HomeMy WebLinkAboutPermit M04-034 - TAYLOR RESIDENCETAYLOR RESIDENCE
3550 S 116T" STREET
M04 -034
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 0733000225
Address: 3540 S 116 ST TUKW
Suite No:
Tenant:
Name: TAYLOR RESIDENCE
Address: 3550 S 116 ST, TUKWILA WA
Owner:
Name: TAYLOR SUSAN
Address: 1463 E REPUBLICAN ST, #43, SEATTLE, WA
Contact Person:
Name: Pamela Hill
Address: ,12601 132nd Avenue N.E.
Contractor:
Name: Fast Water Heater - Comppny
Address: ,12601 132nd Avenue R.E.
Contractor License No: FASTWHCO52DF
DESCRIPTION OF WORK:
REMOVE AND REPLACE GAS WATER HEATER - LIKE FOR LIKE
Value of Construction: $449.00
Type of Fire Protection: N/A
Permit Center Authorized Signature:
Signature:
Print Name:
doc: Mech
7- 7z 1 (/
MECHANICAL PERMIT
M04 -034
Permit Number: M04 -034
Issue Date: 03/05/2004
Permit Expires On: 09/01/2004
Phone:
Phone: 425 814 -3124 ext. 133
Phone: 425 814 -3124
Expiration Date: '02 -16 -05
Fees Collected:
Uniform Mechnical Code Edition:
$52.00
1997
Date: -r-c71
I hereby certify that I have read and examined is 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 construction ost rformance • 'work. I am authorized to sign and obtain this mechanical permit.
Date: S OV
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: 03 -05 -2004
Parcel No.: 0733000225
Address: 3540 S 116 ST TUKW
Suite No:
Tenant: TAYLOR RESIDENCE
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 - rformance of work.
r
Signature:
Print Name:
doc: Conditions
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
M04 -034
Permit Number: M04 -034
Status: ISSUED
Applied Date: 03/05/2004
Issue Date: 03/05/2004
Date: ( C . " O5/
Printed: 03 -05 -2004
Tenant Name:
CITY OF TUKWIL/
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Site Address: 3550 S 116 ST
—1.F 2.
Property Owners Name: TAYLOR, SUSAN
Mailing Address: 1463 E REPUBLICAN ST #43
Building Permit Na. A t
Mechanical PerinitNo.
Public Works Permit No. ..
(For office usronly)
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 **
King Co Assessor's Tax No.: 0733000225
Suite Number:
SEATTLE, WA 98112
City
New Tenant:
Floor:
❑ .... Yes g] ..No
State
CK1638
Zip
Name: ///271g ik
Mailing Address:
City
E -Mail Address: Fax Number:
Company Name: FAST WATER HEATER COMPANY
Mailing Address: 12601 132ND AVE NE
Contact Person: PAMELA HILL
E-Mail Address: pamelah @fastwaterheater.com
ARCHITEC :Og All 01014 be stamped.by Architect of Record
1% ^`'j C! � �, .1:'""41 -dy r f Fi
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.. t i'�s.� ht b t � 4�. =.1•�.,n •.ls ?`�. }. , .• ... .. - . , •�r :�.
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
, E -Mail Address:
Day Telephone: /125 814 - -0 X / 3
KIRKLAND, WA 98034
State
City
Day Telephone: (425)814 -3124 x133
Fax Number: 425- 814 -9516
St ate
Contractor Registration Number: FASTWHCO52DF
- * *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance *'
Expiration Date: 02/16/2005
Company Netne:
Mailing Address:
City
Day Telephone:
Fax Number:
State
State
Zip
Zip
Zip
Zip
City
Day Telephone:
Fax Number:
Unit Type::... "` : , , _:
-Qty...
UnitType:
_ " Qty :
Unit Type:
Qty
Boiler /Compressor:
Qty
Fumace<100K BTU
Air Handling Unit
>s10,000 CFM
Other Mechanical
Equipment
0 -3 HP/100,000 BTU
Furnace >100K BTU
Evaporator Cooler
Gas Water Heater
1
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
l leat/Refrig/Cooling
System
Incinerator - Domestic
Air Handling Unit
< =10,000 CFM
Incinerator — Comm/Ind
MECHANICAL PERMIT INF( '14ATION -206-431-3670
MECHANICAL CONTRACTOR INFORMATION
Company Name: /-/157 Ll/9--
Mailing Address: /74219/ / 3 g Pz_ � #AJ,,l
City State Zip
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**
Valuation of Project (contractor's bid price): $ 449.00
Scope of Work (please provide detailed information): Remove/Replace Gas Water Heater
Use: Residential: New .... ❑ Replacement ....EM
Commercial: New .... ❑ Replacement .... ❑
fuel Type: Electric p Gas ....❑ Other:
Indicate type of mechanical work being installed and the quantity below:
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.
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 13E TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR AUTHORIZED AGENT:
Signature: — — ' Date: 03/04/2004
Print Name: PAMELA HILL
Mailing Address: 12601 132ND AVE NE
■,ticMion■paoit application (1.200»
Page 4
Day Telephone: (425)814 -3124 x133
KIRKLAND, WA 98034
City
State
Zip
T Date Application Expires:
Staff In�tials:
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 0733000225 Permit Number: M04-034
Address: 3540 5 116 ST TUKW Status: PENDING
Suite No: Applied Date: 03/05/2004
Applicant: TAYLOR RESIDENCE Issue Date:
Receipt No.: R04 -00271 Payment Amount: 52.00
Initials: SKS Payment Date: 03/05/2004 01:24 PM
User ID: 1165 Balance: $0.00
Payee: FAST WATER HEATER COMPANY
RECEIPT
TRANSACTION LIST:
Type Method Description Amount
ACCOUNT ITEM LIST:
Description
doc: Receipt
Payment Check 1638 52.00
MECHANICAL - RES
Account Code Current Pmts
000/322.100 52.00
Total: 52.00
0556 033/08 9716 TOTAL 52.00
Printed: 03 -05 -2004
Prp t:
lL�S� d �
Type of Inspection: /� Ji
� i
Add ess:
Date Called:
C.) litaloY
Special Ins uctions:
(I/ ►
1
0
Date Wanted: /� (/1/01 a.m.
L (p m
Requester: (�
Phone No:
D — 1 ( i V 6 t a T
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
�.I,[ I Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
(206)431 -3670
_ r u
El Corrections required prior to approval.
COMMENTS: k.
Vo-e- M QQvt.t ! 4 r
— r - 0
Inspe
,41 -tA; 1 .. )a
EJ $4.O REINSPECTION FEE I QUIRED. Prii to inspection, fee must be
pa t 6300 Southcenter Blvd., Suite 100. all to schedule reinspection.
'Receipt No.: 'Date:
Date
ro / /7 / 40,
Sf
P •' - // t:
I.
/ /}
✓U [ j
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1
of Inspectio
A • dress: 4
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s-t,
Date Calle
5 f � l otf
Special Instructions: '1 � �
ileeet--
20 � r 64-0'2-e-
Date Wante�
Dip � a.m:
(
Ph on N o:
0(,- 7pce-- I�gLe3
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY'OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3670
Approved per applicable codes. 13.Czrections required prior to approval.
COMMENTS:
C cy \
ev-
1�.. .o I Icy- A s ;
REINSPECTION F • E REQUIRED. Prior o Inspection, fee must be
at 6300 Southcenter Ivd., Suite 100. II to schedule reinspection.
Receipt No.:
Date: /
Date:
REGISTERED AS PROVIDED BY LAW AS
CONST CONT. GENERAL
FiEGIS EXP DATE
CCO1 FASTWHCO52DF 02/16/2005
EFFECTIVE DATE 03/06/1995
FAST WATER HEATER COMPANY
12601 132ND AVE NE
KIRKLAND WA 98034 ..
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1,
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r, ; F625.0524)0 0 .
Dwell And Display Certuicate ------z
14
1.)):I.(151-1)111) 8/911
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1.)oileh ,•\i.1 DisHay
DEPARTMENT OF LABOR AND [NDUSTI:W.:
I REGISTERED AS PROVIDED BY LAW AS . .
CONST CONT GENERAL
REGIST. # EXP. DATE
CCO1 FASTWHCO52DF 02/16/2005
EFFECTIVE DATE 03/06/1995
FAST WATER. JEATER COMPANY
12601 132ND AVE
KIRKLAD)WP/ .983
• •
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Signature
Issued I) 1)1:
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