HomeMy WebLinkAboutPermit M95-0196 - OLSON LOUIE AND KATHLEENjYy
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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 -0196
B- MECHAN
RES
MECHANICAL PERMIT
Address: 4904 S 122 ST
Location:
Parcel #: 334740 -0945
Contractor License No: ALLAMH *055CA
TENANT
OWNER
CONTRACTOR
CONTACT
OLSON LOUIE & KATHLEEN
4904 S 122 ST, TUKWILA, WA 98178
OLSON LOUIS & KATHLEEN
4904 S 122 ST, TUKWILA WA 98178
ALL AMERICAN HEATING
F.O. BOX 55814, SEATTLE, WA 98155
SCOTT ARVISO
P.O. BOX 55814, SEATTLE, WA 98155
Status:
Issued:
Expires:
Suite:
Phone:
Phone:
Phone:
Phone:
ISSUED
11/21/1995
05/19/1996
206 762 -2967
206 762 -2967
206 440 -7844
206 440 -7844
************** ** * * * * *. * * * * * ***• * * * ** * * ** *** ** *qtr * ** * * ** *fir * *** * * * ** ** * * * * * * ** **
Permit Description:
REPLACE EXISTING GAS FURNACE
75,000 'BTU INPUT.
UMC Edition: 1994
WITH. NEW GAS FURNACE,
Valuation:
Total Permit Fee:
000.00
35.25
*******,********'**, k*********.******** ** ***. ** * * * * * * * * ** * * * * * * ** * **** k * ** * ****
Center Authorize Signa ure Date
I hereby certify that I have read and examined this permit and know
sane to be true and correct. All provisions of law and ordinances
governing this work will be complied with, whether specified herein
the
or not.
The granting of this permit does not presume to give authority to violate
or cance1'the provisions of any other state o.r local laws regulating
construction or rij1e performance of 'work. I, am authorized to *Sign for and
obtain this :bui ing y/ermit.
Signature:
Print Name:
e#46 Date: //— 2/ -. qs--
Sow-
Title: __Agv t. # 4A7 E/C'2.
This permit shall become nu:ll.and void if thework 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 iihe last inspection.
CITY OF TUKWI... ( -
Department of Community Development — Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
Mechanical Permit Application Tracking
PLAN CHECK
NUMBER
mcs - o(cuD
PROJECT NAME
oison
Lour. A 1 Kot.porl
SITE ADDRESS
BY:
2nd NOTIFICATION
SUITE NOr
3RD NOTIFICATION
BY:
init.
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 • -rmit.
• 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 pr. ect.
DEPARTMENT DATE; IN
BUILDING -
initial review
(-Q t-i5
APPROVED'
O FIRE
(3OU1'ED)
INIT:
O PLANNING
O OTHER
XBUILDING -
final review
0 BUILDING
OFFICIAL
INIT:
CONSULTANT:
TECTION:
IREMENT!
ate Sent -
>COMMEN'
Date Approved -
iJ Sprinklers U Detectors ON /A
EP
O
NING REQUIRED?
ERENCE FILE NOS.:
INSPECTOR:
BAR/LAND USE CONDITIONS? (.) Yes
0 Yes
0 No
IT:
UMC EDITION (year):
INIT:
INIT:
REVIEW COMPLETED
AMOUNT
OWING:
CONTACTED
DATE NOTIFIED
BY:
2nd NOTIFICATION
BY:
Init.
3RD NOTIFICATION
BY:
init.
01/07/93
CITY OF TUKWILA
Department of Community Development - Building
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
MECHAN .,AL PERMIT
APPLICATION
PLAN CHECK
NUMBER
iq c�
APPLICATION MUST BE FILLED OUT COMPLETELY
Division
FEES (for staff use only)
DESCRIPTION
AMOUNT
RCPT : #
DATE
BASIC PERMIT FEE
UNIT(S) FEE
PLAN CHECK FEE
OTHER:
TOTAL -
SITE ADDRESS SUITE #
H9 S i'2..2. `� S i
VALUE OF CONSTRUCTION - $
1t. 2,
ASSESSOR ACCOUNT #
33 L 7ul0 - bciy,5
Q Other:
PROJECT NAME/TENANT
LP tAXe f KAm- 4LSEo.D C)LSo►,..,
TYPE OF WORK: O New /Addition ®-Modifications O Repair
DESCRIBE WORK TO BE DONE:
2EPLl
(..l5 c..k (z ►oAC.
e E 6 C.PA-s IA(2_1■)P 0,3IT- NS
..., ;RATING/SIZE...:- NUMBER OF ;UNITS: :.::
12w4.1 9c70 CahS 6ueivHLE 75-'c i3-ru.. Z.•.)P1.AT ( I
ADDRESS pD 3v,4 55c),/ r/.4,--Tri..e
ZIPGSyss--
WA. ST. CONTRACTOR'S LICENSE # ALLA fvk N4k o
BUILDING USE (office, warehouse, etc.)
NVA
NATURE OF BUSINESS: Whr
WILL THERE BE A CHANGE IN USE? VT-No Q Yes IF YES, EXPLAIN:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
eYESo 0 Yes
, EXPLAIN:
PROPERTY OWNER L,.c,wxe v hi-►.i, LEE,...) OL$oo•)
PHONE 762 _ A9 A7
ADDRESS t„{co..,I 5
ZIP clot-78
CONTRACTOR A"._ AME_exco1v A -TZNL,
PHONE yg0-'7f3ci4
ADDRESS pD 3v,4 55c),/ r/.4,--Tri..e
ZIPGSyss--
WA. ST. CONTRACTOR'S LICENSE # ALLA fvk N4k o
A
EXP. DATE -2,- 1 —°1 6
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE :TR
AND CORRECT, AND:I.'AM AUTHORIZED TO APPLY: FOR THIS PERMIT.:
BUILDING OWNER SIGNATURE
OR PRINT NAME
AUTHORIZED �✓c o� /-� 2vx Sa
AGENT ADDRESS , 7028 I, -VilvuLsgt,
CONTACT PERSON
5coir A2uIs o
DATE
I
PHONE *g6.aey3
CITY/ZIP 79 GBISS
PHONE 4a, ,.g,843
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 fells.
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
r
DATE APPLICATION EXPIRES
5�i -qlo.
03114/94
SUglVIITTAL CHECKLT
MECHANICAL
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.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
)(MS-
941°
(206) 431-3670
"Ed'
L C.>61
Type ot Inspect
Address: LI cic)ui
' I iDa 31...
Date Called:
1 1 _cD I__oct5
Special Instructions:
LTE- 1'
1.-1-
Date Wanted:
Wquesten
3C-4tt
Phone No.:
z--)%
9FS\ Approved per applicable codes.
Cl Corrections required prior to approval.
COMMENTS:
tj-' Th
Inspector:
:
El $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Hemp No.:
DO:
..
). •
AA,
a
Ic)k*A+*+iak+Il**++A+**+�+*+^�+*AAk*+*A+**A+*^k*Ik+**+***Vak+*-A**+** GENERA 35.25
TAANBMIT TOTAL �525
CITY OF TUKWILA, NA --�����/I ^
* �*�*+v�k+�+��**A* �*.K�+�a�w�V*�* �^w**+«� +*A*++****A*A**^*+* CHIMK 35.20
TRANSMIT Nu- bar: 'A4003272 Amount: 35'. 25 11/21/95 14:12 `04WH 0"05
Paymw t Me thadi CHECK No t a ti on: ALL MMERICHN HEA In it: SLR CHANGE 0.00
Perm it; No: M95-0196 _Type: B.NECHANNECHANICAL PERMIT
Parcel No: 334740- 0945
S ite Addrems: 4904 8 122 ST
Total Fees: ` 35.25
35 .25 Total ALL Pmts: 35 25
' This Paymmnt � . � ,
Dalance: : .00
*a� +++�+*6�+*�*�*��**�
+k+a**v*�*+*A*�+A+**^+�A*A*+*+»+***A**f+* * `�
Account Code Description � ` ';Amount
000/322100 � MECHANICAL ES 35~25
~ ' .
CITY OF T1U WILA`
Address: 4904 S 122 ST
Suite:
Tenant: OLSON LOUIE A KATHLEEN
Type: B- MECHAN,
Parcel #: 334740 -0945
Permit No: M95 -0196
Status: ISSUED
Applied: 11/21/1995
Issued: 11/21/1995
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Permit Conditions:
1. "NO .WORK SHALL BE GONE ..IN:.AGGITIUN_
REPLACEMENT OF EXISTING 'APPLIANCES
ORIGINAL MECHANI_6LPERMIT. ",
2. Plumbing permi:ts`�`" •ha 11 ,.be >.cbt`ai`ned. through the Seattle -King
County Gepar:t;me�rrt of PuhT;ic:��Health�'. {P,iuinhirig ,will" °b'e
inspected bjr`;:..thats g _ •r i i gas i,i
a e n c_v i n c l u d r,� all g 'ti,!, !. g
C 296- 472`:) :.; ' _ .. ,... ") : ,i ,
3. Electricas�l;.p,er'mits ihal1`'be
' obta. irned through, the`; Wash i ng bl
State D i vis i oof Labor and Ihdu tres and a ll a l ectr` i ca
work wfl1 be inspected by that agency (248- 6630) ,,.:,i,
4. Al 1 peW ts,-, insp,ection ecor.ds, and approved plans shall b'
availratile'at; the °.job .;ite prior;.,to the start of any, con - —
struction. These documents
are"-to-.be maintained and auai1-
ablantll fnal inspection..aproval�is granted. '
5. Al 1L,const°r��ucti�un to,:be'`'dorie :i,ri`-cunfOrm nce;...with approved
pl:iiris and requfiremr nts` of `t,h;`e Un,if;orni: Buiidtng Code (39942'�h;;
Edit.ion) as aniended ,, Un ifor;mkMechani :ca1:,.Codei (1994 Ed.it.ion).?
and i,a.W;ash i ngiton State''Er -er�gy 'Code (1994 =''Ed i t,i nn) . i i,
6. Val=ei.dIty „ -of” Permit'. ,_phe`isziiar.)ce ofl.a,.per ~m�it or approva�i'of
plti�njs', "S'pe'caifi:.catiins,.'and com'putatirons.,shall not be ;con7, `
str'ued to be a' perri ,t; ;f06(br a`'n,a pr.ov,a-1,°ol,:Yany vio,1atjidnl
of any .ot the provisions of the a folio c �1 -p
g,,. o� e�'� r of `hny�.
othelY �'or" 1n�a'tice of the 1 uri:dict roi r�;°°� „No ilei iitl pr ~esumin.g {to
give authority to 'violate or can el {,time {ir-.- av'isions;of sth$sy
code '0 .a l 1� ,�:h e'� v a ly ,d . f f1., `'��. r,,x
7 . MANUFA,CrTURERS INSTALLATION INSTRUCTI'O'''''t,„, 'l E0UIRE.D »)N SITE
FOR THE`�l tlILGI U INt P CTORS REViIEW. _. 1{��1”' ,,
rc bD t�3Y3 q9 eA
I0tE; MODIFICATIONS OR
TE:GhIBEG ON THIS
Mt? e'.41414g.f4=//gl. taer0,111•V"WMPV'"VMAMT,',Vt'VtV,"1.7.....r,r,;.,.."......'9'n,"*VONOMV100*":".""P‘6"..*....
PLEASE DETACH AND CN
CERTIFICATE BEFORE PLACING
IN BILLFOLD
...REcIFERED/6 PROVIDED.BY LAW AS A:, . •
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'SEATTLE'. friA • 9E1155 • ,
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SIGNATURE eVAPC/
ISSUED BY DEPARTMENT OF LABOR AND INDUSTRIES
F625.052-000 I3-92)
RECEIVED
crr .,c)F.Tusyqpi,:;
NOV 2 1 1995
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