HomeMy WebLinkAboutPermit M94-0197 - ROBERTSON DLismamerl
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PEmNis
City of 71 Ckwlg- �.
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M94 -0197
Type: B -MECH
Category: RES
Address: 16038 48 AV S
Location:
Parcel *: 919860 -0060
Contractor License No:
TENANT ROBERTSON D L
16038 48TH AVE S, SEATTLE WA 98188
OWNER ROBERTSON D L
16038 48TH AVE S, SEATTLE WA 98188
CONTACT DENNIS L. ROBERTSON Phone: 206 242 -6373
16038 48 AV S, TUKWILA, WA 98188
******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Description:
REPLACE FURNACE, HOT WATER HEATER & ADD FIREPLACE
UMC Edition: 1991
************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
MECHANICAL PERMIT
4
Permit Center Au hors -d Signature Date.
Valuation:
Total Permit Fee:
Status: ISSUED
Issued: 12/23/1994
Expires: 06/21/1995
Suite:
(206) 431 -3670
2,000.00
37.00
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 lding permit
Signature:
Print Name: 1-JH.11 1S L
Title:_ VAV\R1‘
231 19
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 ADDRESS
lea S 1 -i -
DATE NOTIFIED
BY:
(init.)
2nd NOTIFICATION
BY:
init.
3RD NOTIFICATION
BY:
(init.) -
PROJECT NAME
n1r)t [3O/J
DEN\
SITE ADDRESS
lea S 1 -i -
A-A/ 5
SUITE NO.
PLAN CHECK
NUMBER
Mq4-01q7
Mechanical Permit Application Tracking
IN RUCTIONS TO STAFF
CITY OF TUKI( A �... .
Department of Community Development — Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
SCRE I
REFERENCE
IRE `r• • ►,>' c
I DE
W/
O BUILDING -
initial review
O FIRE
O PLANNING
O OTHER
O BUILDING -
final review
INIT:
INIT:
INIT:
INIT:
UMC EDITION (year):
Sprinklers
Detectors • N/A
ATED: INSPECTOR:
BAR/LAND USE CONDITIONS? U Yes U
Yes Q No
• • • ntacts with applicants or requests for information should be summarized in writing by staff so
tha he status of the project may be ascertained at any time.
• Plan .rrections shall be completed and approved prior to sending to the next department.
• Any con.' ions or requirements for the permit shall be noted in the Sierra system or summarized
concisely in e form of a formal letter or memo, which will be attached to the permit.
• Please fill out •ur section of the tracking chart completely. Where information requested is not
applicable, so no : by using "N /A ", date and initial.
DEPARTMENTAL REVIEW
"X" in box indicates which de + rtmets need to review the project.
O BUILDING
OFFICIAL
REVIEW COMPLETED
INIT:
'pR
UIREMEN7
MMEN
NSULTANT: Date Sent Date Approved -
01/07/93
SITE ADDRESS SUITE #
V0o3a6 A\Ri o.
VALUE OF CONSTRUCTION - $
7-o oco
PROJECT NAME/TENANT
D tylvl ; s l- . Q6 be - -r
ASSESSOR ACCOUNT #
9 ( � 8C,,,O -. Cal) O
TYPE OF WORK: 0 New /Addition Q Modifications O Repair
® Other: ^„41�Lt W�Mt
('� l t
'114 �Q k C� , 1 1\� '
DESCRIBE WORK TO BE DONE: �, (� (�
- Q0 )o.c.a_ 1n^( Y1 G•� Yl� V3 i�l L .u1 1,4 An
..
< :::: ..::TYPE.,..',: :. . .. :.> RATING /SIZE:::' : :: <'.:.: :: !. ,... ;: :.NUMBER OF.::UNITS:: ;
EXP. DATE
BUILDING USE (office, warehouse, etc.)
NATUR OF BUSIN
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? Yes
IF YES, EXPLAIN: '. 'C- c�n�l +^ ' lv4 . \\ rl .
1
PROPERTY OWNER �tvlvlis L Rd):,e1 -k5-crY\
PHONE viz,
( -5rl 3
ZIP c
ADDRESS 1�c ifi So- . v‘
CONTRACTOR
PHONE
ADDRESS
ZIP
WA. ST. CONTRACTOR'S LICENSE #
EXP. DATE
CITY OF TUKWILA
Department of Community Development - Building
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
PLAN CHECK
NUMBER 03,4,....097
APPLICATION MUST BE FILLED OUT COMPLETELY
I HEREBY. CERTIFY THAT :I HAVE READ :AND EXAMINED :THIS A
>'AND: CORRECT; AND: I.AM:AUT- o RIZED TO:APPLY FOI :P
SIGNAT . ' E
BUILDING OWNER
OR
AUTHORIZED
AGENT
PRINT NAME
t
ADDRESS 1(0
CONTACT PERSON SC\
1
L
4 % h �
MECHAN.Z',AL PERMIT
APPLICATION
Division
FEES (for staff use only)
DESCRIPTION
BASIC PERMIT FEE
UNITS) FEE
PLAN CHECK FEE`
OTHER:
TOTAL
AMOUNT
$15.00
RCPT #
DATE
AND KNOW;THE SAME•TO:
DATE is
�1 1
PHONE
CITYZIP r\ G\ .
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 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 contac 4 gig e t of Community Development at 431 -3670.
DATE APPLICATION ACCEPTED
DEC 2 3 1994
DATE APPLICATION EXPIRES
Co 3 -- 95
03114/94
MECHANICAL
7 Completed mechanical permit application (one for each structure or tenant)
Two (2) sets of mechanical plans, which include:
1 I
Note: Hood and duct systems require a building permit for the duct shaft.
• 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)
Water heaters and vents are included in the UMC — please include any water heaters or
vents being installed or replaced.
■
, ,•
SUEIMITTAL CHECKLIST
:
COMMENTS:
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
../
• • • . •
5
INSPECTION RECORD
Retain a copy with permit
(206) 431-3670
'VI...Approved per applicable codes. 0 Corrections required prior to approval.
0 $30.00 REINSPECTIO FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
I Recap! No.:
Dale:
roec vi),
'Type of 0 Weal= , /..,-- :
`41,7eri
i iea0r-,, , Z - 5 1 ,5 — fil 4 68- V ale
Called: // 1 e /f5 - ''
Special Instructions:
.
Date Wanted: 2 / 6/q
,g p.m.
Requester:L
t (X AA/1/j
Phone No.: .-
4
INSPECTION RECORD
Retain a copy with permit
NSPE O.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila,y/A 98188
CI Approved per applicable codes.
COMMENTS:
t(
.1:%• • 4 KerPa7 4"
747 1e7 "---totsolv4 7 f,;( 5
AL_
a /7 ev
Ce 5 5 5
(206) 431-3670
Corrections required prior to approval.
Inspector:AP
Date:
El $30.00 REINSPECTIO T EE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
. •
I ReceOlNo.: ,
Dale:
h k *• * * * ** * * *h k fir ** ** * * *A *k• * * *•kA•.k•k k * ** *•h h * * *•k *•A R A * k * ** k* kh*•AA
Cl:l•Y OF •1UKW•ILA; WA TRANSMIT
*AA k * /e *•k *A ***k * * * *A ** *k *IFkkhkAkk ** AkA* A• .•k•.k *kkk* *k**k *h *: k * * **.ir**
TRANSMIT Number: 94001.665 Amount: 37.00.12/:!3/.4 12..!2
Permit No M94-0197 Types B-1ILCH MECHANICAL PgAgM
Parcel No: 9191:160 -0060
Site Address: 16038 48 AV a.
Payment Method: [!HECK Notation: DENNIS ROBERTSON 1nit: SAO
*,t *A * **•k k *:k kA * bh.k•k* k•kA *k•k* *•k kh * ** ** k * * * ** * ** ** A ** A k * ** *** * *** k•k
Account Code Description Pasid.
000/322.100: MECHANICAL. - .RES 37.00
Total (This Payment) ; 37.00
Total Fees:
1'utdl All P,ayms'rits "»
na1ance
37.00
37.00
..0 0
GENERA
TOTAL
CHECK
CHANGE
37.00
37.00
37.00
0.00
8434A000 .1446
Address:
Suite:
Tenant:
Type:
Parcel #:
J .
16038 48 AV S
CITY OF TUK.WILA
ROBERTSON D L
B .
919860 -0060
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Permit Conditions: ..:,..
1. No changes will be ,rnade� ':�a� ' e plans iinTess ay roved by the
Architect or Eng,ine and the Tukwila Bui 1ii'in .. Sion
2. All permits, i in yec't ►on; r ?0ec'oris and `ie,n 's all be
I S n p r, } f approved p � . �.� Pr
available e at -th e sit ' ,1or' tat .t` of an r con -
struct i on •� Th ee , :� doc umeni :, ate to b e ma i nta l n�e�i,; and'�\ava i l -
able unti 1/ Aina1 i r, sp,ectiop':rappro■v a T i s :; ,g t anted ::, + * , t , kz
3. :All cons ' V e tlon F S { be done in co �tormancea�:w,ith .gipproved "";
l ans an' e �r i of the U N i fo Bu i i d iWg Code t(' 199
Ed iti amen "defy " Unitot�rtj' lechanlca1 Code ( 1'99 � c t ion
and W 's,h1n •ton State Ene, 4 gy`I`Code (1994 Edition).`, +
4. Va 1 i ,t,S, of- Permit. "Ole' issuance `of a permit or Op rib val' o
p 1 ark ! speoYfli cd ° 't i ons;'.;;:: nd coMpu'tat.i.ons shall not be ca -; :.'
str �re, to be a ipermi t- for,...._o.r, . an approval of , any v i"o 1 a0'9,9 I v - i •'
of c pn of- -z. the prov i s'i .,
.ons of the bu i•�t d,.i'ii - code or of any.- iy
othte *t 4' ordinance o the'' Jur{h n
s;di c ;t ion ;` t' 1 No per�mi t ptesumi ng` ''''t��o
give r{ author ,i ty` to�_,vi oi:ate ork. cace'l'` tiy& provfi s i ons of,. t i
coat # s h a.i:,,l i b e >v a l i d . f - . a, + :r
MANUFACTURERS `-INSTALLA,:T,I,ON I- NSTRUG NS••'REOU'IRED ON SITEr, -1: ,4
FOR' ' .HEtyBUILDING INSPECTORS REylEW. ';" . ,fa`
6. "N0.4.. ORr SHALL. BE DONE.,IN,.ADDITION ��TO;.•:THOSE•� ODIFICAT.IO�N� OR
REF'L'; "l CEMENT OF, EXISTING APPLIANCES A "DESCRIBED ON , THIS a
ORIGI; PERMIT. " ' `'`. ;: 4., 4;
7. .Plumbi, g ee:t*tsf be obtained/ t: » ro4ti, „the -, eatt1e,7 ing
County fDep, of Public Hea 1 tp . , Plumbing M wi 1 ti 1., be
i nspect;od by that agency, Including p i pii'g
(296 -47 2) . , +1 ` �'� .0 +:11�:�M..� : N �
1 �a. r„e. p
8. El ectr i ca,l,,, perms; ' ;, shall be obtained throgi' .the K �Was }rings
State Divis 'rtta Labor and Industries an d 0 611 ele i"rical
work w i l l ` .e ,inspected by t6a t, ra `Y248- 6630).x/
Permit No: M94 -0197
Status: ISSUED
Applied: 12/23/1994
Issued: 12/23/1994
!
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