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Home My WebLink AboutPermit M95-0107 - ANDERSON JOHN0 City of Tukwila t. (206) 431 -3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 Permit No: Type: Category: M95 -0107 B -MECH RES MECHANICAL PERMIT Address: 15227 40 AV S Location: Parcel #: 004300 -0165 Contractor License No: BRENNHC077NC TENANT OWNER CONTRACTOR CONTACT ANDERSON JOHN L 15227 40TH AVE S, SEATTLE WA 98188 ANDERSON JOHN L 15227. 40TH AVE.S, SEATTLE .WA.98188 BRENNAN HEATING 4601 S 134 PL0'TUKWILA, WA 98168 DONNA JACK 4601 S:134 PL, TUKWILA,' WA 98168 Status: ISSUED Issued: 07/11/1995 Expires: 01/07/1996 Suite: RED Phone: 206 248 -7900 Phone: 206 248 -7900 A ********************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Descri pti on:. REPLACE GAS FURNACE IN EXISTING. SINGLE FAMILY UMC Edition: 1994 Valuation: Total Permit Fee: * * * * * *'* *arc * *. * *� * * * ** 209.22 26.00 *********************************'*********4********** Permit Center Author zed ®anature 11_1 9q 5 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 ordinance's: 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 bui).ding pem1 Signature: Print Name: Date 1t ,1'99r- Title: This permit shall become.null and:v`oi.d if the work'.is not commenced within 180 days from the date' ofissuance, or if ,the::work' is suspended or abandoned for a period of 180;' days:= from t,he,,.last inspection. CITY OF TUKWI( Department of Community Development — Permit Centel- 6300 Southcenter Boulevard - #100, Tukwila, WA 98188 (206) 431 -3670 Mechanical Permit Application Tracking PLAN CHECK NUMBER AA%-010'7 PROJECT NAME 1r. f ' 1 CONTACTED Jb,J DATE NOTIFIED SITE ADDRESS 15 el 4 D 11 5 SUITE NO. INSTRUCTIONS TO STAFF • Contacts with applicants or requests for information should be summarized in writing by sta 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 depart (ent. • Any conditions or requirements for the permit shall be noted in the Sierra system pr summarized concisely in the form of a formal letter or memo, which will be attached to the p rfnit. • Please fill out your section of the tracking chart completely. Where informal h requested is not applicable, so note by using "N /A ", date and initial. DEPARTMENTAL REVIEW "X" in box indicates which departments need to revie DEPARTMENT ................ XBUILDING - initial review DEP E ► ER DA D: MMENT; ............:.:............... Date Approved - lers 0 Detectors ON /A IBAR/LAND USE CONDITIONS? (,_j Yes CRE ' INC - : Q IRED? 0 Yes 0 No REF REN E FI E OS.. 0 OTHER BUILDING - final review INIT: UMC EDITION (year): /NIT BUILDING OFFICIAL INIT: REVIEW COMPL ED AMOUNT OWING: CONTACTED DATE NOTIFIED BY: (init.) 2nd NOTIFICATION BY: (init.) 3RD NOTIFICATION BY: (snit.) 01/07/93 MECHAk,CAL PERMIT APPLICATION 1— CITY OF TUKWILA Department of Community Development - Building Division 6300 Southcenter Boulevard, Tukwila WA 98188 (206) 431 -3670 Mechanical Fee Worksheet must also be filled out and attached to this application. PLAN CHECK �l DD--1 NUMBER fool CJ APPLICATION MUST BE FILLED OUT COMPLETELY FEES (for staff use only) DESCRI P.TION :i..: ::.: AMOUNT : RCPT ::•# s >:, DATE.: ::: BASIC :PERMITFEE $15.00 �N Furnace 5 1 UNIT(S) FEE PLAN CHECK FEE NATURE OF BUSINESS: Residence WILL THERE BE A CHANGE IN USE? j No ❑ Yes IF YES, EXPLAIN: WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? IF YES, EXPLAiii No ❑ Yes OTHER ;:TOTAL SITE ADDRESS SUITE # 15227 40th Ave S. VALUE OF CONSTRUCTION - $ 3,209.22 PROJECT NAME/TENANT John Anderson ASSESSOR ACCOUNT # OO -( 300 d i ( t:.0Q 0 Other: TYPE OF WORK: ❑ New /Addition tErModifications ❑ Repair DESCRIBE WORK TO BE DONE: . Install Gas Furnace �N Furnace 5 1 BUILDING USE (office, warehouse, etc.) Residence NATURE OF BUSINESS: Residence WILL THERE BE A CHANGE IN USE? j No ❑ Yes IF YES, EXPLAIN: WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? IF YES, EXPLAiii No ❑ Yes PROPERTY OWNER John Anderson PHQrI §__4362 ADDRESS 15227 40th Ave S ZIP98168 CONTRACTOR Brennan HEating ADDRESS 4601 S. 134th Place PHONE 248 -7900 ZIP98168 WA. ST. CONTRACTOR'S LICENSE # BRENNHCO7 7NC EXP. DATE HEREBY; CERTI FYTHATI HAVE: RDADAND ;EEXAM INEDTHIS:APPII AND CORREC I', SAND t AM AUTHORI D TO APPL1l F.O1 `i r11S PERK BUILDING OWNER SIGNATURE OR AUTHORIZED AGENT ADDRESS 4601 S. 134th Place PRINT NAME Donna JAck DATE Jung 16, 1995 PHONE 248 -7900 CITY/ZIP Tukwila 98168 CONTACT PERSON .mil L PHONE 248 -7900 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 flied 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. 11 you have any qu ut our process or plan submittal requirements, please contacbtfie pa vjt of Community Development at 431 -3670. DATE APPLICATION ACCEPTED DATE APPLICATION EXPIRES :Y*** ** * * *•kA ** * * *A * * ** * *A* * * * * * ** A k *k * *• • •k • r * *kA *A• *•k *k*A *** CITY O� 1'UKW]:LA WA TRANSMIT •k•A**** ** ** **** * ** **** ** * *A** * ** *•fi *:A•4 4I*A *•k ** *****•A *** *k• *A4* *** TRANSMI:T Number: 94002594 Amountl. 26.00 07/11/95 •i3:40 nPayment Method: CHECK, Notation: BRENNAN 'HEATING :[n0i r/ 1O • Permit Npx„ '?y i" Type: B —MECH MECHANICAL PERMIT Paraei' .Nus 4040.0 b 81`65. Site. Addr.oss ».15227 40 AV S • t. This P&ym•ent Total Fees. 26.00 26.00 Total ALL Pmts: 26..00 Balance: .00 ******* fi* A.********* A******* A* AA*, kik•* fi* ** *AA*o* ** * * * *k * **A * * * *4 ** GENERA 26.00 TOTAL 26.00 CHECK '24.00 CASH 2.00 CHANGE 0.00 4198A000 ••15 :49 Account .Code : Ueicription Amount 000/022.100 , MECHANICAL RES 26.00 CITY or TUI(WILA lddres's: 15227 40 AV '$, Suite: ANDERSON JOI•IN� t; i L Type: E3- '14ECH Parcel tip 0043007011 * * *•k ***4• *k * *•k *1,*n *sl *old *. *** * **d•, *•k * *,' */ Permit Conditions: 1. No changes will 31 . maut?, t -ci t;`he''p4Ans:.11,'i'i:' .:.LZpproved by the Architec.tt or Engine,k d``'the Tukwi1: t' i;°tt °i`1t1y- I,y°, *:Dpivision.. 2. All perrit5, insLI t. t l%on recT,,ds,, and apps owed 4As shix'I 1 b' e:va i 1 «b'l e at t.ho tr it F) r ttr;1 to i he t lr t,h ut `f(iy�L,con.7 s tr uct i on . IYr .t fi. d,oc' itn`e(ti.t`s. ar •;.to =` bRa. ring `i i1,-a`j ned hd; f ;,a i 1 able urtti'1�F; T�r�iE 1 •i,ntliec:tic;n app1 c''a1 is gKglit;; 'cl, } C a�a 3 1111 r.ons`t:.r,�r,ug ior� t;o<. b:e do1ia.f;ii_ cfanf`ormanc,e w itI7 =A;t pprov p. I o n s a r►.c1' ;r }'e y tt''i r:e.m c i t; s cif .r th 11 ri, i arm i3 u i I d`i n g C0 d (;31 .a Ed•itioy,)4 /fi's d`nendiid Uniforw hir,c`h'rl.ica1 Code `(�,19`�,1, Ltdyi,tio and Wrt,�s�r I I citon a't�ti;.e "E:n€ r?igv,>Chde (Vc4 :, '14 Ed i t •i an S�: "„ g' � 4„ Va'I id;` ' obi .'erini,t. The;.,i' u,,arfce of'" a permit of ^ ';apprd;`!,'a`1 c�.9f planc3'. ;f`'wpec;;i.:ricntiono,. >itd co'tn:pj�1,tat•ions (shall not - -1.ue •c';ot.'` , strcteq to= be.. >',,a perm ot� �.rtn""'tz•t,.pi r'va'1 of any w:io1 °11.1 ;,iron of ariVi` of the provisions° of-0'c! bui,'I:ciing code or of'�arty .c;,, r tiN`• ,•.Y;� other i ordinance of. the'�'iur•isd�iction No,�pe.rmit pr•e.�uming'to give authority? toy.V.iolate''Om canco•1•�r1the) provisions of', ttl-i` ".s ` ha1 1 ='be ' v8l:.i.d .:,.... \� .j, , N t, Cody ri 44� l R ? ` 5; MANUF,AC�TURER:; :INSTALLATION r'IN;;TRUCITION'..- REQUIRED ON SITE FOR THE BUILDING INSPEGTORg' "R�E•VIEW.'�. .,......, s ,, P.V,.: Qr:t 6. "NOis'rWORI s'llALL BE= ..D-ONE' IN %ADDIT•ION•,TO-- •THO,�E` MODIFICATION ".,�,OR REPLACEMENT OF EXI".T;ING.�'APPLIANCE.�; A$ —DC CR-IBED ON j HI;, "� ORIGINAL MECHANICAL PERMIT. `E,` '.�r ...�:�`), ;s.. .'' +z�; z r�l 7. P1umbing >pe ;,rnits{ shall be obtaine�dJ.thr'ouigh_.-the ,veat,tle -King Gout) ��v !Depa,A Cpren,t of Pub 1 i c H e a 1 tll". ,,P 1 u;mb i ng'w 1 1�,(be inspe'cted '.b.;V -that`',�agency, includ g a l l ,,,1ga .pi irrg -� 8. Electr a pern its y�h4a11 be obtailred `ir y, hf'i..#i Was ingt9 State Dpi ion te 4LabiltIvand Indu tries and A fl e ,' •ri ca f work wi 1 ; : in g(ficted. 00 Xhat agency .M82663O) -,4,-, Permit Na e M95-0107 Status: ISSUED Applied: 0`I /11 /.1.`.3'_-tt'i 'Issued: 07/11./1995 h *•k*44(•3* *k *it** *k *st k* *•h * * *3•*3*t 3 * 3 *•Ah* •fit on, sfe lteme land or, ,p, 'r., d to tHp ic.i ni t rpt xI of d� �IVj lfl a'to [fie elvErq Compete Itenis*;3`and;4( r#k d ? ,a ,0 ..$. �� r ' 'r iloW�rjg� ed a�for` an extraA ,•,r�Pr(ntPyour nerve end addta►..,,,n thu.re 8te•.o tkle for 'so th I'� Y f t W2;.Y'�;r►t. .� ✓ig,� ap. { phi � feel irr +Y 1 ; r•,F tY Sv E° > : i'1�r3 ,r;(r, retGrrn thle cord to oU �•, g k {�, r. n [.,( x'hC. "W t�Ax �'Ays�4 rrl�3P�t ��t li•',FAttech this Corm to tthe iron of thi m.(ii,I.ce� or on:the aak if space y ; �� 116 Ad t ssee's Add ese =', 2does • net ermltr,1,' +lu i. r i R1 i k�5 19 7r � 6� Tb Fsµ } r ✓ i'�� y „� y� 3i4 i. atirk„ : � a� s1�' • Write,',Retum Receipt R.quss d'.. onths meiip(•cis b&oW tie ticia ntimbe h' af,2 ' Ae trlct83d;DeI veru t, the fteturn Rocelpi: wilt show toi wholii •the; artlol• WWae lsilvted ertd the dbtA ,_ s, ,a , s,,s ,,fry l�';, ns . w r., s4+ x V,a f y.ileilVered.rrl`' y ^tvi.k its {.;•;0'' ,.a t i4r` ",,ittif:�},s`,j�':rri 7.�,.. ?4 ?„,40.1 p44) -. 4101ki l;Conteuit.poatmaeter,fo f;feellj.4fie: °Artioie,;Addresaed; tbl'? ,,' '' ; :'Art lolea Ni tber';v::.s ,`; ;N :Service Ty ,Regletered : .Certi ied: p e.Expreae (Vla� insure nature' (A. ddreseee W d ,"7 O 0 l'OStMark or Date O dQ4—Ic7 a P 112 198 149 Receipt for Certified Mail No Insurance Coverage Provided os lfpoi Do not use for International Mail (See Reverse) od Postage Certified Fee Special Deliver/ Fee Restricted Delivery foe Return Receipt Showing to Whom & Data Delivered Return Receipt Showing to Whom, Date, and Addressee's Address rT ^TAL Postage rs ( r /0 tw City of Tukwila FILfQgy Department of Community Development Steve Lancaster, Director January 27, 1997 John L. Anderson 15227 40TH AV. S. Seattle WA. 98188 Dear Permit Holder : FIRED On December 18, 1995 you were notified your permit number M95 =0107 would expire on January 07, 1996. Since December 18, 1995 our records indicate that no inspection or extension requests were made. Due to the expiration of your permit, as of January 27, 1997 this permit is now closed without the benefit of a final inspection. Any further work on the project will require a new permit application submittal and additional fees. Any new submittal will require compliance with the current edition of the Uniform Building Code. If your project has been completed please contact the permit center for proper closure procedures. A final inspection and approval will be required. If you have any questions or need further assistance please contact Kelcie Peterson at the City of Tukwila Permit Center at (206) 431 -3672 Sincerer CtiY /°.-ette Kelcie Peterson Permit Coordinator Sent Certified mail #P 112 198 127 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 431.3670 • Fax (206) 4313665 C:. City of Tukwila FILL COPY John W. Rants, Mayor Dec 18, 1995 Department of Community Development Steve Lancaster, Director DONNA JACK 4601 S 134 PL TUKWILA, WA 98168 RE: ANDERSON JOHN L Dear Permit Holder: Our records indicate that on Jan 07, 1996 one hundred and eighty days will have passed with no inspections having been called for under Tukwila Mechanical Permit Number M95 -0107. Unless you call for an inspection, or obtain a written extension from the Tukwila Building Official prior to that date, .your above referenced permit will become null and void on Jan 07, 1996. If your project is complete please call for final inspection. If you are actively working on your project please contact our office. If you have any questions or need further information to obtain an extension on your permit please call the Tukwila Building Divison at 431 -3670. Sincerely, Kelcie Peterson Permit Coordinator Department of Community Development 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 4313670 • Fav (206) 431 -3665 RECEIVED CITY OF TUKWILA JUL 1 1 .1995 PERMIT CENTER, PLEASE 'DETACH AND SIGN CERTIFICATE BEFORE PLACING IN BILLFOLD REGISTERED,;AS PROVIDED,; BY.. LAW 'AS•A T C! 4.0.t • 8 134 T PL . TUKWILA WA .98168 SIGNATURE ISSUE • BY DEPARTMENT OF LA OR AND INDUSTRIES t ',REG1STRATION :•N;UM,6ER• . , ` ` ; EXPIRATION DATE: • . •d' C }; '• -. , :3 ' ;.. • • •• `i • 1 ,+.I ,ill //el 4. 1 t: i '1. • • 7-■y. .may ^•�. � 1. 1 'C11T • A �•i , 1 ' • 1 1' l,i • , 1 ".Ri 1 y, 1/r••.•.',17�•1 4.0.t • 8 134 T PL . TUKWILA WA .98168 SIGNATURE ISSUE • BY DEPARTMENT OF LA OR AND INDUSTRIES