HomeMy WebLinkAboutPermit M04-038 - DOBB RESIDENCEDOBB RESIDENCE
5720 SOUTH 144T"
STREET
M04 -038
Signature:
Print Name:
doc: Mech
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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Parcel No.: 3365900755 Permit Number: M04-038 • 1 z
Address: 5720 S 144 ST TUKW Issue Date: 03/15/2004 n: 6
Suite No: Permit Expires On: 09/11/2004 6 v
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Owner:
Name: DOBBS KIM Phone: LL a
Address: 5720 S 144TH ST, TUKWILA WA a
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Contact Person: z 1
Name: PAMELA HILL Phone: 425 814 -8381 — 0
Address: 12601 132 AV NE, KIRKALND, WA
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Contractor: 0 N
Name: FAST WATER HEATER CO Phone: p
Address: 12601 132ND AVE NE, KIRKLAND WA w uj
Contractor License No: FASTWHCO52DF Expiration Date :02 /16/2005 H 0
Tenant:
Name: DOBB RESIDENCE
Address: 5720 S 144 ST, TUKWILA WA
DESCRIPTION OF WORK:
REMOVE AND REPLACE GAS WATER HEATER - LIKE FOR LIKE
Value of Construction: $449.00 Fees Collected: $52.00
Type of Fire Protection: N/A Uniform Mechnical Code Edition: 1997
Permit Center Authorized Signature:
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 construction or4e performance of work. I am authorized to sign and obtain this mechanical permit.
MECHANICAL PERMIT
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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.
M04 -038
Date: ' —''-5"---e/
Date: / 5 ' 0 V
Printed: 03 -15 -2004
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City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
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Parcel No.: 3365900755 Permit Number: M04-038 i
Address: 5720 S 144 ST TUKW Status: ISSUED W III
Suite No: Applied Date: 03/15/2004 J 0 .
Tenant: DOBB RESIDENCE Issue Date: 03/15/2004 0 0
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5: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997 v 0
Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition). O — to
6: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations shall not be = v
construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any LL F.
other ordinance of the jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this — 0
code shall be valid. v N
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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 mechanical work shall be under separate permit issued by the City of Tukwila.
4: 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.
7: Manufacturers installation instructions required on site for the building inspectors review.
8: Fuel burning appliances may not be installed in sleeping rooms, U.M.C. 304.5.
9: Appliances which generate flame, spark or glowing ignition, shall be elevated 18 inches above the floor (U.M.C.
303.1.3.).
10: 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 pe • rmance of work.
Signature:
Print Name:
doc: Conditions
M04 -038
Date: nc/
Printed: 03 -15 -2004
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SITE LOCATION
Site Address: 5720 S 144 ST
Tenant Name:
Property Owners Name: DOBBS, KIM
Mailing Address: 5720 S 144 ST
Name:
Mailing Address:
E -Mail Address:
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Company Name: FAST WATER HEATER COMPANY
Mailing Address: 12601 132ND AVE NE
Contact Person: PAMELA HILL
E -Mail Address: pamelah @fastwaterheater.com
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
,Building Pertnic No.
Mechanical Permit No: :Me Q 37`
, Public Works Permit No
(For office useonly)
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.: 3365900755
Suite Number: Floor:
New Tenant: ❑ .... Yes ® ..No
TUKWILA, WA 98168
City
Day Telephone:
City
Fax Number:
KIRKLAND, WA 98034
'ARCHITECT 'CIF: RECURDrr ) All piniis must be 'Wet ' stamped:by Architect of Record
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State
State
CK1739
G•E COIV: R°INF()�tMATtt
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City State
Day Telephone: (425)814 -3124 x133
Fax Number: 425- 814 -9516
State
Zip
Zip
Zip
Contractor Registration Number: FASTWHCO52DF Expiration Date: 02/16/2005
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
City
Day Telephone:
Fax Number:
Zip
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fux Number:
. 1:
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Unit Type:
1Qty,.
. Unit Type:
Qty
'Unit Type:
Qty
. Boiler /Compressor:
Qty
Furnace <100K BTU
Air Handling Unit
> .•10,000 CFM
Other Mechanical
Equipment
0 -3 HP/I00,000 BTU
.
Furnace >I00K 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
Heat/Refrig/Cooling
System
Incinerator - Domestic
Air Handling Unit
< =10,000 CFM
Incinerator - Comm/Ind
MECHANICAL PERMIT:INFG ..vIATION — ' 206 = 431 =3670
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E - Mail Address:
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** QQ
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to
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Valuation of Project (contractor's bid price): $ 449.00
Scope of Work (please provide detailed information): Remove/Replace Gas Water Heater
Use: Residential: New
New ....0
Replacement ....
Replacement .... ❑
Fuel Type: Electric ❑ Gas ....❑ Other:
Indicate type of mechanical work being installed and the quantity below:
City State Zip
Day Telephone:
Fax Number: Z
PERMIT APPLICATION: NO ES - Applicable to' all
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...', r,h tr , �rf i q
ermits in this: applfcahoni
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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
fo 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.
BUILDING OWNER OR AUTHORIZED AGENT:
Signature: - �� = -y' Date: 03/10/2004
Print Name: PAMELA HILL
Mailing Address: 12601 132ND AVE NE
applicNionsvo mtI application (1.1007 )
I/2003
Page 4
Day Telephone: (425)814 -3124 x133
KIRKLAND, WA 98034
City
State
Zip
Date Application Accepted: i Date Application Expires: Staff Initials:
3- A) ' i —�,� d y S
Parcel No.: 3365900755 Permit Number: M04 -038
Address: 5720 S 144 ST TUKW Status: PENDING
Suite No: Applied Date: 03/15/2004
Applicant: DOBB RESIDENCE Issue Date:
Receipt No.: R04 -00302 Payment Amount: 52.00
Initials: SKS Payment Date: 03/15/2004 11:06 AM
User ID: 1165 Balance: $0.00
Payee: FAST WATER HEATER COMPANY
TRANSACTION LIST:
Type Method Description Amount
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Payment Check 1739
ACCOUNT ITEM LIST:
Description
MECHANICAL - RES
RECEIPT
52.00
Account Code Current Pmts
000/322.100 52.00
Total: 52.00
;3923 03/16 971.6 TOTAL 52.00 .
Printed: 03 -15 -2004
Project:-- y 1
)c) OU A<-4..s% de nce.
Type of Inspection: ,
r % v^rt I
Address:
51 7_O S \ 4 St
Date Called:
9- 2,9 •0
Special Instructions:
Date Wanted: ,
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a.m.
P.m
Requester:
1 vv\
Phone No:
2-0 1 - 2-43- L1`1S3
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
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El Approved per applicable codes.
COMMENTS:
�'- tr 144 $ C p Isoi
Ok
Inspector
Date: Li_ L9 -OLI
$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:
•
El Corrections required prior to approval.
COMMENTS: c7
Type of Inspection:
i - 1nia-
044E ( /TH-/ /21 S . 0 a 8.83 U7l/
7 �hc3A✓e, she W. •Idv R,trx(
- 7e - A/--/ - - /17 - hI 604 26- - iv 471e-
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hr' ■- . „■5? /1 -7 - L/ry L.Wi4 f 4-;
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Project:
BORA i' ''3 &JCL
Type of Inspection:
i - 1nia-
Address:
5 S. /9./ ST
Date Called:
L /- / 3- v /
Special Instructions:
Date Wanted: /
4/- /L/ —
a.m.
p.m.
Requester:
/• / by oJb b 5
Phone No:
a oG -a z/ 3- 4 /7
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INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISIO
6300 Southcenter Blvd., #100, Tukwila, WA 98188
ector:
In4I -�
'(-4 \'ai
INSPECTION RECORD
Retain a copy with permit
a Approved per applicable codes. El Corrections required prior to approval.
(206)431 -3670
t„ Date:
1 /— /y -- ac/
$47.00 REINSPE ION FEE tE RED. Prior to inspection, fee must be
paid at 6300 S thcenter Blvd., Suite 100. CaII to schedule reinspection.
Receipt No.: Date:
10
COMMENTS:
Type of Inspection:
1•) ct4Pr
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Requester:
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Type of Inspection:
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Special Instructions:
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Date W d:
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Requester:
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INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
❑ Approved per applicable codes.
(inspector(_
INSPECTION RECORD
Retain a copy with permit
206)431 -3670
13 Corrections required prior to approval.
Date: 8
9
o $47.o0 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection.
COMMENTS:
Type of Inspection
C I u030 AA
iOo olive how P
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Date Called: / 2, / vii
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re(M (
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Type of Inspection
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Address: � . ti p
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Date Called: / 2, / vii
pec al Instructions:
Date Wanted: , ! g i b y
,?
Requester:
IA( 1/1/1 DObh
Phone No:
2/06 4 5`
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PER
(206)431 -3670
Approved per applicable codes. Corrections required prior to approval.
Inspector:) 9Q (- R o
M j
Date: LI S 0
1 $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection.
'Receipt No.:
'Date:
rn',.052 nih1 tuJ
I)Ct,411 Alld I )
DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
:'is REGIST:':#rS C.: EXPDATE
CC01 FASTWHCO52DF 02/11.6/2005
EFFECTIVE DATE 03706/1995
FAST WATER HEATER COMPANY
12601 132ND AVE NE
KIRKLAND WA 98034
Siwl,uurr
Issuckl•hv DE
ILtarll And DIN' ) lay Ccrtili atr
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
REGIST. # EXP. DATE
CCO1 FASTWHCO52DF 02/16/2005
EFFECTIVE DATE 03/06/1995
FAST WATERAHEATER COMPANY
12601 132ND AVE FEE
KIRKL
l
1' OF LA1. "Olt AND INDUSTRIES
Please Remo\ e
And Sign
Identification
Card Before
Plaein In
Billfold
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