HomeMy WebLinkAboutPermit M94-0100 - BLAINE DELLA0
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Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
TENANT
Permit No: M94 -0100
Type: B -MECH
Category: RES
Address: 13513 35 AV S
Location:
Parcel #: 886400 -0190
Contractor License No: ARCOIL *141LE
OWNER
CONTACT
CONTRACTOR
BLAINE DELLA Phone: 206 439 -0528
13513 35 AV S, TUKWILA, WA 98168
BLAINE PAUL & DELLA Phone: 206 439 -0528
13513 35 AV S, TUKWILA, WA 98168
CHRIS ERICKSON Phone: 206 820 -1051
11435 120TH AVENUE N.E. #B, KIRKLAND, WA 98033
ARCO INSTALLATIONS LTD. Phone: 206 820 -1051
11435 120TH AVENUE N.E., KIRKLAND, WA 98033
******************************************** * * * * ** * * * * * * * * * * * * * * * * * * * * * * * **
Permit Description:
OIL TO GAS CONVERSION. INSTALL GAS FURNACE AND
HOT WATER TANK.
UMC Edition: 1 Valuation:
Total Permit Fee:
******************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Center Authorized Signature
MECHANICAL PERMIT
Print Name: _„6 ,i
•
-- / - S - q
Date
Suite:
Date: . S �
Title:
(206) 431 -3670
Status: ISSUED
Issued: 07/08/1994
Expires: 01/04/1995
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.
Signature: �Ja'
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' from the last inspection.
AMOUNT
OWING:
t;
CONTACTED
•
r
SITE ADDRESS
1551 s
DATE NOTIFIED
l
l• �
BY )
_.61
2nd NOTIFICATION
BY:
(init.)
3RD NOTIFICATION
BY:
PROJECT NAME
,-) ,
D 1aAn) T T12 U.
SITE ADDRESS
1551 s
i S
SUITE
O.
PLAN CHECK
NUMBER
INSTRUCTIONS TO STAFF
• Contacts with applicants or requests for information should be summarize 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 e next department.
• Any conditions or requirements for the permit shall be noted in the erra system or summarized
concisely in the form of a formal letter or memo, which will be att ed to the permit.
• Please fill out your section of the tracking chart completely. W re 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 e project.
PARTMENT.
O BUILDING -
initial review
O FIRE
O PLANNING
O OTHER
O BUILDING -
final review
O BUILDING
OFFICIAL
REVIEW COMPLETE
CITY OF TUKVIf 4
Department of Community Development — Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
Mechanical Permit Application Tracking
INIT:
INIT: R
INIT:
INIT
INIT:
DATE :;
PROVE
(ROUTED)
UMC EDITION (year):
'UI REMEa
MEN TS<:
CONSULTANT: Date Sent - Date Approved -
PT ETTER DATED: INSPECTOR:
U Sprinklers • Detectors ON /A
IN� IBAR/LAND USE CONDITIONS? i Yes (� No
ZV ING REQUIRED? 0 Yes 0 No NCE FILE NOS.:
01/07/93
SITE IADDR S � ,ice 11 �� SUITE #
ECT
N - $
VALUE 417 OF R
l:J.
PROJ NAME/T NANT .
'V.. TO-A I ► .
ASSESSOR CCOUNT #
Ecbto • CO - O1
ADDRESS I55'I fi rye
TYPE OF WORK: Q New /Addition Q Modifications Q Repair
Other: OIL " C
ADDRESS 11'+ :S I20 P . Re
DESCRIBE WORK TO BE DONE:
Oh -(o el rvc CoNl V .
• •TYPE . ' - :.:;. ;BATING /SIZE:;; : <::NUM - -�Ii'QFUNITS:<: : :;
>''''.".:::
N RN [) S
?J 1
o F�!
t ici.e. 1 t o (2) 0
BUILDING USE (office, warehouse, etc.)
NATURE OF BUSINESS:
WILL THERE BE A CHANGE IN USE? 0 No Q Yes IF YES, EXPLAIN:
i WI L THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
No 0 Yes
IF ES, EXPLAIN:
PROPERTY OWNER Jck i ' i Li._.-.
PHONE L�
l:J.
ZIPGig1 �g
ADDRESS I55'I fi rye
CONTRACTOR p er.° (;(J rnm9, ( .
PHONE goo. ICs - r
ADDRESS 11'+ :S I20 P . Re
ZIP 7
WA. ST. CONTRACTOR'S LICENSE # f }/ L -1.e:1 ( u.
EXP. DATE 01 c'55
CITY OF TUKWILA
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
PLAN CHECK hn 9 Lt- 0 I
NUMBER
APPLICATION MUST BE FILLED OUT COMPLETELY
CONTACT PERSON
CAN 2I E 21C16 9 1•
DATE APPLICATION ACCEPTED
(Iraq —C f ti l
MECHAN :AL PERMIT
APPLICATION
Mechanical Fee Worksheet must also be filled out
and attached to this application.
FEES (for staff use only)
DESCRIPTION
BASIC PERMIT FEE
UNIT(S) FEE
PLAN CHECK FEE
OTHER:
TOTAL
AMOUNT
$15:00
RCPT >.#
THESAME:TO :BE
I;HEREBY CERTIFY THAT I HAV AND, EXAMINED THIS APPLICATION AND : KNOW
AND CORRECT, AND`I AM AUTHORIZED:TO APPLY:F`OR:THIS'.PERMIT
BUILDING OWNER SIGNPT
OR PRINT NAME
AUTHORIZED ',� .
AGENT ADDRESS I pins. lzo In e 1 ,1 e - CITY/ZIP L� 21CLK (D ISO
PHONE 0 . Qci
DATE 6 2- 9- g er
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. 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 worts 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
) q tit
03/,4/94
0
Department of Labor & Industries
Contractor Registration Section
PO Box 44450
Olympia WA 98504 -4450
F625- 036-000 registration verification 4 -93
REGISTRATION VERIFICATION
..........
n number
L
Contractor: Your Certificate of Registration will be sent from the Olympia office and
should be received within 2 to 3 weeks. Please keep this record until you receive your
Certificate of Registration.
(206) 956.5226
SCAN 269.5226
FAX (206) 956 -5228
ro m
Olympia Headquarters
'wan �Ou
dk.�
r ojo:
1-Ckt:4
ype o n spection:
Address:
135/3
- 3 , S -
C'
Av . J •
Date Called:
Special Instructions:
Date Wanted:
-23 -6,4
am p.m.
Requester:
1--kne—
Phone No.:
INSPECTION O.
Approved per applicable codes.
Recept No,:
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Dale:
7 y). )
0 1 ITO
PERMIT NO.
(206) 431-3670
COMMENTS:
0 Corrections required prior to approval.
o $3000 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Project) �
flip" /3 fa ��v�
Type of Inspection:
F� iN6.i
Aidd � 35 S
Date Called: _ 3 _ q , /
' 7 `
Sp nstructions:
Date Wanted:
q
Requester:
-F I to J
Phone N
4 1-3 6 / — nc-) 2Q
INSPECTION 'RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206) 431 -3670
❑ Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
(W6:\ r ►.1 c; e N e ), ACi FI N A L.
❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
I Recep No.:
I Date:
ki ***kk• k***************h k*********** ****** * **k***tkk******* *A***
"1TY OF 1 UKWILA, WA 1'RANSMI:T, GENERA 30.50
kk kkkhkk*** h** k* k******k k**** k; 4kk• k• k *** * *** ****** *k ******k•kkkkA ** TOTAL 30.50',
TRANSMIT Number: 94000814. Amounts 30..50. 07/08/94 0O :31 CHECK( 30:50
Permit. No M94 -0100 Type: B• -MECH MECHAN,XCAL PERMIT CHANGE 0.00
Parcel No: 88E3400-0190 07/11/94 3507A000 09:26
Site Address:: 13513 35 AV S
Payment Method; CHECK Natation: RELIABLE SHEET Irti.t.: SLU
**k* ***** k*** * * *•kk******kk kA kkk **k**kk *kk* ***h**** *k*k•k * * ** kkk **
e;
Account Cad Decor :i pt i pri fir':. Pa i'.th�.;,
000/322.100 MECHANICAL - REa 30 „6
Total (This Payment) a 30.50
Total Fees:
Al 1 Payments;
Balances.
30.50.
30.50
40 ..
CITY OF TUKWILA
Permit No: M94 -0100
Address: 13513 35 AV S
Suite:
Tenant: BLAINE DELLA Status: ISSUED
Type: B -MECH Applied: 06/29/1994
Parcel #: 886400 -0190 Issued: 07/08/1994
** k* * *** * * *'k•k* *•k* *•k * *•k* ** ** * *** ****•k ** k******• k k**• k **•k * * *** * *'k* **•* * * *•k *'k * * **
Permit Conditions:
1. E
"NO WORK SHALL BE DONIN. ADO;Y;TION. )1- OS OR
REPLACEMENT OF EXITING w sAPPL' "TAAN AS `DESCRIBED ON THIS
ORIGINAL MECHANICAL PERMIT ., `
2. Plumbing permitsha�l l be tobtita•irned thtough the ,Jeat':tile -King
County Depar•5 e`nt of Public Health'. tPlumb0`g w i l l l':1 6'k,' ,
inspected bX including all gas rp �piing `", ; i y
(296- 4722 Y u 'b ' " R.a ') `y's „,�; , , _ V# 3. E1ectric 4 sha11 obta n thro the 4Was
State D� v i1 s i o �' o Labat and "Ind �s� i es and all, e l c`tt i ca
r�
work w 1i,l�1' r be inspected by it agency (248- 6630 t� . ' ' '''' � _ 4 '' ' ' 4. All p "rmits,� inspefctionotds, and�"'�approved plans stall be
main a 'neda,available a;t ;•the jab,,. -ite prior to the ;
any f1 o s�t�.r�u.ctiori. These documents -- -are to be mainta�in,
avaf blue until) finalw''`i .ton approval is grantee
.=, e0;
5. All 'yy�ns 'ructi3On to , be' "ii ne r1'n conf =pax*fitcel_,. ith approvedf
plants and requjire tints o. th'e xk", on f o �m But I ding Code („19T A N
' `ioi) asp a`'"ended Li "`;ti shelf ''tate l uildin a Code
Edi�, r m y t , �t � � 9 ,� 0 Un1`'`.rm °Med'hanic.al , e/ (19,j Edit. o ),,.- .- arid4slashingtoi State
End Co e' ( 1991• Seco.t�.dfWEd1 3� n) \ � d
6. Va 1 i t' ' uo
i of Perm t :, ;h j is 6ce fi `'..a-,....,pe mi t or app
.r�ova
s s tic 7-1;h91 o rl Ns?h 1,,.,not b e cons' -:
p 1 a spec 4 i f i � a t i cS'�.� �.,a r) .�,���c o m A �t r�,�.. �; f � � -
stt o b a�,permit for, or an upproV ,l. -of,. .. ny vi�vla�t o,
of in , t e provisions of this cd ox, of an oth.r
ordi ce,r• '' h r`� r ing t g'e
auth iol to ar cancel t rov in y this de
shall Val id. �,
7. MANUFA F RERS +�TNSTALL,ATION INST U p CTION �� UIR D ON , SITE
FOR T ILDIN, a NSPEC�TORS REVIEW.
' � '�se. - �? �i tf} < f4': 4, I
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