HomeMy WebLinkAboutPermit M05-122 - MEYERS RESIDENCEMEYERS RESIDENCE
5505 S 144 ST
M05 -122
Parcel No.: 3365900041
Address: 5505 S 144 ST TUKW
Suite No:
City Tukwila
Tenant:
Name: MEYERS RESIDENCE
Address: 5505 S 144 ST, TUKWILA WA
Owner:
Name: MEYER CLARENCE E
Address: 5505 S 144TH, SEATTLE WA
DESCRIPTION OF WORK:
GAS TO GAS WATER HEATER CHANGEOUT.
Value of Mechanical: $700.00
Type of Fire Protection: NONE
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206 - 431 -3665
Web site: ci.tukwila.tiva.us
Contact Person:
Name: CANDICE 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
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
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
EQUIPMENT TYPE AND QUANTITY
* *continued on next page **
M05 -122
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 -122
08/29/2005
02/25/2006
Fees Collected: $119.85
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: 08 -29 -2005;
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Permit Center Authorized Signature:
Signature:
Print Name:
doe: IMC- Permit
City o. Tukwila
Department of Comm : unity Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: ci.tukwila.wa.us
G1 avncutt
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: M05 -122
Issue Date: 08/29/2005
Permit Expires On: 02/25/2006
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 granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws
regulating constrygtion or the ormance of work. m authorized to sign and obtain this mechanics p rmit.
Date.
G) k /fl
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 -122 Printed: 08 -29 -2005
Parcel No.: 3365900041
Address: 5505 S 144 ST TUKW
Suite No:
Tenant: MEYERS RESIDENCE
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
1: ** *BUILDING DEPARTMENT CONDITIONS * **
PERMIT CONDITIONS
Permit Number: M05 -122
Status: ISSUED
Applied Date: 08/12/2005
Issue Date: 08/29/2005
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: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
5: Manufacturers installation instructions shall be available on the job site at the time of inspection.
6: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the
International Building Code and the Washington State Ventilation and Indoor Air Quality Code.
7: 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.
8: 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.
9: 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.
10: 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).
11: 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).
12: 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 -122
Printed: 08 -29 -2005
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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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.
doc: Conditions
M05 -122
Printed: 08 -29 -2005
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
CONTACT PERSON Li t
Name: L_L
Mailing Address: 28C
Building Permit No.
Mechanical Permit No.
Public Works Permit No.
Project No.
(For office use only)
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 **
/ L `` / King Co Assessor's Tax No.:3 ?f! ? iCC3(//
Site Address: 5 S s / 7 7 � Suite Number: Floor:
Tenant Name: New Tenant: 0.....14r. /key er El .... Yes ❑ ..No
Property Owners Name: (T f ,Q_nig. of
c� S � GUr
Mailing Address: 6 S i 1f � ,y4 - Me i- e<-,K g s-Je,,,
Cd'Y1d) LC-e t-(
E -Mail Address:
Company Name: (S E
City
State
City
Zip
3
State
Zip
Fax Number:
GENERAL CONTRACTOR INFORMATION (Mechanical Contractor information on back page)
Mailing Address:
City
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 **
State
Zip
ARCHITECT 'OF RECORD All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
ENGINEER OF RECORD = All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
\permits plus \icc changes\permit application (7.2004)
Page I
BUILDING PERMIT INFORMION - 206 - 431 -3670
Valuation of Project (contractor's bid price): $
Existing Building Valuation: $
Scope of Work (please provide detailed information):
Will there be new rack storage? 0 ..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.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
D..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.
\penmits pluAlcc changes \permit application (7.2004)
Page 2
Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
per IBC
Type of
Occupancy per
IBC
1st Floor
2 Floor
3 Floor
Floors thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
BUILDING PERMIT INFORMION - 206 - 431 -3670
Valuation of Project (contractor's bid price): $
Existing Building Valuation: $
Scope of Work (please provide detailed information):
Will there be new rack storage? 0 ..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.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
D..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.
\penmits pluAlcc changes \permit application (7.2004)
Page 2
PUBLIC WORKS PERMIT INFOATION — 206 - 433 -0179
Scope of Work (please provide detailed information):
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
❑ ...Tukwila 0... Water District #I25
❑...Water Availability Provided
Call before you Dig:• 1- 800 - 424 -5555
Sewer District
❑...Tukwila 0... ValVue ❑ .. Renton ❑ ...Seattle
❑...Sewer Use Certificate 0... 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 Fill
❑ ...Sanitary Side Sewer
❑...Cap or Remove Utilities
❑ ...Frontage Improvements
❑ ...Traffic Control
0 ...Backflow Prevention - Fire Protection
Irrigation
Domestic Water
\permits pMu'icc changes\permit application (7.2004)
cubic yards
cubic yards
❑ ...Permanent Water Meter Size...
❑ ...Temporary Water Meter Size ..
❑ ...Water Only Meter Size
❑ ...Sewer Main Extension Public _
❑ ... Water Main Extension Public _
„
„
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
„
It
WO#
WO#
WO#
Private
Private
❑ .. Highline
❑ ...Renton
❑ .. Geotechnical Report ❑...Traffic Impact Analysis
❑ .. Maintenance Agreement(s) ❑...Hold Harmless
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑ .. Work in Flood Zone
❑ .. Storm Drainage
Page 3
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑ ...Deduct Water Meter Size If
FINANCE INFORMATION
Fire Line Size at Property Line
0... Water 0... Sewer
Monthly Service Billing to:
Name:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
Number of Public Fire Hydrant(s)
0... Sewage Treatment
Day Telephone:
City
State
Zip
Day Telephone:
City
State
Zip
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
J
50+ HP /I,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 CONTRACTOR IN: MAN
Company Name:
-CJ l /'? l ICJ
Mailing Address: 2-5° O drn r i�
MECHANICAL PERMIT INFO>aAATION — 206- 431 -3670
Contact Person:
Indicate type of mechanical work being installed and the quantity below:
BUILDING 0 ER OR ZED AGENT:
Signature:
Date Applicatior Accepted:
\permits plus \icc changes \permit application (7.2004)
Page 4
City State Zip
{'LC ��Q �Zti�4 5 YL9� Day Telephone: & Z3 4
Fax Number:
E -Mail Address: '' N o/
Contractor Registration Number: c , //N l4-S ll...-a117 / 63 Expiration Date: VC)--C
* *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): $ ae r
Scope of Work (please provide detailed information):
gas 40 clas W & chaviT . r
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 BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
Date: 6/i6 /�C
Print Name: L/ 00A 77-tem QU(S 11 Day Telephone: 4/2-7- 77 O 3Z1
Mailing Address:e��Ct IGLU �.c1�4LL�
City State
Date Application Expires:
/0-joc
Staff Initials:
,Lw
Zip
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Payee: WASHINGTON ENERGY SERVICES COMPANY
Payment Check 4971
MECHANICAL - RES
RECEIPT
Parcel No.: 3365900041 Permit Number: M05-122
Address: 5505 S 144 ST TUKW Status: APPROVED
Suite No: Applied Date: 08/12/2005
Applicant: MEYERS RESIDENCE Issue Date:
Receipt No.: R05 -01279 Payment Amount: 119.85
Initials: BLH Payment Date: 08/29/2005 03:29 PM
User ID: ADMIN Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
119.85
Account Code Current Pmts
000/322.100 119.85
Total: 119.85
6610 08/30 9710 TOTAL 498.63
Printed: 08 -29 -2005
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Special Instructions:
Date Wanted.. 0 5
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Requester:. , 4 , j 7 rye
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Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
`‘
CITY OF TUKWILA BUILDING DIVISIO
6300 Southcenter Blvd., #100, Tukwila, W A S
Ili - Approved per applicable codes.
111 05 - / 2 -Z_
(206)431 -3670
Corrections required prior to approval.
COMMENTS:
1 r� - fq0/JRit
t
Date:
cAsti
$5 = 0 REINSPECTION FEE litEQUIRED. Prior inspection, fee must be
pa at 6300 Southcenter Bl d., Suite 100. 11 to sechedule reinspection.
1 Receip ' No.:
!Date:
File: M05 -0122
35mm drawing
License Information
License
WASHIES971OB
Licensee Name
WASHINGTON ENERGY SERVICES CO
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
602320560
Ind. Ins. Account Id
SECRETARY
Business Type
CORPORATION
Address 1
2800 THORNDYKE AVE W
Address 2
City
SEATTLE
County
KING
State
WA
Zip
98199
Phone
2062824700
Status
ACTIVE
Specialty l
GENERAL
Specialty 2
UNUSED
Effective Date
9/2/2003
Expiration Date
9/2/2007
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Business Owner Information
Name
Role
Effective
Date
Expiration
Date
OLSON, CRAIG
PRESIDENT
09/02/2003
HEAGLE, RANDY
SECRETARY
09/02/2003
CHRISTIANSON,
STEVE
TREASURER
09/02/2003
OLSON, VERN
VICE
PRESIDENT
09/02/2003
Look Up a Contractor, Electrici "n or Plumber License Detail
Washington State Department of Labor and Industries
General /Specialty Contractor
A business registered as a construction contractor with L &I to perform
construction work within the scope of its specialty. A General or Specialty
construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
Bond Information
Bond I Bond I
Page 1 of 2
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= WASHIES971 OB 08/29/2005
File: M05 -0122
35mm Drawing
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SEPARATE PERMIT
REQUIRED FOR:
fl Meth nical
Electrical
Ult Plumbing
Or Gas Pip'ng
City Of Tukvaa
BUILDING DIVISION
5 1 �I� E 1 Z L L L • " 6 . 4 ., L. ,.s g...... y p., ' • �, :t z I W
II11111 1III111. 6111I1111IilI1I11 ((1111III.L�,1-LI i Q III i I�I i. II II ' : 1 t.. '
i 1 III I IIIILIIII $ IIII , I!ll1Ilili l 111iIIi.IIII!lI iiii111ii 1111111111 11 11�
1 . I I IIIIIIIIIIIIIII
I
1 11111111i..111T1 -1 1 II i. I #I I(ILIIII111�I1I II1�11I II I i�I ICI ICI ICI I
Inch 1/16 3 I 4I I I�II 5I I I
6
•
•
•
•
�® cll Q1nge shell be mods to the scope
of work without prior approval of
Tit!mrila Building Division.
NOTE: Revisions will require a new plan submittal
and may include additional plan review fees.
REVIEWED FOR
CODE COMPLIANCE
twooniipo
AUG 1 5 2005
City Of Tukwila
BUILDING DIVISION
RECEIVED
CITY OF TUKWILA
AUG l 2 2005
PERMIT CENTER
FILE
Permit No.
Ran review approval Is subject Approval of construction to ors and
the V O adon of any does not awe
of approved Field y adopted code or ad_
Copy Rexipt
CRY of Thicwila
BUILDING DIVIelferd
moI2 • a