HomeMy WebLinkAboutPermit M95-0168 - BUFFETT DOUGLAS!�
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City of Tukwila (... (206) 431 -3670
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No:
Type:
Category:
M95 -0168
B- MECHAN
RES
MECHANICAL PERMIT
Address: 16045 48 AV S
Location:
Parcel #: 919860 -0025
Contractor License No: NORTHWH103R2
TENANT
OWNER
CONTRACTOR
CONTACT
BUFFETT DOUGLAS M.
16045 48 AV S, TUKWILA, WA 98188
BUFFETT DOUGLAS M.
16045 48 AV S, TUKWILA, WA 98188
NORTHWEST WATER HEATER; ; INC.. '.; Phone:
2800 THORNDYKE AVENUE WEST, SEATTLE, WA 98199
GEOFF ARNOLD._ Phone:
2802 EAST MADISON.. #101, SEATTLE, WA 98112
Status: ISSUED
Issued: 10/12/1995
Expires: 04/09/1996
Suite:
Phone:
Phone:
206
206
206
206
244 -6025
244 -6025
282 -4700
285 -1695
**** * * * * * * * * * **,r. *. * * * * **************** * * *` * * * * * * * * ** * * * * * ** * * ** * * * * **
Permit DescrtPt•ion:_
REPLACE: EXISTING OIL' FURNACE'.-
UMC Edition: 1994
I.TH NEW GAS FURNACE.
Valuation:
Total Permit Fee:
,308.00
35.25
*********'** 0e*O(*• k')(********* * * * * *** * * * *,Ir ** *•k* * * * ** *•kilt. * * * *k,** * *•k * ** k **
Permit ! Center Authorized Signature•
I hereby certify, that I have read and examined this permit and know the
same to'.:be true and correct. All `prov,isions of law and ordinances
governing this: work will.be complied with,'whether specified herein or not
The granting of-this permit does not pre'surne.to give authority to violate
or cance.J.,the provisions of ny othe,r state or local laws regulating
construction or the 'perfar Ian .e,o- work. ,•I any authorized to sign for and
obtain this building '•e`r`
1 -o-1a
Date
Signature:_
Print Name:
Date: / ?c
Title:
This permit shall become.. null and,vo.id;` i.f the work ,'i"s not commenced within
180 days from the date :of 'issuance, or if the:: °rWork is suspended or
abandoned for a period of' 180 days':, from:; the. .last' inspection.
CITY OF TUKWIL
Department of Community Development — Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
Mechanical Permit Application Tracking
PLAN CHECK
NUMBER
PROJECT NAME
6oes& DOOM 105
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 • -ummarized
concisely in the form of a formal letter or memo, which will be attached to the p it.
• Please fill out your section of the tracking chart completely. Where inform. ' • n 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 p . ect.
DEPARTMENT.;
O BUILDING -
initial review
ROVE
O FIRE
ROUTED
INIT:
O PLANNING
O OTHER
O BUILDING -
final review
O BUILDING
OFFICIAL
-OTE• vi) •
pr" D- ' -E ' DATED:
11
ate Sent
NTS / COMMEN
Date Approved -
Sprinklers
Detectors • N/A
INSPECTOR:
ASC_• INe BAR/LAND USE CONDITIONS?
SC •EENING REQUIRED? Q Yes 0 No
L) Yes
INIT: FERENCE FILE NOS.:
INIT:
UMC EDITION (year):
INIT:
INIT:
REVIEW COMPLETED
AMOUNT
OWING:
CONTACTED
DATE NOTIFIED
BY:
(init.)
2nd NOTIFICATION
BY:
(init.)
BY:
(init.)
3RD NOTIFICATION
01/07/93
MECHAlviiLAL PERMIT
APPLICATION
CITY OF TUKWILA
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
PLAN CHECK
NUMBER
1(m5-
APPLICATION MUST BE FILLED OUT COMPLETELY
FEES (for staff use only)
DESCRIPTION.;;.'
AMOUNT:`
RCPT:.:#
<DATE°
BASIC PERMIT FEE
UNIT(S) FEE,;
$15:00
PLAN CHECK FEE
OTHER:
TOTAL ::
SITE ADDRESS fr 1 S UITE #
/6, PV C.- Y y9 / — U/e /eK,p' - ‘a,r
VALUE OF CONSTRUCTION - $
/.36)
ASSESSOR ACCOUNT #
PHONE - -�, /z
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PROJECT NAME/TENANT
TYPE OF WORK: [.Jew /Addition • 6Modifications 0 Repair 0 Other:
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ZIP �.
DESCRIBE WORK TO BE DONE: C1 Go6
/4 S z6 /G /,, i(
.: TYPE .:...:.:.;
>. : ; : ;....::;:: RATING/SIZE :... :: NUMBER .OF:aJNITS >: > >`',
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r
ZIP
ORS LIbENSE #
WA. ST. CONTACC A //1 I })
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EXP. DATE
BUILDING USE (office, warehouse, etc.)
NATURE OF BUSINESS:
WILL THERE BE A CHANGE IN USE? [Q No O Yes IF YES, EXPLAIN:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
0 No 0 Yes
IF YES, EXPLAIN:
PROPERTY OWNER ����IiL�IFi _ may, Win., r-
1 '% : Lli%Ji�2."�
PHONE - -�, /z
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ADDRESS / ( -- 1','
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ZIP �.
CONTRACTOR 71 ` :"' `i ' - r I
--.964
PHONE � ��'�
ADDRESS 28000 i ;i'.;Z",,tF AV[. ��
199
ZIP
ORS LIbENSE #
WA. ST. CONTACC A //1 I })
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EXP. DATE
I HEREBY;CERTIFY;;THAT I HAVEREAD AND. r '
:AND CORRECT,' AND I AM`AUTHORIZED e • - - ��, •
BUILDING OWNER SIGNATURE
OR
AUTHORIZED
AGENT
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 tor which no permit is issued within 180 days following the date of application shall
expire by limitation. The Building Official may extend the time tor 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
1011 &15 2- Q -a(0
03/14/94
/IAA
Since 1957
• Water Heater
• Heating/Air
"THE ACCENTS ON SERVICE"
DEPARTMENT OF I.ABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A
C ,VST:.rIN
6
• • REGISTRATION NUMBER
EXPIRATION OATS,
:'°NQKTN I I1a -R2
Ff CSti E DATr.
42•/a`?195
"i2'/2.2/90
NORTHidEST WTR .4TR .I NCI 1r4.y.'S •1IIf . ;.I
2800 ' THORNDYKE.• AVE.. .
SEATTLE MA 98199
State of Washington
County of King
s
STATE OF WASHINGTON
F625 .052.00012.921 ,
RECEIVED
CITY OF TUKWILA
OCT 1 <' 1995
PERMIT CENTER
I certify that this is a true and correct copy of the original
document as presented to me by Glenda S-e , of Northwest Water
Heater, Inc., on September 26 1995
' brit -.A111
a`"ure • �r a—r-y ) lU�
Marla Shea r Y(
(printed name of notary)
Notary Public in and for
the State of Washington
(title)
My appointment expires 09- 09 -99.
Seattle Office, Please Reply to 0
Tacoma Office, Please Reply to 0
Everett Office, Please Reply to 0
2800 Thorndyke Ave. West
8201 Durango St. S.W.
3110 Hill Street
Seattle, Washington 98199
Tacoma, Washington 98499
Everett, Washington 98201
282 -4700 FAX 284 -7701
984-6404 FAX 588-0393
259 -5331 FAX 258 -4934
t* •* *•A44; 4 * * *.4 *•4 *.4 k*4**** *•A *•4•4•k44 *4*•4*.A* *A*e4k4.4 ** *4.4.44 *44 * ** ***
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crry OF TUKWILA? WA
TRANSMIT
44-* *.4 *4 *44**•k4*k * *• ** **4*1.4*
TRANSMIT Nuinbnr: 9400309 Amount: 35.25 10 /12 /'x`' , :a^ 26
Payment. Method: CHECK Notation: WDF INCORPORATED InIV.48"..8
Permit Na: M95(- ]•0.168 Type: i3 -MECHAN MECHANICAL PERMIT
Parcel No 9198(50- 0025
Site Address: 16045 48 AV a
This payment
35.25
Total Fees:
Total ALL Pmts
Balance:
33.25
35.25.
.00
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Account Code • Descr i pti ran Amount
000/322.100 MECHANICAL - RES 35.25
GENERA 35.25
TOTAL. 35.25
CHECK 35.25
CHANGE 0.00
7019A000 15:23
i
INSPECTION RECORD r
Retain a copy with permit I'
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERMIT NO.
(206) 431 -3670
Project: j�Type
of inspection
Address:// / ./
,�J� (7,8,...u,
Date called:
2.......3_92
Special instructions:
/-c—/-e--, f 4/:619
Date wanted:
a. .
Requester:
Phone No.:
pproved per applicable codes. pi Corrections required prior to approval.
COMMENTS:.,
Inspector:
L
Date: .ZIG
yl.
$42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection.
Receipt No.:
Date;
,..? ;.'���•' " <, ^ =:.:.. ..
Address 16045 48 AV S
Suite.
Tenant: f3UFFETI DOUGLAS M.
Type: 13- MECHAN
Parcel #: 919860-0025.
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4.
Permit No: M95 -0168
Status: ISSUED
Apps led: 10/.12/1995
Issued: 10/12/1995
****Mk*******************
1 .
NO WORK SHALL BE DONE • I.N-ADD?TI:ON T 7' 'HOSE MODIFICATIONS OR
REPLACEMENT OF 'EXISTIrRO APPLIANc ,. "As DEscii 8EG ON THIS
ORIGINAL MECHANICppL"Pf`RMIIf;
Plumbing permi if:,ha11 !e'aak, ed ,trir ough,,the le -4, ng
County Depart'itte"jr t` ;of f'u`b1Yic He4,3tfr'' "``PiunitOng wi 11
�/i'b't}3�. /' t{... d'f '1,:.4j • P.f ..• t1t r� � .ir - at.
inspected by,�' hat' ag. t)ry,.: irtcltiding all gas .pipi -ng
F
(296=4722)+'"^"'3.7 it` ° wt
Trt ,1 oy 4.
'.Electr�icai /per Mitts 4,t�ha1.�1, 4e ob�ta� u ed thr•ou'gh, the' 4 ;st iti# hr
State D f 'i's i o' =�� o f' '`'L a b di', and :'I�rI ii (1:: t ya i e �. ' and a 1 1, e 1: at r i c a l
..work wt " ;7- be inspected by that ageno/ (248- 6630 >. '# {�~�:',,,: '`
r
All poet,' 1t, ~,, inspe,ction;;;rte;oor(ds, a�,ci'`approved plaits siha�l'1 'f3'
aval14141e q.ae the.;•-)ab if,t'e pri'orb to the start of ally con ,3, ;,"
stru�.t`.,ior:':_:..:,`The a documents a �.e•- "to..be > maintained and 2iva:1 ,-
ablet,ifntti 1 flnal inspection._ai;proval. is granted. L4
5.. Al 1i- roionstrr..ucti,on to,,,be °-done .11,bt,contorma'nce, wi th appr• overt '
plans§ and r•equ.irem))ts of th' Uni.fi'int3Guitd.S:ng Code (1994�`�'b
Edi=t`ion) as aMended, Unitzo Me'.cti a`nicapl,y'Code� (`1994 Ed.at1,on):
anti; { ashi <nq'ton 'State Eiie`rg :,Code (1994::` - .Edit, -ton) .
6. Val;,iii t.V .cat • Per•mi•t. T -he,' is.tuance';.ciff ;,a...pe'rm,i t or app'r�vt,va,l,.,oi .
P la t: , sp .c i f i;cat i,om . and' coiiti�`uta't ions siia'1 1 not be ;con -
str ;ed to ire a per ni..t' for .,.' or an'. approva 1 'got ,, any v i 4'1 at) on,
of 0* 6f r the 'provisions of the b'u >i 1 ding code...!Aor of anyY xg
othe� ,a,;or•`ti.i'iyance- of • the .j ur i sd i ct i.on. ' No permits pre umi,ngi` to
give' a utthQrity fo violate or cancel •th i'r�uv'i.. lons,.ofy.*thxi
code 7. MANUFA6TURKERS INSTALLATION INSTRUCTIONS 'REOUIPED�.''ON SITE 6; }
FOR THE;�
+ f A
'''BUILDING INSPECTORS REVIEW. "" `'' )it
co
+ Complete ltems`3,
��v�l.Filt�4 f t F � � ��r. t.,• , �,
Prinf {,our nerve a .� �ters on the,levefse of t ai form ro, thatrwe'oen t fee ti�
kN gg
return thlsfnard,to, youi Y.+ tk�t r� y<� t (t'.14ft b5 i 1ktci j si i; iA iuy'r h
: Attach tits form }to the trdn� of the mellplea; of on t o bac If sp ce { � 1,k1 r
does fie rpe►mlt .)Z..i { °Fr v R, t stt r t` APP,Wfl 0 '.. ti.ir F. i� r�+i1L'Rx �e ,ir �idNn�ti
• Wrlta �Returvt Receipt Requertod o� the mr�lplece below.tha e . tale number,
• The Return Ra celpt'will shoal to whotr the srticie wie detIvered end the dste .g.r ���i 4
dellvered;. ;6:t t3a.lh,0A0,ii .. alk , tr. , <;, •3' ,I. Mi gn:'E rr' .AIS '''F O 1 1' tConet it°
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Receipt for
Certified Mail
No Insurance Coverage Provided
Tumor Do not use for International Mail
(See Reverse)
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Postage
Certified Fee
Special Delivery Fee
Restricted Delivery Foe
Return Receipt Showing
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TOTAL. Postage
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iILECOPY
City of Tukwila John W. Rants, Mayor
Department of Community Development Steve Lancaster, Director
January 27, 1997
Douglas Buffett
16045 48 AV S
Tukwila WA 98188
Dear Permit Holder :
On March 05, 1996 you were notified your permit number .M95-0168 °would expire on
April 09, 1996. Since March 05, 1996 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
Sincerely,
1/1/1C40 P1W'
Kelcie Peterson
Permit Coordinator
Sent Certified mail #P 112 198 117
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (206) 4313665
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rt,' !iaG∎VY ".t` {isisrt. "4 3h1P0,11,V41f.."I'f4:::'ff le ...k :7fiXtr "4:ti, '+4
City of Tukwila
FILE COPY
John W. Rants, Mayor
Mar 05, 1996
Department of Community Development Steve Lancaster, Director
GEOFF ARNOLD
2802 EAST MADISON #101
SEATTLE, WA
98112
RE: BUFFETT DOUGLAS M.
Dear Permit Holder:
Our records indicate that on Apr 09, 1996 one hundred and eighty days will
have passed with no inspections having been called for under Tukwila
Mechanical Permit Number M95-01684.' 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 Apr 09, 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 J. Peterson
Permit Coordinator
Department of Community Development
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (206) 4313665