HomeMy WebLinkAboutPermit M94-0184 - GODSEY EDWARD AND RUTH-
(2's
<4
>
(5
bbaq
i)vvAip•4171)Til
City o ?ttkwiaab
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M94 -0184
Type: B -MECH
Category: RES
Address: 4612 S 160 ST
Location:
Parcel #: 222304 -9087
Contractor License No: THREEAI279KD
TENANT GODSEY EDWARD & RUTH
4612 SOUTH 160TH ST, SEATTLE WA 98148
OWNER GODSEY EDWARD & RUTH
4612 SOUTH 160TH ST, SEATTLE WA 98148
CONTRACTOR 3A- INDUSTRIES
P.O. BOX 14029, SEATTLE, WA 98114
CONTACT DOUG ARVISO
3101 MARTIN LUTHER KING WY S, SEATTLE,
********************************************** ***.k*'* ** * * ******* ******* ** ***
Permit Description:
REPLACE 75,000 BTU GAS FURNACE.
UMC Edition: 1991
` , * * * ** * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * **
• erg i t CenterAuthor d 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 r the performance of work. I am authorized to sign for and
obtain this,• ildin ermit.
Signature:_
Print Name:
-IJ ° 2
MECHANICAL PERMIT
Valuation:
Total Permit Fee:
* * * * * * * * * * * * * * * * * * * * * * * * * * * **
Phone: 206 725 -2200
WA 98144
Date: JC Gj 4
Title: PA/45/I-r.; t
(206) 431-3670
Status: ISSUED
Issued: 12/01/1994
Expires: 05/30/1995
Suite:
Phone: 206 725 -2200
1,200.00
24.00
This 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:
CONTACTED
SITE DDRESS 1
DATE NOTIFIED
BY:
(Init.)
2nd NOTIFICATION
BY:
(init.)
3RD NOTIFICATION
BY:
(init.)
PROJECT NAME
G nc 3? Ed LO
d
SITE DDRESS 1
S
SUITE NO.
--
PLAN CHECK
NUMBER
Mq4-0lB4
BUILDING -
initial review
O FIRE
O PLANNING
O OTHER
O BUILDING -
final review
O BUILDING
OFFICIAL
REVIEW COMPLETED
CITY OF TIIN 1. ,..A
Department of Community 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 -ff 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 depa' ent.
• Any conditions or requirements for the permit shall be noted in the Sierra system a summarized
concisely in the form of a formal letter or memo, which will be attached to the p: mit.
• Please fill out your section of the tracking chart completely. Where informati• requested is not
applicable, so note by using "N /A ", date and initial.
DEPARTMENTAL REVIEW
"X" in box indicates which departments need to rev e , e • rojec
DEPARTMENT DATE IN t APPROVED EN
> ..:,:.� �;�.� . �::,
INIT:
INIT:
INIT:
INIT:'
INIT:
(ROU
CONSU
Sprit
CO
Date Approved -
RE PR TIQN: rinklers U Detectors ON /A
L TTE : D
FIRE D
ZONI IBAR/LAND USE CONDITIONS?
SCR NING REQUIRED? O Yes 0
RE FERENCE FILE NOS.:
UMC EDITION (year):
No
INSPECTOR:
O Yes
U N
01/07/93
SITE ADDRESS SUITE #
:25_
VALUE OF CONSTRUCTION - $
/P T •06)
ASSESSOR ACCOUNT #
-1)t
PROJECT NAME/TENANT
/�
New
TYPE OF WORK: Modifications ❑ New/Additio io ❑ od ications Repair ❑Other:
DESCRIBE WORK TO BE DONE: G, 5 5 , v p-I- e C }F .e oor t `ii
:.: ;: ;,. ; ,.:. NUMB�ROFUNITS
TYPE `....��N�I�
�
CONTRACTOR A --t 5--bats
PRINT NAME
R .
.,:e:7
ADDRESS ,6 [AO -S -5 ' •
BUILDING USE (office, warehouse, etc.)
NATURE OF BUSINESS: t E4 . C -r t z_
WILL THERE BE A CHANGE IN USE? M No ❑ Yes IF YES, EXPLAIN:
WILL THERE BE SJORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
IF YES, EXPLACK No G Yes
I HEREBY CERTIFY THAT I HAVE ^ AD AND. EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE
AND CORRECT, AND I AM AUTHt•R ED TO PLY FOR THIS PERMIT;
BUILDING OWNER
OR
AUTHORIZED
AGENT
SIGNATURE �
r
,�
J
-- 9 9
ZIP c f z... 1 . s
��O
ZIP ( 4
._ 1 q - •
DATE C l
CONTRACTOR A --t 5--bats
PRINT NAME
R .
.,:e:7
ADDRESS ,6 [AO -S -5 ' •
PHONE
ADDRESS 3 \,i-
13G-1� ) ?
J '-
CITY/ZIP
PHONET5-
73)
CONTACT PERSON ',M
PROPERTY OWNER EcUpptip I s
7
AMOUNT
RCPT #
DATE
PHONE
PH ONE 73
EXP. DATE
-- 9 9
ZIP c f z... 1 . s
��O
ZIP ( 4
._ 1 q - •
ADDRESS i it.
CONTRACTOR A --t 5--bats
A
\<J
R .
(4
ADDRESS ,6 [AO -S -5 ' •
WA. ST. CONTRACTOR'S LICENSE # •�- 'T�1 EE A 7
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
9 Lid —D i8�l
APPLICATION MUST BE FILLED OUT COMPLETELY
DATE APPLICATION ACCEPTED eC 1 1994
MECHANICAL PERMIT
APPLICATION
Mechanical Fee Worksheet must also be filled out
and attached to this 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. A completed "Mechanical
Permit Fee Worksheet" must accompany this permit application. Handouts are available at the Building counter which
provide more detailed information on application and plan submittal requirements. 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 q 0 bout our process or plan submittal requirements,
please contagintimo nt of Community Development at 431 -3670.
DATE APPLICATION EXPIRES
(a -� f - q6
01/20/93
SUBmITTAL CHECKLIST
MECHANICAL
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.
- — -- - - - .. •.n... • .. .A
REGISTRATION NUMBER
EXPIRATION DATE
.: 01
.. • THREEA I 27 D
EFFECTIVE DATE
- 08/01/95
03/04/73
REGISTERED AS PROVIDED BY LAW AS A:
Cfl NT. G�FhIGQ el
ED BY DEPA
'THREE ° A IfVDUS ?ftTES INC
PO BOX 14029
SEATTLE WA 9
SIGNATURE
Is
TMENT OFT_AtOR AND INDUSTRIES
RECSVED
CITY OF TUKWILA
DEC 1 1994
PERMIT CENTER
f
roject: ■ ,..,
C
ype o sped
:
Address:
/6 "..
Date Called:
Special Instructions:
Date Wanted:
4—,
.
• .m.
Requester:
Phone No.:
INSPECTION NO.
14 per applicable codes.
COMMENTS: -
(
Inspector
1
O INSPECTION RECORD C
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 C
ID Corrections required prior to approval.
$30,00 REINSPECTION E REQUIRED. Prior to reinspection, fee must be paid at
6300 Southoenter Blvd., Suite 100. Call to schedule reinspection.
Rec No.:
N�.
PERMIT .
(206)_ 431-3670
Project: (--- �4Ociset.
Type of Ins i r�� / ,
/[�!
Address:
-4(sia 9) . /lvG -
Date Called:
/69//�9ey
Special Instructions:
Date Wanted: ,�� 9 q
, e'D.m.
Requester:.
Phone No.: �
6
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERM
(206) 431 -3670
❑ Approved per applicable codes. Corrections required prior to approval.
COMMENTS: '
,b4' �--
-� .S /?T r..,/67 Se.
f 1/'L / s,
c.c.fr-os5 14e,
� u
/
❑ $30.00 REINSPECTI � FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
kirkAk*Ak**********A**A****A***A*****A***k**********k**4********.k
CI 1 Y OF ELIKWILA, WA TRANSMIT
**Akk**4**1(*A****kh*A-A**k***A***A**Aki***********A*4*A4k*A4***A*
TRANSMIT Ntimber: 94003t;51 Amount: 24.00 12/01/94 09;111
Per mit No M94-0184 Type: I3-MECH MECHANICAL PE,10.17
Parcel No; 222304-9087
te Address: 4612 S 160 ST
Payment Method: CHECK Notation: 3-A INDUSTRIES In it SAO
****kk**A*********A**k*****A*A***A*****kA*******4****k*A**k**A**
Account Cede Descr pt on Pa d
000/322.100 MECHANICAL - RES 24.00
Total (This Payment ) 24.00,
Total F,E3E4 24.00
Total All Payments: 24..00
Dal Eince:
00
. . . . , . . .
• •, •
: . .
. , .
,•
. . . . . ,. , , . • ,
• . , , ......
, , 1 • • 1 .
, .
• ,
, , • .
•
I ■ , . .
, • • ■ . ' . .. • . . ' ,
GENERA 24.00
• ,TOTAL 24.00
• CHECK 24.00
CHANGE 0.00
• 772.514000 15:54
Address: 4612 S 160 ST
Suite:
Tenant: GODSEY EDWARD & RUTH
Type: B -MECH
Parcel #: 222304-9087
CITY OF TUKWILA
Permit No: M94 -0184
Status: ISSUED
Applied: 12/01/1994
Issued: 12/01/1994
** ** * * **•k * * * * *•k* k *•k *•k * * * * * * * * *** * * *. *,; fit * ** k *•k•k* ** * ** k *** **•k ** k * * *•k ** **
Permit Conditions: ;: �� "
},, . " „_ t<° ,,
1". .No changes wi ad
11 .be me `o "the "plas unles"ap.p"
s: ved by the
Architect or Eng 1 e;et °and the. Jul wi Building D As i on .
2 . A1.1 per ' i ion r�,ecoridl, at %d appro p Paris .shall b e
available atruthe job .i:sitet ori;)r�-.Yto the„ star, of any io n
" struction. -
�;Th .x�,
��'T' Fese :ad�r,CUm�nts are, �n,be � {wand °��av,a,i 1-
a le unt i/ .t i na e c t i n o , a r oval' .�i,Q.3 rarite"d,> ' :
�'.sv r' . 1. i !? r. P'V � ,* ter„ °
3. All consrtrJction be Oh ih, con
� formance ;., with rapp'r�oved ,..,,
plans 4n; /r ~equil, of t e U.nhi-
orm Bui ldirig } Coder 01
} .;. y , � q Editiot as amended.' Unifor m' ,chanical Code (' 1"991 Cd1t i on)�
! �r +' ��j r � a 1 C �; u.. r *r '1r, .�'S3 n
and Wa.s,hington State Ene�y lode (1994 Edition). ';:f: x r�'
4. Val i t of'iPerm The issu' n
',.c..e,:'' a permit or a'ppr� v,al o
p1an.3�,1 specif'ica'tions, and computations :hall not bye cop.-n.
stru'ei to be .a:permit''t or;,.- ...or�`n approval of, any tt
ti -t vto1at,s1q
of a of �th"e "provis -�ho is of bui'�,i`d:1` " r'ti`i -code or of any`r' ^_
of e,rf eauth6ri, .ordinance o,f�::,"the is ic . r Np � ..permit presuming t;o
g i V ' si o.._v.i_o rat e t- icanc_ l � e; prov, s i on of t h i s x'
co eshall be Q e i de,.- :
5. MA e
k \ r—/--T „b,. Y
F' CTUE' ,INaTALL,.ATI{ N j2 - SITE*
, P �:.. R,; �: ,, } i � , TR U�'T�� c�N y R EG►�u I R E D ON s: -1 TE ' • ��
FOR ;',T�r-iE B.UILDING IN PECTORSRE.VIEIW „-, 4,14 , x l x,
6 . ” NO'S ,WO �, i s I O S OR
x, RK aHp�LU BE DONE ,.,..•IN., Nr TO TDESCRIB4OSE- MODIFICAr !
REPL CEMENT OF: EXISTING APPLIANCES AS` ED ON THI"S.,..
�Nnr
OR1�a�J;NAL PERMIT..” \ .." _. <` ...�
P l umb l,\g pe" , n$1 tslp s ha 1.1 be obtain till r �ugh� theI:,e �t l k�"h ng
County Depa tment'.,of Public Hear f Plu blhg�wi ll? be
inspe l t t �e by that agency, inc1u ti:ig - '0,1_, as pispirng
(296-474W : ih; wa .. ;.�,r,. .
satf:).0.,r, .0, r
Electripermj.t ., shall be obtained, throughAhe ,0shing
State Division of 'Labor and. Industries "r a"nd' all ele ,tr ica(1
work w i l l `b, Ninspettted by thia`t =a"gency' ''t248- 6630)..
k**