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HomeMy WebLinkAboutPermit M04-098 - PARKER RESIDENCEPARKER RESIDENCE A14424 57TH re w SOUTH 00, coo; cow: .wo Z F: O;• .Z ILIJ U O— w Wi H Vi lL ~; O: w Z: U N` • = O. z M04 -098 Parcel No.: 3365900575 Address: 14424 57 AV S TUKW Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PARKER RESIDENCE 14424 57 AV S, TUKWILA WA PARKER TIMOTHY C 14424 57TH AVE S, TUKWILA WA DEBRA COONS 12462 DES MOINES MEMORIAL DR, SEATTLE WA Contractor: Name: GLENDALE HEATING & A/C Address: 12462 DES MOINES WY S, SEATTLE, WA Contractor License No: GLENDHA053Q2 DESCRIPTION OF WORK: REMOVAL OF EXISTING GAS FURNACE AND REPLACEMENT WITH A LENNOX GAS FURNACE MODEL #G- 90HH363 -090. INSTALLING CHIMNEY LINER AND T -STAT. Value of Construction: $2,334.85 Type of Fire Protection: N/A Permit Center Authorized Signature: Signature: doc: Mech MECHANICAL PERMIT Fees Collected: $65.00 Uniform Mechnical Code Edition: 1997 Permit Number: Issue Date: Permit Expires On: Expiration Date: 11/02/2005 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'- p rmit does not pr su a to give authority to violate or cancel the provisions of any other state or local laws regulating const e perfor rjc of work. I am authorized to sign and obtain this mechanical permit. Print Name: 6e001"0 14,f CE65 Phone: Phone: 206 660 -2681 Phone: 206 - 243 -7700 M04 -098 06/11/2004 12/08/2004 Date: Date: �9 _`( 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 -098 Printed: 06 -11 -2004 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 3365900575 Address: 14424 57 AV S TUKW Suite No: Tenant: PARKER RESIDENCE PERMIT CONDITIONS Permit Number: M04 -098 Status: ISSUED Applied Date: 06/11/2004 Issue Date: 06/11/2004 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). doc: Conditions * *continued on next page ** M04 -098 Printed: 06 -11 -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 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: doc: Conditions M Print Name: 66i2ALQ A- \Q of law and ordinances other work or local laws Date: 6-/(- O M04 -098 Printed: 06 -11 -2004 CITY OF TUKWIL4 Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 { Site Address: 1 4 r ' T vzki ' 57 rive S D Tenant Name: (6t.& '24612,- Property Owners Name: e PA (ilk Mailing Address: / S - 7 -1Z. Ada S.) Name: `fi 62e- jDi 5 Building Permit No. Mechanical Permit No e $ O 9 Public Works Permit N Project No '(For office use only) 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.: 33 (v C9DOS'75 Suite Number: Floor: New Tenant: ❑ .... Yes ❑ ..No 411 State City Zip Day Telephone: t ( (.066 - �� 7 Mailing Address: /2 (o (14 MU caPA C) gE.--/ City State Zip E -Mail Address: Fax Number: O(o 2 — L t GENERAL . 'CONTRACTOR :INFORMATION Company Name: Mailing Address: (»((Q 2 - iDsc§ 14i 0 n4Esm vL Sri Zrtur ! L i A � { (, �— / � City S tate tp Contact Person: DAS2A 61-3 S Day Telephone: -a0Co . ,v.1/4F3— 77o a E -Mail Address: Fax Number: A.16, 2_c-e• - P-3 `F 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 ** ARCHITECT OF RECORD _Ati'plans must be wet stamped by Architect of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: ENGINEER OF RECORD '' =A All plans must be wet stamped by Engineer of Record State Zip Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: 'BUILDING PERMIT INFORM_ . SON - 206 -431 -3670 Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ Scope of Work (please provide detailed information): Will there be new rack storage? ❑ .. Yes ❑...No If "yes ", see Handout No. for requirements. Provide All Building Areas in Square Footage Below 1" Floor 2n Floor 3rd Floor Floors thru .Basement 'Accessory: Structure *:.. _ .: Attached Garage Detached Garage Attached Carport: ,Detached Carport ' Covered Deck Uncovered Deck Existing Interior Remodel Addition to Existing Structure New 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) *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? ❑ ....Yes ❑ ..No If "yes ", explain: FIRE PROTECTION /HAZARDOUS MATERIALS: ❑ . Sprinklers D..Automatic Fire Alarm ❑..None ❑ ..Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ .. Yes ❑.. 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. W 6 JU 0 0 co to 0 H N W W 2 u _ ED_ a F— _ Z t— t— O Z ,— W W 0 O � 01- L u 0 t W Z U N O I ' Z c.� PUBLIC WORKS PERMIT INFO ATION - 206- 433 -0179 Scope of Work (please provide detailed information): Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ .. Tukwila ❑ ...Water District #125 ❑ .. Water Availability Provided Sewer District ❑ .. Tukwila ❑... ValVue ❑...Renton ❑ .. Seattle 1 ❑ .. Sewer Use Certificate 0... Sewer Availability Provided 0... 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): ❑ .. 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 cubic yards cubic yards ❑ .. 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 _ CaII before you Dig: 1 800 - 424 - 5555 ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut El.. Looped Fire Line WO# WO# WO# Private Private 0... Highline 0... Geotechnical Report ❑ ...Traffic Impact Analysis 0... Maintenance Agreement(s) ❑ ...Hold Harmless ❑ .. Renton ❑... Right -of -way Use - Profit for less than 72 hours 0... Right -of -way Use — Potential Disturbance 0... Work in Flood Zone ❑... Storm Drainage 0... Grease Interceptor ❑... Channelization 0... Trench Excavation 0... 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/Billingj Name: Mailing Address: Number of Public Fire Hydrant(s) ❑ .. Sewage Treatment Day Telephone: City State Zip Day Telephone: City State Zip Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Furnace<I00K BTU i 1 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 MECHANICAL PERMIT INFORMATION — 206 -431 -3670 MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: ! �- `co 2- - Pb 'S (M b f J - D193taA Cele S Contact Person: Use: Residential: Commercial: Signature: ✓'' Print Name: Cc,i Date Application Accepted: 6 5441.41)A Le /1 eA T)) G— A /c E -Mail Address: Fax Number: gOG " 2 ' ( 63 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): $ pZ.33 Scope of Work (please provide detailed information): f ' Y)10k./M -, ©C— �X, ff..9.0"bocc----cy__ Pea r : TiN A 4&i , (Ja)c axt 3 fvQJ 04i)Q - 9ftt -rL 30s- On IN sTA L 0.4 I44 - o7 New .... ❑ Replacement .... New .... ❑ Replacement .... ❑ Fuel Type: Electric ❑ Gas.... Other: Indicate type of mechanical work being installed and the quantity below: PERMIT 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. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY : THE LAWS OF THE ,STE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNE A 6vt Mailing Address: et. 144 01 pis (so ,9 City State nn Day Telephone: o-- 2 -5 ° 3 Date: N- 20 Day Telephone: v ,c9Co - 7-3 -- 7706 r 11 •. City State Staff Initials: Zip - 77o Zip Date Application Expires: 1 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 3365900575 Address: 14424 57 AV S TUKW Suite No: Applicant: PARKER RESIDENCE RECEIPT Permit Number: M04 -098 Status: APPROVED Applied Date: 06/11/2004 Issue Date: Receipt No.: R04 -00707 Payment Amount: 65.00 Initials: SKS Payment Date: 06/11/2004 03:06 PM User ID: 1165 Balance: $0.00 Payee: GLENDALE HEATING & A/C TRANSACTION LIST: Type Method Description Amount ACCOUNT ITEM LIST: Description doc: Receipt Payment Check 53076 MECHANICAL - RES PLAN CHECK - RES 65.00 Account Code Current Pmts 000/322.100 52.00 000/345.830 13.00 Total: 65.00 -1832.06/15' 9716. TOTAL . 65.00 Printed: 06 -11 -2004 Pro'ect: s. e PA )V4 >4e/1410 Type of Inspection: -It O'q Ad ss: ILA, 5- 1 ku. Date Called: i_p D d nis.t?ct i • - •f: Sp o • # - r / C I 4, VII .. 1 ( ar40 „ A 1 etpi ill ate Wanted - 1 3 C1Z Requester: ' ' # /A P A f A .,.. • 12tS51,1. •hone , 21 OCcr oli __910 ( 1 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. El Corrections required prior to approval. COMMENTS: V IAA 1 C r) 1.44 ./1 'A C) 1 A 1•9 4-e - Inspector CI /I All' IDate: $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: SIL 6 -J 00 . (1) W L 2 1 1 W uj 0 2 g 7.1 u_ WW 0 co p w — z z D 0 — 0 ILI a l 1— .z iu — 0