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