HomeMy WebLinkAboutPermit M04-072 - CRESCENT HOMES - LOT 5CRESCENT HOMES LOT 5
13512 43 AV S
MOt072
Parcel No.: 2613200155
Address: 13512 43 AV S TUKW
Suite No:
Permit Center Authorized Signature:
Signat
doc: Mech
City of Tukwila
Tenant:
Name: CRESCENT HOMES - LOT 5
Address: 13512 43 AV S, TUKWILA WA
MECHANICAL PERMIT
Owner:
Name: CRESCENT HOMES Phone:
Address: 425 PONTIUS AV N, #125, SEATTLE WA
M04 -072
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Permit Number: M04 -072
Issue Date: 08/26/2004
Permit Expires On: 02/22/2005
Contact Person:
Name: BOB THOMPSON Phone: 253 -569 -7579
Address: 425 PONTIUS AV N, #125, SEATTLE, WA
Contractor:
Name: BAY DEVELOPMENT CORPORATION Phone: 253 569 -7579
Address: 425 PONTIUS AV N, #125, SEATTLE WA
Contractor License No: BAYDEC *022MB Expiration Date:07 /02/2006
DESCRIPTION OF WORK:
NEW HVAC SYSTEM FOR NEW SINGLE FAMILY RESIDENCE. TO INCLUDE: FORCED AIR GAS
FURNACE, GAS WATER HEATER AND GAS FIREPLACE.
Value of Construction: $3,792.00 Fees Collected: $83.56
Type of Fire Protection: N/A Uniform Mechnical Code Edition: 1997
Date: D 84 //O
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 th' permit does not presume to give authority to violate or cancel the provisions of any other state or local laws
regulating c• • fi ction or the performance of work. I am authorized to sign and obtain this mechanical permit.
Date: 24/
Print Name: - TFO G/IESL��✓
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: 08 -26 -2004
Parcel No.: 2613200155
Address: 13512 43 AV S TUKW
Suite No:
Tenant: CRESCENT HOMES - LOT 5
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
3: Plumbing permits shall be obtained through the Seattle -King County Department of Public Health. Plumbing will be
inspected by that agency, including all gas piping (296- 4722).
4: Electrical permits shall be obtained through the Washington State Division of Labor and Industries and all electrical
work will be inspected by that agency (206- 835 - 1111).
5: 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.
6: Any exposed insulations backing material shall have a Flame Spread Rating of 25 or less, and material shall bear
identification showing the fire performance rating thereof.
7: 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).
8: Manufacturers installation instructions required on site for the building inspectors review.
9: Water heater shall be anchored to resist earthquake (U.P.C. 510.5).
doc: Conditions
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
* *continued on next page **
M04 -072
Permit Number: M04 -072
Status: ISSUED
Applied Date: 05/06/2004
Issue Date: 08/26/2004
Printed: 08 -26 -2004
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions
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
regulating construction or the performance of work.
Signature:
print Name: - 72 - 0
doc: Conditions
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431-3670
C._ HE 6 7 1J0 1 \-/
M04-072
Date: (-0 % ( - 7
of law and ordinances
other work or local laws
Printed: 08-26-2004
; • ,
.•• • .; '•'
SITE.LOCATIO
King Co Assessor's Tax No.:e'? / / 320 O /SS S
Site Address: 3 V Q
Tenant Name: 1-o 5
Property Owners Name: CY.eSGtKit VA'0
Mailing Address: ,2S '}ow' --;.as Ave_ N. 1 ZS
:CONTACT `PERS
Name: r-Bc,1a ec
Mailing Address: y 27 }moo i
+4S Ave. Av. N . 1Zj a- WW Wi
City State Zip
Fax Number:..?04. 4 L
E -Mail Address:
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
GENERAL; CONTRACTOR.INFORMATIO
Company Name: C V t S CQ .* AtSAA,r2 �
Mailing Address: 4 4 Z T{ , vi S Ave N. "U12.5" 504 4}la
City
Contact Person: r P - \r0 l T11.4.4.4S0
E -Mail Address:
Contractor Registration Number: r y t . 'k 0 22 $415 Expiration Date:
ARCH I T ECT.OF RECORD ='All plansmust be •wet stampedb R
Company Name:
Mailing Address:
Contact Person:
Company Name:
Mailing Address:
\applications \permit application (3.2003)
3/2003
Page 1
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 **
Suite Number:
City
New Tenant:
lA)►I
State
Floor:
...Yes
.No
9A/09
Zip
Day Telephone: .751 5", 9. 7579'
W>a 98i0 9
State Zip
Day Telephone: 02.53- 5"G 1- 757f
Fax Number: 020" - 32 3 - 4.7 4 2
1
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
State
Zip
City
Day Telephone:
E -Mail Address: Fax Number:
ENGINEER:OF RECORD, =All plans must be we stamped by Engineer:ofReco
State
Zip
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
�..iki.?':i- "fiY'C• -• iN;- Y':':_ x'`. RF.= i' �. 1; Uiipj jt4�f :�:+c'_•:.S�N'.:YAN.SxpYtrr
: 811II DING PE RMLT'�INF „ QRIVI "^ 'ION — 206=43] =3670
Valuation: of Project (contractor's bid price): $ Doo,CY Existing Building Valuation: $
Sco of Work (please provide deta information): fdQu— Con y o tJ ohs S(v 1 11
IA/
14 ht
Will there be new rack storage? 0 ..Yes pj... No If "yes ", see Handout No. for requirements.
Provide All Building Areas; in Square Footage: Below
P'Floor
2'' Floor
':;
7737 Floor
Floors
Basement
Accessory Stricture * :-
Attached Garage
Detached Garage
Attached Carport
Detached'Carport
Covered Deck
Uncovered Deck:
Existing
Interior
Remodel
Addition to
Existing
Structure
'New
i
� oti3
�yS
Jote
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) / 72.0
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): L. 53,0 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 la.,.No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑.. Sprinklers 0..Automatic Fire Alarm g_.None ❑ . Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑..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.
\permit application (3.2003)
Page 2
:PUELICYVORKS'PE LT II►' )RMAT
L2 RM IO Nj;O=
i ; . r isl wit �•:: �Sw i�;3 :4.2t Yi .� r !i „ G' t >.?.. s � " p? i7w ?1�t1� -s
Scope of Work (please provide detailed information):
441:01
Water District
❑ ...Tukwila [.. Water District #125
❑ ... Water Availability Provided
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 /oa cubic yards
❑ ...Total Fill /So cubic yards
FINANCE INFORMATION
❑ ...Water ❑ ...Sewer
Monthly Service Billing to:
Name:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
kapplicationa\petmil application (3.2003)
1/2003
nvteul
....Sanitary Side Sewer ❑ .. Abandon Septic Tank
❑ ...Cap or Remove Utilities ❑ .. Curb Cut
❑ ...Frontage Improvements ❑ .. Pavement Cut
❑ ...Traffic Control ❑ .. Looped Fire Line
❑ ...Backflow Prevention - Fire Protection "
Irrigation
Domestic Water "
❑ ...Sewage Treatment
Page 3
33 =017r + w , ..�..
Call before you Dig: 1- 800 - 424 -5555
❑ .. Highline
❑ .. Work in Flood Zone
❑ .. Storm Drainage
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
City
City
Please refer to Public. Works Bulletin #1 for fees and estimate sheet.
❑ ...Renton
❑ .. Right -of -way Use - Profit for Less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
.,..Permanent Water Meter Size... 0$ " WO#
❑ ...Temporary Water Meter Size.. I 7 WO#
❑ ...Water Only Meter Size It WO# p ...Deduct Water Meter Size "
❑ ...Sewer Main Extension Public _ Private
❑ ...Water Main Extension Public Private
Sewer District
❑ ...Tukwila ®... ValVue ❑ .. Renton .Seattle
❑ ...Sewer Usc 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) ❑ .. Geotechnical Report ❑...Traffic Impact Analysis
❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) ❑...Hold Harmless
Day Telephone:
State Zip
Day Telephone:
State Zip
.«- ...�nn6•f.1dN;K.:+:!!5t t1. il5*! A+ l+.vw*s'4..1. ^•�•: «m'aKa;2: 7i'L r:rr:d; eij. '..r ^.'5.:..,;%
Unit Type: YP -
: Qty :
'Unit Type:
Qty
Unit Type:.
Qty :
:Boiler /Compressor: , _ .
Qty
BTU
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipment
0 -3 HP/I00,000 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
� E PERMIT INFORMATION ='
Indicate type of mechanical work being installed and the quantity below:
Print Name: 3 ob X1, 1.S c Si
Mailing Address: 25
' pplications\permit application (3.2003)
3/2003
• r
6.431-3670'
Page 4
MECHANICAL CONTRACTOR INFORMATION
Company Name: — FM)
Mailing Address:
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 **
00
Valuation of Project (contractor's bid price): $ _ 3 792
Scope of Work (please provide detailed information): NQu.� 14V 14 ' - - .F ,vet a ctiv- Gc s R. / t 4C4L
G 4.5 Lo tfi t 1l..e.4t€ V Gel f 1 ve cA..<
Use: Residential: New .... is Replacement .... ❑
Commercial: New .... ❑ Replacement .... ❑
Fuel Type: Electric ❑ Gas ....g Other:
. tlri .•J u , i:,!wa'ii:f.a+'J •'.. , �
PERMIT APPLICATION NOTE5 Applicable to:all perm><ts:in th><s 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 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 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 A THORIZED AGENT:
Signature: V , k - Date: 5 --C#
Day Telephone: SGT` 75
5,2 Q.l44 95/0,
City State Zip
Date Application Accepted:
5- -o tf
I Date Application Expires:
Staff In' 'als:
1
Payee:
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
BAY DEVELOPMENT CORPORATION
MECHANICAL - RES
PLAN CHECK - RES
RECEIPT
Parcel No.: 2613200155 Permit Number: M04 -072
Address: 13512 43 AV S TUKW Status: APPROVED
Suite No: Applied Date: 05/06/2004
Applicant: CRESCENT HOMES - LOT 5 Issue Date:
Receipt No.: R04 -011.37 Payment Amount: 83.56
Initials: LAW Payment Date: 08/26/2004 12:28 PM
User ID: ADMIN Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 8324 83.56
Account Code Current Pmts
000/322.100 66.85
000/345.830 16.71
Total: 83.56
4326 00/27 9710 TOTAL 1835.91
Printed: 08 -26 -2004
P
A
Type of Inspection:
P '
dd s:
1 res �2 `i 3,,
co
Date Called:
Li
( D5
I
Special nstruction :
Date Wanted: �
lfl
.m.
p.m.
Requester: '
Phone � No: 4
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
PERM
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206
O
3 r -3670
Corrections required prior to approval.
COMMENTS:
N.
'Inspector: r 1 J 2 Date:
E $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
(Receipt No
'Date:
516
Pr )ect .. 7
�L4 GG,.v� d )l
Type of Inspection: /'
/ ( S k ` h
Address: 7 L / � ) n Cf
Date Called:
Special Inst
�.�Q%el� .6.0„,_„.E........,,,
Date Wanted:
, as"
(a.m.
P.m.
Requester:
Phone 2 77e
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
v<Iv // D7z
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
C drre `t runs r raw p ie,
Inspector:
Y clAJA-
Date:
El S58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
'Receipt No.:
'Date:
COMMENTS: \ 1.
J fY re Ak(.4f OVA VkU4 .)- t1 G-t-t,Yz°v4
+ \
1v\5A 4AA wvnv10 A . t
Li r � oho( 7 if
, i
It
Special Instructions:
ma fr
c_) 41 . 8 . c ut) s
c‘
�
h ) � -r.
Qv,. S
SPP pc64, 1-1
Phone No:
P e : e of fnA 41 '
`I
4 1
c:44
■ vq t
Proje6E:
Type of Inspection
Address :
351 - L A?, . S
Da te Called:
Special Instructions:
Date Wanted:
,fll
(V'OS
a.m.
p.m.
Requester:
Phone No:
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
M o `I G7 z
(206)431 -3670
Corrections required prior to approval.
Inspector:
J AI
Date:
D $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
COMMENTS:
Type Inspection:
( 1
lIe: a 3.0 r_
Date Called O
6 , -) • /r Gt)/, . i 4/I(' r4 )i s ! 6 6
i �� // 41, }■ • rr1 - sl 23
-
/ a.m.
h /P g - ✓� A ( i'
i's../ r m '"
- -/;)
0 hen / t
A - , 1 4 . „ / - )
-/ -
r7 4'.�rvr't'NP
P oject:
4)4(101,1_5
Type Inspection:
( 1
lIe: a 3.0 r_
Date Called O
Special Instruction 9:
Date Wanted
/ a.m.
Requester: t.
PYI�nNot'6 1,3
r C I )0
IrVt 3e$tpr:
0 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
O Corrections required prior to approval.
Mai
PER1 +. /
(200431 -3670
Date: J
d 5
a"A
51 .00 REINSPECTION FE REQUIRED. P or to inspection, fee must be
a c id at 6300 Southcenter Blvd., Suite 1 . Call to sechedule reinspection.
(Receipt No.:
'Date:
01 -04 -2005
BOB THOMPSON
425 PONTIUS AV N, #125
SEATTLE, WA 98109
RE: Permit No. M04 -072
13512 43 AV S TUKW
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 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:
City of Tukwila
Steven M. Mullet, Mayor
Call the City of Tukwila Permit Center at 206 - 431 -3670 to arrange for the next or 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 up to 180 days.
Extension requests must be in writinf 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 and receive an extension prior to 02/22/2005, 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 -072
Bob Benedicto, Building Official
Department of Community Development Steve Lancaster, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
..nw..wrmsr:nroot.:rayn;r,.L.M�a
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M04 -072 DATE: 05 -06 -04
PROJECT NAME: CRESCENT HOMES - LOT 5
SITE ADDRESS: 13512 43 AVENUE SOUTH
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # after /before permit is issued
DEPARTMENTS: k
DG ,
Buii i g Division
Public Works ❑
Fire Prevention
Structural ❑
DETERMINATI N OF COMPLETENESS: (Tues., Thurs.)
Complete Incomplete P P ❑
Planning Division
Permit Coordinator
DUE DATE: 05 -11 -04
0
Not Applicable ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS ROOTING:
Please Route , Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: DUE DATE: 06-08-04
Approved ❑ Approved with Conditions 12( Not Approved ( attach comments) ❑
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents/routing slIp.doc
2 -28.02
PERMIT COORD COPY