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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)