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Home My WebLink AboutPermit M04-159 - SIEDENBURG RESIDENCESIEDENBURG RESIDENCE Parcel No.: Address: Suite No: City aI' Tukwila 6818300035 16012 47 AV S TUKW Tenant: Name: SIEDENBURG RESIDENCE Address: 16012 47 AV S, TUKWILA WA 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 Owner: Name: SIEDENBURG DAVID M +KELLY L Address: 16012 47TH AV S, SEATTLE WA Contact Person: Name: DWAYNE CURTISS Address: 1515 S CENTER ST, TACOMAWA Contractor: Name: ALL WAYS AIR CONTROL INC Address: 1515 S CENTER ST, TACOMA WA Contractor License No: ALLWAAC074C3 DESCRIPTION OF WORK: ADDING ADDITIONAL DUCTWORK TO EXISTING SYSTEM. Value of Mechanical: $700.00 Type of Fire Protection: N/A 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.... 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 doc: IMC- Permit MECHANICAL PERMIT * *continued on next page ** M04 -159 Permit Number: Issue Date: Permit Expires On: EQUIPMENT TYPE AND QUANTITY Phone: Phone: 253 383 -7718 Phone: 253 383 -7718 Expiration Date:05 /06/2006 Steven M. Mullet, Mayor Steve Lancaster, Director M04 -159 09/01/2004 02/28/2005 Fees Collected: $119.85 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 1 Printed: 09 -01 -2004 doc: IMC- Permit Cit y of 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 Permit Center Authorized Signature: 4 it M04 -159 Permit Number: M04 -159 Issue Date: 09/01/2004 Permit Expires On: 02/28/2005 Date: Steven M. Mullet, Mayor Steve Lancaster, Director p-ar-ery 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. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this mechanical permit. Signature: Cc )v ri 9, Date: 9 Il l0-1 Print Name: ZL . *.1tu. Cup' -is 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: 09 -01 -2004 rn v� w ! � w w 0 2 g? CO — d o . w . D p; . H; w u co O :Z . City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 6818300035 Address: 16012 47 AV S TUKW Suite No: Tenant: SIEDENBURG RESIDENCE 1: ** *BUILDING DEPARTMENT CONDITIONS * ** PERMIT CONDITIONS Permit Number: M04 -159 Status: ISSUED Applied Date: 09/01/2004 Issue Date: 09/01/2004 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: 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. 7: 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. 8: 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. 9: 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). 10: 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). 11: 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 -159 Printed: 09 -01 -2004 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. Signature: Print Name: CusIA doc: Conditions Date: 9 // /6c( of law and ordinances other work or local laws Printed: 09 -01 -2004 CITY OF TUKWILA Community Development Iirtment Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 King Co Assessor's Tax No.: l P1 ,fi cr3S Site Address: I (c 7 'I 7 ` 4J.& 5 Suite Number: Floor: Tenant Name: G�: l2tOiL�O(,1itce /z-e.X _ New Tenant: ❑ .... Yes ❑ ..No Property Owners Name: `` ../ Mailing Address: CONTACT PERSON Name: J )(AACIA X e. tArt■SS Mailing Address: 151S 5 . Csa - Lr - 5 �' \permits ptuslicc changestpennit application (7.2004) 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 ** Page I Building.Permri, Mechanical Permit No. /9-1.5! Public Works Permit No Project No. (For (face use only) City State Day Telephone: (Z53) 1 -77a �c C3 W t QSyo City State Zip E -Mail Address: (k Rt�Ci.y 3 @ o,, C.cwvro( . CovA Fax Number: L5 ') GENERAL CONTRACTOR INFORMATION- ( Mechanical Contractorr 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 ** State ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State ENGINEER OF RECORD — plans must be wet stamped by. Engineer of Record State Zip Zip Zip Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Zip BUILDING PERMIT INFORMATION - 206 -431 -3670 I � 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: D..Sprinklers ❑..Automatic Fire Alarm D..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 plu%icc 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 I" Floor 2n Floor 3rd Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck BUILDING PERMIT INFORMATION - 206 -431 -3670 I � 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: D..Sprinklers ❑..Automatic Fire Alarm D..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 plu%icc changes%pennit application (7.2004) Page 2 % • A PUBLIC WORKS PERMIT INFORMATION - 206- 433.0179 Scope of Work (please provide detailed information): Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ ...Tukwila 0... Water District #I25 ❑ ...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) ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) 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 %permits phn%icc changealpermit application (7 -2004) 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 _ „ „ „ Call before you Dig: 1- 800 - 424 -5555 ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line „ „ „ ❑ .. Highline ❑ .. Work in Flood Zone ❑ .. Storm Drainage Page 3 ❑ ...Renton ❑ .. Geotechnical Report ❑ ... Traffi c Impact Analysis ❑ .. Maintenance Agreement(s) ❑...Hold Harmless ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding WO# WON WO# ❑ ...Deduct Water Meter Size Private Private 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 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 \/ Y� MECHANICAL CONTRACTOR INFORMATION Company Name: A 1(- Way Air Can Mailing Address: 15 15 5_ (w 54- -TTo Wik Via? City State Zip Contact Person: c` O S Day Telephone: (253) 37s3 - 11I51 E -Mail Address: et 110:11S a a L1-631.0 Ca. Cw.{Vof , Co vv‘ Fax Number: (12-1 3$3 - '113 Contractor Registration Number: A I I L A niaC074C3 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): $ 7 Scope of Work (please provide detailed information): Arl Cl (-1,0 -4 4-0 mt...c k! Asa,Vcm MECHANICAL PERMIT INFOCATION — 206 - 431 -3670 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. I 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. BUILDING OWNER OR AUTHORIZED AGENT: A . \permits plus\ice changes\permit application (7.2004) Signature: ,‘Dv.A Print Name: -- aZalu..k, ( L'( 55 Mailing Address: 15 15 5 ,. fair Page 4 City Date: 1 1110tA Day Telephone: (Z53) ;1. -771$ t.J14 `fk/D9 State Zip Date Application Accepted: 9• Date Application Expires: 3 $ Staff Initials: cV S i City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 6818300035 Permit Number: M04 -159 Address: 16012 47 AV S TUKW Status: PENDING Suite No: Applied Date: 09/01/2004 Applicant: SIEDENBURG RESIDENCE Issue Date: Receipt No.: R04 -01171 Initials: SKS User ID: 1165 Payee: ALL -WAYS AIR CONTROL TRANSACTION LIST: Type Method Description Amount Payment Check 23108 ACCOUNT ITEM LIST: Description doc: Receipt MECHANICAL - RES 119.85 Account Code Current Pmts 000/322.100 119.85 Payment Amount: 119.85 Payment Date: 09/01/2004 01:22 PM Balance: $0.00 Total: 119.85 4476 09/02 9716 TOTAL 119.05 Printed: 09 -01 -2004 P / G e/v 4t: #O e i P Type of Inspection: ,-/ A./ /4 Address: Q r6 4'7 Date Called: / /o / / / oy Special Instructions: i( Date Wanted /a //2V Or a.m. p.m. Requester: ff //yv1 hone Nei 90.6) 75 -- 2 2 INSPECTION RECORD Retain a copy with permit . • INSPECTION NO, CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. Corrections required prior to approval. COMMENTS: /wt. 7� r = i//''q 7.00 REINSPECTION FEE REQUIRO. Prior to inspection, fee must be paid at 6300 Southcenter d., Suite 100. Call to schedule reinspection. (Receipt No.: 'Date: II Z H LIJ D 0: 'O a W W I- H LL O: z: O ' Z �. Proje -(✓ Type of lj spection: .. I4 fits - ( A./ Il� Address:. ( J7 �1 .S Date Called: v 1 -- Special Instructions: Date Wante 10 -- 0 Y a.m. p.m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 1 6300 Southc 'enter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. 0Corrections required prior to approval. COMMENTS: C D . . ? r ( T)lcc (1 Y f Q I n A ft -- ��6rvt l q{' oN,(1/‘ - 4.) — n•O 1 ,\),4k . 9 Date: , - 0 y REINSPECTION FEE REQUIRED. Prior o inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. C II to schedule reinspection. [ Receipt No.: 'Date: I I ,• { Z � ° . Lu o 0 0f- w U U. I•- —O Z' Il y i Z Pro eft: Type of nspecti in Ad ress: 1 ....1 Le D( a. Li Ali Date Called: ` 0 cf Special Instructions: / . , ) Date Wanted: / O� ' • ,� Requesterequester: �i L CWT ! Pha e : f 'e _-8_3 — 71 LI Approved per applicable codes. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PER CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 j3 Corrections required prior to approval. COMMENTS: e4 / al 'r s �� .■- / � ,.„ - ,c_ 1."0 1l■ssl 1�iii -t 1� [ i e /47,. $47.00 REINSPECTIQI6 FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. (Receipt No.: Date: W . u. Ln w O: LL Q . W° uf Of F— O Ni o w W: O: I � Z ` Et 0 � i• DEPARTMENT OF LABOR AND INDUSTRIES I r, '5 pt '.fNNI warn - � T ..�.�1—w = • 9ELLEBEESE REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL REGIST. # EXP. DATE CCO1 ALLWAAC074C3 05/06/2006 EFFECTIVE DATE 02/23/1993 ALL WAYS AIR CONTROL INC 1515 S CENTER ST TACOMA WA 98409 I O l T d S R e f - I I U dOE :iO 40 i0 daS