HomeMy WebLinkAboutPermit M94-0114 - HUSSEY DAVID III AND SUSAN'1
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Permit No: M94 -0114
Type: B -MECH
Category: RES
Address: 13457 MACADAM RD S
Location:
Parcel #: 261320 -0179
Contractor License No: NORTHWH103R2
UMC Edition: 1991
MECHANICAL PERMIT
(206) 431-3670
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Status: ISSUED
Issued: 07/28/1994
Expires: 01/24/1995
Suite:
TENANT HUSSEY DAVID F III & SUSAN A Phone: 206 243 -4305
4357 S 135 ST, TUKWILA WA 98168
OWNER HUSSEY DAVID F III & SUSAN A Phone: 206 243 -4305
4357 S 135 ST, TUKWILA WA 98168
CONTRACTOR NORTHWEST WATER HEATER, INC. Phone: 206 282 -4700
2800 THORNDYKE AVENUE WEST, SEATTLE, WA. 98199
CONTACT GEOFF ARNOLD Phone: 206 322 -8191
2802 EAST MADISON, SEATTLE, WA 98112
***************************** * * * * * * * * * * *,r * * * * * * * * * * * * * * * * **
Permit Description:
INSTALL GAS FURNACE (60,000 BTU) AND HOT WATER
HEATER
Valuation:
Total Permit Fee:
3,599.00
30.50
********,*********************************** * * * * * * * * * * * * * * * ** * * * * ** * * * * * * **
ad; 61.4
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 .lo�al laws regulating
construction or the performance of work. I am authorized to sign for and
obtain this buil•ing permit.
Signature: �/ ._'�(��� Date: 14"!
Print Name:_ fit_ I 26(,L) Title• 1�1� L 1`--�
- f
This permit shall become ,null and void,i'f 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 fr'om� the last inspection.
AMOUNT
OWING:
4 , ,_
.it) � r:.A.) _
CONTACTED
DATE NOTIFIED
'-1-Q.
(Binit.) ~- �d�l e
T>. 94
!
2nd NOTIFICATION
BY:
(init.)
3RD NOTIFICATION
BY:
(init.)
PLAN CHECK
NUMBER
rnau-01iu
CITY OF TUKV •' A
Department of Community Development — Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
Mechanical Permit Application Tracking
PROJECT NAME
RJ 231 d
SITE ADDRESS
73cl 5� Inac ckam RA .5
SUITE NO.
INSTRUCTIONS TO STAFF
• Contacts with applicants or requests for information should be summarized in writing b 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 • - •artment.
• Any conditions or requirements for the permit shall be noted in the Sierra sy -m or summarized
concisely in the form of a formal letter or memo, which will be attached to e permit.
• Please fill out your section of the tracking chart completely. Where inf• ' ation requested is not
applicable, so note by using "N /A ", date and initial.
FIRE PR
Li Sprinklers U Detectors
UN/A
O BUILDING -
initial review
O FIRE
O PLANNING
PARTME
O OTHER
O BUILDING -
final review
O BUILDING
OFFICIAL
TE I
::DATE
' PROVED !.
(ROUTED)
INII:
'NIT:
INIT:
INIT:
IT:
EMENT$
CONSULTANT: Dat Sent -
Date Approved -
FIRE DE R wATED:
INSPECTOR:
BAR/LAND USE CONDITIONS? • Yes • No
ZONI
SC' • ENING ' EQUIRED? Q Yes Q No
ERENCE FILE NOS.:
UMC EDITION (year):
DEPARTMENTAL REVIEW
"X" in box indicates which departments need to review . the pr ' ect.
REVIEW COMPLETED
01/07/93
SITE ADDRESS SUITE #
/ ded".1 Le i'ev. S
VA UE OF CONSTRUCTION - $
r,9
ADDRESS / 7 4u-G--9- z. • i ► ` - j
ZIP 9j6 f
PROJ CT AME/TENANT
ASS 1
0 Other:
OR ACCOUNT fl'
ZIP
WA. ST. CONTRACTOR'S LICENSE # /1/4z7.-77, / £4 -1� L -
TYPE OF WORK: [] New /Addition 0odifications 0 Repair
DESCRIBE WORK TO BE DONE:
/' 72tG ,G.4ire , 4€/47- t %D / 1,l.1 ,i,/
IS 5b
TYPE ,:. :. ;< .. •RATING /SIZE;: ` NUMBER OF UNITS
?:
.:.:
_ • % � A i _ pa (2
/
(i2
� !!/
•• :TOTAL
BUILDING USE (office, warehouse, etc.) ••
NATURE OF BUSINESS:
WILL THERE BE A CHANGE IN USE? O No O Yes IF YES, EXPLAIN:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
[)No 0 Yes
IF YES, EXPLAIN:
PROPERTY OWNER pik�y� 6f • fC )/
PHONE
ADDRESS / 7 4u-G--9- z. • i ► ` - j
ZIP 9j6 f
CONTRACTOR
PHONE 00 4
ADDRESS 2 Qcv l G it 4 !/
ZIP
WA. ST. CONTRACTOR'S LICENSE # /1/4z7.-77, / £4 -1� L -
EXP. DATE
• DESCRIPTION .
AMOUNT
RCPT .#
•DATE.••
BASIC PERMIT FEE :
• $15.00 ::
:,
UNITS) •FEE :•::.
IS 5b
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
gU
APPLICATION MUST BE FILLED OUT COMPLETELY
I
'HEREBY. CERTIFY THAT: IHAVE: READ: AND: EXAM INED:.THIS`APPLICATION
:AND•CORRECT;:ANDTAM.AUTHORIZED TO'APPLY:FOR:THIS.PERMIT
BUILDING OWNER -S GN \TU
OR t
4
AUTHORIZED P' I ,� A (30n
AGENT A D D R S ) � ,
Iv/Cy
CONTACT PERSON r
DATE APPLICATION ACCEPTED
MECHAK_ 3AL PERMIT
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. Application and plans
must be complete in order to be accepted for Ian 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 prnperty owner authorizing the agentto_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 tees.
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
av 4 •
SUBMITTAL CHECK6ST
MECHANICAL
Completed mechanical permit application (one for each structure or tenant
Two (2) sets of mechanical plans, which include:
• Floor plan
• System out
• Elev ions (for roof mounted equipment)
at Loss Calculations
Structural calculations stamped by a Washington State licensed engineer may be
required if structural work is to be done (2 sets)
Note: Hood and duct systems require a building permit for the duct shaft.
Water heaters and vents are included in the UMC — please include any water heaters or
vents being installed or replaced.
. ' i '
•
;REGISTRATION 4UMBEp ∎ ;': ; °
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<''t, ; :v 'REGISTRATION NUMBER,;'. ' . .ii :. '• EXPIRATION DATE; .
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NQRTHWH'1•03R12/O / 4
. 12 / 22 • /9O
frj �EGIST AS .PROVIDEU
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' 'NOFitHWEST WTR ��HTR' INC. /QAV'Y>
2800 THORNDYKE ` AVE W.
I SEATT E WA 98199,
SIGNATURE
ISSUED BYUE PART ME OF LABOR AND IN1JU TRIES
REGISTERED AS PROVIDED BY LAW AS,A;
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SEA.Trlj . WA 98 L99,.
'
SIGNATUR
IS D BY DE' ' T ENT OF LABOR AND INDUSTRIES
RECEIVED
CITY OF •TUKWILA
JUL '2 7 1994 '
PERMIT CENTER
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CITY OF TUKWILA, WA TRANSMIT
* * **** * ** * * * ** * * * * ** * ** **** k ******h ** * **** ****kk* * ** *k *k*
TRANSMIT Number: 94000895 Amount: 30.50.07/28/94 10 „50
Permit No. M94 -0114 type: B -MECH MECHANICAL PERMIT.
Parcel No 261320 -0179
Site Address: :,13457'•MACADAM RD S
Payment Method: CHECK Notation: .WDF•INCORPORATED Init. SLD
** k*** k*** k******* k*• k** * * *•k **k * * * * *k ** * * ***k ***k *•lock *•k *kk * ** **
Account Code
000/322.100
- Vag qv ie 4 /oz-co
Description
MECHANICAL w RES
Total (This Payment):
30. v0
30.50.
.Q0
Paid
30.50
30.50
Project:
Type of inspect
n•
Address:
Date called:
Special instructi
Date wanted:
c'
p.m.
Requester:
Phone No.:
F i INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
y .t . Approved per applicable codes.
Date:
PERMIT NO.
(206) 431 -3670
Corrections required prior to approval,
COMMENTS:
$42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
' .'
I 1
W
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• —)0.\11.6-
1
Type o ns
Address: t-.
Li
,„„ • . ‘ , r , i v
1 1 lag.,-NlacK\ i
Date Called:
--,
or -
Special
instructions:
' • ..
...
Date Wanted:
•
"
Tequester:
Rt( v\ar ()
ph. No.:
......,..
CD /INSPECTION RECORD C
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
P R I.
(206) 431-3670
X ‘ Approved per applicable codes. 0 Corrections required prior toTapproval.
COMMENTS:
1.
771
creA*`-e_419-11
4 .4 ..iirr _
I" r - ,„.
0 ..4 1,00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Dab):
COMMENTS: L . 374_ S 121
ha ,-- i 4 " ei .,..-7,..e..frkee 1-0 Co 14(........6#
ii-s-,
eif \ r-A-7 0 ;$ /- ...a..." - -A Sei 1 < 1 1
. A I5 f 1-2 efe- «' S I I .A1 •
)-1,i at( _(...
i-- <-0 0 4- A/iv-J:
/7 ._
2. cpie..6- 0.1/ ,..re A Ge/e f_d i•'` cc ( 7C/ 1 447
v /Vd / e-: / — t__/ /..?,/, -- 0 . /1 ..4e('
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fi r, al-- 4a g17 0 / C 4.4 4 et
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'Project:
7.
- Type of Inspection'. 1
ress:
te a :
Special Instruction . '
.....-=
/(-
i 3"7" 5'2 4066.tedPaieel
Date Wanted: 7........._/
Requester:
.„..„.
Ph°n° No.: . ,
- , .........—
SPECTION 10.
0 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 tol,approval.
El $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
I Receip4 No.:
Dale:
Address: 13457 MACADAM RD S
Suite:
Tenant: HUSSEY DAVID F III & SUSAN A
Type: B -MECH
Parcel #: 261320 -0179
CITY OF TUKWILA
Permit No: M94 -0114
Status: ISSUED
Applied: 07/27/1994
Issued: 07/28/1994
* * ***'k'k* ** * * * * * * * * ** * * *•k * * * ** ** *'k * ** * * * * * * * ** * * * ** * *** * * * ** * * k ** k * **•b* *•k ***
Permit Conditions:
1. "NO WORK SHALL BE DONE IA ADDI'T :.o 'T ' TI OSE MODIFICATIONS OR
REPLACEMENT OF EXIST 1,N0.0PLI DE-S:±CR ON THIS
ORIGINAL MECHANIC L. P RMIT. " � ° "" .= -
2. Plumbing per�mitrsha'1"1 b,e t;obtain`,ed t the ; Seai ��t Rl,e -King
County Departm' ' � of Pu1 i i I-He f Plumbing wi 1�'f�; e,
inspected •'that,a94n,,,cy"Y including a g ',' "`,
(296 4 722 «l ;'' �,, '1t 0 4� 0 0 , ,,
3. Electric per�m s ral 1 be obtain d thragh, the ,
State. D s1on� ot�'Labo'rr and I�t ,s"tries and a' lq el c r ica�
work w ' be inWpecdd by, t�� a ageil �y (248 - 66
r n a raved ;i l
4. All p ,,mit� , inspet tion ; r eo,� {ids, a :C pp 12 s P
ma i nth A6 "vailable at ,the .lob site prior to the estar a ; of
any construction These docuOn•t-s:.,ar�e to be maintained
ava la'bl;e uriti 1:, final = nsp.ec&t.on app% oval is granted r,.
5. All fc� nstru,atian to be;.done ,i ,with approved: ..'
lapss and r e uirementsv,of Un'foram!Bui id,fn Code ("199 .Y`£:
p � = e � r l� r�•9 , �f g h
Edi'.t�i�on) as; ame ; nd'ed'byu,t • he V Washi'ng.t:� { n,S ;ta�te , Building Code ;,
Unif:,p:rm. ical'` )`(•'190, Edit ;ion) { State
Energy Code (1.991.,,-Secctri* -Edi tEl,on) •�:' ,.. /„.--- _ �,s ,;
6 . Va 1t'i' i ty "_ ;cif Perm i`t , T he Issuance ' ; a . „per i t or approval .orf
pla`p'�sl, spec'r ifi .cati Ori sh;a.l.l,,not be con. ” ''�,
tFo A
strti� be, a ,,,permit fait'', or any, approval,,.of.,: z any violation
of any of the provisions of this code �o.r of v any other „tit z
ordih a , { of`'fithe , y ; . 3 uri sd ic.tion. A p "7esuming•.t4 61:10e author'i�1 4 orFvio l at e or cancel the Rrovi' ^
f this "cod e
shall *,,,valid. ,.` r t / \• ,
7. MA TCJRERS ,INSTALLATION INSTRU ON SITE ,
FOR. THE *BU.ILDING�s'`J INSPECTORS REVIE�1. a; � i' ��t " 41;
• , i . a; l� 4i, y y i P 1 `ti: i,
Jul 14, 1995
98112
Sincerely,
GEOFF ARNOLD
2802 EAST MADISON
SEATTLE, WA
Dear Permit Holder:
C_.
City of Tukwila
RE: HUSSEY DAVID F III & SUSAN A
Ke ie Petersen
Permit Coordinate
Department of Community Development
John W. Rants, Mayor
Department of Community Development Steve Lancaster, Director
Our records indicate that on Aug 22,.1995 one hundred and eighty days will
have passed with no inspections having been called for under Tukwila
Mechnical Permit Number M94 -0114. 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 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.
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 431 -3670 • Fax (206) 431.3665
98112
Dec 01, 1994
GEOFF ARNOLD
2802 EAST MADISON
SEATTLE, WA
City of Tukwila
Dear Permit Holder:
Our records indicate that on Jan 24, 1995 one hundred and eighty days will
have passed with no inspections having been called for under Tukwila
Mechnical Permit Number M94= 0114.`; 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 Jan 24, 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.
Department of Community Development Rick Beeler, Director
RE: HUSSEY DAVID F III & SUSAN A
S ncerely,
Sylr i.a Osby
Acting Permit Coordinator
Department of Community Development
John W. Rants, Mayor
6300 Southcenter Boulevard, Sulte #100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (206) 4313665