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HomeMy WebLinkAboutPermit M95-0201 - WILBURN PAUL\t'DtSL), FM)L (can061) City of Tukwila L: (206) 431 -3670 s.�• r Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 MECHANICAL PERMIT Permit No: M95 -0201 Type: ©- MECHAN Category: RES Address: 4255 S 150 ST Location: Parcel #: 004200 -0260 Contractor License No: NORTHWH103R2 Status: ISSUED Issued: 11/30/1995 Expires: 05/28/1996 Suite: TENANT WOLBURN PAUL Phone: 206 243 -2243 4255 S 150 ST, TUKWILA, WA 98168 OWNER BROCK R L 4255 S 150TH, SEATTLE WA 98188 CONTRACTOR NORTHWEST WATER HEATER, INC. Phone: 206 282 -4700 .2800 THORNDYKE.AVENUE WEST, SEATTLE WA 98199 CONTACT GEOFF ARNOLD Phone: 206 419 -6473 2802 EAST .MADISON SUITE 101, SEATTLE, WA 98112 ********************************************* k** •k * * *kk * * * * * * * *k ** * *•k•k * * *•k ** Permit Description: INSTALL GAS FURNACE AND 50 GALLON HOT WATER TANK. UMC Edition: 1994 Valuation:,~ 1,998.00 Total Permit Fee: 44.75 *******'**,*********.************************** * **** * ** * * * * * * * * *. * * * ** * * * ** *** z 11-30-8..S Permit Center Authorized Signature Date 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 ordinances 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 provi construction or obtain this..bu state or local laws regulating k. I am authorized to sign for and Signature: L �' Date: (r" ` Print Name: This permit shall become null and void if the work,is not commenced within 180 days from the date of..issu_ance, or if the work 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 'MG15- CQ01 PROJECT NAME Wolburh ,O.v1 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 dep- tfiient. • Any conditions or requirements for the permit shall be noted in the Sierra syste • or summarized concisely in the form of a formal letter or memo, which will be attached to th= •ermit. • Please fill out your section of the tracking chart completely. Where infor ation 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 % oject. [DEPARTMENT DATE IN BUILDING - initial review O FIRE O PLANNING O OTHER O BUILDING - final review DATE APP.ROVED:! • Bt 'LUNG OFFICIAL (ROUTED) INIT: D 'OTEg'TION: D P TTER DATED: INIT: ' _FERENCE FILE NOS.: UIR.EMENTS / COMMENT; e Sent - Date Approved - 0 Sprinklers ZO IN L) Detectors (� N/A INSPECTOR: BAR/LAND USE CONDITIONS? Ii Yes EENING REQUIRED? 0 Yes 0 No INIT: INIT: MC EDITION (year): REVIEW COMPLETED AMOUNT OWING: CONTACTED DATE NOTIFIED BY: (init.) 2nd NOTIFICATION BY: (init.) 3RD NOTIFICATION BY: (init.) 01/07/93 MECHANICAL PERMIT APPLICATION CITY OF TUKWILA Department of Community Development - Building Division 6300 Southcenter Boulevard, Tukwila WA 98188 (206) 431 -3670 PLAN CHECK NUMBER 616-oaol APPLICATION MUST BE FILLED OUT COMPLETELY FEES (tor staff use only) DESCRIPTION AMOUNT RCPT .# BASIC PERMIT FEE UNIT(S) FEE PLAN CHECK FEE << OTHER: TOTAL • _ SITE ADDRESS 2 SUITE # 7c-azLt fr PROJECT NAME/TENANT L �viA TYPE OF WORK: ❑ New /Addition ❑ Modifications VALUE OF CONSTRUCTION - $ ASSESSOR ACCOUNT # O4 oaCZG ❑ Repair DESCRIBE WORK TO BE DONE: y<9 - / -4' ,7.c 4 CF f 1) ex /C-777/775-4,1 _6/ S .ir 7'v T 7 G(Om Other: � '- / U i Qk -VeT G (� BUILDING USE off' rehouse, etc.) NATURE 0 SINESS: WILL THERE BE A CHANGE IN USE? ❑ No O Yes IF YES, EXPLAIN: WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? ❑ No ❑ Yes IF YES, EXPLAIN: PROPERTY OWNER ,/ , , ),J LA / �� PHONE/ ZIP fik c 23 ADDRESS L f l Tit' Jr , CONTRACTORc� ^I V l' 11,7-' �,. (� r� 7 �� PHONE _� _.<e/ ADDRESS - -.SOC> a ,, l 6 _....- -:- ZIP �� / c , WA. ST. CONTRACTOR'S LICENSE # , �n -, -//f •,./ /) ✓� — EXP. DATE / Z J EREBY CERTIFY THAT 1 HAVE READ ANp MI EXA ID .CORRECT, •AND I AM AUTHORIZED TO AP SIGNATURE BUILDING OWNER OR AUTHORIZED AGENT CONTACT PERSON SAME,TO B. DATE 11-30- 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 wort< 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 tees. 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 DATE APPLICATION EXPIRES 03/14/94 SUIWITTAL CHECKLIST MECHANICAL n Completed mechanical permit application (one for each structure or tenant) n Two (2) sets of mechanical plans, which include: • Floor plan • System layout • Elevations (for roof mounted equipment) • Heat Loss Calculations n 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. n Water heaters and vents are included in the UMC — please include any water heaters or vents being installed or replaced. �• J • Since 1957 • Water Heater • Heating/Air "THE ACCENTS ON SERVICE" DEPARTMENT OF: ABOR AND INDUSTRIES THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A .�F .il•. _ .1 .4 Y . ;.t ;" • • REGISTRATION NUMBER. . ` EXPIRATION DATE' •' 01. '= : ,..tt10R.Tl1 UI1Q3R2 414.a2/95 . . • FFE'CT!'VEDATE: 4 t.0R • N IRTHWEST .4TR •HTR -.I NC/ VMS ;WH 2800• THcRNOYK AVE.' 4... • SEATTLE WA 98199 State of Washington County of King STATE OF WASHINGTON F625-052.000 (3-921 I certify that this is a true and cor ect opy of the original document as presented to me b G1.I da =e'j =• of Northwest Water Heater, Inc., on November 13 RECEIVED CITY OF TUKWILA NOV 3 0 1995 PERMIT CENTER Marla Shea (printed name of notary) Notary Public in and for the State of Washincton (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 R • r. ki1H 4 '" ,);10. \MNfYi R�� � d�' �vM( i l lYiilitd M. ry: . t!. >rr E j.ti +: +a004i7+PiP:';:r d4a. 1..•. IV.`/), r`r1 .4 ;ll; '47 « vt..a.4? .11V a7� ) �74'v • :r<5+ t T ** A•• k* k:4 *4 *A••kAh•k *A+4I. *A ** * * * *;t* k** *1. *k4 ** k *•Ak•.l** *A• *AkA * *kkA *•k *4 TTY OF '1UKWTLA. WA q�'] �•. TRANSMIT 1• kA * *•k * * * **A•�k,k **•k:kA•k•4 * *k *7JFF•.1•h•A 4A*Akk•kkA *A•/•• *4*Ak• IcAkA*k*A *A TRANSMIT Number: 940Q:429e Amount:. 44.75 11/30/9.' 41/13,949P3 123 Payment Method: CHECK Notation: IMF INCORPORATED Init: SLI3 • Ptroeit No: Parcel •No: Site Address: j h,i tr .P a y m e rt t M95-0201 Type: 13••Ml CI•IAN MECHANICAL PERMIT 004200-0260 4235 150 ST Total Fees: 44.75 Total ALL Pmts: 4�4 a4, [3al ar,ce: .00. * * *•A *•/r * * *A•A! 4. *•A• 410 k * * *. **•A *A * * * **k ***A A *k�F *AA•A*AA *kA*AA *4 *A * ** l * Account Cade Description Amount '000/322..100 MECHANICAL - RES • ;,. 44.75 • • GENERA TOTAL CHECK CHANGE 0374A000 vv. 44.75 44:75 44.75 0.00 15 :21 .....,a ....«.,..-. �....>..... e............. ..............«.,...... �.........-..«......... ti....,+....,..-...,.«..,..«...... �., swawt+. v..+ wvunrwv.. ava:, r�wnrr uan+ 5.. .r.cexiurnxv.Nmvnyawsavx.:..... L. 1 INSPECTION RECORD I Retain a copy with permit INSPECT' N NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206) 431 -3670 Project: 1.. (.. icp i 4.___!..C.LI-■'7 AL, Type of inspe ion: 1 - —421.474' Date called: Address: c — -14- -14- A/2 SS So. /� � Special instructions: Date wanted: ��7 a�m.'' Requester: l r ( - / !SQL Phone No.: - ! . R � L Z . 1 - - ' c Approved per applicable codes. Corrections required prior to approval. COMMENTS: l r ( - / !SQL C../ e 4( - ! . R � L Z . 1 - - ' c free p� /i el ek, cez.. , 4 =C-4. . �- Date } Li $42.0 EINSPECTTON FEE REQUIRED. Prior to inspection, fe must be paid at 6300 Southcenter Blvd., Suite 100. Ca I to schedule relnspection. Receipt No.: Date: CITY OF TUKWILA Address: 4255 S 150 ST Sulte: Tenant: WOLBURN PAUL. . Type: B- MECHAN . Parce 1 # : 004200 -0260 **** *'k ** ** *.* *.* * **•k k k k•k•k k *•k** kb kkk * *•k*k k*'k•k* k kk•k•k•k k•k k**.* ** k* k* *•k** *-k•kk *k kk'k* Permit Conditions: ,,s....,r..: 1 . "NO WORK SHALL BE 'DONE :..IN.'Af D.I 4: N.. T <rTHO E..MODIFICATIONS OR REPLACEMENT .OF Ex ISO NUVAPPL "TAN'CEs SAS. 'DESCR;IBEt1 ON THIS ORIGINAL MECHANI.CALFERMIT. 2 Plumbing permi,t'; shall Lbe',ohtalned;r 'hroughithe 'Seatt;1e -using County Gepar.t'titeir1 of Pub ,,A c j He l th e '± 1 umb`•i nq z a ,,Ff, t,�<n. tw i 1 l inspected b; "7;fthatagency including a1'1 gas ;sip qg (296 -4722) ,, ;, ;r . �t7'', 1r l 3. Electrice.,1''perrinIt 5 zha l 'ie 'ob:tained throuh theWa sh�ingtgr\ • State f►.i;v;i�sidii''.of Labor and "I`nr.ii.Li tf ies and a1�`l. el"ectr ioal work ii' j 1' be in:'pected by 'that agency. (2423- 66.30).:, ''''','„.4.r %';.: 4 . All pre ?,:mi t; t . inspect i on e� u`r i.. and approved plans' . ha-1'1 too. >;4 eve l;aihle ti the' :job site pri`or�,,.t,o` the start of an'y. cone - "0" s t ru c"tfiun :. =H '' -. Ther'e docui}). nt � aide " °is3 br?� maintained ari'c1 o:va<i able, "unt�i 1 'final Inspection,.: ap`prova:l.::•i's granted. 4Y mss'. „rs. 5. Al 1f�rtinst`t�uuti3On tol•tb'e''`done tn'•�conf,o'r-.mar'c�eoiith approved ",.:.. .t" :: ;.,, ” ,. S ., t 4 d , Yom. plan and req' rements'..`ol the. Unitor m; ButTd-1<ng Code 1.1994 Ed itt i pn) as, arj ended, Un i foriii Me`'ch tn`i,c4 i;. Coded (1994 Edi t'i;oty 1 and( :,Wasb1ngton ','t atey'Energy <;CQde Ct199 : Ed;i"tion) _. 6, Va iditv,t.we Permit. j,Tlhe.' i . t;uance \of t,a_.�perlm, t or appr nva�lt�:o :# p1arfs�S specif scat1ons� anti torilputati';.pna, Sit a t 1 nut be conk t i e d e'C to Fbe a' perm`r.tr',f,orAf "or an a 0ryoyv,ad1 ,,04: ,.Kann vic,laft'io of an i of the p,rov i s i on. of the. bu�i 1 ci,.i:fng,.f.00de.•.:1 r of anv��, oth Opt -jri "a.nce cif the jug ~i_.dicti\ori-- o .p.er^mit p; e uming� 9l've• uthor-a t' to 'violate or canct 1 it•h 'pr.pv1_ ns,,,!ofc h'`i'? code tj���a11:,,be va1:�id. •it . �t "".� y ?. ' -, 7. MANUF4,C'iIiRERS INSTA...LATION INsTRU,CT 'qN�?. IEgUIRED DON SITE FOR THEN' ;EUILIDING INSPECTORS REVIEW. `* ' ""v .tf +`.n d;di � F Permit No: M95 -0201 Status: ISSUED App Iled: 11/30/1995 Issued: 11/30/1995 Apr 29, 1996 City of Tukwila John W. Rants, Mayor Department of Community Development Steve Lancaster, Director GEOFF ARNOLD 2802 EAST MADISON SUITE 101 SEATTLE, WA 98112 RE: WOLBURN PAUL Dear Permit Holder: Our records indicate that on May 28, 1996 one hundred and eighty days will have passed with no inspections having been called for under Tukwila Mechanical Permit Number M95 -0201. 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 May 28, 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,, a Kelcie J. Peterson Permit Coordinator Department of Community Development 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (206) 431-3665