HomeMy WebLinkAboutPermit M05-162 - WADE RESIDENCEWADE RESIDENCE
4122 S 131 ST
M05462.
Parcel No.: 7341600110
Address: 4122 5 131 ST TUKW
Suite No:
City 0. Tukwila
Tenant:
Name: WADE RESIDENCE
Address: 4122 S 131 ST, TUKWILA WA
Owner:
Name: WADE JOHN D +EVELYN
Address: 4122 SOUTH 131ST STREET, SEATTLE WA
Contact Person:
Name: EVELYN WADE
Address: 4122 S 131 ST, TUKWILA WA
Contractor:
Name: GRANDMA & GRANDPA HELPERS
Address: 15031 B MILITARY RD S #141, SEATAC WA
Contractor License No: GRANDGH952MG
DESCRIPTION OF WORK:
WATER HEATER CHANGE -OUT
Value of Mechanical: $800.00
Type of Fire Protection:
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: IMO- Permit
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
EQUIPMENT TYPE AND QUANTITY
* *continued on next page **
M05 -162
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone:
Phone: 206 730 -6658
Expiration Date:07 /07/2007
Steven M Mullet, Mayor
Steve Lancaster, Director
M05 -162
10/21/2005
04/19/2006
Fees Collected: $127.34
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 0
Printed: 10 -21 -2005
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Signature.
doc: IMC- Permit
City o: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 Center Authorized Signature: AAAC-, -C
I hereby certify that I have read and et-tined 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.
resume to give authority to violate or cancel the provisions of any other state or local laws
ante of work. I am authorized to sign and obtain this mechanical permit.
Print Name: VK,.uf Sz e tAJ(2 ylc_
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 -162
Date:
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: M05 -162
Issue Date: 10/21/2005
Permit Expires On: 04/19/2006
Date: 10171 10
Printed: 10 -21 -2005
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 7341600110
Address: 4122 S 131 ST TUKW
Suite No:
Tenant: WADE RESIDENCE
Building Official.
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1: ** *BUILDING DEPARTMENT CONDITIONS * **
doe: Conditions
PERMIT CONDITIONS
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2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the 2
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3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to w
start of any construction. These documents shall be maintained and made available until final inspection approval is Z =
granted.
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4: Manufacturers installation instructions shall be available on the job site at the time of inspection. UJ
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5: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired appliances p
shall not be located in, or obtain combustion air from, any of the following rooms or spaces: Sleeping rooms, 0 H
bathrooms, toilet rooms, storage closets, surgical rooms. w w
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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).
* *continued on next page **
M05 -162
Permit Number: M05 -162
Status: ISSUED
Applied Date: 10/21/2005
Issue Date: 10/21/2005
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.
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.
Printed: 10 -21 -2005
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.
Signature:
v _
Print Name: MO LIZ e LA, Z 71 k
doc: Conditions
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
M05 -162
Date: /1-fi&
d �
Printed: 10 -21 -2005
SITE LOCATION
CITY OF TUKWILA
Community Development/ iartment
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
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 I J 5OV T k 1 3 )`-r. King Co Assessor's Tax No.: t(/ D - Of I G
Site Address: Suite Number: Floor:
New Tenant: ❑ .... Yes ❑ ..No
Tenant Name: R v Oy N (APO e.
Property Owners Name: FRj4Q. � A c
Mailing Address: `7 i J 2 66 tl 1'h 1 2 J 1J)-
z • %F._ 1/4.) e \y, e \y ( c ) •t—
Mailing Address: t—/ 1 2 Z SOQ' 1 31
E -Mail Address: 6 INe-
Name:
Contact Person:
Gi U `V
petmiu pluslicc chant{es\permit application (7.2004)
Revived: 64.05
bh
Page 1
Building Peim:'
.
Mechanical Permit No
Public Works Permit No
Project No
(For office use only)
■
City
Day Telephone: P6 l� ^ ? y 2 69 7 ?
City State t Zip
Fax Number:
w a V/
State
GENERAL CONTRACTOR INFORMATION -. (Mechanical Contractor information on back page
e !
Company Name: 1 OWv r s 1- t CO ,
Mailing Address: X 0 31 / r 1; A A rt e�0U7'� ��� 4 »J , . um - c , P� , Pd
City S
Stn./ C Z
q: \\ Day Telephone: / ,p
Fax Number: 96 6 76. 3 ) e /' L3
E -Mail Address: PGi 01 & 146‘m e_ C d x r r
G 'R n G 5
' c // E x Expiration Date: C� 7 6 / o�6d 7
Contractor Registration Number: �� �V — p � 7
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
ARCHITECT
CORD 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
ENGINEER OF RECORD Al! . plans.must be wet stamped by Engineer of Record"
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
Zip
Zip
Zip
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
0 -3 HP /100,000 BTU
Qty
Furnace <100K BTU
Air Handling Unit >10,000
CFM
Fire Damper
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
1
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 INF(T MATION: 206-431-3670
MECHANICAL CONTRACTOR INFORMATION
Company Name: 04∎M e- TA K _ CU w" C II f9 r X
Mailing Address: 1,5 3) '0 06 `t Sav�L ) LI I Se- 4)-H e G ( U
C / City State Zip �+
Contact Person: q V� z_ 1 . `t' (L- Day Telephone? `�'� - 7 7 -36 0b 57
E -Mail Address: ,2 ` S h 11 6 Or P ,S , / Ci Fax Number: 2i) 1 3 — c P�3
Contractor Registration Number: - re; 4.i ri 6- H S � g YY C- Expiration Date: Q 6 7 67 / 6O3 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): S
Scope of Work (please provide detailed informatiop):
Date Application Accepted:
q.1%pennita phuNcc changes\pennit application (7 -2004)
Revised 6-1.05
bh
60
Indicate type of mechanical work being installed and the quantity below:
\ U) Ne 4 J e ( r
Use: Residential: New .... ❑ Replacement 6
Commercial: New ....❑ Replacement ❑
Fuel Type: Electric 1* Gas ....0 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 grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested
in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
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.
BUILDING 0 ,j3' OR HOR D AGENT:
Signature: � Date:
6r
Print Name: , V1 S -e Li 1 1 Da Telephoner b 7 I �di
Mailing Address: �. �l t� j ) 4 \1 (1 -- YAP /1 f v ne �cPJ1
City State Zip
Date Application Expires:
Page 4
Staff Initials:
i
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 7341600110
Address: 4122 S 131 ST TUKW
Suite No:
Applicant: WADE RESIDENCE
Payee: HOMETASK.COM
ACCOUNT ITEM LIST:
Description
doc: Receipt
Payment Check 3048
MECHANICAL - RES
RECEIPT
TRANSACTION LIST:
Type Method Description Amount
Account Code Current Pmts
000/322.100 127.34
Permit Number: M05 -162
Status: APPROVED
Applied Date: 10/21/2005
Issue Date:
Receipt No.: R05 -01544 Payment Amount: 127.34
Initials: JEM Payment Date: 10/21/2005 11:59 AM
User ID: 1165 Balance: $0.00
127.34
Total: 127.34
847£3 10/21 9716 TOTAL 124.37
Printed: 10 -21 -2005
Project: .
JOA t Q--( Mir r.
Type of Inspection:
- hG
Address:
1 4 22 1 6'f
Date Called:
7/2 - (
10/2--
Special Instructions:
)k Ot A CA \I l hot/Jr
alnrur�
Date Wanted:
a.m.
101 .m
Requester:
1— EVII�,�
Phone No:
1
2.-I?_ �`1 :-2
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
Mrs - i t a
PERMIT NO.
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes. Corrections required prior to approval.
COMMENTS: "
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❑ ;OW REINSPECTION F REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
(Receipt No.:
'Date:
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Electric Residential
Use & Care Manual
With Installation Instructions for the Installer
i/ECEIVED
CITY OF TUKIWILA
OCT 2 1 2005
PERM CENTER
Water Heate
LISTED
78611
Printed In U5A
Model: HE Series, GE Series, PE Series, SE Series
The purpose of this manual is twofold: one, for the contractor, to provide the installer
with basic directions and recommendations for the proper installation and adjustment
of the water heater, and two, for the owner—operator, to explain the features, operation,
safety precautions, maintenance and trouble shooting of the water heater. This
manual includes a parts list.
It is imperative that all persons who are expected to install, operate or adjust this
water heater read the instructions carefully so that they may understand how to perform
these operations. If you do not understand these instructions or any terms within it, seek
professional advice.
Any questions regarding the operation, maintenance, service or warranty of this
water heater should be directed to the seller from whom it was purchased. If
additional information is required, refer to the section "If You Need Service...."
Do not destroy this manual. Please read carefully and keep in a safe place for
future reference.
A Recognize this symbol as an indication of Important Safety Information)
A California Proposition 65 Warning: This product contains chemicals known to
the State of California to cause cancer, birth defects or other reproductive harm.
Manufactured under trademark license by:
Rheem Manufacturing Company
P.O. Box 244020, Montgomery, AL 36124 -4020
Part No. AP12168 -6 (11/04) Nub No. 49 50009 - 11 - 03 JR
License Information
License
GRANDGH952MG
Licensee Name
GRANDMA & GRANDPA HELPERS
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
602463121
Ind. Ins. Account Id
#1
Business Type
INDIVIDUAL
Address 1
15031 B MILITARY RD S #141
Address 2
City
SEATAC
County
KING
State
WA
Zip
98188
Phone
2063997906
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
7/7/2005
Expiration Date
7/7/2007
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#1
CBIC
547534C
07/06/2005
Until
Cancelled
$12,000.00
07/07/2005
Business Owner Information
Name
Role
Effective Date
Expiration Date
SZEWCZYK, PAUL W
OWNER
07/07/2005
Look Up a Contractor, Plectrir 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.
Savings Information
https: / /fortress.wa. gov /lni/bbip /printer. aspx ?License= GRANDGH952MG
Page 1 of 2
10/21/2005
REGISTERED AS PROVIDED BY LAW AS
. CONST CONT •GENERAL --%-
REGIST # - EXP.DATE:
CCO1 GRANDGH952MG'01/0,7/2007
EFFECTIVE DATE 67/07/200t
:):\ )%
GlqiNipmpii40kANDI=.4
Signatur
15031 13MILITARY-RD p:#1
SEATAC,"
• •
•
Issued by DEPARTMENT F LABOR AND INDUSTRIES
• • • - • • • ; • ' .