HomeMy WebLinkAboutPermit M95-0059 - BAUER ROGER171C•4:141
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(206) 431 -3670
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
MECHANICAL PERMIT
Permit No: M95 -0059
Type: B -MECH
Category: RES
Address: 13711 45 AV S
Location:
Parcel 4: 734760 -0240
Contractor License No: NORTHWH103R2
Status: ISSUED
Issued: 04/19/1995
Expires: 10/16/1995
Suite:
TENANT BAUER ROGER Phone: 206 244 -0565
13711 45 AV S, TUKWILA, WA 98168
OWNER BAUER ROGER
13711 45 AV S, TUKWILA, WA 98168
CONTRACTOR NORTHWEST WATER HEATER, INC.. Phone: 206 282 -4700
2800 THORNDYKE AVENUE WEST, SEATTLE, WA 98199
CONTACT WAYNE KNOWLES. Phone: 206 322 -8191
3816 EAST MADISON, SEATTLE, WA 98112
******************************************** * * ** * * * * * * * * * * * *** * * * * * * * * * ** **
Permit Description:.
INSTALL FIREPLACE INSERT.
UMC Edition: 1991 Valuation:
Total Permit Fee:
312.00
30.00
******************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
fc(X- J-1/7-c/5
Permit Cente( /Authorized Sig ture 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:
Print Name: <=_ ? (L
Date: --- v/..25.&----
Title:_ r C'cA3
1�
1-NAD
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 TUKV( 4
Department of Community Development -- Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
Mechanical Permit Application Tracking
CHECK
NUMBER
`S'i- S-Qcsc
PROJECT NAME
50` .r, Ro8�v
SITE ADDRESS
� /1/1
PAZ l
)
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.
DEPARTMENT
DATE IN..
BUILDING -
initial review
O FIRE
pPROVEQ
(2
ROUTEDL
UIREM•NT.
MMEN
CONSULTANT: Date Sent -
Date Approved -
FIRE PROTECTION: U Sprinklers U Detectors NiA
INIT:
FIRE DEPT. LETTER DATED:
INSPECTOR:
O PLANNING
ZONING:
BAR/LAND USE CONDITIONS? • Yes
INIT:
SCREENING REQUIRED? O Yes 0 No
REFERENCE FILE NOS.:
O OTHER
BUILDING -
final review
BUILDING
OFFICIAL
REVIEW COMPLETED
INIT:
q
UMC EDITION (year):
l 1 `l/
ty/V16:
INIT:
AMOUNT
OWING:
43c).,,
CONTACTED
� /1/1
PAZ l
)
MQ . )
DATE NOTIFIED
-"- t ri'-" 65
BY:
(init.)
2nd NOTIFICATION
BY:
(init.)
3RD NOTIFICATION
Y: )
init.
01/07/93
MECHA1`AAL PERMIT
APPLICATION
CITY OF TUKWILA
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
PLAN CHECK
NUMBER
Ina- 006c1
APPLICATION MUST BE FILLED OUT COMPLETELY
FEES (for staff use only)
DESCRIPTION •.
;AMOUNT::::
RCPT #:
:a '. DATE::;:
BASIC •PERMIT •FEE
$15.00 •••
TYPE OF WORK: 0-New /Addition 0 Modifications 0 Repair 0 Other:
:
UNIT(S) FEE ':••
DESCRIBE WORK TO BE DONE: ■ .^5�•- . \,..N......., c,.( 4,)-,, et, \c, 4/a- ..•.s.=
�....A- l--. "v ` g .•.• P • p s —>, .
--'c. r- , °ch..\ `--■... 0w5 -).A.'
..... I 75 ::::::::.::::::::::::;;:::::: :;
..:;:..:....TYPE :..: ;.. RAT NG IZE ... ..
PLAN CHECK FEE
:::::
ADDRESS Z 4:54.) ., —n,..,-- —
OTHER
- S)¢ .
4,4Ic
EXP. DATE
TOTAL
•
. .
SITE ADDRESS SUITE #
‘ -I -'—. \ ----kcc kf\--Q— s : ,.,
VALUE OF CONSTRUCTION - $
-4 %—k—
2J
S -� ,"_
PROJECT NAME/TENANT
Z- c,.yor c 1/4-)(2- C-
ASSESSOR ACCOUNT #
'.1 -1"*" (,% 02'1/4 - -4
PHONE -Z�,*
TYPE OF WORK: 0-New /Addition 0 Modifications 0 Repair 0 Other:
ADDRESS \3 74_ \ \ C
CONTRACTOR �, W r,N.v
DESCRIBE WORK TO BE DONE: ■ .^5�•- . \,..N......., c,.( 4,)-,, et, \c, 4/a- ..•.s.=
�....A- l--. "v ` g .•.• P • p s —>, .
--'c. r- , °ch..\ `--■... 0w5 -).A.'
..... I 75 ::::::::.::::::::::::;;:::::: :;
..:;:..:....TYPE :..: ;.. RAT NG IZE ... ..
<;: ::*::::::NUMBER OF
:::::
ADDRESS Z 4:54.) ., —n,..,-- —
1�
Y)-e_
- S)¢ .
4,4Ic
EXP. DATE
ZIP °� k 1
•
BUILDING USE (office, warehouse, etc.)
NATURE OF BUSINESS:
\
WILL THERE BE ACHANGE IN USE? 0 No 0 Yes IF YES, EXPLAIN:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS Ifq THE BUILDING?
0 No 0 Yes
IF YES, EXPLAIN:
PROPERTY OWNER 11Lc
,,-_.1
-Q.
2J
S -� ,"_
'T_., \C •-•,
, \ ..,
PHONE -Z�,*
_ G,
ZIPt 1 to
ADDRESS \3 74_ \ \ C
CONTRACTOR �, W r,N.v
\
-.,�
PHONE 21,1 _9 1�1 N
ADDRESS Z 4:54.) ., —n,..,-- —
1�
Y)-e_
- S)¢ .
4,4Ic
EXP. DATE
ZIP °� k 1
WA. ST. CONTRACTOR'S LICENSE #
I HEREBY CERTIFY THAT 1:HAVE:READ :AND EXAMINED THIS APPLICATION AND:KNOW THE SAME TO BETRU
;'AND CORRECT,'AND 1 AM AUTHORIZED::TO APPLY FQR',INIS`PERMIT:
SIGNATURE
BUILDING OWNER
OR
AUTHORIZED
AGENT
CONTACT PERSON
PRINT NAME \
DATE
0
PHONE 3ti_5�41
ADDRESS <
t
CITY/ZIP
PHONE - S-t�
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 contact the Department of Community Development at 431 -3670.
DATE APPLICATION ACCEPTED
DATE APPLICATION EXPIRES
10-6 , q6
03/14/94
SUSA111TTAL CHECkLiST
MECHANICAL
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.
Water heaters and vents are included in the UMC — please include any water heaters or
vents being installed or replaced.
•o•
( ' DEPARTMENT OF LABOR ANL) INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HERECA IS REGISTERED AS PROVIDED BY LAW AS A
.._.....__ _...... . _ . .
E LE C
PA.
• BEGUM Waal • .
amnmun.
.,.,,,•01. • .
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WHO
. .
*04 09/95
.NORTH'
t.WATER HEATER
Ti-tORNDYKE AWE .w .
SEA.TTLE
STATE OF WASHINGTON
F62$-o$2.000 (3.921
DEPARTMENT OF LABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A
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• 1 1-•-: • rn.,r ?I' .7- ..• • :
STATE OF WASHINGTON
-" 'FIEWMIAMMMMISIM •
0(MMMOAW'
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*...-7,NORTHWNIC4R2...12.1ast.
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EFFET.-Tr.'VE' . DAT=
, . 9.5
t12.122/g0
N3iiTNNES±.4TR.HrR
2800*THORNOYKE * .
SEATTLZ I .0A 98199
State of Washington
, County of King
- -
1' certify that this is a true
document as presented to me b
000111m,,,,,
s•s‘‘.0 .... r/Y0'10.
"N".-• ........ .... • 4, 't.
• 0
:: A. •• 4*.
''' - : 0 NOTARY t't- •:.
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vi. LIP Wil06/.0s
.14148 a .111101'
and
le
F62$-052.000 (3.921
RECEIVED
CITY OF TUKWILA
APR 0 5 1905
PERMIT.QENTER
orrect copy of the iirigihal-"
Seems December 22, 1994.
nature of notary)
Y anda M. Thomas
(p' inted name of notary)
Notary Public in and for
the State of Washington
(title)
Myappointment expires 11-17-97.
•
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
c° 61
PERMIT NO.
206)\431 -3670
roect: I, AtAD2, go5,1.
ype o ns. : - ion: n N
Address: 137 ) 1 45.7.4 4/ s
ctate Called:
Special Instructions:
Date Wanted: ql , 2.1 _ 95 am,,
Requester: ---
1.,AIS5,1\t HOUSe
XApproiied per applicable codes.
1: Corrections required prior to approval.
El $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
T — • '1 --1
ROC* No,:
Ode:
*A * * * * ** * *•k * *��4 "Ar' • h*** k• k*• k• h**• A•***• A**: A****A* **h*h•k** * * ***•A•*•a.*ih•k* **•*
CITY OF TUK.WILA,. WA TRANSMIT
*•A••k•A* 3/4A* A•****kk A* A***** k*• kA*********** * * * *A */A * *A.* **;**,1 * *** *A• *k.*
TRANSMIT H;umb' rt' 94002158 . Amount;: 30.00. 04/-19M :0t.
Payment Method: ,CHECK .Natation: NW WATER HEATER Irri% aP,.
—7---........... Permit. No:. 0495 - 005 1 ` Typc,: 13 -MECH MECHANICAL_ PERMIT
Ar.601 " No:» 734760 -•024O
"a i.te Addres : 13711 15 AV 8
Thi$ Payment
Total Fe es. 30.00.
30.00 Total ALL .Pmt: 30.00
Balance: .00
* *•A * * * * * *s4** * *It k *A* * *•h * * ** \ *•k * *•k A• * * * * * * *.•k* * *A• * * *•k * *ii* * * ** *
Account Code ''Uescr.iptian Amount'..
OuO'/345.830 PLAN' CHECK =- RES
000/322.'100 ':MECHANICAL ~. REa 24,060'.
GENERA 30.00
TOTAL. 30.00
CHECF( 30.00
CHANGE : 0.00
2059A000 16 :27
Address: 13711 45 AV S
Suite:
Tenant: BAUER ROGER
Type: B -MECH
Parcel #: 734760 -0240
CITY OF TUKWILA
Permit No: M95 -0059
Status: ISSUED
Applied: 04/05/1995.
Issued: 04/19/1995•
Permit Conditions: **kk** k ** kk k k* kk *kkk***** k* k k * *kk** **kkkk* kk* *k* * **•k *k *k k*
1. No changes will be made;xt.o. the:'p ±laani.l. unl'e3s.,..approved by the
Architect or Engineeir; and °th`e Tukwila"•"Biri 1ing4 Division.
2. Al 1 permits, ins,pac:t,i'on r ecor�d s, and approved pl?3ns shat l be
available at the `k,5oh siwte pri:ori9 to the start ot°`ari�hr:�con-
struction. .Thee doc'umen4tS4are': }t6 bye ,ma in *A)ned and.ravai l-
ab 1 e unt i 1 /9#‘1 i.n�s, `e.c,t i'on approval i°s gr anted .�:k? e,,
3. Al 1 . construct ion t=o; be done „ =in" confo`rnance with approve
plans tir4gpIremer ts of `the' <Uniform Bui l`d•ing t od f'(.199 ,'
1 ans an,.
, Editionas amen -ded,:;;Uniform'`Me.c`han::ical Code ``'(;1991 9Edi,ti66, „,
and Wad 'n�ton Stat,e Energy •, Code ( 1994 Edition).,
l,
.,
4. Val idtity of Permi.t�. The- t.isy'u'ance of a permit ors•apprcvai'l ofa1' +;
plans: `';��spe•cifica,tions,..•and cdm•p.u.tations shall not 'be ��con=
strued; tp� abe;'a p`ermi t for, or :;Teri'' approval of, any viol.atAtin .
of a,ny of the prov i s i this "•of• -. the bu i�1.d'i ng code or of ';:any,t
otherst ordinance of
the juridic'tion= ..4No ',permit presum; ing,!t to o
give,auphority to,.violate orricance he) provsions oiy, this
col8 ia11 Abe `.v°id .\y e`i r . i F�1 a r
5. MAI LIFACTURE.RS :,INSTALLATION . INS TRUCXIONS..- REQUIRED ON S °.ITE; (,
FOR +:.T,HE BUILDING ;NSPE.CTORS'*EVIE1i.',. ` ` ,'' z,,,., }:•a:+4
6. P1unibin.gr,p:er ~m1;,ts ha` li/be/obta:in,ed °tithr *o.ugh��• the: ,eattle -i' ingz
County Department o'fti<P�ub.,l;�l.e" Hea`�I t,h.: ,P,1;rrmh Ing. w i l l be •
i nspe''c te,d `,by, that agency, i nc 1 ud l'ng a.l l` ,gas- p-.i�p i ng :' n�`�ic41t..
(296.1122W,:. .� .., r s... Y' ) i. : 44 Tk t
7. E1ec •cal 'pe_�mi�ts shall be obtained r,,tt r'ou h '<tI a W^O,sh,i igttan
State ',D v i;4 o h of1,,,Labor and Indu tr 1es ;a d'a,1,1�',�� e l ectr i c�3l� ..
work w l be inspected by that s cyti, (2 81663, 1.)e
V\ '. NI
ilq Oti s , y . ft
APR -12 -95 WED 15 :47 WDF
•
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IN -tom
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• f0/40001 4SNF
144000ASNFL
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Accessories
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* FJC139A
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lerWSC21
41DNWSK2I
W Product Co
Insert Supreme (ND FACE)w/logd 1179.00
Insert Suprerne (LP) W /logs 1179.00
6 329 4277
P.03
` 178 P03 RPR t2 '$S 70:38
•
4000 INS
4000INS MASONRY INSERT
Standard Features
• 21,00 b 30,000 BTU input
• Va¢klble Flame Ifieght
• High t0lidency up to 70%+
• Six RecdLstic looking Oak Logs
• Fixed Panel of Ceramic Glass
• High Temperature Limit Switch
• Pim Ignitor and Safety Plot
• Installed Junction Box for Remote Control
• Burning Embers and yellow Flames
• Polished Brea Trim (Sunound, Hood and on Glass)
• 160CFM Blower that Includes On /0(t Temperature
Sensor Switch for Blower and Variable Speed Control
• 'On /elf Switch on Face of Unit
• Easy Connect Liner Adaptor (47
Approvals
Lo mat Filter For GFK• 160A 17.&0 • A QA. Design Certified as a Vented D e a1ivo Gas
Remodel Remote Control 150.00 AppUonce to ANSI Z21 .50•1486: 221,500.'1987; Z21,50b•1988;
Remote Thermostat 199.00 and applicable portiOns on ANSI 221.44-1988: Natural or LP
Variable control (=alai* for Natural Gas only.
Wall Switch -Ivory 16.00
wall Switch•whlte 18.00
Decorative Hoods & Fronts
s11N46142
i•
A/11446142AB
r *t1446142BK
6 10446 1 42PC
41W4614258
' •1W81CP40MW
i, 144PBF4000IN
ftNDFALIN
i 101DFGBIN
BNINCA432
• 1BN1NC4832
*101111F4832
Metal Fireplace Surrounds
a 11r1A1 44IN3 4' AB Surround (4000IN) $170.00
0/2405442•13 4' PC Surround (40001N) 170.00
• Htv8KS441N3 4' Black Surround (40001N) 170.00
• Iil441N3 4' SS Surround (40001N) 170.00
1iNP15441N3 4' P8 Surrouru140001NC New • 170.00
Pol Brass Hood (Zc. WS,TV)
Ant Brass Head (2C.1143,TV)
Block Hood (2C, [Minh
chrome Hood cZC,INS.TV)
Satin Brays Hood (ZC.INS,Tv)
Black Front (4000114)
40" X 28' Pol Brass frurt F'ac
Almond insert Front
Gloss Black Insert Front
White insert Front
44' X 32' Black Faceplate
48' X 3T Bik Insert Faceplate
Extended Insert Fiont•P8
$35.00
35.00
38,00
35.00
35.00
100.00
240.00
200.00
200.00
200.00
120.00
140.00
260.00
Venting
+L4 M=
‘ 74)135GK
• liNFP1.04
3243964'x 20 Alum Liner Kit S130.00
3243964" X 35' Alum Liner Kit 179.50
Flex Liner Kit (1N36It'p 229.00
1.12fY1 £AO 'i. •A
APR -12 -95 WED 15:47 WDF INC.
P.Q. 13 )X 91060, Seattle, WA 90111.904
.�C
WOO
ADORESS
206 329 4277 P.02
179 P22 APR 12 '95 10:37
METAIL INSTALLMENT CONTRACT 0.'
AND DISQ.O$URE STATEMENT 12'711ANK
SUOJECT TO CREbITAPPROVAL AND COMPANY ACCEPTANCE
MAR 3 0 1995
PURCHASER INit9piAAT1oN I1 sl*ICTW►R --I COCA PRINT
ZFItdST AAIiE 100E T RAE _ - :21B NUMBER
43
CU TOMEIi1Qn}N►IBER
ctTY't !
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REP.
414.14 ot-.1 0 h.
DESCRIPTION
ITEM NUMBER
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CASK PACE
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COUPS
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IT IS AGREED AND DECELARED TWAT THE TERMS AND CONDITIONS SET PORTN
ON ON ERE REVERSE PARTIES HERETO. DE NETOOP ARE PART OP TINS CONTRACT AND EWDINO
Nome Washlnyton EneryY Servfcea Co. Intends to wII Uric Contact to N.Y Bank 01
WsehM01Dn; P.O Box 9544, s.anle, WA 98171.3541, which, 1111 buys The Contract, sill becotna
ovnv at Ina connect and your c,edoot, Alter the sate Walls Contract, an queayone Conct rntnd
edit terms of heConk atiorpo�yy�m��e�nlsshDUlebe drooled to Key Bonk alrMaddrawhdloalW
above, orb Customs, S%Aka (N6) 8148940 a 1.10043349 0,
FINANCE MARGE
The dollar amount
credit ■111 owl me.
rrEAS112ATh011a
Total q Paylllatnea
The unounl 1 well Nye
psld Mar 1 haw made all
peymartic as scheduled,
• T st date Is an MItmae on ' "'r . oompidon dale d In:IMiYon /Wed above,
SECURITY fNTERE6 t:1 am plying you a aecuny Interval In IM goody being purchased +rhlah ore dnerlbed above.
LATE CHARGO: K a payment Is ogre Than 10 days talk l wle pay theism., of St or an of Ih• payment.
ASSUMPT)0/k to the awl that I esl1 my bona 1 underaten0INN no ban asW ntpYen option to available.
PREPAYMENT I can popsy whet; oe s you H had 51 any lams eallr.W panely•
I Understand Nil 1 should sae the contract lot any additional N+br *on about nonlay nanl default. any tP9ulrvd rapayremt In h U beim to
soheduld due daw end security Inlarost
Tha finance Charge and TOW Pay mar* was ealculgNd assuming 1 t►11 pay all Osymen11 on Urns. RIpay an Instalktint alter Ile solsoduled due dal%eddNlonal
Inmost wIN continuo to accrue, late charges may be Imposid, vnd she anal payment wW as hgMr lam ma amount shown.