HomeMy WebLinkAboutPermit M04-154 - OGANS RESIDENCEi
i
1.1
Parcel No.: 0042000085
Address: 4320 S 150 ST TUKW
Suite No:
Contact Person:
Name: ROBERT MACGREGOR
Address: 153 SW 154 ST, BURIEN WA
DESCRIPTION OF WORK:
OIL TO GAS CHANGE OUT OF FURNACE
Value of Mechanical: $3,000.00
Type of Fire Protection: N/A
doc: IMC- Permit
City 6A. 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
Tenant:
Name: OGANS RESIDENCE
Address: 4320 S 150 ST, TUKWILA WA
Owner:
Name: HEDIN TERRANCE L +ROSE M
Address: 4310 S 150TH, TUKWILA WA
Contractor:
Name: BURIEN NATURAL GAS SERVICE INC
Address: 153 SW 154 ST, BURIEN WA
Contractor License No: BURIENG027OD
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.... 0
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
* *continued on next page **
EQUIPMENT TYPE AND QUANTITY
M04 -154
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 396 -0483
Phone:
Expiration Date:08 /19/2005
Steven M. Mullet, Mayor
Steve Lancaster, Director
M04 -154
08/24/2004
02/20/2005
Fees Collected: $158.94
International Mechanical Code Edition: 2003
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 0
Thermostat 0
Wood /Gas Stove 0
Water Heater 0
Emergency Generator 0
Other Mechanical Equipment
Printed: 08 -24 -2004
•
Permit Center Authorized Signature:
The granting of this
regulating constru
Signature:
doe: IMC- Permit
City C. 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
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.
does not presume to give authority to violate or cancel the provisions of any other state or local laws
e performance of work. I am authorized to sign and obtain this mechanical prmit.
Print Name: ! _ v ��'' v � � C G
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.
M04 -154
Permit Number:
Issue Date:
Permit Expires On:
. Steven M. Mullet, Mayor
Date:
Steve Lancaster, Director
M04 -154
08/24/2004
02/20/2005
Date: Pt0 f ■
Printed: 08 -24 -2004
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 0042000085
Address: 4320 S 150 ST TUKW
Suite No:
Tenant: OGANS RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
PERMIT CONDITIONS
Permit Number: M04 -154
Status: ISSUED
Applied Date: 08/24/2004
Issue Date: 08/24/2004
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 -154
Printed: 08 -24 -2004
doc: Conditions
City of Tukwila
M04 -154
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.
of law and ordinances
other work or local laws
Printed: 08 -24 -2004
1
CITY OF TUKWILA
Community Development L a rtment
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 **
Site Address: 1 7 1 3 2 -O 5 . / S)
Tenant Name:
Property Owners Name: e i 11 O J 4 '^ S
Mailing Address:
/
Name: �l 0 b "--'74 /4
Mailing Address:
/s3 f ICY J+
E -Mail Address:
GENERAL. CONTRACTOR INFORMATION = (Mechanical Contractor information on back page)
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
ARCHITECT:. OF RECORD : -' Alli plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
ENGINEER OF RECORD All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
\permits plus \ice changes permit application (7.2004)
Page 1
Building Permit �.
Mechanical Permit No. /. y1"�5
Public Works Permit No.
Project No.
(For office use only)
King Co Assessor's Tax No.: Ck �i
Suite Number:
City
New Tenant:
Floor:
❑ .... Yes ❑ ..No
State
Day Telephone: 2 —' (o 3 9 b O }'
ri P r lAvf! /9 1 �o
City State Zip
Fax Number: Z-' L, .2 y' / c O
State
State
State
Zip
Zip
Zip
City
Day Telephone:
Fax Number:
Zip
City
Day Telephone:
Fax Number:
• l
BUILDING: PERMIT INFORMATION - 206 - 431 - 3670
Valuation of Project (contractor's bid price): $ 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 ft): 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:
❑..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 plwlicc changes\pennit 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
2n Floor
3' Floor
Floors thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
• l
BUILDING: PERMIT INFORMATION - 206 - 431 - 3670
Valuation of Project (contractor's bid price): $ 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 ft): 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:
❑..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 plwlicc changes\pennit application (7.2004)
Page 2
PUBLIC WORKS PERMIT INFO NIATION - 206- 433 -0179
Scope of Work (please provide detailed information):
Water District
❑ ...Tukwila 0... Water District # 125
❑...Water Availability Provided
Sewer District •
❑ ...Tukwila ❑ ... 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 ❑...Trat)ic Impact Analysis
❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) ❑...Hold Harmless
Proposed Activities (mark boxes that apply):
t] ...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
❑ ...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 plua%icc changes'permit application (7.2004)
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
cubic yards
cubic yards
11
H
11
11
Call before you Dig: 1- 800 -424 -5555
. Abandon Septic Tank
. Curb Cut
. Pavement Cut
. Looped Fire Line
IP
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
FINANCE INFORMATION
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
❑ ...Water ❑ ...Sewer ❑ ...Sewage Treatment
Monthly Service Billing to:
Name:
Mailing Address:
Day Telephone:
City
Water Meter Refund/Billing:
Name:
Mailing Address:
Day Telephone:
City
State
State
Zip
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>I00K 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/1nd
Other Mechanical
Equipment
MECHANICAL PERMIT INFO, IATION — 206 - 431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name: 1, v r-} t a NGT c� ✓ 1 s }
Mailing Address: / 5- 3 f—' (— Y S fi
Contact Person:
E -Mail Address:
Contractor Registration Number: 6 Ct C—, A"G 0 a R >5 0 Expiration Date: r /9 /7-04s6
* *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
Scope of Work (please provide detailed information): 0 / + ' c J C 4 « } •e � �"� c - lam' •lam c
Use: Residential: New .... ❑ Replacement
Commercial: New .... ❑ Replacement
Fuel Type: Electric ❑ Gas.... Other:
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.
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERIU Y BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWl /1R • e THO' • ED AGENT:
Signature: / 4L/
rint Name: n L
Mailing Address:
\permits plus \ice changes\permit application (7.2004)
5 3 S (Av r S Y ,s
0
Page 4
city
Day Telephone:
Fax Number:
Day Telephone:
v / - 1
City
(1ilkl 9S / (A C3
State Zip
co /6 o.f' 3
Date: ) y oY
7,0 3 o t(g3
State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
1
_.. ....:«.: s: �^,.::: i> G: iir,' awiw". s.: �J. aut�J. i:'.:.:., r,».... ,.....a.t:u.:•! ✓�rr..'Y�.�s:9ni
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Payee: BURIEN NATURAL GAS SERVICE, INC.
TRANSACTION LIST:
Type Method. Description
MECHANICAL - RES
RECEIPT
Parcel No.: 0042000085 Permit Number: M04 -154
Address: 4320 S 150 ST TUKW Status: PENDING
Suite No: Applied Date: 08/24/2004
Applicant: OGANS RESIDENCE Issue Date:
Receipt No.: R04 -01129 Payment Amount: 158.94
Initials: SKS Payment Date: 08/24/2004 04:24 PM
User ID: 1165 Balance: $0.00
Amount
Payment Check 1666 158.94
Account Code Current Pmts
000/322.100 158.94
Total: 158.94
4271.09/26 9710 TOTAL 158.94
Printed: 08 -24 -2004
Project" /
Type of Inspection: }, (^ R
Addres n/�////��}� (�/
9.-
Date Called: 9 7
Special Instructions:
Date Wanted: C a.m
,g 4 - -0 . P• •
Requester:
Phone 41/II - X 5044
INSPECTION NO.
IN RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3670
Approved per applicable codes. Corrections required prior to approval.
4044/ 74 r'.
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inspecto
Date:
ri $47.00 REINSPECTIO FEE REQUIRED. Prior to inspection, fee m st be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
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02 -07 -2005
ROBERT MACGREGOR
153 SW 154 ST
BURIEN WA 98166
RE: Permit No. M04 -154
4320 S 150 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 03/07/2005, 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.
Stefania Spencer,
Permit Technician
City of Tukwila
Department of Community Development Steve Lancaster, Director
xc: Permit File No. M04 -154
Bob Benedicto, Building Official
Steven M. Mullet, Mayor
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
�
REGI ST . # EXP . DATE
CCCGAP BURIENG0270D 08 /19/2005
EFFECTIVE. DATE 09/04/1998
BURIEN NATURAL GAS SERVICE INC
153 SW 154 ST
BURIEN WA 98166
Signature '
Issued byDEPARTMENT OF LABOR AND INDUSTRIES
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