HomeMy WebLinkAboutPermit M05-014 - GOMEZ RESIDENCEGOMEZ RESIDENCE
4519 S 124 ST
EXPIRED
M05 -014
Parcel No.: 0179000785
Address: 4518 S 124 ST TUKW
Suite No:
Tenant:
Name: GOMEZ RESIDENCE
Address: 4518 S 124 ST, TUKWILA WA
Owner:
Name: GOMEZ GEORGE G
Address: 4504 S 124TH, SEATTLE WA
Contact Person:
Name: LINDA HOMLQUIST
Address: PO BOX 2034, KIRKLAND WA
Contractor:
Name: WASHINGTON ENERGY SERVICES CO
Address: 2800 THORNDYKE AVE W, SEATTLE, WA
Contractor License No: WASHIES9710B
DESCRIPTION OF WORK:
GAS TO GAS WATER HEATER CHANGEOUT.
Value of Mechanical: $600.00
Type of Fire Protection: NONE
Furnace: <100K BTU 0
>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
City oTukwila
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
MECHANICAL PERMIT
Fees Collected: $112.36
International Mechanical Code Edition: 2003
EQUIPMENT TYPE AND QUANTITY
* *continued on next page **
M05 -014
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 425 - 770 -3288
Phone: 206 282 -4200
Expiration Date: 09 /02/2005
Steven M. Mullet, Mayor
Steve Lancaster, Director
M05 -014
01/26/2005
07/25/2005
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 1
Emergency Generator 0
Other Mechanical Equipment
Printed: 01 -26 -2005
Permit Center Authorized Signature: , al/A k
l
Print Name:
doe: IMC- Permit
City o:
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
Date:
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: M05 -014
Issue Date: 01/26/2005
Permit Expires On: 07/25/2005
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 provisions of any other state or local laws
regulating constryction or t performance of work. I am authorized to sign and obtain this mechanical permit.
Signature: Date: 1 2 (Ph
Li Kt vA ��-- larnGzu(f�
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 -014 Printed: 01 -26 -2005
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 0179000785
Address: 4518 S 124 ST TUKW
Suite No:
Tenant: GOMEZ RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
PERMIT CONDITIONS
Permit Number: M05 -014
Status: ISSUED
Applied Date: 01/26/2005
Issue Date: 01/26/2005
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
4: Manufacturers installation instructions shall be available on the job site at the time of inspection.
5: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired appliances
shall not be located in, or obtain combustion air from, any of the following rooms or spaces: Sleeping rooms,
bathrooms, toilet rooms, storage closets, surgical rooms.
6: Equipment and appliances having an ignition source and located in hazardous locations and public garages, PRIVATE
GARAGES, repair garages, automotive motor -fuel dispensing facilities and parking garages shall be elevated such that
the source of ignition is not less than 18 inches above the floor surface on which the equipment or appliance rests.
7: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall
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.
doc: Conditions
* *continued on next page **
M05 -014 Printed: 01 -26 -2005
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
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 provision of any
regulating construction or the performance of work.
Signature:
Print Name:
L h i2 4 77
doc: Conditions
M05 -014
of law and ordinances
other work or local laws
c Date: V
Printed: 01 -26 -2005
E -Mail Address:
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Site Address: ! (S S I 2-
S'
Tenant Name: TP f ft '4 610%taZ-
Property Owners N.aime7rZt W\' 61051/0122., Mailing Address: ` 1 S. 1 a)--i ` S fi " 1't t
City
!ERS(
Name: b' l (011 1 - ICA.LiJ �. s r
Mailing Address: P £3e C t. r (((
RACTOR INFORMATIO
ccs h tri Cfrul-re
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.: C) 17' ex D7
Suite Number: Floor:
New Tenant: .... Yes K.No
State
INTAC
Zip
Day Telephone: Y2-1 7 7 G 2a'
`Y?;3t(
City
Fax Number:
State
Zip
Company Name: , , D
Mailing Address:2 O'�eArY\4 -j k-� 4?1-e c J ec -ice _ — .9rfr/1 1
� J 1 11-9-e-- City State Zip
Contact Person: Caine). Caine). ICA- get it c 5 Day Telephone: '204 2i-3 - 70,]
E -Mail Address: Fax Number:
Contractor Registration Number: WAS 4( leS 9? I o B Expiration Date: q /Z -43S
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
tapptication, permit application (3.2003)
312003
?ARC
4. 400: a viiet sttintpedb y'Archit } ct
Company Name:
Mailing Address:
u �:4yr •n�u.St"...t:vt.tas nt,:iieaeie.:" u�auti.:
�'.��a�iSv ;dd. �'.'01 {F'..5�.'I.M+tG x•{ti!`9{!}� 4'4t�'v�lt- 'Jif�'i . y- fyrS- Ji'` *tiX�'; ti'r.} {f'k
Zip
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
State
City
Day Telephone:
Fax Number:
.EN GINEE R O.
C,QRD 411 0400. m■st•
i ,•
e,t's
;,]Engineer R
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Unit Type: YP '
Qty
Unit Type : '
Qty :
Unit Type: `:
Qty -
:Boiler/Compressor:
ty
Fumace <100K BTU
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipment
0 -3 HP /100,000 BTU
Fumace >100K BTU
Evaporator Cooler
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan
15 -30 HP /1,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
C
1�F[�i'Vl'r,
`
r
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood
50+ HP /1,750,000 BTU
Heat/Refrig/Cooling
System
Incinerator - Domestic
Air Handling Unit
<= 10,000 CFM
Incinerator — Comm/Ind
iSE CE ANIC ERMIT INfORIV�ATION; == 206: 31=.36
j� .S�!., z ` t '�-' �,:'.— i�t;;a�,�r:•u. ' '
BUILDING 0
Signature: 7
Napplicatio u'permit application (3.2003)
Valuation of Project (contractor's bid price): $ �V
Indicate type of mechanical work being installed and the quantity below:
ER OR AU ORIZED AGENT:
Print Name: 1 t�ICNY'1 Q U L
Mailing Address: pb�6 �-o yy
4 1 1--(
MECHANICAL CONTRACTOR IN ORMAT ON ,,
Company Name: (...4-4 Lid-- L . 0 -7-U t of
Mailing Address: ie D C) q Ci Y lA !—t L-) •••-•/1-7146 Jc. d j
City State Zip
Contact Person: C.0-4'1‘4 I. C.0 J /v�� c) "_1" Day Telephone: 2 28 Z �1 �1
E -Mail Address: V Fax Number: .
Contractor Registration Number: CAR—(� q / th Expiration Date: 7(Z /U ,�
* *An original or notarized copy of current Washington State Contractor License must be presented a th time of permit issuance **
Scope of Work (please provide detailed information):
gas - Iv 9cif tt),A ko• c •
Use: Residential: New .... ❑ Replacement ...ili
Commercial: New .... ❑ Replacement .... ❑
Fuel Type: Electric ❑ Gas .... f`s t Other:
'E
�CATIONNQTES
F 1 �.'� 4 j �• t 1
p plicable to alb permits 40 t6>IS a ptieattou
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.
I 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.
Day Telephone:
City
Date: Iss
State
Zip
Date Application Accepted:
Date Application Expires:
ACCOUNT ITEM LIST:
Description
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 0179000785
Address: 4518 S 124 ST TUKW
Suite No:
Applicant: GOMEZ RESIDENCE
Receipt No.: R05 -00102 Payment Amount: 112.36
Initials: BLH Payment Date: 01/26/2005 12:39 PM
User ID: ADMIN Balance: $0.00
Payee: WASHINGTON ENERGY SERVICES COMPANY
TRANSACTION LIST:
Type Method Description Amount
Payment Check 4376
MECHANICAL - RES
RECEIPT
112.36
Account Code Current Pmts
000/322.100 112.36
Permit Number: M05 -014
Status: APPROVED
Applied Date: 01/26/2005
Issue Date:
Total: 112.36
9294 01/26 9716 TOTAL 224.72
doc: Receipt
Printed: 01 -26 -2005
06 -07 -2005
LINDA HOLMQUIST
PO BOX 2034
KIRKLAND WA 98034
RE: Permit Noz_M00.5 -01144
4518 S 124 ST TUIKVV
Dear Permit Holder:
Based on the above, you are hereby advised to:
City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division.
Per the International Building Code and/or the International Mechanical Code, every permit issued by the Building Division under the
provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not
commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or
abandoned at any time after the work is commenced for a period of 180 days.
Call the City of Tukwila Permit Center at 206 - 431 -3670 to arrange for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the Building Code does allow the Building Official to approve a one - time extension up to 180 days.
Extension requests must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have
prevented action from being taken.
In the event you do not call for the above inspection and receive an extension prior to 07/25/2005, your permit will become null and
void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Stefania Spencer,
Permit Technician
xc: Permit File No. M05 -0l4
Bob Benedicto, Building Official
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206- 431 -3665
•
frE CiEWt D
DEPARTMENT OF LABOR AND INDUSTRIES
F625- 051.000 (8197)
REGISTERED AS PROVIDED BY LAW AS
CONST CO GENERAL
gv1,! ZS kA R2EXP ADAT0'
‘CCul DATE 9714a 09/02/
WASHINGTON ENERGY SERVICES CO
2800 - THORNDYKE AVE W
SEATTLE WA 98199 •
Oeracn And Display Ccni iutc
State of Washington
County of Snohomish
I certify that this is a true and correct copy of said document as of this date
Date: � /a
.ai ter' Y� V.
My Appointment Expires on la /c3 /O
1