HomeMy WebLinkAboutPermit M04-133 - PETERS RESIDENCE (EXPIRED)PETERS RESIDENCE
5532 SOUTH 148T" STREET
EXPIRED
FEB 1.5 7005
M04183
Parcel No.: 8088600040
Address: 5532 S 149 ST TUKW
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
Contractor
doc: IMC- Permit
City ,iL Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: ci.tukwila.wa.us
PETERS RESIDENCE
5532 S 149 ST, TUKWILA WA
Value of Mechanical: $3,625.00
Type of Fire Protection: N/A
PETERS NORMAN C +MARY LOU
5532 S 149TH ST, SEATTLE WA
MICHELE - C/O ROSSOE
9367 RAINIER AV S,
Furnace: <100K BTU 1
>100K BTU 0
Floor Furnace 0
Suspended /Wall /Floor Mounted Heater 0
Appliance Vent 0
Repair or Addition to Heat/Refrig /Cooling System 1
Air Handling Unit <10,000 CFM 0
>10,000 CFM 0
Evaporator Cooler 0
Ventilation Fan connected to single duct 0
Ventilation System 0
Hood and Duct 0
Incinerator: Domestic 0
Commercial /Industrial 0
MECHANICAL PERMIT
w
ROSSOE ENERGY SYSTEMS INC "
9367 RAINIER AV S, SEATTLE, WA
License No: ROSSOES142QP
DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGE OUT OF OIL FURNACE (RESIDENTIAL)
Fees Collected:
$167.25
International Mechanical Code Edition: 2003
EQUIPMENT TYPE AND QUANTITY
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 725 -7555'
Phone: 206 725 -7555
Expiration Date:11 /17/2004
Steven M. Mullet, Mayor
Steve Lancaster, Director
M04 -133
07/14/2004
01/10/2005
Boiler Compressor:
0 -3 HP /100,000 BTU 0
3 -15 HP /500,000 BTU 0
15 -30 HP /1,000,000 BTU.. 0
30 -50 HP /1,750,000 BTU.. 0
50+ HP /1,750,000 BTU 0
Fire Damper 0
Diffuser
Thermostat 0
Wood /Gas Stove 0
Water Heater 0
Emergency Generator O
Other Mechanical Equipment 0
0
M04 -133 Printed: 07 -19 -2004
Permit Center Authorized Signature:
I hereby certify that I have read and exa
doc: IMC- Permit
The granting of this pe a •oes • it pre
regulating constru •� th= ' - rfor n
City oi? Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: ci.tukwila.wa.us
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: M04 -133
Issue Date: 07/14/2004
Permit Expires On: 01/10/2005
Date: /V or
ed this permit and know the same to be true and correct. All provisions of law and
ordinances governing this work I be •mplie ' h, whether specified herein or not.
to gi - • uthority to violate or cancel the provisions of any other state or local laws
of . • rk. I am authorized to sign and obtain this mechanical permit.
Date: 7 / 4 /01
Signature:
Print Name: Yara43 a)eird€4_ —
Thispermit 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 -133 Printed: 07 -14 -2004
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 8088600040
Address: 5532 S 149 ST TUKW
Suite No:
Tenant: PETERS RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
PERMIT CONDITIONS
Permit Number: M04 -133
Status: ISSUED
Applied Date: 07/14/2004
Issue Date: 07/14/2004
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center
(206/431- 3670).
4: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
5: Manufacturers installation instructions shall be available on the job site at the time of inspection.
6: Equipment and appliances having an ignition source and located in hazardous locations and public garages, PRIVATE
GARAGES, repair garages, automotive motor -fuel dispensing facilities and parking garages shall be elevated such that
the source of ignition is not less than 18 inches above the floor surface on which the equipment or appliance rests.
7: VALIDITY OF PERMIT: The issuance or granting of a permit 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 ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
doc: Conditions
* *continued on next page **
M04 -133 Printed: 07 -14 -2004
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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 ' of pre • me to - e authority to violate or cancel the provision of any other work or local laws
regulating construction or the rfor ' : nce o irk.
Signature:
Print Name: Harass GtJctrc�e�t.�
doc: Conditions
M04 -133
Date: - 00 1 4
Printed: 07 -14 -2004
Mailing Address:
Name: M1
CITY OF TUKWILA
Community Development L , artment
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Building Permi). `
Mechanical Permit No. AtO
Public Works Permit No.
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.: Z O % g Z 004
Site Address: 5532 5 r 141 5t L i t 9€ V Suite Number: Floor:
Tenant Name: ►JOr W. &V‘, PI✓ters New Tenant: ❑ .... Yes ® ..No
Property Owners Name: 00r WI ON, Peter
City
State
Zip
Day Telephone: (240 *72.5 -- 7555
Mailing Address:
City
State
Zip
E -Mail Address: Fax Number:
GENERAL CONTRACTOR INFORMATION - Mechanical Contractor information on back page)
Company Name: Rossoe Sher U , 5 * statrvl 5
Mailing Address: 9 3 RL e r Kw,. . S. iealtia. 1 I 5 . A lit
`� City State Zip
Contact Person: µ,ctii-A - Day Telephone: Cad6i 726- 7555
E -Mail Address: `" Fax Number: 2i !o -- Z3 ^ —53 Lt 7
Contractor Registration Number: �0 SS 0-e Si U2 G P Expiration Date: 1 1 " 1 ? z_
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
ARCHITECT OF RECORD-- All plans must be wet stamped by Architect of R
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
\permits plwUcc changes \permit application (7.2004)
Page I
State
Zip
ENGINEER -OF RECORD All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
Zip
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Valuation of Prbject (contractor's bid price): $ o
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
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 R): 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:
0.. Sprinklers ❑..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.
\permits pluMicc chsnpes&permit application (7.2004)
Page 2
Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
per IBC
Type of
Occupancy per
IBC
1" Floor
2" Floor
3r Floor
Floors thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck -
Valuation of Prbject (contractor's bid price): $ o
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
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 R): 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:
0.. Sprinklers ❑..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.
\permits pluMicc chsnpes&permit application (7.2004)
Page 2
rustic , LIC WORKS:PERMIT INF ,: TION - 206 = 433 -0179
Scope of Work (please provide detailed information):
Water District
i] ...Tukwila ❑ ... Water District #125
❑ ...Water Availability Provided
Sewer District
❑...Tukwila 0... ValVue ❑ .. Renton ❑ ...Seattle
❑ ...Sewer Use 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
r ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) 0... Hold Harmless
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
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
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 _
\permits plus \icc dunga\pamit application (7 -2004)
❑ •
❑ .
❑ •
❑ •
)t
11
Call before you Dig: 1- 800 - 424 -5555
. Abandon Septic Tank
. Curb Cut
. Pavement Cut
. Looped Fire Line
WO#
WO#
WO#
Private
Private
❑ .. Highline
❑ .. Work in Flood Zone
❑ .. Storm Drainage
❑ ...Renton
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑...Deduct Water Meter Size
11
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
Page 3
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
Air Handling Unit >10,000
CFM
Fire Damper
0 -3 HP /100,000 BTU
Furnace>100K BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
to Single Duct
Thermostat
15 -30 HP /1,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
Wood /Gas Stove
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood and Duct
Water Heater
50+ HP /1,750,000 BTU
Repair or Addition to
Heat/Refrig/Cooling
System
Incinerator - Domestic
Emergency
Generator
Air Handling Unit
<10,000 CFM
Incinerator — Comm/Ind
Other Mechanical
Equipment
MECHANICAL PERMIT INF( ' AVIATION - 206- 431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name: R b55o C. Eh/. 5 5t eW .S
Mailing Address: 4 136) RGI4A.le r Rv e J 7 5 ew *t(Q. OA / ) I
i City State Zip
Contact Person: M 04.1 Day Telephone: ( X 25- -7555
E -Mail Address: Fax Number: ?.- Cp 7 ?- ?., 49
Contractor Registration NumbL. OSSCte S 14 2_Q ? Expiration Date: I. HI Li
* *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 6 26. °°
Scope of Work (plea detailenfotmation):
4
c4Let_47Liaun/S
Use: Residential: New .... ❑ Replacement Igi
Commercial: New .... ❑ Replacement ❑ _
Fuel Type: Electric ❑ Gas ....0 Other: 6 l le �jlp OZDO 3►i `S
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.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BYAdLTL WS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
UILDING • WNER OR D Art~>,tT•
2— ‘—CD
Signature: _ _t
Print Name: 1 L _IA I or . Day Te - s hone:
A
Mailing Addres ' y A ._ .a . . A /■ I...'
Date Application Accepted:
, _d y
%permits plus\icc changcs%petmit application (7.2004)
Page 4
Date Application Expires:
-42
Staff Initials:
Receipt No.: R04 -00873
Initials: SKS
User ID: 1165
Payee: ROSSOE
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 8088600040
Address: 5532 S 149 ST TUKW
Suite No:
Applicant: PETERS RESIDENCE
TRANSACTION . LIST:
Type Method Description
Payment Check 69003
Payment Check 69019
RECEIPT
Permit Number: M04 -133
Status: PENDING
Applied Date: 07/14/2004
Issue Date:
Payment Amount: 167.25
Payment Date: 07/14/2004 10:27 AM
Balance: $0.00
Amount
137.25
30.00
Account Code Current Pmts
000/322.100 167.25
Total: 167.25
. 07/14 9711; TOTAL .167.25
Printed: 07 -14 -2004
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12 -06 -2004
MICHELE - C/O ROSSOE ENERGY SYSTEMS
9367 RAINIER AV S
SEATTLE WA 98118
Permit No. M04 -133
5532 S 149 ST 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 01/10/2005, 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 -133
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
Detach And Display Certificate
' 1 4 %\ 0 1 0 4.**" e
1�UBL� o
OF■;:e
•
4`IPM.NR.
DEPARTMENT OF LABOR AND INDUSTRIES
LICENSED AS PROVIDED BY LAW AS
ELEC CONTR GENERAL
EXP. DATE
` LICENSE # ,
ECO1 ROSSOESI42QP'11 /17/2004
EFFECTIVE DATE 11/17/1986
RbSSOE ENERGY` SYSTEMS INC
9367 RAINIER AVE S
SEATTLE WA 98118