only)
DATE APPLICATION EXPIRES
B ETR
DATE
PHONE
CITY 1rG; ,, k(cu -4 (,/!/-
PHONE i T 3._o5
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.
a -c i
03114194
• REGISTRATION NUMBER
EXPIRATION DATE
01 . ;
... RELIASM345LF
EFFECTIVE DATE
07101/94
06/06166
i
REGISTEREDM PROVIORYBY LAW AS A:
r r
RELIABLE SHEET MET INC
11447 120TH N E
KIRKLAND
WA
SIGNATURE
ISSUED BY DEPARTMENT OF LABOR AND INDUSTRIES
•
. ,
98033
w W' 3eed:
C yr haven,n
Type of Insnedion: ) ,
t�na1 �
Address: R QQ �.,�{ , 3 p \, �./
11 J
Date Calved:
r ,, . - ci
` 1
U I
Special Instruct ons��
f - -e Y I '. 3 o P m •
Date Wanted:
„ 1�� (,+
U/ q am. �m�
P
Requester.
ntQ
ph No.:
c{ , W up_ O
INSPECTION RECORD. 0
Retain a copy with permit
—O�
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 9818¢
1
(-206)1431 -3670
Approved per applicable codes.
❑ 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. r'
I.:
Dale:
i
* ************** A*************A**** A**** AA****** * *k•k * *kk * * ****AAcktve
TRANSMIT
:ITY OF TUKWILA, �4A
A * * ** *kA * * *A** ** * ** * k**** A* A** k****** *•k * **k *04 * *** * * ** *Ak * *AA *A
TRANSMIT. Number: 94`000739 Amount: 2 29.50 06/2'3/94 10:08
Permit No: M94 -0095 Type: B-MECH MECHANICAL PERMIT
Parcel No: 779640- •01
Site Address: 16440 53. PL 5
Payment Method: CHECK Notation: RELIABLE. SFI E1'
* * * * * k * * ' * * * *
Oescriptiart 4 `Paid
000/322.100,.. MECHANICAL -:RES •1 ., : 21..50
Total (Thi8 Payment): 21' *50
Account Code
To•tatl . Fee`s«
Total All Payments:
Balance:
C ENERA ry
�1.50
TOTAL 21.50
CHECK 21.50
CHANGE 0:00
3052A000 10 ;17.
Address: 16440 53 PL S
Suite:
Tenant: BARGHAUSEN THOMAS & SANDY
Type: B -MECH
Parcel #: 779640 -0140
* *•k******* * * ** * ** *** k•** * ** *•k** k*** *•k * ** • k* * * * *•k * ** *•k* *•k *•k•** * * * **** *•k **
Permit Conditions:
1. "NO WORK SHALL BE DONE ,,.IN: ADD.I.T3O1
REPLACEMENT OF EXIS.TI NiGAPPLTANCE
ORIGINAL MECHANICAL::pERMIT "
2. Plumbing permit h 'Ofa l l be `ob'ta,i ned through the Seat:
County Department
inspected byn,that ,ag '' including al'l gas i 'ip•ing
(296- 4722.)a:y f' ;<, , e , , .. , 44"..f
r
CITY OF TUKWILA
N
Permit No:
Status:
Applied:
Issued:
M94 -0095
ISSUED.
06/23/1994
06/23/1994
;T} OSE..,.,MODIFICATIONS OR
A5 DES :cR BED ON THIS
e -King
3. Electrical :'. perms t,sha l l:;. be obtained through , ,.Wash's nge0
State Division =of 'Labor and Industries and ably electrical
work w r fl be inspected by, �tr 'a ' t agency (248 -6630) . " '' `„
E
4. All pie mit:s',fi, inspection' raecor.�fds, and" approved plans shall b'e 'g
mainte, =i,!ned` •,;available at.' the j' b. prior to the ` " start;; -of t `
any lConstr-uc : tior`. These docu,rnen•ts••ar.e to be maintained
available until- f inal approval is granted,
5. Al 11; constructi,on to t in ,confo'.r.mance,.wwi th Code plans' and require,ments"'of .. the Uniform as
ate p Building , Code,
Uniform {„ 'e
;AMechanical Ciid��$'C1,991� Editjion)t;_- aril rsWashington State
Energy Cole (1'991• `Second} Edit, on) .j •� ,' ri ,s ::.,- ,,,
6. Val`+idity Permiti, The iss'uan'ce kofita. permit or approval,,,
p1a±s spec ; ifipcations:,- .,an.ddompi )tat ions: stall,,, not be con
strueed to 5be, a ;,permit for, or' an a �•of,- � violat.jKo,n'
of ayr. ocuo.th "p provisions of this code ° of_any othe ?f
ordir a Cr the•� jurisdiction, o ppr ilit \press min,g to.jgli' e
autho lt ,orvviolate or cancel th provi;si ns \bf . this code
shall `be valid. u} , 1 / ' �:,
7. MANUFAC.T,LFERS INSTALLATION INSTRUCTIO =IRED ON SITE
FOR T `tBU5ILDING INSPECTORS REVIEW. 40' N ''' '
. t, «`t;f its At , v, u '''