HomeMy WebLinkAboutPermit M95-0095 - ANDERSON JOHNAtql)wsoqi
NIM L.
rYwn4rocris
City of Tukwila (
(206) 431 -3670
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
MECHANICAL PERMIT
Permit No: M95 -0095
Type: B -MECH
Category: RES
Address: 15227 40 AV S
Location:
Parcel #: 004300 -0165
Contractor License No: NORTHWH103R2
Status: ISSUED
Issued: 06/08/1995
Expires: 12/05/1995
Suite:
TENANT ANDERSON JOHN L
15227 40TH AVE S, SEATTLE WA 98188
OWNER ANDERSON JOHN L
15227 40TH AVE S, SEATTLE WA 98188
CONTRACTOR NORTHWEST WATER HEATER, INC. Phone: 206 282 -4700
2800 THORNDYKE AVENUE WEST, SEATTLE, WA 98199
CONTACT GEOFF ARNOLD Phone: 206 419 -6473
2802 EAST MADISON, #101, SEATTLE, WA 98112
******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Description:
REPLACING GAS FURNACE IN EXISTING SINGLE FAMILY
UMC Edition: 1991
Valuation:
Total Permit Fee :.
1,738.00
26.00
* * * * * * * *, * * *. * * *1k ** iii► .********************** , * * * * * * * * * * * * ** * * * * * *.* * * * * * * **
Permit Center Authorized gnature Date 441,s, .t3q5
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
or cancel the pray
construction or
obtain this bui
Signature
Print Name
i does no
ive authority to violate
ocal laws'regu,lating
authorized to sign for and
Date:
Title:
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 TUKWCc" 4
Department of Cummunity Development — Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
Mechanical Permit Application Tracking
PLAN CHECK
NUMBER
PROJ CT NAME
d sDDJ
J0k
1.
SITE ADDRESS
159-01
,-1-0 A-1/
S
SUITE NO.
INSTRUCTIONS TO STAFF
• Contacts with applicants or requests for information should be summarized in writing by st 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 depa ' ent.
• Any conditions or requirements for the permit shall be noted in the Sierra system o summarized
concisely in the form of a formal letter or memo, which will be attached to the pe it.
• Please fill out your section of the tracking chart completely. Where informatio 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
ATE I
PROVED
O BUILDING -
initial review
O FIRE
O PLANNING
O OTHER
(ROUTED)
INIT:
O BUILDING -
final review
O BUILDING
OFFICIAL
IRE:::.
MMEN'
. . ............ .
Date Approved
S inklers L) Detectors (UN /A
ZONIN�gO� it`
war G 13EQT
INIT: . IN� ,►. '
INIT:
INI
EN
INSPECTOR:
BAR/LAND USE CONDITIONS? • Yes
? OYes ONo
EFILE NOS.:
UMC EDITION (year):
INIT:
REVIEW COMPL - ED
AMOUNT
OWING:
CONTACTED
.,.._
DATE NOTIFIED
BY:
nit.
2nd NOTIFICATION
BY:
(init.)
3RD NOTIFICATION
BY:
(init.)
01/07/93
CITY OF TUKWILA
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
MECHAHILAL PERMIT
APPLICATION
PLAN CHECK
NUMBER M ( (%� .—
q L�
APPLICATION MUST BE FILLED OUT COMPLETELY
FEES (for staff use only)
DESCRIPTION
AMOUNT!':
RCPT ;1tt `;:DATE:.
BASIC PERMIT FEE
'$15.00
UNIT(S) FEE
PLAN CHECK
OTHER:
TOTAL:
SITE ADDRESS SUITE #
I ()-------i- - 4-012-1 /-0 ,
VALUE OF CONSTRUCTION - $
4 c-i--. =-
ASSESSOR ACCOUNT #
r - • •
• Other:
,_ r ` l , 3(zi
PROJE T NAME/TENANT
-l! \R A �� i. c rC A)
TYPE OF WORK: O New /Addition Modifications 'O Repair
DESCRIBE WORK TO BE DONE: ,
-- -
: ':TYPE ;::: ...:.:° .... ;:::AATING/SIZE : .. ::. ::.:. ;`:NUMBEROFUNITS>;�; ;: <; >;:
;
��:: ,,..--..,,
c.'1frj a6afi1 c 1 _ .. A.0 0 ,PL'!
q ( `
c (`TI-t I
(? noo
EXP. DATE
I
ADDRESS p9g00 — H0"
WA. ST. CONTRACTOR'S LICENSE #
BUILDING USE (office, warehouse, etc.) S' c — -
NATURE OF BUSINESS:
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?
O No O Yes
IF YES, EXPLAIN:
PROPERTY OWNER jU{-I tO ii--\&7 6 sn /6
PHONE
,_ r ` l , 3(zi
ADDRESS 0 "art
ZIP
•
CONTRACTOR t. L 1 - -- L
-- -
�
PHONE _
q ( `
c (`TI-t I
,> H (o (
EXP. DATE
ZIP
ADDRESS p9g00 — H0"
WA. ST. CONTRACTOR'S LICENSE #
HEREBY.CERTIFYTHATI HAVE READ AN
AND. CORRECT i4ND:1 AM >AUTHOAIZ
SIGNATURE
BUILDING OWNER
Alb NO
THORIZED
AGENT
1[S. A • PLICATION :AND KNOVY THE SAME
ER
DATE
PRINT NAM
ADDRES
41
PHONE L6,9�
CITY/ZIP
CONTACT PERSON
i
PHONE
APPLICATION SUBMITTAL In order to ensure that your application is accepted for plan review, please make sure to till 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 quN ' (kobout our process or plan submittal requirements,
please contactritealPepagiaaant of Community Development at 431 -3670.
DATE APPLICATION ACCEPTED
N 0 8 1995
DATE APPLICATION EXPIRES
O3/1UW
— . \\ \M \N�NN4wNN \NrNNN�1.WNIVMW VNNVNMYMN\'�MVMWNN \N�\b
DEPARTMENT OF LABOR AIL. ..INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A
0.
E'L._ C CGNTR GcNcRAL
. .
REGISTRATION NUMBER •
IXPIRATIO DATE •
;Cal
:
N RTHWHO99.a.
04 /09/95
NORTHWEST: -WATER HATER I RUC.
2800 T r:O.RNDYKE AV, . U
S;A.TTLE •
wA .98L99
STATE OF WASHINGTON
F625.052- 000(3.92)
F
,wy.±,nw,,nvv
NNNFN\NNNNV
♦WV� \N\We \"NNN\
DEPARTMENT OF LABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A
• .. ►Fl:' l .... ' 4,4
./*
REGISTRATION NUMBER
.' EXPIRATION OATEN •
..,.'01.
,; =;HD'TH iSFt:1d3R2.
,.12./2°.2/9.5
.,
Ff'T!YE'D 'AT
.i2' 2'2/Qo
•
4 R•T,HM ;.S1 -.4TR .HTR INCIDAN•r'S. vH . '
2900 THt7RNDYK: AVE, . ,
S_ATTLZ . wA 981 99
STATE OF WASHINGTON
F625 -052.000(3.921
State of Washington
County of King
1 certify that this is a true
document as presented to me
4sts0A M. Th' •,
NNOTARY ,' N
r . G r
• — *--
a (n ;Z(5 PUBLIC: 2:
• •.y�� McER N�1.6 $
+ +‘��0 r:NAS��?,,o�
RECEIVED
CITY OF TUKWILA
\R\M1Nb\\r \NN�N
and correct copy of the original'
-n�� Seeman December 22. 1994.
de
(s ature of notary)
Yo' •nda M. Thomas
(printed name of notary)
Notary Public in and for
the State of Washington
(title)
My appointment expires 11- 17 -97.
JUN 0 8 1995
PERMIT CENTER
rINSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Project:
A t�fl,-rorJ
ype o nspe
• . '
N •
address: /5 Z4.7
/0
A✓. S
Date Called:
- /0
Special Instructions:
,,
3 � ,,,
Date Wanted:
' "70 -�7)
am,
Requester:
4.3 L-
Phone No.:
2 .57-7741 (0
E (Approved per applicable codes.
❑ Corrections required prior to approval.
❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection.
IRecept No.:
Date:
•h *ei k * * *` *. * * * * * * * * * * ** 4 * * * * ** k* * * * * * * * * * * * * * * * * * * * * * * * *A** * ** * ** **
CITY t3F - TUKWILA, WA !TRANSMIT
* * *** *4(*, * *,k* • * * * * * * *** * * ** *A• k*Ati * *A *i ** * * * **4 ** ** ` * ** *k *A•n.*
TRANSMIT Number ^. 94002425 Amount: ' 2[,.00 •0&/ 0/0'400ej11
Payment Method: CHECK Natation: .NQRTHWE$T WATER "AO•
Permit Na4::M95 -0Q 5 • 'Type; B -•MECH • MECHANICAL PERMIT
Pe cel .No:. X004300..:'0165. •
Site AddreSei 15227 40 AV r.
TM i f; . Payment
,Total Fey sn 26.00
26.00
Total 'ALL pmts: 26.00
Balance. .QO
lkir ?kh,** * * * * * *•.. * **A* A•kol * * *. * ** *#* *41. *AAiril *** ,* * * * h * * *•k ** * * *** *,1•k**
GENERA
TOTAL
CHECK
CHANGE
3410A000
26.00
26.00
26.00
0.00
14:44
Account Cade . pefcer ^iptian.
000/S221.100 MECHANICAL • RES
.Amount:
,26'.00 •
CITY OF TUKWILA
Address: 15227 40 AV S
Suite:
Tenant: ANDERSON JOHN L
Type: B -MECH
Parcel #: 004300 -0165
Permit No: M95 -0095
Status: ISSUED
Applied: 06/08/1995
Issued: 06/08/1995
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Permit Conditions: ._.- ,...:.._..,,...
1. No changes will be made ,t:o the 'psl`an.s".�.unl'ess approved by the
Architect or Engineer :a`nd. the Tukwila Building; Division.
2. All permits, ins:p,a'c:t:lon recor.ds^, and:;; approve- a °:p':lan shall be
_available at th"e_'-;j`d~b site�`•,prior ~, to£t.he start -of any`;cLon-
struction. ,_T.he,se docamentSq at e,:to'°' be mainta.in;ed anti 'a'.vai 1-
able until },final f;nsp`ectior approval :Fs grunted.;;= ``.,i.
3. All construction to;, be done i'n" confor'rnance; with .a'pprove:;d.
. plans and,: requ'i rem,ents,.of the ury i,fo,rm Bu i l ding Co.de, (.199.
'Edition) ,a's am'er ded,,,Uniformj"'Mec�hiai 1ca1 Code •`(.1,99`1. Editioi')Y,R;
and Washington State" Energy #;Code (1004 Edition). . .`:.;:. :, ��" '1
, . }, Y.� , j rl 11 'fr'a
4 . Va l f d-i� :t / of ,Permit'. The: d. issuance of` a permit or approval o
} ;''''s ec;i;ficail ions s shall not ``b.e 'co.n' `•1
p.l�n� ,; p ,•...;arid cantll,ut8tion.. ..
6tr:�u,ed,'to.r.'b'e {, a permit 'far , or:',al approval of, any v'icla,tlan ;'�
:of any of the provision's ""of,. t' °h'e building code or of any ,r`° .,,
othier ordlna'nce of ttt , ' 14,,,,
,. .. 'a,, jur ~isd`iG.tiori,: �•j�;!N�ii'�`�p�er,mit pr ~esi! {mi'ng to
iv,el'author1ty,.', to...v.i.olate `crr can.ge;I1 „)the provisions of,..; ttyls`k�
.cod''' 'sha 11 ,.be •,ova lei d . \ 'F ,.; 1/1
5. MAN, IF!PCTURERS •,' INS.TALLAT.ION�5'I.N.STRUCTIONS RESOUIRED ON SITE' ,
FOR' irtfE B,UrLDIMG INS, ..ECTORS REVIEI .`•, :.....•”' ,'a .- 3::.,"
6. "NO �}` bRk .,= ,S'HALLJ BE'` °LONE' IN. /ADDI.TION'`{,T :6; TH,O E�' MOD IFICAT•IO : ,.. OR
REEL' CEMENT' OF EXIS'TTIN .1>.APPLIANCE AS,-.DESCR�I.$ED ON 11-11'§',1 NR'4,
0RI NAL `MECHANICAL PERMIT. " "� y 7' "`, ,
7. Plun rr,gvtp'etilit` shall be obtaineldoithr ;Ough_.,t,he �,eattle -Ki
Coon 90 iep`a,"t'nrent of Public Health: `jeP t u)nb ;i ng' w1 1 1 Abe rar"'"'e
inspeo;tidt►y that ;agency, includtgall}� ai lg.
(296 - 47'22) ' "w: : ''. 7 \ ph, '
8. Electri•,ccal..perfi,it silo 1.1 be obtayi.ned t "hr,ouajhf`the Wash�ingto
State Division of,y Labor. and Industries and a. I'1 a Iec:t••rica,l,
work will ti ;be•.� insp,ected b'St'that agency (248 -6630) 'r +Na , 4,
S`l`s 'A., ' dt .rn. rq c;Y •