HomeMy WebLinkAboutPermit 4536 - Hosick Residence - Gas FurnaceCITY OF TUKWILA*
Building Division 4'
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1845
BUILDING PERMIT
Work to be done Installation of horizonal
Site Address 5619 S. 149th
Building Use
Property Owner
Address
Contractor
Address
Residence
anyrP Hosick
13671 17th Avenue S.W.
Clark Mechanical
PERMIT #
Control # c fi 1 Q7
gas furnace
Suite # Tenant Joyce Hosick
Assessors Account # L-1/
Phone
Seattle Zip 98166
Phone # 246 -8585
Zip 98168
13130 44th Aw' nue S
Seattle
FOR BUILDING PERMIT ONLY
Sq. Ft.
Office
Storagere/ e
Wa hous
Retail
Other
Occ.
Load
1st Fl.
2nd FTi
3rd F1.
Total
Fire Protection: J Sprinklers [I Detectors
Zoning Type of Construction
Special Conditions
Fees
sq. ft. @ 1st F1. $
sq. ft. @ 2nd F1. $
sq. ft. @ other $
sq. ft. @ other $
$ 1,550
Total Valuation of Construction
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other
Other
TOTAL
Receipt #4491 $ 24.00
Receipt # $
Receipt # $
Receipt # $
Receipt # $
Receipt # $
$ 24.00
FOR SIGN PERMIT ONLY
[I Permanent J Temporary
[] Single Face [J Double Face [[ Wall Mounted [( Free Standing [] Other
Building face Setbacks: Front Side Side Rear
Square Footage of each sign face Total square footage of sign
Special Conditions
TH1S PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK I5 SUSPENDED OR
ABANDONED FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES
GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DUES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE R ANGEL THE PROV ONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION �0RR THE PERFORMANCE OF CONSTRUCTION.
/r61gned_� /�.. // �_� Date /l /T "Jd:2___
LICENSED CONTRACTORS DECLARATION
I hereby affirm that I am licensed under provisions the Business and Professions Code, and my license is in ful],'force and effect.
contractor (signature)
Date ` //`—
OWNER- BUILDER DECLARATION
( ) I, as owner of the property, or my employees, with wages as their sole compensation, will do the work, and the structure is not intended or
offered for sale.
( ) I, as owner of the property, am exclusively contracting with licensed contractor's to construct the project.
Owner (signature) Date
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1845
BUILDING PERMIT
Work to be done Installation of horizonal
Site Address x619 S. 149th
gas furnace
Suite # Tenant Joyce Hosick
Building Use RPcidPnrP Assessors Account # L14i>
Property Owner ,1fyrP Nflsick Phone
Address 13671 17th AvPnniP S.W.
Contractor. Clark Mprhanical
Address, 13130 44th AV niue S
PERMIT # q.53
Control # S'(0.-t --/(/7
Seattle
Seattle
Zip 98166
Phone # 246 -8585
Zip 98163
FOR BUILDING PERMIT ONLY
Sq. Ft.
Office
Storage/ e
Wareh ous
Retail
Other
Occ.
Load
1st F1.
2nd FT.
Total
Fire Protection: J Sprinklers [j Detectors
Zoning Type of Construction
Special Conditions
Fees
sq. ft. @ 1st F1. $
sq. ft. @ 2nd F1. $
sq. ft. @ other $
sq. ft. @ other $
Total Valuation of Construction $___17.5410____
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other
Other
TOTAL ...k::;.
Receipt #4491 $
Receipt # $
Receipt # $
Receipt # $
Receipt # $
Receipt # $
24.00
$ 24.0()
FOR SIGN PERMIT ONLY
0 Permanent J Temporary
Q Single Face [l Double Face [: Wall Mounted [[Free Standing C1 Other
Building face Setbacks: Front Side Side Rear
Square Footage of each sign face
Special Conditions
Total square footage of sign
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES
GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DUES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR ANGEL THE PROV §IONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR/ THE PERFORMANCE OF CONSTRUCTION.
/j S igned���(f. %,r P ///4. 174 Date /f- --!t "/X
LICENSED CONTRACTORS DECLARATION
I hereby affirm that 1 am licensed under provisions f the Business and Professions Code, and my license is in full force and effect.
lContractor (signature)
" ,a,: ? _P11 Date //— /f -/(
OWNER- BUILDER DECLARATION
( ) I, as owner of the property, or my employees, with wages as their sole compensation, will do the work, and the structure is not intended or
offered for sale.
( ) I, as owner of the property,
Owner (signature)
am exclusively contracting with licensed contractor's to construct the project.
Date
Jd'tiaG' :�414IilAtiP:atenk'rs Wrnai+raNw«..,,�.se..w,�..... u.. w... ..,,..,..w....ww,...........,.v
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1849
Type of Inspection Fa/17114e6
�f
Site Address S-419 5 /V9
Requestor
Instructions, I(/71,. ,624
................ ,.�.,...s.......v...w......www. mw..... +. n.• +..e +Hy�,w.ci.umev.Jw aaa.4r.. .nAvre+NMweatl4't �.1Y74iL4:rAYf�RtI�:':
INSPECTION RECORD
PERMIT # `;/J .3
Date /.2 - /6 - =e/ .
Date Wanted TAziA a.m p.m.
Project /f, `s1 .:2c/6 0S.2 7
Phone # 2
Inspection Results /Comments:
/,
4/
Inspector
Date /.2///7>
litCJ' d`k^];Casx, r!!trr.� :S"�dairrrr. rwa:tc, enru,.,.w..,M.._.
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1849
Type of Inspection
INSPECT .ON RECORD
�1
PERMIT # 9.5=34
Date
/ y/e?
Site Address 5c /i So. /1'9
Requestor
Special Instructions
Date Wanted 4,2/107
7
Project ,Vosic1°
Phone #
a.m. p.m.
Inspection Results /Comments:
/
Inspector
Date /a / /y /c�%
City of Tukwila
PLANNING DEPARTMENT
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1849
December 15, 1987
Clark Mechanical
13130 44th Avenue S.
Seattle, WA 98168
ATTN: Margene Squires
RE: Hosick Mechanical Permit #4536
Dear Ms. Squires:
In reviewing our records, we found that permit #4536 for
installation of a gas furnace has not been inspected. This
permit is about to expire, therefore, if this unit has been
installed, an inspection should be requested immediately (433
1849).
If you should have any questions, please feel free to contact me.
Sincerely, .)
Norm Bray
Inspector
City of Tukwila
PLANNING DEPARTMENT
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1849
.December 15, 1987
Clark Mechanical
13130 44th Avenue S.
Seattle, WA 98168
ATTN: Margene Squires
RE: Hosick Mechanical Permit #4536
Dear Ms. Squires:
In reviewing our records, we found that permit #4536 for
installation of a gas furnace has not been inspected. This
permit is about to expire, therefore, if this unit has been
installed, an inspection should be requested immediately (433 -.
1849).
If you should have any questions, please feel free to contact me.,
Sincerely,
Norm Bray
Inspector
''
r
. -I .
• .��
Site
Project
Valuation
Property
Address
Applicant
Address
Architect
Address
Contractor
Address
Describe
CITY OF TUKWILA
Building Division
6201191.5 outhcenter Boulevard
y Tukla, Washington 98188
(206) 433 -1845
Address 1; a / 9
AMMIIMP
MECHANICAL PERMIT APPLICATION
CONTROL#
S. /Z/9 7:2- Suite# Floor#
Name /Tenant
of work
Owner
12)1,-7
0-0Li c e. 1-to s,' c_E.
Of/ 550 Assessors Account #
7r) T e _ Pc, s 1'c_ L. Phone
) -- I ---?-1r---1 /) S (AD Zip ` ,7> /
0__` 0 r \c ,_ tM e c ,L cx- 1 c. ct. Phone �cl (o sc--R'c'"
l -), ( ) 1)44 ri- 1-1u p.. S , Zip 9 -p4
/Engineer
Phone
Zip
(' I c, c �_ i'✓I z c 11ck,,. ,'c,..,..( Licenser S6 /-20-7 Phone ,2v(, F S�
/ 3/3C) - VC/ # /q/,'e S , Zip 9f /6'.
work to be done
_Trya -r, I )(r-1Tn, -. n C r)r : -r or�-/--rt r..3 - -ur-r\a.r. e
Indicate
/�(41
the type of equipment to be installed, rating /size of equipment, and number of each:
TYPE RATING/SIZE NUMBER
�� / / /
-1 erl-, -�G1 WOtrr -nn l* ? c tali! . —7 c70-)
t
J �
Two (2) sets of plans must be submitted meeting the application requirements of Section 302(b)
and (c), 1985 Uniform Mechanical Code. Roof -top equipment work requires submission of building
elevations.
I HEREBY CERTIFY THAT I
CORRECT AND THAT I HAVE
Applicant /Authorized Agent
Contact Person (please print)
NAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND
THE PROPERTY OWNER'S AUTHORIZATION TO 0 THIS WORK.
(signature) 29 %�2.(',(��,.t_e , 7-_i_w �_e� Date /�- -/9 -- -7
(print name) L/ l -, - • S
Phone
TRACKING
FEES:
Basic Permit Fee
Unit Fee
Plan Check Fee
Other
OFFICE USE ONLY
(000/322.100) $ a(,{,OZ Receipt# C460/ Date Paid // ,/ %
(000/322.100) Receipt# Date Paid
(000/345.830) Receipt# Date Paid
( / ) Receipt# Date Paid
TOTAL (�(,( (OWES: $ )
DEPT.
DATE IN
DATE OUT_,
COMMENTS
BLDG
0
0,0
Approved for Issuance
PLNG
Approved (Initials)