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HomeMy WebLinkAboutPermit M04-146 - FARRELL RESIDENCEFARRELL RESIDENCE 16625 53R° AVENUE SOUTH M04'146 Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: 8858800015 16625 53 AV $ TUKW FARRELL RESIDENCE 1662553AVS,TUKWILAWA FARRELL DOROTHY E 16625 53RD AVE S, 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: INSTALLING /ADDING AIR CONDITIONING SYSTEM - 2 -1/2 TON Value of Mechanical: $5,172.29 Type of Fire Protection: N/A City o� 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 Furnace: <100K BTU 0 >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 doc: IMC- Permit MECHANICAL PERMIT EQUIPMENT TYPE AND QUANTITY * *continued on next page ** M04 -146 Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 243 -7700 Phone: 206 - 243 -7700 Expiration Date:11 /02/2005 Steven M. Mullet, Mayor Steve Lancaster, Director M04 -146 08/17/2004 02/13/2005 Fees Collected: $184.78 International Mechanical Code Edition: 2003 Boiler Compressor: 0 -3 HP /100,000 BTU 1 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 0 Thermostat 0 Wood /Gas Stove 0 Water Heater 0 Emergency Generator 0 Other Mechanical Equipment Printed: 08 -17 -2004 Permit Center Authorized Signature: regulating constru doc: IMC- Permit City o 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 M04 -146 Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: M04 -146 Issue Date: 08/17/2004 Permit Expires On: 02/13/2005 Suez - Date: I hereby certify that I have read and examined his permit and know the same to be true and correct. All provisions of law and Y fY p p ordinances governing this work will be complied with, whether specified herein or not. The granting of this • rmit does not presume to give authority to violate or cancel the provisions of any other state or local laws or tth p rforman - of w . I am authorized to sign and obtain this mechanical permit. Signature: 1 Date: 47- 2 Do 5` Print Name: G612 p n 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: 08 -17 -2004 ' Wr 00: tn N W; 9 W O; g -J W Z 0 t , = , . 0 I—` w w` C.)! U N. Z City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 8858800015 Address: 16625 53 AV S TUKW Suite No: Tenant: FARRELL RESIDENCE Th 1: ** *BUILDING DEPARTMENT CONDITIONS * ** PERMIT CONDITIONS Permit Number: M04 -146 Status: ISSUED Applied Date: 08/17/2004 Issue Date: 08/17/2004 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 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. 4: Manufacturers installation instructions shall be available on the job site at the time of inspection. 5: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired appliances shall not be located in, or obtain combustion air from, any of the following rooms or spaces: Sleeping rooms, bathrooms, toilet rooms, storage closets, surgical rooms. 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: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall be at points within the upper one -third and lower one -third of the water heater's vertical dimension. A minimum distance of 4- inches shall be maintained above the controls with the strapping. 8: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Department of Public Health - Seattle and King County (206/296- 4932). 9: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department of Labor and Industries (206/248- 6630). 10: 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 -146 Printed: 08 -17 -2004 Signature: Th 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. Print Name: C At.() 11-• M e , doc: Conditions M04 -146 Date: of law and ordinances other work or local laws Printed: 08 -17 -2004 0 0; w D 0; JO —1 t0 L4 ,W W {. • LL O • • ui Z ` 0 Z 1 Site Address: LO e)5 r 3 ref Pr)-e -s Tenant Name: Name: Mailing Address: tiq Company Name: Mailing Address: Company Name: Mailing Address: 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 ** Property Owners Name: D O v O d / T- co V e t t Mailing Address: V10 co ) 5?, I S Contact Person: E -Mail Address: Contact Person: E -Mail Address: King Co Assessor's Tax No.: 8 g CST BOO /S` Suite Number: New Tenant: Floor: ❑ .... Yes ❑ ..No City State Zip Da Te hone: P (o - )cf 3-77 O 6 ,Q.,( 5 City State Zip E -Mail Address: Fax Number: .-Z(o ax1 Fv Y cYrtfFg k r.wtt" �'c'ia"�z +"'C `. in• 0 ' • 4 • . i .t Krµ 1. � ` j:,` ,. Q`t'' :'!:' .�+'{�' ,,. d . .. 5%. Yr l: k d flt T u • Company Name: G Lo-rd 01Q , Paul-, 1)-.4(.0,- I - A c �(� Mailing Address: t. S H O ihQ_.S KUt -rict bl(1 J �J V ata- , wc c C( J I 1 � City State Contact Person: c W a.,\ Day Telephone: �O (o -, 3-7)(3 U E -Mail Address: II 1 Fax Number: -0(O'� Vt L( 2) — � 31/ Contractor Registration Number: &LE ' )1 �VA 4 S 3 2- Expiration Date: * *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance ** Z State State Zip of City Day Telephone: Fax Number: Zip City Day Telephone: Fax Number: Unit Type: Qty Unit Type: Qty 'Unit Type: ' Qty Boiler /Compressor: Qty Fumace<100K BTU Air Handling Unit >= 10,000 CFM Other Mechanical Equipment 0 -3 HP /100,000 BTU Furnace>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 ` lq' 1 r Z / ( 7T 61^ Air Handling Unit <= 10,000 CFM Incinerator — Comm/Ind 3D 1 " � l LVIE , Yr' f i MECHANICAL CONTRACTOR INFORMATION Company Name: 6 r \ 1 � 0-01 1 ea. ,t_,,,, Mailing Address: \)U. to Z 0 I/UL 6.431 -3670 z , ; Contact Person: E -Mail Address: Fax Number: oZU ,- L 1 2 , S, (./ l.( Contractor Registration Number: Cs L E-W) 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): $ S 1�Z • Scope of Work (please provide detailed information): P A'I V C OVA( - y �5 - 1 1 /2 1 - 6 v\ Use: Residential: New ... Replacement .... ❑ Commercial: New .... ❑ Replacement .... ❑ Fuel Type: Electric ❑ Gas....❑ Other: 4 Indicate type of mechanical work being installed and the quantity below: BUILD G OWN • OR AUT O fit' ED ' GE Signatu AIL / i� Print Name: � �t� CNceO Mailing Address: \ bS ttit n t 1(10 City State Zip Day Telephone: � 2 (a •-a-- 3 --n 06 aPERMIT `� 'LIC�1c NO ilk ble total t 'Ill p ca tion=' 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 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. (R(24[0060_0 b City Date: 7I 7,1, I o N Day lephon : ct.`f. rC 1A,&_ elk/_ State Zip Date Application Accepted: Date Application Expires: c 77 6s Staff Initials: 1 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 8858800015 Address: 16625 53 AV S TUKW Suite No: Applicant: FARRELL RESIDENCE Payee: GLENDALE HEATING TRANSACTION LIST: Type Method Description Payment Check 53413 ACCOUNT ITEM LIST: Description MECHANICAL - RES RECEIPT Permit Number: M04 -146 Status: APPROVED Applied Date: 08/17/2004 Issue Date: Receipt No.: R04 -01084 Payment Amount: 184.78 Initials: SKS Payment Date: 08/17/2004 02:23 PM User ID: 1165 Balance: $0.00 Amount 184.78 Account Code Current Pmts 000/322.100 184.78 Total: 184.78 424 08,/18 '7716 TOTAL 184.78 doc: Receipt Printed: 08 -17 -2004 Project: Type of Inspection: • Address: Date Called: ,...---- Special Instructions: • Date Wanted: . — a - off'"" a.m. c Requester: 71/ 9 Phone No: INSPECTION NO. CITY, OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 COMMENTS: Insp• to R e INSPECTION RECORD Retain a copy with permit Approved per applicable codes. Corrections required prior to approval. eipt No.: Date: e.m / G. !rz /O —O $ .00 REINSPECTION EE REQU D. Prior to inspection, fee must be id at 6300 Southcent Blvd., Su(te 100. CaII to schedule reinspection. 'Date: (206)431 -3670 Project / � /, / -- /?re LL /CLS/ .Y.I.Q/ Type of Inspection: ,,.- 4 ?t // Ih/ r Address: /7,6025 ,S3&' S Date Called: /--- 7 Special Instructions: Date Wanted: a.m. Request r: . f £ zq7' Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PER (206)4'3'1 -3670 Approved per applicable codes. a Corrections required prior to approval. COMMENTS: tor: I Date: / '— / 0 -- 5 7.00,REINSPECTION E REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 'Receipt No.: 'Date: 1 amb PILE COPY Permit No. Buderus HYDRONIC SYSTEMS Buderus Hydronlc Systems, Inc. • 16 Industrial Way Salem, NH 03079 • Phone: (603) 898 -0505, 898 1853 • Fax: (603) 898.1055 u t; ppr_�ovai structior�_d i _4,1 t�n4ni^ - -- - _a _ �__._ . i — .. •-- lowiedged: n — ---- - - - - -- - - - -- - -- u Rieo�ipt - ` -- - _ -- —■ — — — ■ . '. the of an • 'opted' ood_os - ■ . , , , :: .y_a oncth. —_ - -- — - -- _ �� 1 . �■ ■ ■■ ■ r.s,,,p A _ ■ ■�i • • : U la .--, 1, 1 j r, F e • I., I \ . ■ n w ■ ■ � � F OR It • ■ A. ! , Rilf ■ -�► ■■ q 0 1 7 +a4 , 1-i. • C 1- ,_ ; � ■ ■ ' h � 1 0-0- -k it 8 II,D NO-811 -• NON 5 1 amb PILE COPY Permit No. Buderus HYDRONIC SYSTEMS Buderus Hydronlc Systems, Inc. • 16 Industrial Way Salem, NH 03079 • Phone: (603) 898 -0505, 898 1853 • Fax: (603) 898.1055 01 -04 -2005 RITA WALTERS 12462 DES MOINES MEMORIAL DR SEATTLE WA 98168 RE: Permit No. M04 -146 16625 53 AV S 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 02/13/2005, 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, aG•cG.v Stefania Spencer, Permit Technician xc: Permit File No. M04 -146 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 WEEMEMEEMEM- l`.