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Permit M04-003 - BARTON RESIDENCE
BARYON RESIDENCE 12223 48T" AVENUE SOUTH M04 -003 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 0179001300 Address: 12223 48 AV S TUKW Suite No: Tenant: Name: BARTON RESIDENCE Address: 12223 48 AV S, TUKWILA WA Owner: Name: BARTON SANDRA S Phone: Address: 12223 48TH AVE S, TUKWILA WA Contact Person: Name: SANDRA BARTON Phone: 206 764 -9346 Address: 12223 48 AV S, TUKWILA WA Contractor: Name: GATEWAY HEATING & A/C INC Phone: Address: 3802 AUBURN WAY N STE 301, AUBURN, WA Contractor License No: GATEWHA025C7 Expiration Date:08 /20/2005 DESCRIPTION OF WORK: REPLACING GAS FURNACE - LIKE FOR LIKE CHANGE OUT Value of Construction: $1,600.00 Type of Fire Protection: N/A Permit Center Authorized Signature: doc: Mech MECHANICAL PERMIT Fees Collected: Uniform Mechnical Code Edition: M04 -003 Permit Number: M04 -003 Issue Date: 01/15/2004 Permit Expires On: 07/13/2004 $52.00 1997 Date: / 1 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 cons ; ion or t e performance of work. I am authorized to sign and obtain this mechanical permit. Date: ///..3164 Signature: Print Name: / a-re . cc" 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: 01 -15 -2004 Parcel No.: 0179001300 Address: 12223 48 AV S TUKW Suite No: Tenant: BARTON RESIDENCE City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PERMIT CONDITIONS Permit Number: M04 -003 Status: ISSUED Applied Date: 01/15/2004 Issue Date: 01/15/2004 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division. 3: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any construction. These documents are to be maintained and available until final inspection approval is granted. 4: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997 Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition). 5: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations 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 ordinance of the jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this code shall be valid. 6: Manufacturers installation instructions required on site for the building inspectors review. 7: Fuel burning appliances may not be installed in sleeping rooms, U.M.C. 304.5. 8: Appliances which generate flame, spark or glowing ignition, shall be elevated 18 inches above the floor (U.M.C. 303.1.3.). 9: Water heater shall be anchored to resist earthquake (U.P.C. 510.5). 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: Print Name: doc: Conditions 7 4a-er- M04 -003 Date: / 5 Printed: 01 -15 -2004 fl CITY OF TUKWILA Community Development Department 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** pTc Site Address: f 2 Z 23 4, �' Av._ 5 Tenant Name: Property Owners Name: Mailing Address: / L - Z-3 4 Name: S 13 Mailing Address: ! 2 -Z Z.3 -4 5 �✓ a— S• E -Mail Address: GEt Company Name: 9 4- (c... Mailing Address: 2_ Contact Person: /C.12-r ► " � Roar � q E -Mail Address: Contact Person: E -Mail Address: Q.r+/ret.4— 4 4.1 TORJNFORIVIATI • tappticationatpennit application (3.2003) plibstamielawassismermagessistmeat City King Co Assessor's Tax No.: v l? Q D O (Soo Suite Number: New Tenant: City Floor: ... Yes D ..No State 9r' Zip Day Telephone: Z 4 teJ,4 ,a 7s> City State Zip Fax Number: #- 30/ 4 Fid State Zip Day Telephone: 2 5 - 3 9,,3/ Q 6_7c, Fax Number: 2., S F4 Contractor Registration Number: c- ,4T -E4)14,4 O ZS C `7 Expiration Date: ?( Z 6 `6 5 - * * An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance ** RC iii! "be vet st�'ni j► Arcl�itecko t to Company Name: Mailing Address: State State Zip City Day Telephone: Fax Number: L+� FEEL rta...lr 1 plans trust be:We s aip • 7 .Engineero f Record Company Name: Mailing Address: Zip City Contact Person: Day Telephone: E -Mail Address: Fax Number: DINGPERMIT INFO ONQ¢ "` r . , „�,, �,,:•� 4K .,�:..;; ,431 -367Q �, sir, p;�. ,� �:lt�: aYs �:• �•�i1Ft" ?xf:,t usy ;��; x�l , '" t •'��l.��T. d c���' n ? ._ . � ,`�.'t �,.�~ t- r,. J t o a. . t.3� i :. Valuation of Project (contractor's bid price): $ /C- ' Existing Building Valuation: $ Scope of Work (please provide detailed information): / ?4_ { / <- kJ' •- "`"-- Will there be new rack storage? ❑ ..Yes ❑ .. No If "yes ", see Handout No. for requirements. °;I "'Floor; 2"4 Floo :Fl ,.. • "- easement? Accessory:Stni :A1 :hed Garage =;.: • Detactied:Garage ::'Attached, •_Detached ;Carpe . Coyerei 1 Uncovered,D :;'Addition to Existing Structure Construction -Typ Of : • Occupancy per' UBC 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: ❑.. Sprinklers 0..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 / / paper indicating quantities and Material Safety Data Sheets. ■applicationApermit application (3.2003) 3/2003 Page 2 ;WORKS PERMIT-INFO : ► �'I Scope of Work (please provide detailed information): Please. refer to Public; W orks ;Du lletin; #17or feek and estimate sheet:' Water District ❑...Tukwila ❑...Water District #125 ❑ ...Water Availability Provided 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 cubic yards cubic yards ❑...Sanitary Side Sewer ❑...Cap or Remove Utilities ❑ ...Frontage Improvements ❑ ...Traffic Control ❑...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑...Permanent Water Meter Size... WO# ❑...Temporary Water Meter Size.. WO# ❑...Water Only Meter Size WO# ❑ ...Sewer Main Extension Public Private ❑ ...Water Main Extension Public Private Vppliationilpermit application (3.2003) 3/2003 Call before you Dig: 1- 800 -424 -5555 ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line „ „ .433017 ❑ .. Highline ❑ .. 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 ❑ ...Renton ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑ ...Deduct Water Meter Size FINANCE INFORMATION Fire Line Size at Property Line ❑...Water ❑...Sewer Monthly Service Billing to: Name: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: Number of Public Fire Hydrant(s) ❑ ...Sewage Treatment Day Telephone: City State Zip Day Telephone: City State Zip Page 3 ; Unit Type : Qty :;Uoit;.Type .' :" Qty: .'Unit Type, • ` '; .Qty :: :Boiler /Compressor;;: •:Qty. Furnace <I00K BTU , Air Handling Unit >= 10,000 CFM Other Mechanical Equipment 0 -3 HP /100,000 BTU Furnace>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 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 Print Name: lapplicationalpermit application (3.2003) k e7 Mailing Address: —lib Page 4 MECHAMGAL. 'ERNIIT lepRMATI N ": 0431 ;367 6= �. �.: f .�:•::p ,�, ., Ji- •.n �,tit.;,7; -Jt � `� 4`'1 r•' M1 ^ ,;.t {f'.ri �., ?.: =�i� MECHANICAL CO TRACTOR INFORMATION Company Name: C. Mailing Address: 3? 2- A i �� 3�3G< �f✓ c e— � QD'6oZ City Stale Zip Contact Person: t w go v5 - „ . Day Telephone: -b 3 -93 (- D 4 <G E -Mail Address: Fax Number: L S 3 • - b' 6.6 — 6.4 v Contractor Registration Number: ...4 T UU.) a - p zs C. I Expiration Date: B /Zo 0 **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): $ /4. 045 �// Scope of Work (please provide detailed information): /� ..ems" -' - Alf —4- .. Use: Residential: New .... ❑ Replacement .... (� Commercial: New .... ❑ Replacement .... ❑ Fuel Type: Electric ❑ Gas Other: Indicate type of mechanical work being installed and the quantity below: PERI APP . CAT ION , O: • jr" cable to"a ermits i %ttiis aj 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 1 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 O b ✓' OR A ,y O ED AGENT: Signature: Date: /A516 5/6 ¢ Day Telephone: -53 lr 04-(G) ,v - 3 0 / AvLivr City State Zip Date Application Accepted: /— Date Application Expires: Staff Initials: _ -- ACCOUNT ITEM LIST: Description City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 0179001300 Permit Number: M04 -003 Address: 12223 48 AV S TUKW Status: PENDING Suite No: Applied Date: 01/15/2004 Applicant: BARTON RESIDENCE Issue Date: Receipt No.: R04 -00031 Payment Amount: 52.00 Initials: SKS Payment Date: 01/15/2004 11:04 AM User ID: 1165 Balance: $0.00 Payee: GATEWAY HEATING & A /C, INC. TRANSACTION LIST: Type Method Description Amount Payment Check 7943 MECHANICAL - RES doc: Receipt RECEIPT 52.00 Account Code Current Pmts 000/322.100 52.00 Total: 52.00 6577 01/16 97.16 TOTAL 5240 Printed: 01 -15 -2004 Project: , L > O T C ' , 5 , Type o Inspection: PE //USA — ft/CN. Address: ae %Cr/9( Date Cal 07.2 - o 9 Special Instructions: Date W e d: a rr Requeste : i) Ph +67) 7o, x.,93/4 V Approved per applicable codes. INSPECTION RECORD Retain a copy with permit INSPECT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PE IT 206)431 -3670 Corrections required prior to approval. COMMENTS: j /2/0 3 .....) (Date: El $47.00 REINSPECTIVN FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. (Receipt No.: 'Date: 7 Project: , 3 � � a Type of Inspectio .: v ' r Address: 1 z2.2.3 —yO deizo Called: Special Instructions: ' Date Wanted: &5 .72ti a.m. Requester: �' �: Phone No: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Seel'. ,eP r INSPECTION RECORD Retain a copy with permit v Approved per applicable codes. IQ Corrections required prior t o approval. COMMENTS: - ‘72- p' L?z7 l../,+7, l> 7- , , J ; /7 -zcli/ ,z 1/i( 47 0,4 i / 2., 4. Z4JZ /3 //J4 .. l -1 oz. ���� - • ?�� • q. , H-� H �4 1 / I S ? L) . v 5 / L7 Z., P c/k ?kJ t/ 4- PUG , )7 cP: / , ? 5 (-0 ,, "W,�� Inspect • . 'eV 'Date: Jc � $47.00 REINSPE i'• N FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 'Receipt No.: 'Date: COMMENTS: n - "i -Q rnn --c cli 2 1-11 1 1 t v-A Sinn) CAC C1 11P. . Ir7 u G A [c4�1%G•n c) VIA n L, p I q i�(X .)- -- rl./' C \-PG, I/'U Vl C e ct ko v e InO U Date Wanted: a.m. p.m. 6. '-AC--\--Y , r a ` -? P V' vv, A- G Y` (l " 1 hP,t t of (ova( i�r e-c I i r Yd p � Projec 5 Type of Inspection: t v-A Address L, n L, D Called: Date nstructions: l structions: Date Wanted: a.m. p.m. Requester: Phone No: 10 .c vy: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ED Approved per applicable codes. INSPE RECORD Retain a copy with permit D $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: PERMIT / !i► .�; V (2.6)431 -3670 La t orrections required prior to approval. COMMENTS: ) ) S t 1/4 Ct C C) PtAk 0 ci I 6( 4 - 00 r SLA9-- \ if) , (' f , ii `C t(et) In CA ( ra ?-t- r \r \c51-01t1 1 r‘S rti c'1; t 7:) 01/VAPA5ci4e_.. i f Th Agel ‘ 1 c, ' - 04 • 1,0C4 V 0 tr . SUfir ouvy1 i -Pfody- _ 1 \s U0-e4 1 no-I ':- 12e wa rlz i 3 . . C 1v1 ' I cr" Co , 7. e f pose 0, 1. vy, . rb P(4 ,' 00 el oc e.,\Qi- c., hrd iP lr‘WA 1 1-.01 4-e Requester: aci: See ..- c L v-e 20 i o -?-,- \irvvi c LA a o\fA -- Nor qv-ti' - 1rw" - • c n vv ou \9\0 ol r • S .) :TV t" V vIrvI 1-4 4 baik 'D■ Pc ect: A i T Type of I ection: tt ki Address: D L f -s R Aii ,5 ' Date Call d: Special Instructions: Instructions: D C ,1 / 2 Date Wanted: a./04 a a Requester: Phone INSPECTION RECORD :- Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION `. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. orrections required prior tdapproval. PERd NO. 206)431-3670 El $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be I—I paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 'Receipt No.: 'Date: RECENEO • " OITY OF TUKWIIA • REGISTERED • AS PROVIDED BY LAW AS : 5 2004 CONST CONT - GENERAL • ,.....,... REGI ST . #•. .. EXP DATE:- ;'`.: .CC01 GATEWHA025C7 08/20/2005,;. PE I'MITC E NTEf EFFECTIVE, .DATE 02/27/1998'''• GATEWAY HEATING. & A /C: INC •' 380 AUBURN: WAY N STE 301. AUBURN A 9 ,8002 ; . S,c,,aLuurc C' c;.; Issued by DEPAIk I ML N'I' OF AUDI: AND INDUSTRIES File: M04 -0103 35mm Drawing #1 -2 U JUN -10 -2004 16:20 Z = 0 ® ,a<t� - <&P Oz zoo�> 0 o) '111.1 z mg-lOI 1-4,!i Lqcr) FcT < :g Oi ; o ��> Prla "cw � zm om %"±"S. p 533 z Ph: 206 +575 -0765 Fax: 206 - 575.0721 Tukwila Commerce Center RREEF Management Office 631 Strander Blvd., Suite G Tukwila, WA 98188 IMG RREEF Re;1d Estate lIvestmenc Manasgrs • 2065759282 P.02 Building A 631 Sine/der Blvd. Suite A/B,c1!w FK; (Post floor) Building B 651 Wanda Blvd.. Siam 1QQ/105/110/I 17/115/120 tern Roar) Sena 207MR/20012I 1!EI2/213/315 (swomld floor) 9 iilding C 679499 Smolder Blvd. (odd numberd eddy ally) 699 Saulda BM. SIAN AlEliCip (soow4d Iloat) Building D 601423 Str`der Blvd.. (add numbered mum= 01117) 625 St:ender Blvd.. Sables ADC (goo 4 door) Building E 633.649 mender Bird.. (odd numbered addresses only) 649 Slender BiTt. Sulks A/B/CiI WP (=old noel) Building F 659 Wender Blvd.. (odd nunberod addresses may) 677 Shedder Blvd.. Sully A/alaD/P/F Good Door) Building I R 800420 Wintry Drive (eves nonbeed Willem only) Building 19 806421 Nosey Drive (Odd numbered add geed only) BYildmg 20 $30446 Industry Drive (ever numbered ©ddrases only) Building 21 1t23J494nduary► Dr. (odd =Mined addles' Bay) 82N627/1137/834/847/1149 (fe111000 031433ni43/1145 (second floor) [Wilding 22 900416 Wintry Drive (even numbered oddrrovrs only) Building 23 103471 Manny Drive (odd Aumbead album only) Building 24 930-446 (Wintry Drive (even mothered aldose= only) 932A. Seams 2101229 (eeoond bag Building ZS 11111499 Industry Drive (odd munbeed additionally) Building 26 95046 Indust)? Drive (even use ibeted addresses o0- y) Building 27 903.23 Induary drive (odd nwnb+nd addresses only) 903/905i913A11A (first 1low) 907/90g►+911821 (second . vat) Building 21 970'991 Industry Delve (war numbered memo only) 97L guile! 2 /002012301240r250 Building 29 935455 (add lwm>aed addresses WY) Building 30 10004016 Industry Drive (oral manbered addressee only) Building 31 963.911 Industry Drive (add♦ ninbaed eddleSel a+ly) Building 32 1011-1034 lnduslryr Drive oven +tw+sberod addresses only) Building 33 1C01.1033 Industry Drive (odd numbered addresses only) Building 34 1016 -1052 Industry Drive (even rumbaed aldraNCS only) Building 36 1 100-1126 Industry Drive (ems numbered iddtesses only1 Building 3$ 1121-1136 Industry Drive (Oval rumbaed ■ddre ally) Building 40 1131-1156 industry Drive (even ntnsbae4 •detissa ably) Balding 42 11514164 Industry Deity (even numbered only) =10 — M = N - 0 - ' =I -; • 1144 1141 CO'd Z8Z69L590Z 3 a r U 5 %rfl _p0 jai Ho 114• 1134 -- ANDOVER " "PHASE, V BUILDING 40 nom PLAN 3G�4G= = !/be /LO /0'4 Q: ye w ��lno��ti z O °°' - c,_ 117 - • V ..."(D ; .e...... CD > CZ N .ty C") (-0 r; OWI DRAW s406,61111aAolw.d.Te062/ r Arm wart Au.sosIbOCCIMMOPMAIM IGGmrM�ilOil: atxatriPTf IiiLOCATED VIWIALIN AND A-ar autancentAND mum Taaas+umos slaw a -Y 1116 OYIIIIm s1Oviewcs O mcma ingsmeS ANDIESEN AICIIITECTE 612 IELLEYIUE WAY HE SUITE 201 1E11E1/0E, WASHINGTON IMO/ 1H TZ :9T 'OOZ -OT -xAr