HomeMy WebLinkAboutPermit M94-0115 - BEDNARSKI MAREK AND LUCIAII
tht
E2 a ) 1\1 I
n9ARPA-f Luc5A
rn £fl5
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M94 -0115
Type: B -MECH
Category: RES
Address: 4260 S 158 ST
Location:
Parcel #: 810860 -0127
Contractor License No: NORTHWH103R2
TENANT
MECHANICAL PERMIT
BEDNARSKI MAREK & LUCJA
4260 S 158 ST, TUKWILA, WA 98188
BEDNARSKI MAREK & LUCJA
4260 S 158 ST, TUKWILA, WA 98188
NORTHWEST WATER HEATER, INC. Phone: 206 282 -4700
2800 THORNDYKE AVENUE WEST, SEATTLE, WA, 98199
GEOFF ARNOLD Phone: 206 322 -8191
2802 EAST MADISON, SEATTLE, WA 98112
**** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *, ********** * * * * *** * ** * *** * ** *** * * * * * * ** **
Permit Description:
INSTALL GAS FURNACE (50,000 BTU) AND HOT WATER
HEATER.
OWNER
CONTRACTOR
CONTACT
UMC E d i t i : 1991
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
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.
Signature:
Print Name:
Title:
Valuation:
Total Permit Fee:
Status: ISSUED
Issued: 07/28/1994
Expires: 01/24/1995
Suite:
(206) 431 -3670
2,998.00
30.50
Date.• _ l J h `I
nitta 7.641
This permit shall become null and void.if the work is not commenced within
180 days from the date of i.ssuance,or,if.,the Work is suspended or
abandoned for a period of 180"days from the last inspection.
AMOUNT
OWING:
�0
CONTACTED
(� -Cflj
�c J
DATE NOTIFIED
~—
l'c�� ""
BY:
(init.)
BY:
(init.)
2nd NOTIFICATION
3RD NOTIFICATION
BY:
(init.)
PLAN CHECK
NUMBER
REVIEW COMPLETED
CITY OF TUKtir " 4
Department of Community Development — Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
Mechanical Permit Application Tracking
PROJECT NAME
SITE ADDRESS
F5-Qdr\ods.f7tc■ Ino.rK
U
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 • • partment.
• 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.
DE PARTMENT .;.
O BUILDING -
initial review
O FIRE
O PLANNING
O OTHER
O BUILDING -
final review
O BUILDING
OFFICIAL
�DATE>
PROY
(ROUTED)
IN I I
1NIT:
INIT:
INI .
INIT:
CONSULTANT:
Dat
OMMENT
:........ , ......::..............
Date Approved -
FIRE DEP 7 E • -9 ATED:
en t -
•
FIRE PRO , je ION:! 1 (J Sprinklers 0 Detectors UN/A
INSPECTOR:
ZON G: IBAR/LAND USE CONDITIONS? O Yes [, No
S EENING REQUIRED? Q Yes Q No
EFERENCE FILE NOS.:
UMC EDITION (year):
DEPARTMENTAL REVIEW
"X" in box indicates which departments need to review the pr • ect.
01/07/93
SITE ADDRESS SUITE #
V Z : 66 /r si j� 1�1�'I
V LUE OF CONSTRUCTION - $
i i)4r
ASSESSOR ACCOUNT #
ijkLf27/2727
PECT NAM /TENANT
7%%/ Fe0i 6S.C/'
TYPE OF WORK: 0 New /Addition ,Modifications 0 Repair 0 her:
DESCRIBE WORK TO BE DONE:
/A(.51 -ZC e, / e I w war/ Z/ / frs /7', ?- RIw4
TYPE ;.:RATING /SIZE :< NUMBER OF UNITS: .:.
2095" Y/C.9 C _ sa o0
l
/7/.tJ
��
WA. ST. CONTRACTOR'S LICENSE # � € ' :;
BUILDING USE (office, warehouse, etc.)
i" / p
NATURE OF BUSINESS:
WILL THERE BE A CHANGE IN USE? (] No 0 Yes IF YES, EXPLAIN:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
0 No 0 Yes
IF YES, EXPLAIN:
PROPERTY OWNER 47,4,./0/ R -D eixj
! ' ill
PHONE
PHONE z
EXP. DATE
�/ (� -
ZIP ��
. 7 GOd
ZIP o`
0
ADDRESS
4,,p S � �r s7
CONTRACTOR / y/97 7 ..„ - -, he
ADDRESS k --/ate
',4t
///
��
WA. ST. CONTRACTOR'S LICENSE # � € ' :;
CITY OF TUKWILA
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
PLAN CHECK
NUMBER
APPLICATION MUST BE FILLED OUT COMPLETELY
.I HEREBY:CERTIFYTHAT,.I HAVE: READ AND ;EXAMINED THIS'APPLICATION ANDKNOW :THE.SAME,
• •.':AND CORRECT, AND I:AM.• UTHORIZED TO APPLY FOR: THIS: PERMIT .';!
BUILDING OWNER 'Ste URE ri i
OR AUTHORIZED PR t J ►i i
AGENT ADD - .
Maar ii.
CONTACT PERSON i
MECHAK Z AL PERMIT
APPLICATION
FEES (for staff use only)
DESCRIPTION
BASIC PERMIT FEE
UNIT(S) FEE
PLAN CHECK FEE
OTHER:
TOTAL -
AMOUNT
15.00
RCPT .#
DATE
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 fill the a• • scant. 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 ACCEPTED
DATE APPLICATION EXPIRES
TO
BE:TR
0
qe5p--
0311•«
MECHANICAL
1
Completed mechanical permit application (one for each structure or tenant)
Two (2) sets of mechanical plans, which include:
• Floor plan
• System layout
• Elevations (for roof mounted equipment)
• Heat 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.
SUitMITTAL CHECKLIST
: iii+ ' ;i ''REGISTRATION OUMBEp W x. 'I': ';`' ."
; D(PIRAtIDN OATE;''i
+ `;' /
. :,' c'tuPPYNWH` 038
EF 'ECT'IVE'•!•DATE
r' EXPIRATIONDATE•;
' M .
12
,,H.b t
6...
''1 : .
.'';
'REGISTRATION,NUMBER.'
+ `;' /
. :,' c'tuPPYNWH` 038
EF 'ECT'IVE'•!•DATE
r' EXPIRATIONDATE•;
' M .
12
,,H.b t
6...
1,i '
if.r........u:rl =.'.7�:2:ca.,.,ii.N:!..,L:'S:tZ .., wo• iR. v. nw:... r. e» .. «...�•......�...,.r......,... wr.w.....:.rv.vn.enw. warm+ m., r; t_ YM' rew• w.-. ew•.,• rwww. u. w.•«. ww. aw. w..,» w, vq.. w.... w..... e... a...++• ww. n< iIHlnRleua• ttnM!, v !•renwfenwwNwnrAteY.:ri108►1}'A�
I II
'NOR THWEST WTIeHTF! iNC. /DAVYt;WN?'
2900 THORNDYKE' AVE W. ` .''
SEATT E ( 1 .. ' WA 98199
4• SIGNATURE
ISSUED BY PART MENI OF LABOR AND INDUSTRIES
h OISTERED AS PROVIDED Si' LAN! AS,A;, ' : • ' - .7 .....:F.,,,..
f . ,11 q r. .j;. •6 +1.' . '• y5, i .. '' �C 1 1':' 11
I iii : t:
i, :
i i' .,
,
t i r'{;' y l r • } t �0 i
tog
!..'p OO TFIORND 'W
:;,,SEATTLE
SIGNATUR
IS ' o BY DE ' T ENT OF LABOR AND INDUSTRIES
,t•
RECEIVED
CITY OF TUKWILA
JUL : ;.? 1994
PERMIT CENTER
Project: La
l i si-z.,-
ctio :
T ype of Inspect
..,...
Address:
I /2 60) SO Lc g 5 /I
Date Called:
Special Instructions:
Date Wanted:
,
c am
Requester:
Phone No,:
r " ?`"'". •
INSPECTION NO.
C. INSPECTION RECORD C.
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
69/45
PERMIT NO/
(206 ) 44 31 - 3670
p .Approved per applicable codes.
COMMENTS:
ED Corrections required prior to approval.
o $30.00 REINSPECTION EE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
[Receipt No.: De:
'
COMMENTS: •
-
,.. M _—/J -[
o nspection: I
C O
1 WINT1/4 )-k ‘p 0. t41 6E —
)
s1 vaGt.s v.,M.L. 0 ii— '& lki.44\ eipc f 7S)L4piv3C.I. lAcq-ku..
, ...-
A Y4'
2) -srikiN 9 14 IVQ? el'Nrv--- TO WM-4- R e- -s• s r•n% c_ REs .
- .0 r(t. it-Z-1A ef L-u..).S Ni• i4a e,c.-- f won. dzii) ikr
PAV'PZ.
A
W A LI— A IJP (....1/4-7A-0 ,4)■,.04\\N L L. 7 0) 1:::%,bi3,.... bxpot,1 •
-k.
L )
P1/4 I l ' fmtt-GINf 6-1-01. ce'N-r9 of- 4)%i -- to pswmp
4 Fpv \ fi.. c v , It...0 e s . c , A t t - 1 0....c v y x J L A L-
k
.13.tni
i ( ,
' Project :e
o nspection: I
C O
Address: tiak.00 b 1
..i„ st-
Date Called: 1 a - Lt
Special Instructions:
N cW n 6 1'. . 10
Date Wanted:
' 1
•
.13.tni
Requester:
&■(
1 .
PhoneNo.:
I
• •
,INSPECTION RECORD (-
(
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes. 1011 - *Corrections required prior to approval.
I Inspector:
Dale:
(206) 431-3670
•
) 2:5 1
0 $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
I Receipt No.:
Date:
********.*.************* k ** * ** * *•A' * ** * * * *• * * * * * * *k * * ** * * * * *•k * * * * * **
CITY OF TUKWILA, SSA TRANSMIT
******* * * * * *** * * ** * * ** * ** * ***** .** **• * **** *k *•k * * * ** **** * * * ** k **• **
TRANSMIT Number 94 00897 Amactrtt: 30.50 07/28/94 10:50
P'erinit Nor` M9470115' Type. q -MF•CH MECHANICAL PERMIT
Pareel: No 8108b0 -,0127
Site Ad.drae *.s.42t30.8 158 ST
Payment' Method CHECK ' Natation: WOE INCORPORATED, Inite SLO
* * * *. ** *** * * *. *. * * * ** * * *. * ** 4 * * * ** *k *** * ***k,* * * * * ** 44 ** * *,4 *:A•*
Account Cade; Description. Paid.
000/322..100, MECHANICAL -' RE5: 30,50•,.
Total (This Payment): 3Q.50;`
Address: 4260 S 158 ST Permit No: M94-0115
Suite:
Tenant: BEDNARSKI MAREK & LUCJA Status: ISSUED
Type: B-MECH Applied: 07/27/1994
Parcel #: 810860-0127 Issued: 07/28/1994
*********************************14***************k***A**************4***A**
Permit. Conditions:
1 . " NO WORK SHALL BE DONEJNADSiT-fdN,210t,P4O,74E OR
REPLACEMENT OF EXISTINOAOLIWN ON THIS
ORIGINAL MECHANJGAOE'RMI T. «.
2 Plumbing permWipil 1 be Aobtained through the S'ekt"tle-King
County DeparAnWt of X061) HpilltW. %Plumbing w i 1 b e
inspected bey, includinga a gas ;piping
(296-4722)V % ''' .,0, . 1‘ li ,,, ''' .{c• $ ' , ''
El ectri cWrpermit shall c, be obtained through / the ,Washington',
State Evt"VO.id-oel:ap6;= and Industri and all ele ctrical
work w.ti; be in4eqted by ;that age`Wok (248-6636%. '',,A'
4. All Oppit p insoe'ctiond and approved plans *1) h'..k
maintagneth4vailable at the i'913,„s,fte prior to the'telf \.
,
any Anstru.6'el °ti These docuiliWes ape to be ma intalnO
avai4Wb4 (Sir final specpon approval is grantek.
5. Al lii ton to i i,n \ confOpiicei,wi with approved ,
planW and reqalraments 'of the Uplf*M Bptldtng Code 09 l
S
!irk rirroMedhanidal COdiru 91 Edit .and YashingtoT) i egte
EdlOon) ae, arifended_p S!,eate':Building A i 0
Un ,
Energy Code (1991,
6. Val\ ysv f Permi.i, Th9' f issvance of,, a ,penm'it or appqoval
Yd'i t$ 4,-- " s \ '
41, ....,,,, _z
pla specpitatibiiAn4,,,tompUtatona,t'hall,,not be pono-
str # to‘bt a or o permit for, o an 'appr;ova)--of vipla IR,
of al-6 otF0) 0 i s i on s of this Icode - sfir„,..o.fanx? other „,
ordi A(1c e(o0heo jurisdiction. No iT 4g+Ve
aut 1 y 4,gr vior4te or cancel t 0 provtsi hs \pf this eade
shall valid. ,1', / \ \ N i
7. MANUFAGORERS 1,NSTALL,ATION INSTMCTIONS4E untio ON S ITE
FOR THE'tILDINONSPEUORS REVIEW.
0 4t,
iit'r
e, ,,,
i 441 '2 4 ' 4, % ' % w
.
V
781
l ;f 1 - 1 4:4 il lit,ci,
•
CITY OF TUKWILA
•
1 • ■■ I
• .
, • . . • •
, .
• . ,
• . , • ,
•
, . .
■ ,
, .
•
Dec 01, 1994
GEOFF ARNOLD
2802 EAST MADISON
SEATTLE, WA
98112
Sincerely,
CL-
City of Tukwila
RE: BEDNARSKI MAREK & LUCJA
Department of Community Development Rick Beeler, Director
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 1M94- 0115: 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.
y is Osby
Acting Permit Coordina or
Department of Community Development
.. + V.�.w.�n. viw.. *OY+�i.fRllfiM'y" WII
John W. Rants, Mayor
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 4313670 • Fax (206) 4313665
,R)Ktii,: clf�f�)R