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HomeMy WebLinkAboutPermit M04-020 - SMITH RESIDENCESMITH RESIDENCE 13561 MACADAM RD S EXPIRED OS- 11 -O4 M04 -020 Th City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 2613200177 Address: 13561 MACADAM RD S TUKW Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: SMITH RESIDENCE 13561 MACADAM RD S, TUKWILA WA SMITH ROBERT + MICHELLE 13561 MACADAM RD S, TUKWILA WA CANDICE GALLAGHER 2800 THORNDYKE, SEATTLE, WA Contractor: Name: WASHINGTON ENERGY SERVICES CO Address: 2800 THORNDYKE AVE W, SEATTLE, WA Contractor License No: WASHIES9710B DESCRIPTION OF WORK: LIKE FOR LIKE CHANGE OUT OF GAS WATER HEATER. MECHANICAL PERMIT Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 282 -4700 Phone: 206 282 -4200 Expiration Date:09 /02/2005 M04 -020 02/13/2004 08/11/2004 Value of Construction: $600.00 Fees Collected: $42.69 Type of Fire Protection: N/A Uniform Mechnical Code Edition: 1997 Permit Center Authorized Signature: 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 constrj ction obi performance of work. I am authorized to sign and obtain this mechanic Lpe mi . L� Signature: Print Name: ( /f,d/1 0 J' J doc: Mech M04 -020 Date: 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: 02 -13 -2004 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 2613200177 Address: 13561 MACADAM RD S TUKW Suite No: Tenant: SMITH RESIDENCE PERMIT CONDITIONS Permit Number: M04 -020 Status: ISSUED Applied Date: 02/13/2004 Issue Date: 02/13/2004 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 e performance of work. Signature: Print Name: L l /1 o4 77/6144 c)(111 doc: Conditions M04 -020 2/13 /ori Date: Printed: 02 -13 -2004 CITY OF TUKWILA Community Development . partment Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 King Co Assessor's Tax No.: 2- (-0 1 32_)O ( - 7 7 Site Address: 1. '; 510 I V"\6. CC( C)Cl i 1 C.) S Suite Number: Floor: Tenant Name:E S V14.1.+ i ,. New Tenant: El .... Yes 0 ..No Property Owners Name: 1,43f010L1 ...cini. 1. , Th Mailing Address: (9(...i I (Va. ) Ct PIA R 3 tb k_c_LitIck 4.1c,_ q-cF / (42 City State Zip Name: C (S)A..1177_42._ C. - 6:5 1 r Mailing Address: City Fax Number: E-Mail Address: GENERALiCONTRACTOR•INFORMATION...:: Company Name: LOCI Sk Mailing Address: Contact Person: E-Mail Address: Contact Person: E-Mail Address: Contact Person: E-Mail Address: UpplicationApermit application (3.200)) 312003 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** cLvLcLc 1 c)1/14C Day Telephone: --p(..10 ( ('7OO City Day Telephone: Fax Number: State Zip 9 8 t9 State s Zip Ca 7e9- ( 1 - 7 cC) Contractor Registration Numbed A ..)-4 ieS 313 Expiration Date: (2_( **An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance** • „ • • • ....• :.:ARCHITECTOFRECORD......-.A11: stamped by Archit of Record Company Name: Mailing Address: :1ENGINEEROFRECORD I E ngineer Recoid •. Page I City Day Telephone: Fax Number: State Zip Company Name: Mailing Address: City State Zip Day Telephone: Fax Number: 111 • • 1,4 ,, • .BUILDING TERMIT INFORMATION -41 l Valuation of Project (contractor's bid price): $ Existing Bui7Cfng Valuation: $ Scope of Work (please provide detailed information): Will there be new rack storage? D ..Yes ❑ .. No Provide. All Building :Areas in Square FootageBelow l ..2"° Floor'' 3.'° Floor.' 'Floors'' Basement • Accessory. Structure!.:.: Attached.Garage... Detached Garage. • Attached : Carport., ,;Detached Carport::: Covered Deck - Uncovered Deck Existing Addition to Existing Structure Type of Construction :per UBC Type 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? 0 ....Yes ❑ ..No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: [J.. Sprinklers Q..Automatic Fire Alarm [..None . Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? D .. Yes D .. 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. lappliationsIpermit application (3.2003) 3/2003 Page 2 If "yes ", see Handout No. for requirements. 41U1ILICy WORKSTERMIT-INFOR.MAT.ION;- :206 - 433 =017 � • { r:., is }.,?i , F t: .•�, .J t.. Scope of Work (please provide detailed information): Water District ❑ ...Tukwila 0... Water District #I25 ❑ ...Water Availability Provided 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... ❑...Temporary Water Meter Size.. ❑...Water Only Meter Size ❑...Sewer Main Extension Public ❑ ...Water Main Extension Public _ 1applications\permit application (3.2003) 3/2003 It I S Call before you Dig: 1- 800 - 424 -5555 Please refer to Public Works Bulletin #1 for fees and estimate sheet. ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line „ WO# WO# WO# Private Private ❑ .. Highline ❑ ...Renton Sewer District ❑ ...Tukwila ❑... 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. ❑ .. 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 ❑ .. 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 RefundBilling: 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 Unit Type: Qty . Unit Type: Qty Boiler /Compressor: . Qty Furnace <100K 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 /(,000,000 BTU Suspended /Wall /Floor Mounted Heater Ventilation System f � / 30 -50 HP/I,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 /1nd -�-- MECHANICAL CONTRACTOR INFORMATION Company Name: UJ& e t/LQ.4- ,31-411_ CO-2 � Mailing Address: < ��� � vV (.11 " qck lJ City State Zip Contact Person: Grate CIA L(' S Day Telephone: c Leo E -Mail Address: Fax Number: Contractor Registration Number:IA-A -( te Sq i (a-6 Expiration Date: (q C3 * *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): $ ©d t Scope of Work (please provide detailed information): Use: Residential: New ....LJ Replacement .... Commercial: New ....El Replacement ....0 Fuel Type: Electric fl Gas .... Other: Indicate type of mechanical work being installed and the quantity below: ;:PERMIT APPLICATION NOTES Applicable,to all..permitsin: 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 fce 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. BUILDING 0 Signature: Print Name: Mailing Addres t7 b X 20� (.4-t� Date Application Accepted: /3 –d 9 1 Date Application Expires: Staff Initials: tapplicationstpermit application (3 -2003) 32003 OR AUT ZED AGENT: L L o D i s: `P L y 'k Page 4 Day Telephone: LJA City Date: 2 L /C/q 1S 3 2 State Zip Z I Z W U O to 0 co CO 'L., w ° g Q N Z � 0 U co O- OH W H u- O 2 U = O F. Z z RECEIPT W re 2 Parcel No.: 2613200177 Permit Number: M04-020 6 o Address: 13561 MACADAM RD S TUKW Status: PENDING V a Suite No: Applied Date: 02/1312004 NO U) W Applicant: SMITH RESIDENCE Issue Date: W O Receipt No.: R04 -00172 Payment Amount: 42.69 J u. Initials: SKS Payment Date: 02/13/2004 11:03 AM Z W User ID: 1165 Balance: $0.00 Z H ` Payee: TRANSACTION LIST: Type Method Description doc: Receipt City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 WASHINGTON ENERGY SERVICES COMPANY Payment Check 3471 ACCOUNT ITEM LIST: Description MECHANICAL - RES PLAN CHECK - RES Account Code Current Pmts 000/322.100 34.15 000/345.830 8.54 W W. m O 0 , W -- 'Amount �; u. O 42.69 i � H =: O Z Total: 42.69 7770 02/17 9716 TOTAL 42.69.= Printed: 02 -13 -2004 July 2, 2004 Candice Gallagher 2800 Thorndyke Seattle, Wa 98199 RE: Permit Application No. M04 -020 13561 Macadam Road South 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 Uniform Building Code and /or Uniform Mechanical Code, every permit issued by the Building Official 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: 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 -time 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 or request and receive an extension prior to August 11, 2004, 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, Stefania Spencer Permit Technician Xc: Permit File No. M04 -020 Bob Benedicto, Building Official City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director • Call the City Of Tukwila Permit Center at (206) 431 -3670 to arrange for the next or final inspection. 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 State of Washington County of Snohomish • - • ...... • RECE 4e-T en or FEDC-PA‘ WAY* Detach And Display Certificate DEPARTMENT OF LABOR AND INDUSTRIES 1 1 !‘ F625-052-000 (8/97) REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL A4 EFFECTIVE DATE r L WASHINGTON ENERGY SERVICES CO 2800-THORNDYKE AVE W SEATTLE WA .98199,, I certify that this is a true and correct copy of said document as of this date Date: HVIniNG 12CSCXX raV Title My Appointment Expires on j_013A:23