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Home My WebLink AboutPermit M05-003 - MALMBERG RESIDENCEMALMBERG RESIDENCE 14625 46T" AVENUE SOUTH re D. 00 CO a U) W 0, Via; 0; W 2 U O N, Wi 1V':. II O Z; UN Parcel No.: 0040000746 Address: 14625 46 AV S TUKW Suite No: City i1 Tukwila Tenant: Name: MALMBERG RESIDENCE Address: 14625 46 AV S, TUKWILA WA Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: ci.tukwila.iva.us Owner: Name: MALMBERG CECIL N & SHIRLEY Address: 14625 46TH S, SEATTLE WA Contact Person: Name: MICHELE FOX Address: 9367 RAINIER AV S, SEATTLE WA Contractor: Name: ROSSOE ENERGY SYSTEMS INC Address: PO BOX 18259, SEATTLE WA 98118 Contractor License No: ROSSOES101LL Value of Mechanical: $2,130.00 Type of Fire Protection: N/A Furnace: <100K BTU 1 >100K BTU 0 Floor Furnace 0 Suspended /Wall /Floor Mounted Heater 0 Appliance Vent 0 Repair or Addition to Heat /Refrig /Cooling System.... 0 Air Handling Unit <10,000 CFM 0 >10,000 CFM 0 Evaporator Cooler 0 Ventilation Fan connected to single duct 0 Ventilation System 0 Hood and Duct 0 Incinerator: Domestic 0 Commercial /Industrial 0 doc: IMC- Permit MECHANICAL PERMIT DESCRIPTION OF WORK: RESIDENTIAL CHANGE OUT - GAS TO GAS FURNACE LOCATED IN GARAGE. * *continued on next page ** M05 -003 Permit Number: Issue Date: Permit Expires On: EQUIPMENT TYPE AND QUANTITY Phone: Phone: 206 725 -7555 Phone: 206 - 725 -7555 Expiration Date:05 /14/2006 Steven M. Mullet, Mayor Steve Lancaster, Director M05 -003 01/06/2005 07/05/2005 Fees Collected: $158.94 International Mechanical Code Edition: 2003 Boiler Compressor: 0 -3 HP /100,000 BTU 0 3 -15 HP /500,000 BTU 0 15 -30 HP /1,000,000 BTU.. 0 30 -50 HP /1,750,000 BTU.. 0 50+ HP /1,750,000 BTU 0 Fire Damper 0 Diffuser 0 Thermostat 0 Wood /Gas Stove 0 Water Heater 0 Emergency Generator 0 Other Mechanical Equipment... 0 Printed: 01 -06 -2005 Permit Center Authorized Signature: doc: IMC- Permit City Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: ci.tukwila.wa.us Permit Number: M05 -003 Issue Date: 01/06/2005 Permit Expires On: 07/05/2005 Date: /-4 - o s 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 presu uu - • give authority t• e or cancel the provisions of any other state or local laws regulating construction or t• ..T - • e of , - I • •• - orized to sign and obtain this mechanical permit. Signature: Date: Print Name: i This permit shall become null and void if the work 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 the last inspection. M05.003 Steven M Mullet, Mayor Steve Lancaster, Director Printed: 01 -06 -2005 Z re CO 0 w W, N LL: W 0' g J ' NO CJ Z W. z� uj n 0 ia !W W • O W Z: U D. 0 ~' Z City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PERMIT CONDITIONS z Parcel No.: 0040000746 Permit Number: M05 -003 1 Address: 14625 46 AV S TUKW Status: ISSUED re I Suite No: Applied Date: 01/06/2005 6 v Tenant: MALMBERG RESIDENCE Issue Date: 01/06/2005 v 0 N o w w - J N u_ ui 0 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the 2 �. Building Official. 1: ** *BUILDING DEPARTMENT CONDITIONS * ** < 3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to EI d start of any construction. These documents shall be maintained and made available until final inspection approval is w granted. ` ?. !- 0 4: Manufacturers installation instructions shall be available on the job site at the time of inspection. w w' 5: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired appliances 0 N s not be located in, or obtain combustion air from, any of the following rooms or spaces: Sleeping rooms, o i`-. bathrooms, toilet rooms, storage closets, surgical rooms. w w F U 6: Equipment and appliances having an ignition source and located in hazardous locations and public garages, PRIVATE t - u ~ O. GARAGES, repair garages, automotive motor -fuel dispensing facilities and parking garages shall be elevated such that .. z the source of ignition is not less than 18 inches above the floor surface on which the equipment or appliance rests. v 5 . 7: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall z be at points within the upper one -third and lower one -third of the water heater's vertical dimension. A minimum distance of 4- inches shall be maintained above the controls with the strapping. 8: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Department of Public Health - Seattle and King County (206/296- 4932). 9: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department of Labor and Industries (206/248- 6630). 10: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. doe: Conditions * *continued on next page ** M05 -003 Printed: 01 -06 -2005 Signature: Print ' ame: doc: Conditions City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 I hereby certify that I have read these conditions and will comply with them as outlined. 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 •rovision of any other work or local laws regulating construction or the performance of work. M05 -003 Date: /_ O4 - Q 5 Printed: 01 -06 -2005 U0 .co o; • rn UJ • • wO • u. a: N D: • w: • tcz o .0 ?} U W uJ O • 111 Z t UN p�I i Name: CITY OF TUKWILA Community Development (artment Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Building Perm .o. Mechanical Permit No, 0•S 00:3 Public Works Permit No. Project No. (For o/ ice. use onl Applications and plans must be complete in order to be accepted for plan review. ;Applications will not be accepted through the mail or by fax. * *Please Print ** King Co Assessor's Tax No.:60400D t 41 Site Address: 1 46 2..5 q - S i4 . Suite Number: Floor: Tenant Name : / g' e6 • , l 11 , �' z C-0-. New Tenant: ❑ .... Yes .No Property Owners Name: e�C..A I �•k' e rn t7l 1 tv v Mailing Address:tQ.JttsI■.,Q_ GA AL*-6 Mailing Address: r c ? r - 4cie Se. E -Mail Address: \permits pluaticc changeatpermit application (7 -2004) Page 1 City CHITECT RECORD All plans: must be wet stamped by Architect of Record GINEER OF:: RECORD :- All plans must be wet stamped by Engineer of Record • State Zip Day Telephone: ,, 73- City State Zip Fax Number: Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: * *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance ** Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip ERAL CONTRACTOR INFORMATION . (Mechanical Contractor information on back page) BUILDING PERMIT INFORMAJN - 206 -431 -3670 Valuation of Project (contractor's bid price): $ Number of Parking Stalls Provided: Standard: Compact: Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain: 1pcnniu plus'Jce changa.pertnit application (7.2004) Page 2 Existing Building Valuation: $ Scope of Work (please provide detailed information) Will there be new rack storage? ❑ ..Yes ❑ .. No If "yes ", see Handout No. for requirements. Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single - family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling: • *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Handicap: FIRE PROTECTION/HAZARDOUS MATERIALS: 0.. Sprinklers ❑..Automatic Fire Alarm ❑..None ❑ • Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ .. Yes ❑ .. No If "yes", attach list of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets. 1;3 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1" Floor 2" Floor 3`a Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck - BUILDING PERMIT INFORMAJN - 206 -431 -3670 Valuation of Project (contractor's bid price): $ Number of Parking Stalls Provided: Standard: Compact: Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain: 1pcnniu plus'Jce changa.pertnit application (7.2004) Page 2 Existing Building Valuation: $ Scope of Work (please provide detailed information) Will there be new rack storage? ❑ ..Yes ❑ .. No If "yes ", see Handout No. for requirements. Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single - family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling: • *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Handicap: FIRE PROTECTION/HAZARDOUS MATERIALS: 0.. Sprinklers ❑..Automatic Fire Alarm ❑..None ❑ • Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ .. Yes ❑ .. No If "yes", attach list of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets. 1;3 • PUBLIC WORKS PERMIT INS' 7RMATION — 206- 433 -0179 Scope of Work (please provide detailed information): Water District ❑ ...Tukwila ❑... Water District #I25 ❑ ...Water Availability Provided Sewer District ❑ ...Tukwila ❑ ... ValVue ❑ .. Renton ❑ ...Seattle ❑...Sewer Use Certificate ❑...Sewer Availability Provided ❑ .. Approved Septic Plans Provided ❑ ...Septic System - For onsite septic system, provide 2 copies of a current septic design approval by King County Health Department. Submitted with Application (mark boxes which apply): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34 ") ❑...Technical Information Report (Storm Drainage) ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) Proposed Activities (mark boxes that apply): ❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑ ...Right -of -way Use - No Disturbance ❑ ...Construction /Excavation/Fill - Right -of -way Non Right -of -way ❑ ...Total Cut ❑...Total FiII ❑ ...Sanitary Side Sewer ❑...Cap or Remove Utilities ❑...Frontage Improvements ❑ ;..Traff)c Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ ...Permanent Water Meter Size... ❑ ...Temporary Water Meter Size .. ...Water Only Meter Size ❑ ... Sewer Main Extension Public _ ❑...Water Main Extension Public _ ■permiu pluilicc changes permit application (7.2004) Please refer to Public Works Bulletin #1 for fees and estimate sheet. cubic yards cubic yards ❑ ❑ ❑ ❑ fl 11 Call before you Dig: 1- 800 - 424 -5555 . Abandon Septic Tank . Curb Cut . Pavement Cut . Looped Fire Line If WO# WO# WO# Private Private .. Work in Flood Zone ❑ .. Storm Drainage Page 3 ❑ .. Highline ❑ .. Geotechnical Report ❑ .. Maintenance Agreement(s) ❑ ...Renton ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑...Deduct Water Meter Size ❑...Traffic Impact Analysis ❑ ...Hold Harmless " FINANCE INFORMATION Fire Line Size at Property Line ❑...Water ❑...Sewer ❑...SewageTreatment Monthly Service Billing to: Name: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: Number of Public Fire Hydrant(s) Day Telephone: City State Z ip Day Telephone: City State Zip • .,..,...�.._..�m:�_.iL:a:..w:.� Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Furs e <I U `�(� O Air Handling Unit Fire Damper 0 -3 HP /100,000 BTU Furnace>100K BTU Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected to Single Duct Thermostat 15 -30 HP /I,000,000 BTU Suspended /Wall/Floor Mounted Heater Ventilation System Wood /Gas Stove 30 -50 HP /1,750,000 BTU Appliance Vent Hood and Duct Water Heater 50+ HP /1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System Incinerator - Domestic Emergency Generator Air Handling Unit <10,000 CFM Incinerator - Comm/Ind Other Mechanical Equipment MECHANICAL PERMIT INFORMATION 206- 431 -3670 MECHANICAL CONTRACTOR INFORMATION Company Name. ., - . ' — • L. Mailing Address:q3t 1 R,O..ur1 Contact Person: V Line e E -Mail Address: Contractor Registration Number :. - ROP t`Sg R. * *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance ** Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information):('). .)\ ' Use: Residential: New ....❑ Replacement....,,® Commercial: New .... ❑ Replacement ❑ Fuel Type: Electric ❑ Gas ...A Other: Indicate type of mechanical work being installed and the quantity below: PERMIT APPLICATION. NOTES Applicable to all permits in this application Value of Construction - In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. 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 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once. 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BU DING 0 ER OR THORIZED AGENT: Sign Print Name: Mailing Addres • d-r,„ Date Application Accepted: Date Application Expires: Staff Initials: i %permits plusticc chanyatpermit application (7.2004) Page 4 Sea -Mte. 146 781 ! City State Zip Day Telephone: 2-0 —"N.& 7 c-56 Fax Number: Expiration Date: 12. --10 —0 L Day Telephone: City Date:) -- O State 5 Zip Z t' 2 ce . 0 00 W t" J I- W LL WO u_ 59- 1-W I- O Z W Lu > > O - • °2, O I- I - — u" O w Z U N 0 l- O Z City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 0040000746 Address: 14625 46 AV S TUKW Suite No: Applicant: MALMBERG RESIDENCE RECEIPT Permit Number: M05-003 Status: PENDING Applied Date: 01/06/2005 Issue Date: Receipt No.: R05 -00015 Payment Amount: 158.94 Initials: SKS Payment Date: 01/06/2005 02:39 PM User ID: 1165 Balance: $0.00 Payee: ROSSOE TRANSACTION LIST: Type Method Description Amount ACCOUNT ITEM LIST: Description doe: Receipt Payment Check 69853 MECHANICAL - RES 158.94 Account Code Current Pmts 000/322.100 158.94 Total: 158.94 01/06 9716 TOTAL. 17 3 Printed: 01 -06 -2005 • U� N' • •=.V • w Z, • • ;O Hi Z ;. Project i 4,-, Type of Inspection� Address 1 Z.S /I " Date Called: Special Instructions: Date Wanted ...,. a.m. C -- RegUester: Phone No: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector INSPECTION RECORD Retain a copy with permit PE 4i IT NO (206)431 -3670 M Y\ ()/ Date: El $47.00 REINSPEtTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: Project: A )21 Tymof Inspection: f .. / A.,, n - � ,'% Date Called: Addr s• Special Instructions: Date Wanted: a.m. r d / -- D5 cvn Requ• l� Ph ne No: INSPECTION. RECORD Retain a copy with permit INSPECTION NO. PERMIT CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ` (2 6)431 -3670 Approved per applicable codes. 'Receipt Nof - orrections required prior to approval. v4 CO MENTS: Inspector:. Date' `$58.00 REINSPECTION F REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. 'Date: SS w re U 4 U U U: _. N u. W O 2 u _ W z U 0 ' = W: LL O` 11 •z • U 92'• O z Pa. �/� �'- gA1 G` e 4--,,,,,,\s e of c Type In etion: i Address: � � ,s___ Date ailed: o7 — / q/ — 05 p cial Instructions: Date Wanted: C c2 �r a.m. ` p.m. Reques Phpn) : 1 1 /J• U INSPECTION RECORD Retain a copy with permit INSPE ION NO. CITY OF TUKWILA BUILDING DIVISION 6300.Southcenter Blvd., #100, Tukwila, WA 98188 ❑ Approved per applicable codes. Corrections required prior to approval. COMMENTS: 2 ,) 3) Cv It $58:00 REINSPECTION FE EQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. (Receipt No.: 'Date: r62s- ns'•n8 () (8/97) • DEPARTMENT OF LABOR AND INDUSTRIES REGISTERED AS PROVIDED BY LAW AS CONSTCONT. GENERAL . REGIST. # EXP. DATE CCO1 ROSSOES101LL 05/14/2006 EFFECTIVE DATE ROSSOE ENERGY SYSTEMS INC PO BOX 18259 SEATTLE WA 98118 -0259 06/13/1990 Detach And Display Certificate U O NO: N W;