HomeMy WebLinkAboutPermit M04-099 - GIRON PURIZACA RESIDENCEGIRON- PURIZACA
RESIDENCE
4914 SOUTH 154T"
STREET
M04 -099
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Print Name:
doc: Mech
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2223049098
Address: 4914 SOUTHCENTER BL TUKW
Suite No:
Tenant:
Name: GIRON - PURIZACA RESIDENCE
Address: 4914 SOUTHCENTER BL, TUKWILA WA
Owner:
Name: PURIZACA MANUEL REY +ANA C
Address: 4914 S 154TH ST, SEATTLE WA
Contact Person:
Name: RITA WALTERS
Address: 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:
REPLACING OIL FURNACE LIKE FOR LIKE.
Value of Construction: $3,238.98
Type of Fire Protection:
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 th' permit does not pres m to give authority to violate or cancel the provisions of any other state or local laws
regulating constr n t performan�eOwork. I am authorized to sign and obtain this mechanical permit.
Signature:
MECHANICAL PERMIT
£e4 Date: ' l/ c /
M04 -099
Permit Number: M04 -09 z
Issue Date: 06/11/2004 M 2
Permit Expires On: 12/08/2004 J C..)
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Phone:
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Phone: 206 243 -7700 z O
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Phone: 206 - 243 -7700 o
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Expiration Date:11 /02/2005 H
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Fees Collected: $65.00
Uniform Mechnical Code Edition: 1997
Date: 6- L/ -Q
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 -11 -2004
•
doc: Conditions
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2223049098
Address: 4914 SOUTHCENTER BL TUKW
Suite No:
Tenant: GIRON- PURIZACA RESIDENCE
PERMIT CONDITIONS
* *continued on next page **
M04 -099
Permit Number: M04 -099
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).
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
Print Name: ( L-.0 / Mereve.
M04 -099
of law and ordinances
other work or local laws
Date: CJ^ /( o ,(
Printed: 06 -11 -2004
Site Address: t-4- _t COW \ 71� ( J\. eV v G�
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Tenant Name: � r �0 "r 1/' r & c & .ft' ,
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Property Owners Name: � CL g ► 'f t�h --n i.t r1 c 4
Mailing Address: T. 1 -1 cl I �I S 0 &VI CO/1r► x,t,.. f 11 �� : I ) \ -'vY ■
Name: t-k k 0 (',_(` tN c • Day Telephone:
Mailing Address: D..i 49 7.-- 1 0 e S 64 t lAe r! /(S me e't i V 5., CL ' I, t /L [,
n '' ..11 I l . _ , ` City State Zip
E -Mail Address: �W 0.«4 64 6:1 ( t-t ) 4 .2 ) D\ . c pn. Fax Number: ....20(o 2 Y; e C, `; (4 Li
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Company Name: Ft',R.M & • Q n X . e
Mailing Address: I). (,7� - De 5 �M �' t19 S 1+� 4•tvt Art (•t- (P 1 (6 '
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Contact Person: r....: �0 r�.. l \f N; l Day Telephone: 0. L - cN 7 "1 C U
E -Mail Address: 4364 V -e YS t -e. (Irk / � . ` m (Yt UJ 4 4 3 'm4r� Lol Fax Number: t 0 % . 2 , _ 3L.( L1
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Contractor Registration Number: GI F to �(-\' � ��(�7i Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
Company Name:
Mailing Address:
Company Name:
Mailing Address:
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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 **
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King Co Assessor's Tax No.: 9,4 Dl3 0 Llct 0 t
Suite Number: Floor:
New Tenant: ❑ .... Yes ® ..No
City
State Zip
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City State Zip
Contact Person: Day Telephone:
E -Mail Address: • Fax Number:
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Contact Person: Day Telephone:
E -Mail Address: Fax Number:
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Unit Type:
Qty
Unit Type:..
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Fumace<100K BTU
i
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipment
0 -3 HP /100,000 BTU
Fumace>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
R MECHANICAL PERMIT:, INFORMATION= :206 -431 =3670 `
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Use: Residential: New .... ❑ Replacement ....
Commercial: New .... ❑ Replacement .... ❑
Fuel Type: Electric ❑ Gas....❑ Other: (`)1 1
Indicate type of mechanical work being installed and the quantity below:
MECHANICAL CONTRACTOR INFORMATION
Company Name: ( 1 A t--, of aa. Q. t e. , C
Mailing Address: ) ? -\ - LAP WI 0 I 'AD5 1 La VA0VO.Q i SCA./ (A) G_ 9 81 8
City State Zip
n a Day Telephone: 20� x - - 1
Contact Person: 2-0 4 ��'-�"{,� ��1.pN Da Tele hone: O d
E -Mail Address: &Acre-, I o .1Y,.,Qa 4e ilt q 3) rn SO ' Cch. Fax Number: 206 - 7443 U■l.(
Contractor Registration Number: 'LEN U'4) P ■ Off, 3Q Expiration Date: C. 0 L i
* *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): $ 3 2,18 .`I �6
Scope of Work (please provide detailed information): Ref itIC Pi d, &Q i . R.-'n ac - e..
" NO T µ ES'
applicable to .a
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app. ca aon:
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.
BUILD : 0 ER OR U ORI ED MIT:
Signatu
Print Name: 1 \ — u - ` -s
Mailing Address:
Date:
(1/( ‘1 1 bu t
Day TeleCone:
'D — . L(7 —7)C°
Mei 1 1 ' 1 id
CC
City
Stale
Zip
Date Application Accepted:
t -//-eY
Date Application Expires:
/Z / / —O CI
Staff Initials:
1
t.
Payee:
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPTZ
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Parcel No.: 2223049098 Permit Number: M04 -099 B .'
Address: 4914 SOUTHCENTER BL TUKW Status: PENDING 0 0
Suite No: Applied Date: 06/11/2004 (f) W '
Applicant: GIRON - PURIZACA RESIDENCE Issue Date:
W 0
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Receipt No.: R04 -00708 Payment Amount: 65.00 5
Initials: SKS Payment Date: 06/11/2004 03:12 PM H w
User ID: 1165 Balance: $0.00 Z H
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TRANSACTION LIST: W W '
Type Method Description Amount 1 V
11 .5
Payment Check 53077 65.00 uj Z
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GLENDALE HEATING & A/C
MECHANICAL - RES
PLAN CHECK - RES
Account Code Current Pmts
000/322.100 52.00
000/345.830 13.00
r:iD33 • 06/i5 9716 TOTAL ... 65.00.
Total: 65.00
Printed: 06 -11 -2004
P ct. �/\ ev/( h 7�;
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Type of Inspeyon:
44'
A
ILA 0
Called:
/ ( 3/0 5
Spec al I structions:
Date Wanted:
I / 1 -}!p
.m`
Requester:
Ph ge No�� A � �
( o l i r 7 5) i 0 - L001
INSP ION NO.
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION ' "l '!
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)4 =3670
Corrections required prior to approval.
COMMENTS:
r:
Date:
1— L l -- c � 7
7.00 REINSPECTIO FEE REQUIRED Prior to inspection, fee must be
aid at 6300 Southcenter Blvd., Suite 1 O. Call to schedule reinspection.
Receipt No.:
'Date:
Ptdie_ct:....
11 i ' Di\ – eW/i Za(4 AeL,
Type elnspection
• 1-6 \AC
a - U
Ad r ss: ( ,. 0 (0"
I
Date Called:
Speci I I ri.
Date Wanted:
• '
Requester:
A ,
P M e
3
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERMIT
(206)431-3670
,
C FA Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
PreA ),Itt..s 11 gk Keppri-
r:
Date
1 —
7.00 REINSPECTI • FEE REQUIRED Prior to inspection, fee must be
aid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
se,
P oject:
ti4
Type of Insp on:
A ess:14 .
i
Date Called:
b g
a
Speal Instructions:
Date Wan
I ),�
' / gym-
Q l� p.m.
Requester: i
P hone C�INI VAC �31
� 32 t
INSPECTION RECORD
Retain a copy with permit T�
INSPECTION NO. PER
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (20.)431 -3670
El Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
2_41412 g c 7 aw_e_ksuf - de V)
�l dcP'.im
ector: Date: G�vvc.L1) c k,) C.44 i—) ), 51 /0/
$ 7.00 REINSPECTIO FEE REQUIRED. rior to inspection, fee must be
aid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.: 'Date:
55
sr�
11 -02 -2004
RITA WALTERS
12462 DES MOINES MEMORIAL DR
SEATTLE WA 98168
RE: Permit No. M04 -099
4914 SOUTHCENTER BL 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:
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 writing 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 12/08/2004, 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 -099
Bob Benedicto, Building Official
City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206-431-3665
;
F62S- (152.00( (81)7)
c..diw GL''1!IDALE -;OIL ;C?,, :.ItV0'.
�' -r 12462 °DES.LOI'dES �4�Y S
t' itA""„TL *t. CUp t
W`A C 2153 v
L A e` NS IU I C
� [.'r."e1A:J'b. -. \ \�r•rr ry.. .f"I�E•: Y��:.a?, >` J.'S .A. \�, :, i r..
) U 'PLACE , U51NE
..a�:`4't -i• 0FI
DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
} : REGIST.'' # EXP. DATE
CC01 GLENDHA053Q2 11 /02/2005
EFFECTIVE DATE 11/22/1995
GLENDALE HEATING & A/C
12462 DES MOINES WY S
SEATTLE WA 98168 -2266
LICENSED AS PROVIDED BY LAW AS
ELEC CONTR HVAC /RFRG
LICENSE # EXP. DATE
EC6A .GLENDHA003CM 02/14/2006
EFFECTIVE DATE
02 /14/2000
GLENDALE HEATING & A/C
12462 DES MOINES MEMORIAL DR
SEATTLE WA 98168_2266
•
-- f)etaclt : \n.1 Display C'ertific ate
---- -___.1
- Detach And Display Certificate - -- -.�_�
DEPARTMENT OF
P LABOR AND INDUSTRIES