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HomeMy WebLinkAboutPermit M05-055 - USI RESIDENCEUSI RESIDENCE Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: doc: IMC- Permit City oi '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 1523049213 14027 35 AV S TUKW USI RESIDENCE 14027 35 AV S, TUKWILA WA USI RICARDO T +LUTGARDA V 14027 35TH AVE S, TUKWILA WA Contact Person: Name: CANDACE GALLAGHER Address: 2800 THORNDYKE AV W, SEATTLE WA Contractor: Name: WASHINGTON ENERGY SERVICES CO Address: 2800 THORNDYKE AVE W, SEATTLE, WA Contractor License No: WASHIES9710B MECHANICAL PERMIT DESCRIPTION OF WORK: LIKE FOR LIKE CHANGE OUT OF WATER HEATER LOCATED IN GARAGE Value of Mechanical: $600.00 Type of Fire Protection: N/A 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 EQUIPMENT TYPE AND QUANTITY * *continued on next page ** M05 -055 Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 282 -4700 Phone: 206 282 -4200 Expiration Date :09 /02/2005 Steven M. Mullet, Mayor Steve Lancaster, Director M05 -055 04/18/2005 10/15/2005 Fees Collected: $112.36 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 1 Emergency Generator 0 Other Mechanical Equipment Printed: 04 -18 -2005 Permit Center Authorized Signature: Date: ?' /e 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 constryletion or thetpetformance of work. I am authorized to sign and obtain this mechanic l Signature: ( 1 ' 1 . , t- °�'� Print Name: doc: IMC- Permit City 6� 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 0> 4.pll OAr C.2v( M05 -055 Date: Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: M05 -055 Issue Date: 04/18/2005 Permit Expires On: 10/15/2005 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. Printed: 04 -18 -2005 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 1523049213 Address: 14027 35 AV S TUKW Suite No: Tenant: USI RESIDENCE 1: ** *BUILDING DEPARTMENT CONDITIONS * ** PERMIT CONDITIONS Permit Number: M05 -055 Status: ISSUED Applied Date: 04/18/2005 Issue Date: 04/18/2005 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: 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. 6: 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. 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 -055 Printed: 04 -18 -2005 Signature: Print Name: 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 provision of any other work or local laws regulating construction or the performance of work. L A. /4 '77-1 & u( M05 -055 t�r� Date: Printed: 04 -18 -2005 Site Address: I ` b ? `il v 2 Tenant Name: / C Q GI t US/ Property Owners Name: J4' NZ. c fb.)- -j 35* 4&5 - 11A n ` k city Mailing Address: CONTACT PERSON Name: L. ` h Day Telephone: 2.- 76 32" City (4-2-5— (Jz� 378 E -Mail Address: Fax Number: Mailing Address: Mailing Address: CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Contact Person: n t C e \permits plusticc changcs\pernat application (7.2004) 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 ** c Foy ?0,044, Company Name: UJlt Jh i n O a it< y2 -e-ry c f of Contact Person: E -Mail Address: Page 1 Building Permit No. Mechanical Permit No. Public Works Permit No. Project No. (For office use only) King Co Assessor's Tax No.: / ` S7 d q z) 3 Suite Number: Floor: New Tenant: ❑ .... Yes ❑ ..No City State Day Telephone: ap/O State Zip GENERAL CONTRACTOR INFORMATION - (Mechanical Contractor information on back page) z8z L!3 Zip E -Mail Address: PrS �" /� � Fax Number: L Contractor Registration Number: Cu / Y '7 [ O c2 Expiration Date: /0 J' * *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance ** ARCHITECT OF RECORD - All plans must be wet stamped. by Architect of Record Company Name: Mailing Address: City Day Telephone: Fax Number: State Zip ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: Stale Zip City Contact Person: Day Telephone: E -Mail Address: Fax Number: Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Furnace <100K BTU Air Handling Unit >10,000 CFM 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 /1,000,000 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: Lk) ...4(/ Mailing Address: Al l � a IU. / C ,� ��it / Contact Person: Ca V)-(47e /14. ) '-4-- E -Mail Address: Valuation of Project (contractor's bid price): $ Scope of Work (please provide a etailed information): Indicate type of mechanical work being installed and the quantity below: city state - zip Day Telephone. c4)40 7� Fax Number: Contractor Registration Number: L)/1 ! - ' ( ) / Expiration Date: g616,r * *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance ** ta Cr Use: Residential: New ....❑ Replacement Commercial: New .... ❑ Replacement ❑ Fuel Type: Electric ❑ Gas... Other: 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. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY 13y THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. Date: ti)//)/6I ' t2-5 " 7-7 ' Print Name: 1V1. Id � I ! V % Day Tele ho Mailing Address:Tt Db (-9F:53 (-9F:53 7 �( `1L '- Z�" d �3 City BUILDING OWN Signature: \permits plus \Icc changes \permit application (7.2004) R OR AU RI D AGENT: /141 Page 4 State Zip Date Application Accepted: - Af -o Date Application Expires: /0-/e-or Staff a - / &-o- Staff Initials: 1 --`,s a. ;... �LSw. +:9 s ; .:tuj� . illy: a.: i .1�n4..<c.:.ay..a +'.s..a:s.::., „u a.,cuiw... ; rv. •:'e•nUaaurni,.vllu' 4 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 1523049213 Address: 14027 35 AV S TUKW Suite No: Applicant: USI RESIDENCE Receipt No.: R05 -00537 Payment Amount: 112.36 Initials: SKS Payment Date: 04/18/2005 02:30 PM User ID: 1684 Balance: $0.00 Payee: WASHINGTON ENERGY SERVICES RECEIPT TRANSACTION LIST: Type Method Description Amount doc: Receipt Payment Check 4628 112.36 ACCOUNT ITEM LIST: Description MECHANICAL - RES Account Code Current Pmts 000/322.100 112.36 Permit Number: M05 -055 Status: PENDING Applied Date: 04/18/2005 Issue Date: Total: 112.36 2280 04/19 9716 TOTAL. 287.92 Printed: 04 -18 -2005 Project: I e e A tic e. Type of Inspection: ,/� CO N6V 7 / 4 — / vii "_ i - Vie<bt/�''"r2 I Address: IND1` AV Date Called: 10 ' 10 • t7- Special Instructions: *.(44Piy l) A"IY" I {l1�i Date Wanted: N t` m. Requester: i /lam Phone No: 2ocf 1 y ' COMMENTS: ,/� CO N6V 7 / 4 — / vii "_ i - Vie<bt/�''"r2 I Pe , ter / (i, .fl/ Pi f: 1 ! AAA 1.1 n, lril ., �► Date: I 1D — // -- o . ipt No.: 8.00 REINSPECTI4N FEE REQUIRED. i d at 6300 Southce ter Blvd., Suite INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 NO. pproved per applicable codes. El Corrections required prior to approval. or to inspection, fee must be 00. Call to sechedule reinspection. (Date: 09 -08 -2005 CANDACE GALLAGHER 2800 THORNDYKE AV W SEATTLE WA 98199 RE: Permit No. M05 -055 14027 35 AV S TUKW City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director Dear Permit Holder: 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. Based on the above, you are hereby advised to: 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 - tine 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 10/15/2005, 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, Brenda Holt, Permit Coordinator xc: Permit File No. M05 -055 Bob Benedicto, Building Official 6300 Southcenter Boulevard, Suite #100 '• Tukwila, Washington 98188 • Phone: 206.431 -3670 • Fax: 206 - 431 -3665 Huryunt% i2sc31A. rititc Title My Appointment Expires on jO /q/Q23 4te4110113' AsmiPageOlidkitiaikraV DEPARTMENT OF LABOR AND INDUSTRIES REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL ' TIEP '! ,CC " WASHIES971OB�"09 %02/2005 EFFECTIVE DATE •09/02/2003 WASHINGTON ENERGY SERVICES CO 2800•THORNDYKE AVE W SEATTLE WA , 98199 Detach And Display Certificate State of Washington County of Snohomish I certify that this is a true and correct copy of said document as of this date Date: rn /0 3