HomeMy WebLinkAboutPermit M94-0177 - JC PENNEYrnc14d--on1
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M94 -0177
Type: B -MECH
Category: NRES
Address: 1200 SOUTHCENTER MALL
Location:
Parcel #: 262304 -9081
Contractor License No: LANGSMI157B5
MECHANICAL PERMIT
Permit Center Authorized Signature
!ii- qu
Date
Status: ISSUED
Issued: 11/29/1994
Expires: 05/28/1995
Suite:
(206) 431 -3670
TENANT J C PENNEY CO.
1200 SOUTHCENTER MALL, TUKWILA, WA 98188
OWNER J C PENNEY CO INC STORE #9
REGIONAL TAX OFFICE, PO BOX 4015, BUENA PARK CA 90624
CONTRACTOR LANGS MECHANICAL Phone: 206 575 -6707
912 INDUSTRY DRIVE, TUKWILA WA 98188
CONTACT C. W. LANG Phone: 206 575 -6707
P.O. BOX 68853, SEATTLE, WA 98168
********************* * * * * * * * * * * * * * * * * * * * * *** * ** * ** ** rat * * * * * ** * * * * * * * *** * ** **
Permit Description:
REMOVE AND REPLACE TWO 100 GALLON WATER HEATERS.
UMC Edition: 1991 Valuation: 900.00
Total Permit Fee: 26.88
**********.******************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
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 perf +rmance of work. I am authorized to sign for and
obtain this bu din pej it.
Signature:__ Date: /„j 7Z- '9 q:
Print Name: ( 2 til• LAI .(Z-- Title:
permit shall become null and void if 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 from the last inspection.
AMOUNT
OWING:
A ), z A c:61)
CONTACTED
D � �
W
Pp' rm.() .
DATE NOTIFIED
100
BY:
(init.)
-er - ev fr• 1
2nd NOTIFICATION
BY:
(in1t.)
3RD NOTIFICATION
BY: )
PROJECT NAME
L
Pp' rm.() .
SITE ADDRESS
100
,Ar1c.
-er - ev fr• 1
SUITE NO.
PLAN CHECK
NUMBER
Yr o -on e
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
,BUILDING -
initial review
O FIRE
O PLANNING
O OTHER
BUILDING -
final review
BUILDING
OFFICIAL
CITY OF TUKI .A
Department of Community Development — Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
Mechanical Permit Application Tracking
REVIEW COMPLETED
INIT:
INIT:
INIT:
(t 7X3/
INIT: (C z 4
/d3 /9
INIT:
.....
QUI
....................... .
CONSULTANT: Date Sent -
Date Approved -
FIRE PROTECTION: Q Sprinklers U Detectors
FIRE DEPT. LETTER DATED:
SCREENING REQUIRED? O Yes 0 No
REFERENCE FILE NOS.:
UMC EDITION (year):
INSPECTOR:
N/A
ZONING: IBAR/LAND USE CONDITIONS? U Yes U No
01/07/93
PROPERTY OWNER e
fl /� /
co
7R
PHO►+ ?� /�
d �SO
ZIP
ADDRESS /X
- � t
CONTRACTOR � 2t l. J � iCa_
, f
PHON�75'
(070
ZIP 9� / & r
ADDRESS //c(2____ ..1k/ � / ` � /die—
1-(/CGr//1 -fr
WA. ST. CONTRACTOR'S LICENSE # LA��r
?,�
15 7 , 'S
EXP. DATE f 2 // / y�.
DESCRIPTION..: •• •::
:.::.;AMOUNT :
RCPT :: #:.i
::r: >':DATE::;:;
BASIC PERMIT FEE ::'':
> $15 :00
UNIT(S
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
APPLICATION MUST BE FILLED OUT COMPLETELY
TYP..
.4=iie
SITE ADDRESS V SE #
1 2 C) C.) ar c, c UIT�
PROJF NAM ETTENANp
a-
TYPE C6 WORK: O New /Addition [ Modifications O Repair
DESCRIBE WORK BE G6iCeete.)
BUILDING USE (office, warehouse, etc.)
NATURE OF BUSINESS:
WILL THERE BE A CHANGE IN USE? J No Q Yes IF YES, EXPLAIN:
WIL,111'HERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
No 0 Yes
IF YES, EXPLAIN:
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW SAMETO
AND CORRECT, AND I AM'AUTHORIZE TO ANPLYi.OR.THIS l?EF MIT
� L
BUILDING OWNER
OR
AUTHORIZED
AGENT
SIGNATURE
PRINT NAME CD Gl,
ADDRESS L ,
MECHAK AL PERMIT
APPLICATION
G
(A( p/--
CONTACT PERSON &WV G,0,1 (;--
VALUE OF CONSTRUCTION - $
ASSESSOR ACCOUNT #
—C1
S_
lOn C2- <kon
FEES (for staff use only)
DATE APPLICATION EXPIRES
DATE//2 // V
PHONE .5-7,c 207
CITYJZIP71( Le.//L /4 / /1cEi
PHONES - $- (7(I 7
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.
DATE APPLICATION ACCEPTED
[
'Q 1r q5
O W 14194
SUEIMITTAL CHECK6tT
MECHANICAL
I I
I 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.
• ro ect: � ,� �
e
ype o ns. - ion: r f
)
Address: / '
A �
(Date
Date Called: °---- --
Special Instructions:
,� if - 71—
Wanted:
�3 y C
�.m.
,/-
Requester:
Phone No.:
0 INSPECTION RECORD 0
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
COMMENTS:
O Corrections required prior to approval.
O $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Dale:
•
' W9
PERMT N0.
(206)..431 -3670
COMMENTS: '
d./i4/ kne_ - r _...((CC �, 5 -'/
l5p 4 i_i eko
Address: I act
MA t I
�� �+t
. 2 . r ' s 4 , . 64
/ ( 4./koni'h
6 / 71— ,4'/ t, v d 1---re, `h S
1
Date Wanted:
`C) f, - 4 ,4i 4' - f U2/
aL'44 le.. /r%
y2.v / 4 7
5 - 1 S
r
n
�...
•roe .0 ..2nn _
ype o nspect
: i noLl
Address: I act
MA t I
�� �+t
Date Called:
( '
' I- q , - q q
`
al Instructions: r Q,y
61 o 'rj1
P0LKovz pi cic. P • IN
kor AiSSOk K i-r
1
Date Wanted:
'
l I - �j I I -1 am. -p.m.-
Requester:
u ck
5 - 1 S
'..: -;^ _ . ... ........... ......'.... . • ...
I Inspects : j/ f
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188,
Dat
(206) 431 -3670
❑ Approved per applicable codes. Corrections required prior to approval.
1 z•"/
❑ $30.00 REINSPECTION FEE REQUIRED. Priorioreinspecto�n, tee must be paid at
6300 Southcenter Blvd., Suite 100.;CaN(.sche iule reinspection.
I Aiecept No.:
Date:
4 -.7777777,77 „?' vr,777.77, !! '" .r:r: r 7.11 ' . '" 7 "7 : 77:77 7 ,7:77,7 7 7 7 777-7 . 7. 77 7:7+77 .7 .7.7 77 - 717 : 77 :7777,757%-ilh : i :111;4 -7,4Tt c":
• 4d, %. • 1
4.
f
CITY OF TUKWILA, WA TRANSMIT
TRANSMIT Number: 94001542 Amount: 26.08 11/29/94 08:50
Permit No; M94-0177 Type: 0-MECH MECHANICAL PERMIT
Parcel Na: 262204-9081 11/29/94
Site Address: 1200 SOUTHCENTER MALL
Payment Method: CHECK Notation: LANG?) MECHANICAL Zriit: SLR
*
Account Code Description Paid
000/245.830 PLAN CHECK - NONRES , 5 - 3 / 3
000/222.100 MECHANICAL - NONRES 21.50
Total (This Payment): 26.88
GENERA 5.38
GENERA 21.50
TOTAL 26.88
CHECK 26.88
CHANGE 0.00
7649A000 16:50
Total: Fees:
Total All'Payments:
Balance:
.2"f.10
26.88
Address: 1200 SOUTHCENTER MALL
Suite:
Tenant: J C PENNEY CO..
Type: 8 -MECH
. Parcel #: 262304 -9081
a
•
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QF
•
CITY OF TUKWILA
FOBC{II-IE U!I� NS - -1 eVIEwA / '`��"
I a °
Permit No: M94. -0177.
* *•k *'k * *'k*** *** tit * *'k k* * ** * * * * * * * * *'k* *'k * * ** * * * * * ** A A'** * * *'k*** *'k * *** ***'k **'k***
Permit Conditions:
1 . No changes will be madetn,
Architect or Eng i neer4
a t'la'ss.,.,;pproved by the
ukwila` "Bu 1d. g Division.
2. All permits, inspeWbr re r.d %, any. approved p1:ans shall be
available at the 116 d i % te. n pp to, to the start of °i siy, con -
str-uct.ion These dpo me�ntsr a� e.�,to b N maitMned ari;eavai
able'.until rnal inspection 4ni1O'ep,t1On'approval gtSanMd.,A
3. All '' constru,ct i on td bp done *i'n`' confoismanc,e with tr ; a r ppr , ov'e'dk .‘
plans an requir'e'+"ments. of `,�U
"thenifo r�m Bui l }
` d-i Lo '(,199`� w
1r ,a: q t5r; 'G, ' +'1� iform ,. G f n '' r
.Ed i t i or r), � s .amended Un"�i ech,an l ca l Code ° (,199'1 Ed i t i n)t'
and Washington 'atate Eneri,gy,1Cbde 4 (199,4 Edition)' r. '
4 . Valid yy'-- of Permit Th "e.: "issuance of a permit or approval o�t�'ti
plan; 'speci cone „uta'tions shall nut 'be °cans
strtie, °d`.top�:be�ri'�a permit °'f.or, or, an approval of, any viol" :.io'n
of ah o; the provisiono.f , the but:Wing code or of ' any
othe,rh or 4 of the :�u, isd,'i Lion �lNo p,e.rmit presuming: to
give . . authorityr to ,�vi ol r ate t;. or , Jca celyy; ipr;ov,i ions
code sha l l sbe ova <lYi °� ' ' � ; / , ;1 s,
5. MA 1.F'ACtTURERS -: IN$TAI:tATION, IN TRUCTI O NS REOI IRED ON SITE
Status: ISSUED
Applied: 11/21/1994
Issued: 11/29/1994
f v atGJC;I ,
e ccot s a
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the ?1a ns an fti s f r
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1? Z ,�.�c5 not Gf PS \
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/10 Aa).0
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1
RECEIVED
CRY OF TIJKWI,A
NOV 2 6244
PERMIT CENTER
DATE "
LIM q I
• • • rya....... v v • •.vv ..v.w +...r.. ... •••ter •
AWH - CB - WALL FURNACES- RANGES - DRYERS
WNG 836.3 S (2/92)
JOB NO.
r/ g'�1 ./ 7
g1(
MJI
CUSTOMER N M CI VCS I I NO
ICY /.t A OWNCII �
AMR! I . 1
/, ...) CITY
COUNTY
,, 11- / '
4 "
HOME PHONE
•1, f . E
MARVE I MO P II
ALLE:
CODE
SCHEDULE DATE ,
•
MTR. SCHEDULED DATE
TYPE OF ■ DELIVER ONLY Pre DELIVER TO INSTALLER ❑ PICK•UP BY INSTALLER
DELIVERY. N DELIVER TO CUSTOMER S INSTALL ❑ CUSTOMER PICKUP ❑ EMPLOYEE SALE
■ ANY SERVICE ❑ ADDED LOAD
■ METER ONLY ■ GAS REPLACEMENT
ENTRY ARRANGEMENTS:
FROM TRAN CODE TO
1
1
1[
11
1
ACCT. NO. RESP.
ill REP
(SKETCH)
EQUIPMENT LOCATION &PIPING ROUTE SKETCH
n
1I /1 / a /
I �(�
351 1 I
Bloev
❑ INSTALLER
9
�
'
��
�__
_._
I EM NO
'f
OUAN
DESCRIPTION
04 -048
WATER HEATER - FSG -40
P.
04 -049
WATER HEATER - FSGL -40
a
04-087
WATER HEATER - FSG -50
04.151
WATER HEATER -'PRV-40 (w /150IITP)
..._
..__
._
___
04-152
WATER HEATER - PRV -50 (w /150I1TP)
04 -250
WATER HEATER - P -50 -2
_
_. .
__.
04-252
WATER HEATER - P -50 -X (HIGH RECOV)
04-271
WATER HEATER • PVP -50
23-974
RELIEF VALVE - T & P IXL 150 LB.
85 -684
CONCRETE BLOCK 6 x 8 x 16
85-685
CONCRETE LID 22"
03.212
CONV. BURNER - ECONOMITE DS24A
PRE - INSPECTION ATTACHED: • BOILER • CONVERSION BURNER
23-524
SWITCH - COMB - 40648.1451
WORK REQUIRED
■ ROOF JACK TYPE 'B' VENT
23.646
THERMOSTAT T-87F-1859 w/WALL PLATE
24-307
FLEX CONN RANGE /DRYER 3/4" x-48" iv /VALVE
NO. OF STORIES ■ INSTA THERMOSTAT UTAMLT
IN ■
24
ECON MOUNTING FLANGE
COMBINE VENT OTHER APPROX FT
SIZE TYPE 'C' VENT
24-784
THERMAL STACK SWITCH11 I700J
• CHIMNEY CLEAN OUT U DIAMETER
28 -008
ECON EXTENSION RING 8"
LINE CHIMNEY
• CLEAN OUT IN T' ■ ■ APPROX. TT
2: 540
Ziff
BAROMETRIC DIVERTER (Req. w/DS24)
HOT COLD ILER
LABOR /MATERIAL IN EXCESS (PROVIDED BY INSTALLER)
■ ENCLOSE VENT THROUGH ATTIC $ ■ VENTING $
��ni `�7`
• INSTALL /REPAIR FIRE POT $ ■ PIPING FT $
TRAN CD
LEASE CHARGE ITEMS
2 1 3 ACCT NO 4 1 1 16 1 31 0 RESP 1 1 1 1
• PRESSURE RELIEF VALVE $ ■ ELECTRICAL $
❑COMBUSTIONAIR - FROM WHERE $
• OTHER $
GENERAL INF RMATION
• STAND REQUIRED INPUT
23-971
RELIEF VALVE - T & P 125 LB.
24-985
PRV • VENT CAP PROTECTOR
PRV • EXT. KIT
APPROXIMATE FEET
• COLD WATER LINE EXISTING WATER LINE: ■ GALV ■ COPPER
BILLING DATA
/ A
if.,
■ HOT WATER LINE \ ■ 3/4" ■ I/2"
• FUEL LINE ` TIE INTO EXISTING ■ YES ■ NO
FUEL LINE FITTING? SIZE
• PRESSURE RELIEF D ISCHARGE T O' ■ FLOOR ■ DRAIN
DISCHARGE LINE
IN OUTSIDE NI OTHER
INSTALL IN EXISTING • MBUSTION AIR
LOCATION? ❑ YES NI NO /0 EQUATE? N YES III NO
ARE OTHER APPLIANCES BEING INSTALLED AT SAME 9 DRESS? • YES ❑ NO
OLD
EQUIPMENT: TYPE: SIZE' ❑ LEAVE WITH CUSTOMER
INSTALLATION AMT. � ❑ SALE G EASE
EXCESS AMT '
INSTALLED DATE: AMT. BILLED:
SERIAL NO'
MODEL II TOTALS '
■ REMOVE & JUNK ❑ RETURN TO WNG • OTH
REMOVAL EXTRA$;,E,(i19NTLE EQUIPMENT DIFFICULT ACCESS
• OTHE• .A.1�Iy��.
PERMITS: PIPING N PLUMBING N
MECHANICAL N ELECTRICAL
COMMENTS' NOV -' 4994 ■—
ORDER RECEIVED BY
G
�I�, VV �r W�I
�_ DAT FjL1,�jf!
PPRMIT CENTER
MATERIAL RECILVLf DATE
MATERIAL ISSUED BY DATE
M.
WASHINGTON NATURAL GAS COMPANY
•'TAI 1 L'-fl9
❑ SPEC. HANDLING ❑ ADD ON
❑ RUSH ❑ REWRITE
PICK -UP INSTALLERS: .t. "(WHITE) INSTALLER /COMPLETION NOTICE; 2. (CANARY) WAREHOUSE; 3. (PINK) INSTALLATIONS; 4. (GOLDENROD) POST INSPECTION
pIRECT DELIVERY: 1. (WHITE) INSTALLER /COMPLETION NOTICE; 2. (CANARY) INSTALLATIONS; 3. (PINK) INSTALLER; 4. (GOLDENROD) POST INSPECTION