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Home My WebLink AboutPermit M95-0137 - ROPER MARY44 MARI goPeR 5-013 City of Tukwila (- (206) 431 -3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 Permit No: Type: Category: M95 -0137 B- MECHAN RES MECHANICAL PERMIT Address: 12020 42 AV S Location: Parcel #: 334740 -0290 Contractor License No: BRENNCC124KC TENANT OWNER CONTRACTOR CONTACT MARY ROPER 12020 42 AV S, TUKWILA WA 98168 ROPER MARY DONELLE 12020 42ND AVE SOUTH, SEATTLE WA 98168 BRENNAN HEATING.COMPANY 4601 S 134, PL; TUKWILA, WA 98188:. DONNA JACK. 4601 S, -134 PL, TUKWILA ,WA 98168 Status: -PC119- 1-146 --- 15301/4rb Issued: I- 2'4 -9S Expires: ,_a,i_cir, Suite: Phone: 206 - 762 -2849 Phone: 206 248 -7900 Phone: 206- 248 -7900 ******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Descrip`t;ion: INSTALL GAS FURNACE .AND GAS .'HOT. ;WATER TANK..;. FURNACE (1) 100,000 HWT (1) 30, 000:.,.. UMC Edition; 1994 Valuation: :Total Permit Fee: 300.00 43.75 * * * * * * *. * * * * * * * * * * * * *. * * * *,r* **. * *, * * ** r. * *; *, * *, * * * * * * * * * * * *** * * * * *',' * ** * * * * ** 24 -95 Perm1 Center: .Signature Date I hereby certify thatI..h,ay.e read and.exami'ned this permit and know the same to be. true' and correct. All pro'vis_ions of law and ordinances governing thi's 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. 0.001 am authorized to sign for and obtain this..•u lding. pjrn'it. Signature: Print Name:___D i¢,x/. Cr/E Date: Title: __5/j This permit shall become 'nu:l.l`; and. void`:If- ..th'e: work is not commenced within 180 days from the date of issuance, or i`f the work is suspended or abandoned for a period of 180 days from the last inspection. MECHAN..ZAL PERMIT APPLICATION Mechanical Fee Worksheet must also be filled out CITY OF TUKWILA Department of Community Development - Building Division 6300 Southcenter Boulevard, Tukwila WA 98188 (206) 431 -3670 PLAN CHECK nn i nn NUMBER I \ 616- `V �� APPLICATION MUST BE FILLED OUT COMPLETELY and attached to this application. FEES (for staff use only) ,.':::DESCRIPTION.: H: `> ;:::::AMOUNT;;:: RCPT:: :;lf: "::: >:: >sDATE:: > BASIC.PERMIT FEE $15 00.: a. 'u 'r V\c'.� c; c. -- / 0 U Iles) / i1 ,0-\- - (1{ (3 UNIT(S) FEE . C'e in vl��tir e ck BUILDING U E (office, warehouse, etc.) PLAN CHECK • FEE WILL THERE BE A CHANGE IN USE ? 0 Yes IF YES, EXPLAIN: WILL THERE BE S • RAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? IF YES, EXPLA'!P o 0 Yes OTHER.: :< WA. ST. CONTRACTOR'S LICENSE # L (,v �' -7 -� �i , EXP. DATE mil/ TOTAL` S T ADDRESS ^^�� mac` _, SUITE # ��\ );(2),:c) ` \c4 WQ VALUE OF CONSTRUCTION - $ 2.A o o c)°/ ASSESSOR ACCOUNT # G 3 11 — 02-90 PRO ECT NAME/TENANT -Th -z y - TY"E OF WORK: + • New /Ad.ition " 9 odifications 0 Repair 0 Other: DESCRIBE WORK TO BE DONE: -ei.AGLe 's-r■ Y∎�- a`', Iti\5 -c,` 1 \ a C(, ` .. t Q x.N_ TYPE :.:.. ; .:,.. . >. •FtATlNG/51Z _...: NUMSER. OF .UNfTS:W>• >::;:•<:: >::.::<•: a. 'u 'r V\c'.� c; c. -- / 0 U Iles) / i1 ,0-\- - (1{ (3 _On C'e in vl��tir e ck BUILDING U E (office, warehouse, etc.) NATURE OF BUSINESS: 1'4 v A C WILL THERE BE A CHANGE IN USE ? 0 Yes IF YES, EXPLAIN: WILL THERE BE S • RAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? IF YES, EXPLA'!P o 0 Yes PROPERTY OWNER �p ex— PHONE 7 (4, (2-- , (-j ADDRESS L t:- =, ZIP ./c I „ CONTRACTOR C'e in vl��tir e ck PHONEc9& 7 c c ADDRESS LKo0 7 .), 1 (?4_\ 13) ZIPS /6" F WA. ST. CONTRACTOR'S LICENSE # L (,v �' -7 -� �i , EXP. DATE mil/ HEREBY. CERTIFY THAT:isHAV:E f EAD 11ND ::EXAMINED:;THIS APALICA7IONi`AND'.;KNOW TH S 1METO BE TRUE' • AND CORRECT. AND I AUTHORIZED TO AP!' . t=OR >.THIS :PERMIT. ... SI NATURE _ DATE s/ / 9( /%5 PHONE y 79O CITY/ZIP u,f.k.,0, /cam 9S/6 PHONE(,24/ 2 %J3 CONTACT PERSON 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 g - 3-1-- 616. RECtIVbU CITY OF TUKWILA i !I DATE APPLICATION EXPIRES PERMIT CENTER 00/07/93 INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 981 (206 431-3670 Project: Type of Inspect t--) 14. ress: / 2... ci Date Called. Special Instructions: Date Wanted: 90... 7.9.s. am. p.m. Requester: Phone No.: Approved per applicable codes. Corrections required prior to approval. 0 $30.00 REINFECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. We; INSPECTION RECORD G Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431 -3670 roes : istR� Ropsiz ypeo ns•:.ion: _'N L. Address: 1202.0 L)Z AY S Date Called: S[, 2.1 "" :6 Special Instructions: /11—. 1 ?A4 11606E, CALL pi 1— Date Wanted: Q� 2r-� —'' _" 93 p a lir Requester: y n _per) RO I7£ 1/I Phone No,: G — 0 5So ❑ Approved per applicable codes. Corrections required prior to approval. COMMENTS: i) /3- v . ou d-5, ;eh. 422 s --e_.. L, 5pz- 1-2d04 44. __. toss #1.4e----) 60 ° —Ei-t, ,x) u es. -2 I • Ii - . // v .49_, if L ;k...1 / -. _ 11-- 2-7 n7 r sr de izeti4e, p7 --- )4. Z -7 fikre,44.1,76.141 /4,-1 �1� --•'" Date: ❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule relnspectlon. IRecept No.: Date: I /'iti'F}l. iYYi�i'.`! * * *k• **A *A *A* ** * *** .Ot+ *• i *At*** k kA •A* *; ; * *•kk* *A ***A ** *A*A** *+kk GENERA 43.75 1 --- Turk 43.75 CITY OF 1'UKWILA. WA -- TR NaM] :T CHECK 13.25 **•kk;l*kir *A* *1 Ait*.4*** ** A*:k *.i**** • 14•.l •1 * • A�1 / �1 rhi, *Air *•A ?MA•A k•kA•d *•4 #k•k *k4 CHECK 30.50 CHANGE 0.00 5614A000 ' 15 :35 1RAN4iM]:1• Number: 94002011 Amount: 43.75 08/24/ 95 14:42 Payment Mel :hod: CHECK Notation: HRI::NNAN HrAI'!NA Irbl%2.8/ 1' Permit Na: M95 -0137 Type: L -MI{CHAN MECHANICAL PERMIT Parcel Nu: 334740-0290 Site Address: 12020 42 AV S This, Payment ,Total Dees: 43.7; 4375 Total ALL Pmts: 43.75 Ualancn: X00 * Ai. ki1# fi*. A * *'A *kl * * * * *A * ** *A *AAAAk* **AA *4 *4* * **1 1* *4** * * * *•,l * *A4• ** Account Code Description • Amount 000 /322.100 MECHANICAL - RES 43.75 QomPp,N'I CN�,�- � 3p, so (SEAN CON/5u) T fp ,• DEPal Ep,OFILLA ORJANDJ,INDUSTBIESp,f - rtr Anh . ko, ,pr 4%o. , •