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
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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
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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
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Site Address: LO e)5 r 3 ref Pr)-e -s
Tenant Name:
Name:
Mailing Address:
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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
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City State Zip
E -Mail Address: Fax Number: .-Z(o ax1
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Company Name: G Lo-rd 01Q , Paul-,
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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
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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
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Air Handling Unit
<= 10,000 CFM
Incinerator — Comm/Ind
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MECHANICAL CONTRACTOR INFORMATION
Company Name: 6 r \ 1 � 0-01 1 ea. ,t_,,,,
Mailing Address: \)U. to Z
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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
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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'""
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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/
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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
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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
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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
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