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HomeMy WebLinkAboutPermit M95-0006 - CARLSON ROBERT44,! j :1 4'. �t. C201Ag R1513eAT • City of (206) 431 -3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 Permit No: M95 -0006 Type: B -MECH Category: RES Address: 14002 42 AV S Location: Parcel #: 734820 -0005 Contractor License No: TENANT OWNER CONTACT MECHANICAL PERMIT CARLSON ROBERT 14002 42ND AVE SOUTH, TUKWILA WA 98168 CARLSON ROBERT 14002 42ND AVE SOUTH, TUKWILA WA 98168 ROBERT CARLSON 14002 42 AV S, TUKWILA, WA 98168 Status: ISSUED Issued: 02/02/1995 Expires: 08/01/1995 Suite: Phone: 206- 241 -5787 Phone: 206 - 241 -5787 Phone: 206 241 -5787 ******************************************** * * * * * * * * * * ** * * * * * * * * * * * * * * * * * ** Permit Description: INSTALL GAS FURNACE AND DUCT IN CRAWL SPACE OF ONE STORY HOME. UMC Edition: 1991 Valuation: Total Permit Fee: 700.00 24.00 ******************************************* * * * * * * * * * * * * * * * * * * * ** * * * * * * * * ** Permit Center Authorized 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 or the performance of work. I am authorized to sign for and obtain this building permit. Signature: Date: 2 Z- 9S Print Name:_jeQ.l,.r $j `irq?L gh/ Title:_Qkj„(441g 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. CITY OF TUKW( `, l Department of Community Development — Permit Center 6300 Southcenter Boulevard - #100, Tukwila, WA 98188 (206) 431 -3670 . Mechanical Permit Application Tracking PLAN CHECK NUMBER Mq5 -OCCo PROJECT NAME -- CAR S() d Rob v , SITE ADDRESS 141-00r 4a A v 5 DATE N TI IED SUITE NO. -- INSTRUCTIONS TO STAFF • Contacts with applicants or requests for information should be summarized in writing by staff s•. 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 sum ' arized 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 E PROV O FIRE QUIR.EMEN CONSULTANT: Date Sent ROUTED FIRE PROTECTION: FIRE DEPT. LE DA ■ .aw__. = :4 MMEN e Approved - Detectors INSPECTOR: N/A INIT: O PLANNING ZONING: BAR/LAND USE CONDITIONS? Yes s O No O OTHER BUILDING - final review O BUILDING OFFICIAL INIT: RE' ERENCE IL NO INIT: INIT: INIT: C,EDITION : REVIEW COMPLETE AMOUNT OWING: � Q V V CONT CTED DATE N TI IED BY: (init.) yz ,id NOTIFICATION BY: (init.) 3RD NOTIFICATION BY: (init.) 01/07/93 MECHAN,Z.:AL PERMIT APPLICATION CITY OF TUKWILA Department of Community Development - Building Division 6300 Southcenter Boulevard, Tukwila WA 98188 (206) 431 -3670 PLAN CHECK NUMBER — N� 5 �Ooc� APPLICATION MUST BE FILLED OUT COMPLETELY FEES (for staff use only) DESCRIPTION `: AMOUNT'; RCPT :# .`::: DATE:::. BASIC PERMIT FEE $15.00 DESCRIBE WORK TO BE DONE: ALA „v� Z- N5:-VAL.-i..- /1. fURILIAcr Roc x- r” cX/4t,JL .f Our cr vnJE S7a/ HoMF TYPE :. UNIT(S) FEE PLAN CHECK FEE rC1f-,NAc.I rL era - 7-fl>= 1160a136A. OTHER: .;. BUILDING USE (office, warehouse, etc.) ix f s- 1 uc, e -S-, pEAiTi4� Ha (14-- NATURE OF BUSINESS: < < i t TOTAL - WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? (23-No 0 Yes IF YES, EXPLAIN: SITE ADDRESS SUITE # VALUE OF CONSTRUCTION - $ t 704o.. cLci* 14002. '12 AV S i wii-A vvA g81c8 PROJECT NAME/TENANT Rvt3r= T' V 6A LSO A.) ASSESSOR ACCOUNT # ---)(fg3-0 'ODD ( Other: TYPE OF WORK: New /Addition 0 Modifications 0 Repair DESCRIBE WORK TO BE DONE: ALA „v� Z- N5:-VAL.-i..- /1. fURILIAcr Roc x- r” cX/4t,JL .f Our cr vnJE S7a/ HoMF TYPE :. Hog. f-7,i, -/T 1.1/4-L-- C y 4' .o� c)� �''s I J/- f rC1f-,NAc.I rL era - 7-fl>= 1160a136A. BUILDING USE (office, warehouse, etc.) ix f s- 1 uc, e -S-, pEAiTi4� Ha (14-- NATURE OF BUSINESS: < < i t 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? (23-No 0 Yes IF YES, EXPLAIN: PROPERTY OWNER gold �.iz�.,. U CzIsz Lsn f\.l PHONE 0 yI PHONE � �B -� ZIPS p g ADDRESS 1 Giaa2 42v - AV' S �Kwf1,P, vim CONTRACTOR N /4 . ADDRESS 'EXP. DATE ZIP WA. ST. CONTRACTOR'S LICENSE 4 ki / I HEREBY CERTI:FY;THAT I HAVE READ :AND EXAMINED THIS APPLICATION AND CORRECTLAN D I AM AUTHORIZED.TO:APPLYFOR THIS PERMIT >: SIGNATURE BUILDING OWNER OR AUTHORIZED AGENT CONTACT PERSON AND: KNOW:THE''SAME<TO :BETH PRINT NAME � f R-r V c A g.L..c ..t ADDRESS / ft0 `f2 R✓ S _7U Gc i IL. Wit ft./1 PHONE 2 y / -s--76=7 CITY/ZIP 95:,/ 6 c PHONE w -763 -yyoo Nora 2' / -5'7A7 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 architectengineer, 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 cont MEOW of Community Development at 431 -3670. DATE APPLICATION ACCEPTED DATE APPLICATION EXPIRES \_:-_-__\- ,��,JAN 1 2 199 _ 1D\-96 03/14/94 SUBMITTAL CHECKLIST MECHANICAL nCompleted 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. 1 Water heaters and vents are included in the UMC — please include any water heaters or vents being installed or replaced. +visonft A.INTILIT : 0 Vii! /13/1430 `3tMAHq 1 • INSPECTION RECORD Retain a copywith permit INSPECT1ON NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 -u.".;tzt:ifil:',"")Lti'ia,..g=1,3tWrilf:".1,1n3; • DON PERMIT No. (206) 431-3670 Pr° lect'kes cience Type of Inspection: ,---- . 7 1—k a Address:} Lt - LON r\ci /1- V c-, . Date Called. Ci Special Instructions: 0-k \ ofer• —C CLv o ■ con t_ P :.:A..0 ■., \-4 ■ rile 11 a 1 Date Wanted: r. , 1 .., plc— an p.m. ri9c( Requester: 4).t--:e" (-4- cai(' (SDK) , Phone No.: 7lo 3- ci 9 0 0 co Approved per applicable codes. 0 Corrections required prior to approval. Inspector. (lA E3 $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. IReceOt No.: 1 Dale: INSPECTION RECORD Retain a copy wfth permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206) 431-3670 • oject: a4 ts-ev7 pe o ns. s tt, dmmr 'Address:A(00z _ ii..24z) 3.-0 e Called: ig „, / 5—, 9 ...c. ' • Special Instructions: .r, Wanted: (1 WCe ' 0- Pes19 (,1&,9a colde/t hoeac74079;q12ekiegeeld I CI VeY el' d-e, ace n ' u ACP) Ph9ne*:-760 3 9 Voo OCrt.- Itid '12' applicable codes. to, Corrections required prior to approval. COMMENTS: // 4:17 4t #11 41,1'7", `44-74Ze s OL " 46t4■044P<- /2 -6e4 'eee 641406 e',0y 416 44grg ..10,771 I I ij Parir€ nspecior: o $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter 8Ivd., Suite 100. Call to schedule reinspection. . nbacJ4M.r as Ir^b`1dW rzl l2.'ie lr: YlLr!::.'J✓"✓: hkN '�'L'a.�1:'t::7::)i &....f.<If. Y..:A�i�a.: i:J . 'INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 M15- nob • ERMf No. (206) 431 -3670 roe :Car (san , o ns•:: ,nmath t4ei Address:) 900, Li?, /3_v5 J Date Called: --7 ,a G2 _qs V Special Instructions: i Date Wanted:, }.+yam _ /�j�!�) Requester:Ro f,,e, f ecit PhoneNo.: 1623. (7ypO 0 Approved per applicable codes. Corr ections required prior to approval. COMMENTS: • , YM • CAtiLc,J v .._. it,.-1'E f 1 r.J.S u t.A`i W a i-u %aCam- `'ESL. i i9F -Ap- . i—Oct lau , • • . Inspector; Date: % 5) $30.00 REINSPECTION FEE REQUIRED. Prior to relnspection, fee must be paid at 6300 Southcenter. Blvd., Suite 100. CaII to schedule reinspection. Date: T./ INS'ECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431 -3670 77 Fr — /1( ' Type of Inspection: /3 � Address. /y /ructions: 2. _ /�ze G'C Date Called: ...7,,y,.__ .5-- Spedal list 4/--- Date Wanted; Q y `-�;") . P.M. Requester: Phone No.: ,J Approved per applicable codes. COMMENTS: ❑ Corrections required prior to approvals ❑ $"30.00 REINSPECTION FEE REQUIRED. Prior to relnspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION DUO* PERMIT NO. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 1 .(206) 431 -3670 Project Type of Inspectick ' arU). " A V to a : ,-1 4_ 14 Q ". special Instructions: Date Wanted: 4-1 7 '3--- am .m• Requester: (y ) Q,,.. X12 �F3 —�l'7 R , ❑ Approved per applicable codes. X Corrections required prior to approval. COMMENTS: " , 11 e_tjg.4,-,L - 5 ,6 etc!. 4. £4Jg z)r4 ., Cu 4-71 ; /f :SPA / q // bi )�-s. e.y, J d v Lj" /7e GI_ _, cep /.e e -, l 1 Inspector:% d'64/7 Dade :� 1 J� G ❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. ecep o.: e; CD INSPECTION RECORD Retain a copy with Permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PE (206) 431-3670 rclert: 1 Co/-1-7 A:, 614 c.."- /5-7 54/44- 'Type of inspection: Ab / . "ressAl 0(9 Z.- .... 2-.7 el, •.... c. : • A-0,., ... , <-7 c., ef Di-, Special Instructions: 17/ " 3 0 -,--z---- Date Wanted:—, . ...--1 /`, 5-3"11 Requester: Phone No.: Approved per applicable codes. Corrections required prior to approval. COMMENTS: 1 Co/-1-7 A:, 614 c.."- /5-7 54/44- 2-_,,,,--- 4.4, /7/ c/1/7 />ze...,,.. amat_... ,' • ._... ,,,r,e-/---- A-0,., ... , <-7 c., ef Di-, - -,--z---- _-„—....,.„_---_,___----- Er\ Inspector: o $30.00 REINSPECTION FEE FtQUIRED. Prior to reinspection, fee must be pald at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Recept IDare: ■-•■■•■•••■ ". . • ***4.******************************************A**A****A**A** CITY OF TUKWILA,,WA ' - . . TRANSMIT • ***********10e****Ak**********.k*********1"s***.***A***** TRANSMIT NumOerl 9400170 AmotAntt:. . 24..•0.0:0.2/02/ 0ernit'Nbi: M.93-0006 i Type:. 0-MECH: MECHANICALP a 6 Parcel 'Nei.:7S4S2070005: Site Address. 14002:42jAV.S ..- PaymentAethodi- CHECK Nbtatibn: ROBERT CARL8ON:.. : Init: SLB *****************************4***.A****.A*4******: AccoLintCOde:::. 1),escri,ption ' . Tald':. 000/322.160.: , MECHANICAL .... RES' H. 2.4,00:: . :.. ' ToW.(This'Poyment).: ' 200.0 Total Fees; • Total All Payments: Balance: • 24.00' 24.,00 .00' GENERA 24.00 TOTAL. • 24.00 CHECK 24.00 CHANGE 0.00 • 9795A000 16:06 Address: 14002 42 AV S Suite: Tenant: CARLSON ROBERT Type: B -MECH CITY OF TUKWILA Permit No: M95Q006' Status: ISSUED Applied: 01/12/1995 Parcel #: 734820 -0005 Issued: 02/02/1995 **k *•k•***** ** *k** * **k•k ***k*k•k******* *•k *•k k• k•kk•k•kk***•k** **•Ak**•k** * **k*k•k**k** Permit Conditions: 1. No changes will be made:_ to the„'Fp= lansu_ n le`ssapproved by the Architect or .Engine.er an i' the "Tukwi is "Buil'd.inig;•_Division. 2. All permits, inspection records, and andapproved.-,,ptans shall be available at the`"�job site, p`i-ior to'Che star ~t, of�°'anyt .on- 's truct i on . :These. documents +, ar,. d ,.to`` be, ma i me ned and. e,va i l `able anti 1 pt`s 'nel inspection approval 1s gran' :ed.; ,: '''.t'''', 3. All constr action to,,be done An' conivo`'r rnance with�,,.app,'oiA ,, plans and;.�r�equ�ir'ements of'the�;Uniform Bui1'ding Code �(1991'�"';, Edition) as emended, .,Unifor�n'Mecha� ical Code "'(:1991,,>>Editio'r )i and Wawyhj1ngton ':state Ener,g��i;",Code (1'9!94 Editionl'r ,,f'< 4. Va l i d� }ty oaf Permi C.. The ,i'asufance of a permit or appre va`1 oft plans. peclfications,' :and comp,utations shall not'be °`icrr =' V strueii to:, :be`'a permitx tor, or,ran- approval of, any violation �,` } of a'n i of the provision. of.:_.,'th ;e building : code or of ';any ,,: othep, ord�1nance of the `''lurisd iction...s'N6, per :mi t presuming` to give '§ authori ty; toi,o l ate o,r �' fca'nce,l` 1the,,fpr�ou i 3 i ons of, th�i's'``' code''„sha l 1 be ;',val i.d. 5 ;':i', i ,4-t ..4, =' {: 5. MANU�F!ACTURERS :INSTALLATION,' INSTRUCTIONS REQUIRED ON TE,:,,,,,,,,,i: " FORE THE O,UILDING'INSPEC,TORS`R�EVIEti . ;. , . -- °l� • 6. "NO; 'WORK,,S:HALL BE, PONE,"JIN1`'ADDI TItON .TO •.THOSE MODIFICAT1ION .� OR REPPACEMENT�OF EKI T`ING:"','APpLIANCE'S�'' ASS ©ESCP -IBED ON THIS } ORIGINAL MECHANICAL PERMIT. ,/.,/:-.‘, r e 7. E I ect eal perm1ts shall be obta ined(t tough te Wash i ng,.t,on Mate, .0 i y, -�.; C!n of Labor and Indu tr� i e'_ and. a`t-1 e 1 eotr ica�1' ��V' work *9,14e `, inspected by that alency (A18'643119).1 8. Plumbiliikpermits shall be obtained t hr o� u h th" e S e atts1l. e -Kin County ofl 'ub l i c Hea ?1A • Plurb i ng "Wi l l bg inspecte y that 'agency including all gasrpipin (296 - 4722W, « sLy, t P' j 1' U ;yz ' t* 4, o ;a .y �f Ater. 1