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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 L 0 0: co o N w; CO IL: W OO I t 0 N , • D i--! :w wi U; .Iii z. U 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 r �1 re W C g . U) w u- tu J ' u_ a; D. , z � . co W W' u_ 1- : O LLi z . O � ; 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