HomeMy WebLinkAboutPermit M95-0215 - BOSSON PATRICIA�kx}
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City of Tukwila �...
(206) 431 -3670
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
MECHANICAL PERMIT
Permit No: M95 -0215
Type: B- MECHAN
Category: RES
Address: 16012 42 AV S
Location:
Parcel #: 537980 -0001
Contractor License No: NORTHWH103R2
Status:
Issued:
Expires:
Suite:
ISSUED
12/19/1995
06/16/1996
TENANT BOSSON PATRICIA K
16012 42 AV S, TUKWILA, WA 98188
OWNER BOSSON PATRICIA K Phone: (206) 243 -9343
HAUSKINS LOUIS J, 14305..15TH AVE, SEATTLE WA 98166
CONTRACTOR NORTHWEST WATER HEATER, ING.: Phone: 206 282 -4700
2800 THORNOYKE AVENUE WEST, SEATTLE, WA 98199
CONTACT GEOFF ARNOLD, Phone: 206 419 -6473
2802 EAST,MADISON #.101, SEATTLE, WA 98112-:
************** * ** * * * ** *. * ** * ** * *•k * * * * * * * ** ********** *• ** *.*.* *. * * *** **• * * *k•* *****
Permit Descr,iption:,
INSTALL GAS FURNACE.
UMC Edition: 1994
Valuation::
Total Permit Fee
881.00
35.25
* ** * * * * *, *: * ** * * ** * * * * * * * * ** ** k**** * ** * * * * * * * * * * * ** * * *•k ** * * *•K* ** k k** *•k * *•k•k **
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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 grattlng 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 performan_c�f ;'I am authorized to sign for and
obtain this building per .
/rem z
Signature: - _ _ -- _ -- Date:__ /�'�
Print Name: 6� sf Title:___
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This permit shall become null and -vo i,d ° if the work:.. s' not commenced within
180 days from the date of :issuance, or if the o'rk�'�is suspended or
abandoned for a period of 180' iays';f,ranl,;t,he' last inspection.
CITY OF TUKWIL . r
Department of Community Development — Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
Mechanical Permit Application Tracking
PLAN CHECK
NUMBER
mas - 0Q15
PROJECT NAME
5of2sOh , Pei
SITE ADDRESS
R oofa L13 ki a
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 or sum zed
concisely in the form of a formal letter or memo, which will be attached to the permit.
• Please fill out your section of the tracking chart completely. Where information r-* ested 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.' ct.
DEPARTMENT IN RE
DATE
APPROVED
O BUILDING -
initial review
O FIRE
REMENTS / : COMMENT
(ROUTED)
INIT:
O PLANNING
O OTHER
INI .
geF TION:
F!L TTER
Date Approved -
(� Sprinklers (� Detectors
O N/A
F ' E D6F DATED:
/
INSPECTOR:
G: IBAR/LAND USE CONDITIONS? U Yes J No
ENING REQUIRED? O Yes O No
•►�
REFERENCE FILE NOS.:
INIT:
O BUILDING -
final revie
O BUILDING
OFFICIAL
UMC EDITION (year):
INIT:
INIT:
REVIEW COMPLETED
AMOUNT
OWING:
CONTACTED
DATE NOTIFIED
BY:
(init.)
2nd NOTIFICATION
BY:
(init.)
3RD NOTIFICATION
BY:
(init.)
01/07/93
MECHAN%. AL PERMIT
APPLICATION
CITY OF TUKWILA 'r
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
PLAN CHECK
NUMBER
APPLICATION MUST BE FILLED OUT COMPLETELY
FEES (for staff use only)
DESCRIPTION
AMOUNT
RCPT #
DATE
PERMIT FEE
• :TYPE • ;: :: ;:: ••RATING /:SIZE
,,; NUMBER.OF:UNITS
0401151"U
F I )ArsA ACE.. 1 -J,e,r t'7rvt Pp V.I. A)o (s !
UNIT(S) FEE
CONTRACTOR
ADDRESS �> %i) rIG ,
%4
PLAN CHECK FEE
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 0Yes
IF YES, EXPLAIN:
OTHER:
TOTAL -
65 02
SITE ADDRESS SUITE #
i__CI'0 l,� --� q ., Aft Se i U I�'J(U>a '��Eyig Y
VALUE OF CONSTRUCTION - $
7 7f s'---
ASSESSOR ACCOUNT #
:� �r- `'f 9 0 6 G 0 i
0 Other:
PROJECT NAME/TENANT (
--)1A1 * tC t ;( ) ; C\ ( `) h.,
TYPE OF WORK: New /Addition Q Modifications O Repair
DESCRIBE WORK TO BE DONE: II
1 511)11/ V 1:1. r2 A`i c •17
• :TYPE • ;: :: ;:: ••RATING /:SIZE
,,; NUMBER.OF:UNITS
0401151"U
F I )ArsA ACE.. 1 -J,e,r t'7rvt Pp V.I. A)o (s !
.0
CONTRACTOR
ADDRESS �> %i) rIG ,
%4
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 0Yes
IF YES, EXPLAIN:
PROPERTY OWNER IA-1 1(IA
(:)3
Ri) Z)`'-) n
PHONE� ( --"i1
ADDRESS �(u(�) 1ix '-
1
,
c, 1 t(j-�� I I.(_, =T
ie
PHONE
ZIP C� )
CONTRACTOR
ADDRESS �> %i) rIG ,
%4
() i ,„
AJ �_{ (L, ; ( ) 7.1....-
EXP. DATE
ZIP ,-61c `l
WA. ST. CONTRACTOR'S LICENSE #
I HEREBY CERTIFY THAT: I HAVE ':READ : ND "EXA INED-T PLICA
AND CORRECT, AND I AM.AUTHORIZEI TO � AF.P '�C t7ArH RMIT'::
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SIGNATURE
BUILDING OWNER ( �� "-
OR
AUTHORIZED
AGENT
CONTACT PERSON
PRINT NAM
PHONE
(-76(7 �--
PHONE f /)( _7
t
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 /
a-L(4-GLs
DATE APPLICATION EXPIRES
Co-
qr q
03/14194
SUBMITTAL CHECKLiST
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.
a
INSPECTION NO.
±.11$ * • • '
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(1. j?5;02.5/
PERMIT NO,
206)-41
Project: /
Ap
ea _ Aar iliP /4
Type of inspection: /7.7‘ej)
Addres/s:C9/2-*—
Date called: --------
Special instructions:
Date wanted:
7-0-3-IT P:m.
Requester:
Phone No.:
Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.
Inspector:
Date :7_40,g
$42.00 REINSPECTION FEE REQUIRED. Prior to Inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
receipt No.:
Date:
INSPEC JON NO.
INSPECTION RECORD
Retain al: copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
-0zr
PERMIT NO.
(206) 431 -3670
Project: /315S
1Pipit6t en,
Type of inspection: /-�-
/ ;)ia
Address:��� /2. ,--/1 %
Date called:
r+
Special instructions:
Date wz�nt d ,7
Ca
9?
6.m
Requester:
r'
Phone No.:
Approved per applicable codes. fQ Corrections required prior to approval.
COMMENTS:
r+
r'
$42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd,, Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
J:.•I,ata . i 444; Ea
ikh *.P**/ ******. k* k* A** AA.PAA*A h k*•* 4* kAk *4 *- 1,**4 *i•:lkk *AkA *Pk.•kk*A*
C]:TY'OF: TUKWILA. W 3'E�iNf3MrT
4:4k*s'ck k *�rk* *k:4A *A *kA *A''*'A pt!5 *A*11. �r�.1 r4*
. 4*.A*AkhhhkAiAk : l* 7 A}i A *A3 I RAN:3MT Number: 94003;77 Amount: 35.25 1.2/19 .1
a 4
Pnvme r °1t Method: CHECK Nok;ntion: 141)" INCORPORATED Snit: SLU
Permit No„ t495- 0215 fvpe: 13-MLC13t1N MECHANICAL PERMIT
Parcel Nc: • 537990-0001
Site Address: 160.12 42 AV 5
Total Fees:
This .Payment 35.25 , Total ALL Plots: 35 25.
13a1 ancee .00
* k k*•*Q A* kA**4* A•.,.* A** AA**• k* k* k• AkI. k*A** 4 *****Ai*A1%*.AAA*** *A**AA *Jc*
Account Code Description Amount
000/322.100 MECHON]CAL -� RES 35.25:
GENERA
TOTAL
CHECK
CHANGE
35.25
35.25
35.25,
0.00
.0930A000 16 :04
CITY OF .TUKWILA
Address: 16012 42 AV S
Suite:
Tenant: BOSSON PATRICIA !:
Type: B- MECHAN
Parcel # 537980- 0001
Permit No: M95 -0215
Status:
Applied:
Issued:
ISSUED
12/19/1995
12/19/1995
************* M***• M*** k** k• MM*• k* k***** kkF* M* k• kk**** k* *h.k *h•M ****M*•k**'M **•k*-,6"kk
Permit Conditions: _
1 . "NO .WORK SHALL BE GONE.. y. I, N = ADDI =TI,J l; 1'l' sTHOS:E:4,MODIF'CATIONS OR
REPLACEMENT OF EXI TOG- 1::= APP(_IAANCE'S AS-GESC ;Ft'I:BED., ON THIS
ORIGINAL MECHANICAL: %PERMIT„ " , ` thF ' •^: " :.,,
P1ismbin , ": ; ;., ;:,
g perm it's slia11 ba obtained ;�, lirough t e ':,ea'41; -King
Cc ui�t De er,.t° i i , 1 o f* 4: P. g �,
y p 6.r t of Pa (iC,1Hee- ,th% .,P ;,1anrbpirig :wi i 1 ;0e';,. ,
inspected i4 t'liat".e en '' r•`i ;
0�, . �%Y ; i n t:. l u d i 99„ all 1� 1 g a's i' p rtig � °•�,� �,.
(' 9 6 - 4 7 2 2 Ds. r` !.r" s� t. • er tp�` t ,,�k
3 E1ectricti 1-./ ermit,..,s ' r,�., g
a�,l p r � , � ha 11,1 be gib �� i rigid thr�atagh,� they �J�sl,i ngGy� .
State U�i;vi's1on`o,r Labor and •''i•dus r"ies and oft e1e:,c r1ca1R M1
work will be insISeut'ed hy,.. t,liejt agency;. (248- 66'3U)) Nw`,i r„ 4A
4. All e;�iit: u s
p=,,�.5n ..,.- inyp.�ction':t��e•bu'r;`�i.., acid �,pprovcd plans. clrra. °1``i h6��1
available at,. the "Job site prior _to the start of acv, cod, - "' ;'_- 1;'
r
stru,ct,lon ...;These docunnents a t,�e to` .be.' maintained snit avai l"`-
ablo- uiitl.1 fina;'I inspect ion•.., pprova1• is gran t ed . <* ''
5. Al 1.,,cOnseruet ion to. he. � done .ii `,}confor.ri�a'iy'ce:. -"Ii th appr� veca
pian's; and r•equ ?ireme.nt. of the UniifsormiBiij.1,dtrig Code (s1!�94
Edilt�1on) a j amend'ed.,. Un,itor -in §Me'ii'c3ni;ca1 "Code's ('1994 Ed1t1=oiic
ands Wei_: gton. :,state Ener•g.y •`Code (1994!'•Erf i,t-iFon) .
. Va1lfditv,,.of' Pe' rm�• f .......Y..T{je.�i^'`'i,rice'Ioi t ".rp...... y r,
F .:�t "a' =.a er m j t or aPI .r ov;l =:o:
plans,QQ s'pe'c,jfi:cations/ �•n }.1 comp'uta' ons. ;he'1 i not be .on
s trtie to „be a' per►iii't�,� f r:r�J or an,.Nap:prova -1 /ot any v i o�l at i un
of anv oot the prov1sions. 'of the bii1'1cj.4fn _lcocte...:or of 'nv~
othe'r4 ?ri,brd =1=iian.ce .of the jurisdiet1on°:` "�Norpe.r..mi t pr.esurni r:g to
give 0,L)th Oil t r to .vio1ato or canoe {1 'the �r`ov, :lons,of ti hi'
code s.ha 1 l ::be,r v valid
. u
7. MANUFACT RER'�, IN'_,TA4LATION IN:,TRUCTI0r RE UIREG `1N SITE
FOR THEEtB U ILDIN.G 'INSP,ECTORS REVL,E14. 't %, ., qtr r ,' •
. \,i tY,�Nt ik •
7
Vfir
Jan 31, 1997
City of Tukwila
FIL
o
Department of Community Development Steve Lancaster, Director
GEOFF ARNOLD
2802 EAST MADISON #101
SEATTLE, WA
98112
RE: BOSSON PATRICIA K
Dear Permit Holder:
Our records indicate that on Jun 16, 1996 one hundred and eighty days will
have passed with no inspections having been called for under Tukwila
Mechanical Permit Number M95-0215. 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 Jun 16, 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,
e a
e 2
Kelcie J. Peterson
Permit Coordinator
Department of Community Development
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 4313670 • Fax (206) 431-3665
IKtx.)iticalk
Since 1957
• Water Heater
• Heating/Air
"THE ACCENTS ON SERVICE"
DEPARTMENT OF LABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A
Tf C
GENERA
4.4'...!;,;::: ..,
`,!... •REGISTRATION
NUMBER ;f
;N91.7H14H103R2:j.1229
EFFECTIVE DATE:
.:,EX011wr 4 E `.
9i
12./22/9O
7C?
4'.,
'r:
NORTHWEST. W.TR' HTR INC /DAVIS' WVI
2800'THORNDYKE AVE W
SEATTLE WA . • 98195'
State of Washington
County of King
STATE OF WASHINGTON
F825.052.000(3.82)
I certify that this is a true and correct copy of the original
document as presented to me by Glenda Seem in, of Pacific Heating
and Air Conditioning, Inc., on De' .::r L i 95.
litattealt Aft
(sig at re n• -y)
Marla Shea !y ►Q
(printed name of
notary)
Notary Public in and for
the State of Washinciton
(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