HomeMy WebLinkAboutPermit M04-073 - CRESCENT HOMES - LOT 1CRESCENT HOMES -LOT 1
73542 48RD AVENUE SOUTH
M04-073
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Parcel No.: 2613200150
Address: 13542 43 AV S TUKW
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
Contractor
Value of Construction: $4,319.00
Type of Fire Protection: N/A
Print Name:
doc: Mech
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
CRESCENT HOMES - LOT 1
13542 43 AV S, TUKWILA WA
CRESCENT HOMES
425 PONTIUS AV N, #125, SEATTLE WA
BOB THOMPSON
425 PONTIUS AV N, #125; SEATTLE WA
BAY DEVELOPMENT CORPORATION
425 PONTIUS AV N, #125, SEATTLE WA
License No: BAYDEC *022MB
MECHANICAL PERMIT
M04 -073
r^,
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 253 569 -7579
Phone: 253 569 -7579
Expiration Date:07 /02/2004
DESCRIPTION OF WORK:
NEW HVAC SYSTEM FOR NEW SINGLE FAMILY RESIDENCE TO INCLUDE FORCED AIR GAS
FURNACE, GAS WATER HEATER AND GAS FIREPLACE
M04 -073
06/14/2004
12/11/2004
Fees Collected: $83.56
Uniform Mechnical Code Edition: 1997
Permit Center Authorized Signature:
4
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 construction or the performance of work. I am authorized to sign and obtain this mechanical permit.
Signature: ��--- �leArs --y
Date: 1 % /01G
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: 06 -14 -2004
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doe: Conditions
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2613200150
Address: 13542 43 AV S TUKW
Suite No:
Tenant: CRESCENT HOMES - LOT 1
PERMIT CONDITIONS
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).
* *continued on next page **
M04 -073
Permit Number: M04 -073
Status: ISSUED
Applied Date: 05/06/2004
Issue Date: 06/14/2004
Printed: 06 -14 -2004
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431-3670
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: ob /G7,014 0‘-f-
doc: Conditions
M04-073
Date: Coh SVio
Printed: 06-14-2004
". .
:;SITE; LOCATI
Property Owners Name:
Mailing Address:
E -Mail Address:
E -Mail Address:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
\applications%permit application (3.2003)
3/2003
CITY OF TUKWiLA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
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 **
Company Name: C.vesce
Mailing Address: y LS - 'Po 14 s Av, N.
Contact Person: I1o10
King Co Assessor's Tax No. :,..„7L / 3 Z a 0 /5'0
Site Address:_I 3 5 4 2 y � i�y� S Suite Number: Floor:
Tenant Name: C VP StCt/l.AQ 5 Lo - r I New Tenant: .... Yes fl ..No
Z �
10
V.
Name: e— e.)o o aoJ
Mailing Address: 417. s - 901A-1;.--vs A i /1/4,) it 1 ZS
Page I
City
Contractor Registration Number: ZZ 0.46 Expiration Date:
State
Zip
Day Telephone: Z S 3 54 9. 579
� Q
4.1+6_ t vim} 'WADI
City State Zip
Fax Number: Zola - 3 2 S. C.esS`
SQ' .+4L Lukt 5'A70
City State Zip
Day Telephone: 2.53 - 54 99. 7571
Fax Number: aot'. -323 - 41
744/
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
State
State
•
Company Name:
Mailing Address:
city
Day Telephone:
Fax Number:
Zip
City
Day Telephone:
Fax Number:
Zip
nit T e��.
YP
Qty
UnitTYPes ,..
Qty
U nit Type:
YP �
Qty.
Boiler/Compressor: ;..:
Fumace<100K BTU
•
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipment
0 -3 HP /100,000 BTU
Furnace>IOOK 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
V1ECHANI
MECHANICAL CONTRACTOR INFORMATION
Company Name: T'P n
Mailing Address:
I T INFORM ,TION..=
06
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): $ 43! 9• v�
Scope of Work (please provide detailed information): 11f42 f L. — AW G4 Fuvrt: cm-- G4 S
l.Jattve t4e4. 4k 1 G ct5 Fiveyi C-42.—
Use: Residential: New .... Replacement ....
Commercial: New .... Replacement ....
Fuel Type: Electric ❑ Gas Other:
Indicate type of mechanical work being installed and the quantity below:
ERMIT APPLICATION NOTES — Applicable to all permits in 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 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: ��, -+��
Print Name: / mho ikt? o J
Mailing Address: 4 1.25" Too-Fitts Auk_ fs) IZS (.4)vA 9� la9
City State Zip
Date:
Day Telephone: ,'S3• 5 7579
Date Application Accepted:
bpplicationa\permit application (3.2003)
3/2003
Date Application Expires:
/1 —c, —
Page 4
!iuS,�i'.aisZx
itials:
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2613200150 Permit Number: M04 -073
Address: 13542 43 AV S TUKW Status: APPROVED
Suite No: Applied Date: 05/06/2004
Applicant: CRESCENT HOMES - LOT 1 Issue Date:
Receipt No.: R04 -00717 Payment Amount: 83.56
Initials: BLH Payment Date: 06/14/2004 12:26 PM
User ID: ADMIN Balance: $0.00
Payee: BAY DEVELOPMENT CORPORATION
TRANSACTION LIST:
Type Method Description Amount
doc: Receipt
Payment Check 8281
ACCOUNT ITEM LIST:
Description
MECHANICAL - RES
PLAN CHECK - RES
RECEIPT
83.56
Account Code Current Pmts
000/322.100 66.85
000/345.830 16.71
Total: 83.56
1:1 042 06/15 9716 :TOTAL 4207.07.:,
Printed: 06 -14 -2004
Project:
Type of Ins ectipnn
/
Address:
f 7 l</.=. /J /,X:.
J _
Date Calle :
,./ — i0 (. .i
Special Instructions:
Date Wanted:
a.m.
Request
Phone No:
(-'2 od ) '77ef 7726
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERM
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
.,.....�sx az :xr�ra.un�s�awn.::tr�aYa"szs:ds �'fietrr.�rvrax .++«.�.,+:w..»
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
� k -r FI N A
'Receipt No.:
Date: _
I I� o
.00 REINSPECT' • N FEE REQUI D. Prior to inspection, fee must be
d at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
Proiect
.001446,* i fo o
v
Typed ecto . ori
Address:
dress:
3
43 /WS(
D Called:
/3 /0y
Specia In uct ons:
Date Wanted:
9)04
m�
Requester:
PM , 7 q
..- -... —. +.ra.rx. v.. ;x:aa741 «a:+,!JV: ?:✓+ik4: tYm�£.hrmiv.iwa�wwaxn
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISIO
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
(206)431 -3670
Corrections ctions required prior to approval.
COMMENTS:
Ikcv-eAIN —1.3%
Date:
exe, $ � �' REINSPECTION FEE REQUIII D. Prio to inspection, fee must e
pa • at 6300 Southcenter Blvd., Suite 00. II to schedule reinspection.
'Receipt No.:
,Date:
ACTIVITY NUMBER: M04 -073 DATE: 05 -06 -04
PROJECT NAME: CRESCENT HOMES - LOT 1
SITE ADDRESS: 13542 43 AVENUE SOUTH
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # after /before permit is issued
DEPARTMENTS:
.�o awe 04
Building Division fE
Public Works ❑
APPROVALS OR CORRECTIONS:
REVIEWER'S 1NmALS:
Documents /routing slip.da
2-28-02
PERMIT COORD COPY'
PLAN REVIEW /ROUTING SLIP
5 'ii-v j
Fire Prevention
Structural ❑ Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 05 -11 -04
Complete Incomplete ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS R TING:
Please Route Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
Approved ❑ Approved with Conditions rY_(
Notation:
•
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments Issued corrections: Bldg ❑ Fire ❑ Ping 0 PW ❑ Staff Initials:
PERMIT COORD COPY
Planning Division
Not Applicable ❑
DUE DATE: 06 -08 -04
Not Approved (attach comments) ❑
DATE:
LICENSE DETAIL INFORMATION Form , Page 1 of 2
Current Filter: None
STATE OF WASHINGTON
DEPARTMENT OF LABOR AND INDUSTRIES
Specialty Compliance Services Division
P. O. Box 44000 Olympia, WA 98504 -4000
THE RESULT OF YOUR INQUIRY FOR LICENSE NUMBER SELECTED IS:
LICENSE DETAIL INFORMATION
Registration# or License BAYDEC *022MB
Name BAY DEVELOPMENT CORPORATION
Address 425 PONTIUS AVE N #125
Address
City SEATTLE
State WA
Zip 98109
Phone Number 2063236656
Effective Date 7/2/1998
Expiration Date 7/2/2004
Registration Status ACTIVE
Type CONSTRUCTION CONTRACTOR
Entity CORPORATION
Specialty Code GENERAL
Other Specialties UNUSED
UBI Number 601851623
* * *VIEW CROSS REFERENCE FILE FOR THIS LICENSE* * *
* * *VIEW PRINCIPAL OWNER(S) FOR THIS LICENSE* * *
* * *VIEW CONTRACTOR BOND /SAVINGS INFORMATION * * *
* *
* *
*CHECK INQUIRY FOR SUMMONS AND COMPLAINTS* * *
* VIEW CONTRACTOR INSURANCE INFORMATION * * *
New inquiry by CITY , NAME , PRINCIPAL OWNER NAME , LICENSE , UBI
NUMBER , check the
L &I Contractor Industrial Insurance Premium Sin us or return to the L &I Construction
Compliame Home Page
https://wws2.wa.gov/lni/bbip/TF2Form.asp?License=BAYDEC*022MB
06/14/2004