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Permit M95-0032 - CARLSON RAYMOND
0.* CARLo?\1) RA11,40b 1? city o�7�skwil� (206) 4313670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 MECHANICAL PERMIT Permit No: M95 -0032 Type: B -MECH Category: RES Address: 4014 S 150 ST Location: Parcel #: 004100 -0270 Contractor License No: ROSSOES101,LL TENANT OWNER CONTRACTOR CONTACT CARLSON RAYMOND P 4014 S 150 ST, TUKWILA, WA 98188 CARLSON RAYMOND P 4014 S 150 ST, TUKWILA, WA 98188 ROSSOE ENERGY SYSTEMS INC. 9367 RAINIER AVE SOUTH, SEATTLE, WA 98118 J. SCRIBNER 9367 RAINIER SOUTH, SEATTLE, WA 98118 Status: ISSUED Issued: 02/22/1995 Expires: 08/21/1995 Suite: Phone: 206 241 -7590 Phone: 206 241 -7590 Phone: 206 725 -7555 Phone: 206 725 -7555 ******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Description: INSTALL OIL FURNACE (105,000 BTU'S). UMC Edition: 1991 Valuation: Total Permit Fee: 1,867.00 26.00 * * * ** *************************************** * * * * * *�} * * * * * * * * * * * * * * * * * * * * * ** . wig- iaa. "l5 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: e- Date: 2 Z Print Name: J4l(���Q.L. QJJ(`if8t1. _ Title: _1�eA(tl�l(__ 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. • MECHANICAL PERMIT APPIJCATION CITY OF TUKWIL,A Department of Community Development - Building Division 6300 Southcenter Boulevard, Tukwila WA 08188 (206) 437 -3670 • IVI , a Mt-..at �.r�++ay,�?W wars♦. ,fl.SJ rl.W4.Y.�r.wrrnrwrww.Narf gfpur 11 ._.MAeae4Jwr.S.S %.*a �«•H�rud. PLAN CHECK lieNn NUMBER gN6—ocy� APPLICATION MUST BE' FILLED OUT COMPLETELY Fees (for staff use only) 5< #;':DEsORIPTI.ON; Ie .MOUNTO:4 i FiOPTi•,: ^;.. �:fs;�''""��. 3 ;.:.:; i •,t,1•i ilk:! :;.f:r.. SICYi?ERf IT,.pErF, .....i' - -'1;N; r.'K.,�,<il! r:'fA }� �.r: i:1NIT f"L-C. ..4 !i'.'i:!' •` . r,,j�r .�On;��$:i:!i•sl:'• ° ; 1'.a; i.!. :.,.�,• l;i:,: j..;''' ; • .:t:l,'j:. •'.!:l;i l<�. . !.5� ?;'Si'. :; .: �tµt sill �;i5•i !�f.i st; r.. c;.;; .�, :� •'''.Ifr�', YS':5!i7r � ;y?s., i:'il ;:, >. ;:!j:R:' :��.; �: „: }.• }..<<.,';., g:il(lii •Y l�.r.�i "1; �yi:..:+: "!:fl:v. .. 'i.L;A �'?.Tj S:•;,. y'r! ^Y:i• "!' ;:,:.:!:,i:Si.z ; o:! HI � ikiY F',� AN�GkfEG1(4iFEE <� ' s. '1R;r w1fw1' _ •• ' •Y ?n rfM'! 3, i �f. >.;,!.:;ii:i SITE ADDRESS r.-,. T.._..�_ - , �hS SUITE # 90 r S r:� ) 5"C PROJECT NAME/TENANT Calkovi TYPE OP /WORK; 0 New /Addltion Modifications Repair 0 Other: DESCRIBE: WORK TO BE DONE: VALUE Of: CONRUCTION - ASSESSOR ACCOUNT # 00 /000 oZ7O TMy, 4vrah9�.1!��4^!.G4� !..'!�+M+MM�r�!�+ • ^ +Y+�Il.�uf..varrt�• r N.. ■.,Y•.; .f�:,l• • j :,',:4::.!1'1•, .f. ':}':s ..V" 'Yn !i„,er:i.., 1'n ,N� 55. � �« ;,...;:.1�'pBi .. r;�:� :; �......R; 71.JGl..+IZ , }.<;.;,r "r•,:�.f„�.. „ , .. �,_,..,_, • BUILDING USE (office, warehouse, etc.) ' ' NATURE OF BUSINESS: WILL THERE BE A CHANGE IN USE? , No 0 Yes IF YES, EXPLAIN: .J. I WILL THERE BE STORAGE OR .USE OF FLAMMABLE, COMBUSTIBLE OiTHAZARDOUS MATERIALS IN THE BUILDING? LI..0.,No CJYes F YES, EXPLAIN: PROPERTY OWNER TH—ONE —:76— 0 p 5o o y h CONTRACTOR /<c-SSc e �= +Vc �,E'�,1 S.`/ S • 4 7 ,P/ T,J e WA, ST. CONTRACTOR'S LICENSE?, # 5 / P ADDRESS ,<' 1i1% / 4/4 f1V PHONE 725 —_ 7a t-•S- � 1ZlP 9g/ l � I11gR.Es?(ji .ERTIk'Y T.1��fA.T 1! A'V -$CAI ..'l1:, nY. ;'. 0.,1Y rr, •.F,e !u iq �l.y i,, �r .>e., '! ;ANE2''G1JR'E'1 '; iA;tJbiIi rtf',gli. > f�H G` SIGNATURE PRINT NAME BUILDING OWNER OR AUTHORIZED r SL f' 1 6 /V C AGENT ADDRESS G'5 7 f,9 5 • 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 Corm. Application and plans must be complete In order to be accepted for plan review, p,Y,, I ,,jA ..y :1 N�AN • MIN E .H b, ..P , I I tpM:hi.:W' r )•; s:,• .. ;'`. �;�3`•,.::i:. ; rrs!i ! ..f r;,C.r�., '.,,:xd:k!y f..!<!.':..,_._,.,,.:r Y,. F: �1�'; .`rtjit�N>~f'iMl�",..r,���,,.W, . ..,.•,,,:� 3,: ...rte.. CONTACT PERSON DATE a/ g 1g PHONE Z 5 "— "7 57.s— 5 CITYrLIE' .-7„, ,, PHONE. z / • BUILDING OWNER /AUTHORIZED AGENT If the applicant is other'than the owrier, registered architect/englneer, 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 ezwered 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 lees, . EXPIRATION OF PLAN REVIEW Applications for which no permit is Issued within 180 days following the date of application shall eptre by limitation, The Building Off Iola! may extend the time for action by the applicant for a period not exceeding 1130 days upon written request by the applicant as defined in Section 304(d) of the Uniform Mechanical Code (currant edition), No application shall be extended more than once, • • it you have any questions about orir process or plan submittal requirements, please contact Um Departrnent of•Community Development at 43.3670. DATE APPLICATiON ACCEPTED —«�Y,W�I.. r..�.MYrilYr .�1`�/iYr�W.Y.. - •-_. «..uwr. -rW l]A'T'F APf'LICATt�N (:XF'IRE5 �� �� --aQ.` 95 SUBMITTA.. CHECKLIST MECHANICAL 411 Pi•IIIMIP. 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, VVater heaters and vents are included in the UMC — please Include any water heaters or vents being installed or replaced. J,� PLAN CHECK NUMBER mq5 -ooh CITY OF TUKW( 1 Department of Community Development — Permit Center 6300 Southcenter Boulevard - #100, Tukwila, WA 98188 (206) 431 -3670 Mechanical Permit Application Tracking PROJECT NAME C_CKVIO__M f:O• mom SITE ADDRESS 11.Q11 LI I6O &t- SUITE NO. INSTRUCTIONS TO STAFF • Contacts with applicants or requests for information should be summarized in writing by staff 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 department. • Any conditions or requirements for the permit shall be noted in the Sierra system or summarized 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. DATE DEPARTMENT DATE iN REQUIREMENT O BUILDING - initial review CONSULTANT: Date Sent - • MMEN`T Date Approved - (ROUTED) O FIRE O PLANNING INIT: INIT: FIRE PROTECTION: prinklers (D Detectors ON /A FIRE DEPT. LETTER D D: INSPECTOR: ZONI ��; /, IBAR/LAND USE CONDITIONS? 0 Yes No O Yes O No S . dill• - EO O OTHER INIT: O BUILDING - final review O BUILDING OFFICIAL CE FI,E'NGS.: (a i (EDITION (year): INIT• INIT: REVIEW COMPL ED AMOUNT OWING: CONTACTED DATE NOTIFIED BY: (init.) _ 2nd NOTIFICATION BY: (init.) 3RD NOTIFICATION BY: (init.) 01/07/93 PLEASE DETACH AND SIGN CERTIFICATE BEFORE PLACING IN BILLFOLD REGISTgREOAS PROVIDED BY LAW AS A: ' j.. ' REGISTRATION NUMBER °:: • ` , "• • ,:Q(PIRAT1ON DATE ',' ,::.9. ; :;•, ., .-:R©SSOESIC1•1LL: ,Ob/ 0/,” I::V EFFECTXVE DATE .06413/9, C i:,R.OSSOLC: EN ROY: :S' STEMS 'T s:993427 RAINIER .AVE'` S, '.. SEATT, WA 98118 SIGNATUR ISSUED BY EPARTMENT OF LABOR AND INDUSTRIES rx,4 4Ar< r R' ii,ARSON My AppointffeM Ex innftb4AY ,lea. I tii F626-052.000 13-92) INSPECTION RECORD Retain a 01-2Py with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 M 615— 003 D- PERIM NO. (206) 431-3670 76WCr. * a 4 # _ / g R o' _, Typeot Inspect F—i I j x ( 4 ) . " E r 6 / 4 s /S- 6 ST 11 . : • 5 e Special Instructions: LA-1-f_ fts pbSSI bi"e: Date Wanted: 3 —3— 516 ang Requester: A./ Phone No.: --1 67S53 Approved per applicable codes. COMMENTS: 0 Corrections required prior to approval. o $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. IRece01 No.: F� CY INSPECTION CORD, Retain a copy with permit CITY. -OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431 -3670 Project:ea/A Type of Inspection: Address a j 4 , . . . . , , , , t , ifs.-) ,/`i e Called: �J // 7'5 . Special Instructions: e( ,,0.7)//. 1 fial C' Ir " r. k' Date Wanted: 9 97/c...... •-• /...J am.0 Requester: / lL it- (' B //7 1 :Ji, c me - 70 i, - Phone No,: (� i19) 5 -' ❑ Approved per applicable codes. / Corrections required prior to approval. COMMENTS: nspector: r GaLc. k/L-- ac.-11458�-xc --ru. i- ❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. paid at ice: Dale: ** kk*A*:\*•******• 4*4****4*• kk •A *44A ** *4k * ** **:4 **44* * * ** *•A *44.4 *k * ** ** CITY OF TUKWILA? WA,,0 TRANSMIT *4 4******* 4. A•*************4* 4. kA *•k***•A*** ***44** *4. **•4*;*4- 4*4 *A*** TRANSMIT Number: 94001567 Amount: • , . 26.00 02/'22/95 09 :43 Payment Method: CHECI( Notation. R0S30E Ind c U Permit No: M95 -0032 Type; I3-MECH MECHANICAL PERMIT., Parcel Na: 004109 -0270 ' Site Address: 40.14 $ 150 ST 't Tbtal Fees: 26.00 This Payment 26.00 - . Total ALL . Pmts: 'r 26.00 ' Balance': 00 ***** k***********• hA•************* 4 * *•h ** *k * * *•k * * * **4k * ** * * * * *44 *fir* Account Cade Description Amount 0.00/322.100 MECHANICAL RES 26.00 Li Ob. Chacjc las q ,00 C.k GENERA 26.00 TOTAL 26.00 CHECK 24.00 CASH 2.00 CHANGE 0.00 0325A000 16 :00 . CITY OF TUKWILA Address: 4014..S'150 ST Suite: Tenant: CARL SON RAYMOND P Type: B -MECH Parcel #: 004100 -0270 Permit No: M95 -0032 Status: ISSUED Applied: 02/22/1995 Issued: 02/22/1995 *****************• k****• k************ k' k********* k* * * *'k*•k * ****** ** * *'k * * * * * *'k ** Permit Conditions: changes 1. No c wi 11 be made the; ... o ' °-ptJans,ssti.runle7,s,.approved by the Architect or Engineer ,atidfythe'� "TuF:wila " "Buklld4i g,DIvision. 2. ‘A11 permits, ins ,e( i'on records, anti a roved la'ns shall be p :p s, p p P•. , available at the .5ob si,te`� .prior to!the stat-t ut"".�eny:•�con- ,� r 3�. f. � � s � to % f, '4 t. tot .he 7- t, y?:, ♦ , � struct1on. These ad(oc.umerl:tsr a`he;.,:to b�e. ,nain ,a'`ined an,d.ravai l- ab 1 e unt i 1 ,.fripa l <1,nspe.ct ifon approval its gr�'antedri,,rr�r y� f' 3. Al 1 const,r uction to x, be done inl confot''inanceJ with=;;appr,�oved plans and requiremehts of "the;t�Unl form Buiiding Garde (,19912 r,:, Editiori,V. s a`mended,; Uniform` ►ec'h nical Code•4(•;1991 'Editioh°1!,r and Wa.;hington Stat,e�Energ,4�r:sCode (1994 Edition)',,�'`,y „rt,��,�, i' `� 4. Va 1 i d,i, y DJ' Fermi t. The, •., i ss�uance of a permit or °,appre'va`'1 fig' pian � `i spec1`fications,',and computations shall not 'Abe Itcori ;yJ:.' strued; to.,b& a permit nfor orf an- approval of any vii '.z:”. 'f' , o1aFt;ion ,, of NISI of the prov•isions-of...th,`e building code or of �',anjiJ. ` othfer ; ordinance of the 4:iur�isldl ction;. , ,'No . per mi t presumitigfi'� to give'�� authority to ,:violat,e `orica'nc.e;l "'t I e provisions of. thris' code ' ha 1 1 .)e''va l�i.. t. { ''1 ` `� ` '' / ' 4< t4 5. MANU, AC'TURERS; S ;� S s. IN, i'AG�ATxI�N.N. TRUlI1...RE6LIIRED ON SITE r FOF? tHE BU: I�LDI NG,- INSP_ECT�OR9REVIE4J�.�.. -- - --- �` �, � . ,� 6. E 1 eeci't • i cha:1,,, per rni ts.-;�tia,1 1� b'e olbta i nedr! tl)roug�h the Wash i ngtonr D pof La,bo,rlr,and' Iniiu`str,1er0...,04m -.aj,1 e1ectraic�'1 , wor 111 be inspected by that a'1gepcv (248- �'(56.3Q) . 4 .v if/ 6