HomeMy WebLinkAboutPermit M95-0102 - CALDWELL ROGER• p
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C /TY OF TUKW 1
Department of edmmunity Development — Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
Mechanical Permit Application Tracking
PLAN CHECK
NUMBER
M9 -OK
PROJECT NAME
CA(dW,LL ! icy;p
SITE ADDRESS
•
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
PRO.V:E
BUILDING -
initial review
FIRE
0 PLANNING
b -aq-9
5 rte'
UIREMENTS;
CONSULTANT: Date Sent -
Date Approved -
FIRE PROTECTION: U Sprinklers U Detectors ON /A
FIRE DEPT. LETTER DATED:
INSPECTOR:
XBUILDING
OFFICIAL
INIT:
ZONING: BAR/LAND USE CONDITIONS?
SCREENING REQUIRED? 0 Yes 0 No
REFERENCE FILE NOS.:
• Yes
r No
INIT:
UMC EDITION (year):
INIT:
INIT:
REVIEW COMPLETED
AMOUNT
OWING:
CONTACTED
DATE NOTIFIED
BY:
(init.)
2nd NOTIFICATION
BY:
(init.)
3RD NOTIFICATION
BY:
f init.)
01/07/93
MECHAK CAL PERMIT
APPLICATION
CITY OF TUKWILA
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
PLAN CHECK
NUMBER
H o (OL
APPLICATION MUST BE FILLED OUT COMPLETELY
FEES (for staff use only)
DESCRIPTION
AMOUNT
RCPT #
DATE:::::
BASIC PERMIT FEE
.$15.00:
.:.: ::TYPE ;.: ` :: ..:: < RATING /SIZE >;: ; ::: ,: >NUMBER:UF:UNITS.
;.::.::
UNIT(S) FEE
EXP. DATE
PLAN CHECK FEE
NATURE OF BUSINESS:
, l n
/
W :LL THERE BE A CHANGE IN USE ? ® No ❑ Yes IF YES, EXPLAIN:
WIVL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
® No ❑ Yes
IF YES, EXPLAIN:
OTHER.. .
TOTAL
SITE ADDRESS SUITE #
15(0 3 8 42, AVE So
VALUE OF CONSTRUCTION - $
) L3 00 , Oa
PROJECT NAME/TENANT
ROGER CALDWELL
ASSESSOR ACCOUNT #
H 222304- 9108 -O5
TYPE OF WORK: E] New /Addition ❑ Modifications ❑ Repair ❑ Other:
DESCRIBE WORK TO BE DONE: /' U t) L, - Hp 1 RA. (f -I,\ t.) K_.. € OA S 1 ,t 4 /;Ac: C:
N Evv e- 009(eue t o6 `%,1-, ( &U / l (f t? r f fC(f eO 60-4/1-65-
a. 4Q/ C .
.:.: ::TYPE ;.: ` :: ..:: < RATING /SIZE >;: ; ::: ,: >NUMBER:UF:UNITS.
ZIP 98 /b
WA. ST. CONTRACTOR'S LICENSE # i J / A
EXP. DATE
BUILDING USE (office, warehouse, etc.) 5 1 /J G I`e FA VI I LY R C S f DT r) 2 E •
NATURE OF BUSINESS:
, l n
/
W :LL THERE BE A CHANGE IN USE ? ® No ❑ Yes IF YES, EXPLAIN:
WIVL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
® No ❑ Yes
IF YES, EXPLAIN:
PROPERTY OWNER R o6c -dre s 1-81 al a CA CO VV E L L
PHONE y 3 (^ /4 3 4
ADDRESS i 5(o50 4 2 AVE: SC)
ZIP 9) /8g
CONTRACTOR R Oc .2 CA L-6 w c LL
PHONE 43�_ 4 34
ADDRESS I (5(4/ 50 42 AVE So
ZIP 98 /b
WA. ST. CONTRACTOR'S LICENSE # i J / A
EXP. DATE
I HEREBY CERTIFY THAT. 1: HAVE READ AND EXAMINED THIS APPLICATION AND KNOW. THE;SAME TO BE TRUE.
AND CORRECT, AND'I AM AUTHORIZED TO APPLY FOR.THIS PERMIT. .
BUILDING OWNER SIGNATURE
OR PRINT NAME
AUTHORIZED R 04E// CAL IJ V ELL
AGENT ADDRESS , 5660 1 ,2 ,A vE So
DATE
PHONE 4_31-143
CIT'/ZlPTIKWILA 9e /6e
CONTACT PERSON
ROGER LO uJL L_L
PHONE e 3 (_1 431-
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 q 0 bout our process or plan submittal requirements,
please costa irtt ��nt of Community Development at 431 -3670.
DATE APPLICATIONrr��ACCEPTED J N 2 9 1995
NEAMIT CENTER
DATE APPLICATION EXPIRES
03/14/94
r
SUB I T TAL CHECKL '"T
MECHANICAL
n 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.