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HomeMy WebLinkAboutPermit M04-060 - ELLIS RESIDENCEELLIS RESIDENCE 14620 42 AV S M04-060 1 Parcel No.: 0040000707 Address: 14620 42 AV S TUKW Suite No: Tenant: Name: ELLIS RESIDENCE Address: 14620 42 AV S, TUKWILA WA Owner: Name: ELLIS C B Address: 14620 42ND AVE S, SEATTLE WA Contact Person: Name: MICHELL - ROSSOE ENERGY SYSTEMS Address: 9367 RAINIER AV S, SEATTLE WA Contractor: Name: ROSSOE ENERGY SYSTEMS INC. Address: 9367 RAINIER AV S, SEATTLE, WA Contractor License No: ROSSOES142QP DESCRIPTION OF WORK: OIL TO OIL FURNACE CHANGE OUT IN GARAGE. TEMPSTAR OIL FURNACE 58,900 BTU'S Value of Construction: $3,580.00 Type of Fire Protection: N/A Permit Center Authorized Signature: Signature: Print Name: doc: Mech City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Rimy AoTli- MECHANICAL PERMIT Fees Collected: Uniform Mechnical Code Edition: Expiration Date:11 /17/2004 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. M04 -060 Permit Number: M04 -060 Issue Date: 04/19/2004 Permit Expires On: 10/16/2004 Phone: Phone: 206 72 -7555 Phone: 206 725 -7555 $52.00 1997 Date: � 7-113/ 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 or the perfprmance of work. I am authorized to sign and obtain this mechanical permit. Date: ! 0fr 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: 04 -19 -2004 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 0040000707 Address: 14620 42 AV S TUKW Suite No: Tenant: ELLIS 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 performance of work. Signature: Print Name: /1 doc: Conditions PERMIT CONDITIONS M04 -060 Permit Number: M04 -060 Status: ISSUED Applied Date: 04/19/2004 Issue Date: 04/19/2004 Date: Printed: 04 -19 -2004 Site Address: \ -\IQ?� L\2 SDI Tenant N LLl S ame: Property Owners Name:CO. ( \, U _ \s Mailing Address: \IA 1 4/ 06 jbU" Name: i n / 1 64 e / F Mailing Address: 4; t r vT f' E -Mail Address: Company Name: c E4 X.. ' 1� Mailing \ZG.�1� g � Contact Person: \e VN,6 E -Mail Address: Contractor Registration Number **An original or notarized copy of current Washington State Contractor Company Name: Mailing Address: Contact Person: E -Mail Address: Contact Person: E -Mail Address: \appttcationstpermit application (3.2003) 3/2003 CITY OF TUKWIL4 Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 , mS Page I • Suite Number: — City 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.: XC)** COCO 1.07 Floor: New Tenant: .... Yes El ..No W S Slate Zi T ACT PERSC Day Telephone: CO City C State 9` Zip Fax Number: ( 6) 7A9 — V GENERAL;'CO .OR IN .ORM ;TIi 'ry ?�. •a_ „; ,i(. fir. ��r.::� A.:.:y ^i:M; Vgi .. t5 -- Ckr C -12r\ k1 e \ City tate Zip Day Telephone: 9.1 )Q ' 2Cj' 16562 Fax Number: 3' ?j � 1 3 �9 \ t2 ,©. ? Expiration Date: \ ` i I 2Q7)tic License must be presented at the time of permit issuance ** -ARCHITECT - OF RECORD .=:All plans must be;wet stamped by Architeck:of Record:; City Day Telephone: Fax Number: State State Zip. Company Name: Mailing Address: City Day Telephone: Fax Number: Zip !BUILDING, PERMIT; INFORMATION : X06-431 -367 ?sr ` t ' r . ° ' }S�".. :::r.r r> +�t.��5'.`:•:.e.. A;iFi,'.t•::= ::,�t'.',r Lf: . l�. Valuation of Project (contractor's bid price): $ Will there be new rack storage? 0 ..Yes (❑ .. No Existing Build Valuation: $ If "yes ", see Handout No. for requirements. rovide All Building Areas in' Square Footage Below Scope of Work (please provide detailed information): .1 1 ` Floor 2". °:Floor `3`: Floor Floors • Basemen 'Accessory: Structure* • •Attached:.Garage• Detached :Garage.:' Attached:Carpo Detached Carport':: Covered' Uncovered Deck • Interior emodel Addition`to Existing Structure:. ;: C otistructton ;�: `per UBC •. . ' Occupancy 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 12 ..No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑.. Sprinklers O..Automatic Fire Alarm 0..None . Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 .. Yes 0 ..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. \applicationt\permit application (3.2003) 3/2003 Page 2 PUBLIC, WORKS PERMIT INFORMATION. 06 - 43341179 Scope of Work (please provide detailed intormation): Water District ❑...Tukwila 0... Water District #125 ❑ ...Water Availability Provided Sewer District ❑ ...Tukwila ❑ ...Sewer Use Certificate ❑... ValVue ❑ .. Renton ❑ ...Seattle 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): 0 ...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 ❑...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 _ Vpptiationi'permit application (3.2003) 312003 Please refer. to.Public;Works Bulletin #1.for;fees'arid estimate'shee cubic yards cubic yards If f. 11 ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line ft 11 Call before you Dig: 1- 800 - 424 -5555 WO# WO# WO# Private Private ❑ .. Highline p ...Renton ❑ .. 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 Page 3 ❑ .. 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 Unit Type ; : Qty.:UnitType: ` 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 /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 Signature: Print Name: Mailing Address: %applicationstperrnit application (2.2003) 'MECHANICAL PE O RMIT;INFORMA TI N 206 =431 -3670 MECHANICAL CONTRACTOR INFORMATION Company Name ` an Mailing Address: Contact Person: E -Mail Address: Contractor Registration Number: c��� p \uc2.O,P Expiration Date: \\.. * *An original or notarized copy of current Washington State Contractor License must be presented at th Valuation of Project (contractor's bid price): $ 3 Scope of Work (please provide detailed information): k , -A CC) , ��S �DU•� vr� o r r ��.� � eJ 69) ,q br) �' S Use: Residential: New .... ❑ Replacement .... Commercial: New .... ❑ Replacement .... ❑ Fuel Type: Electric ❑ Gas ....0 Other: (Q L Indicate type of mechanical work being installed and the quantity below: PERMITAPPL^I -4004 Opp lie ation 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 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. BUIL "ING OWNER OR AUTHORIZ)< AGENT Day Telephone: 2-32)CP Sou Date Application Accepted: I Date Application Expires: M '/9 - f Staff Initials: Poe 4 City Stat ■Zip � Day Telephone: ,0 LP ' 21 -- 1 C j Fax Number: 2X) lQ - 2� ' 3•Lf 1 City time of permit issuance ** Date: ' _ 1� - 04 - Slate Zip ACCOUNT ITEM LIST: Description doc: Receipt City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 0040000707 Address: 14620 42 AV S TUKW Suite No: Applicant: ELLIS RESIDENCE Payee: ROSSOE ENERGY SYSTEMS Payment Cash MECHANICAL - RES RECEIPT TRANSACTION UST: Type Method Description Amount Account Code Current Pmts 000/322.100 52.00 Permit Number: M04 -060 Status: APPROVED Applied Date: 04/19/2004 Issue Date: Receipt No.: R04 -00449 Payment Amount: 52.00 Initials: SKSK Payment Date: 04/19/2004 10:43 AM User ID: 1165 Balance: $0.00 52.00 Total: 52.00 ;.•O@65 04/20 9716 TOTAL 52), OP Printed: 04 -19 -2004 Pro•e t: p - l r S �iA -' l0 Type of Inspe n: . /2X ( � Ad s Date Called: /� Special Instruucctions: ` Date Wanted am. � .2270 q Requestern• Php LP...) ; L i 4 (0 13 'Approved per applicable codes. INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 rhact-a(en PER 06)431 -3670 � rections required prior to approval. COMMENTS: 4 \ ew (€-t e G\L `-t • t (r.J A t ctor: Date: .00 REINSPECTION EE REQUIRED. krior to inspection, fee must be d at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. (Receipt No.: 'Date: Pro t• , ' ` t C S A �e-n ce Typ Inspectio • • ; ro — i`n Address: I (j) it). /k) .3, Date ailed: CR b y Speci Instructions: Date Wanted:0 Request A Ph ( f L/ L,3 I23", : c. 1 1 INSPECTION RECORD 1\A rGZ� Retain a copy with permit INSPECTION NO. PER I - CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 W pproved per applicable codes. 5 7.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be +/paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Corrections required prior to approval. COMMENTS: (Receipt No.: 'Date: 09 -07 -2004 MICHELL - ROSSOE ENERGY SYSTEMS 9367 RAINIER AV S SEATTLE WA 98118 RE: Permit Application No. M04 -060 14620 42 AV S TUKW Dear Permit Holder: City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code and/or the International Mechanical Code, every permit issued by the Building Division 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: Call the City of Tukwila Permit Center at 206 - 431 -3670 to arrange for the next final inspection. 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 lip to 180 days. Extension requests must be in writing and arovide 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 and receive an extension prior to 10/16/2004, 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 -060 Bob Benedicto, Building Official 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206 - 431 -3665 DEPARTMENT OF LABOR AND INDUSTRIES LICENSED AS PROVIDED BY LAW AS ELEC CONTR GENERAL LICENSE : # , EXP . DATE ECO1 ROSSOES142QP'11 /17/2004 EFFECTIVE DATE 11/17/1986 ROSSOE ENERGY'SYSTEMS INC 9367 RAINIER AVE S SEATTLE WA 98118 DLIach And Display Cali illdtt_ • •