HomeMy WebLinkAboutPermit M04-197 - ROBERTSON RESIDENCEROBERTSON
RESIDENCE
4608 SOUTH 160r"
STREET
M04 -197
Parcel No.: 2223049039
Address: 4608 S 160 ST TUKW
Suite No:
City 6; Tukwila
Tenant:
Name: ROBERTSON RESIDENCE
Address: 4608 S 160 ST, TUKWILA WA
Contact Person:
Name: DONNA JACK
Address: 4601 S 134 PL, 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.tufivila.wa.us
Owner:
Name: BRAD & NORA ROBERTSON
Address: 4608 S 160TH ST, TUKWILA WA
Contractor:
Name: BRENNAN HEATING & A/C LLC
Address: 2725 152ND AV NE, REDMOND WA
Contractor License No: BRENNHA971R9
DESCRIPTION OF WORK:
RESIDENCE GAS FURNACE REPLACEMENT - LIKE FOR LIKE
Value of Mechanical: $1,955.00
Type of Fire Protection: N/A
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
doc: IMC- Permit
MECHANICAL PERMIT
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
EQUIPMENT TYPE AND QUANTITY
Phone:
Phone: 206 248 -7900
Phone: 206 248 -7900
Expiration Date: 12/29/2005
Steven M. Mullet, Mayor
Steve Lancaster, Director
M04 -197
11/04/2004
05/03/2005
Fees Collected: $150.63
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
M04 -197 Printed: 11 -04 -2004
Permit Center Authorized Signature:
Print Name: &J.
doe: IMC- Permit
City 6 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 t1 is 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 perforgiance of work. I am authorized to sign and obtain this mechanical permit.
Signature: & .a _ 211 Date: C /Oz-
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 -197
Date:
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: M04 -197
Issue Date: 11/04/2004
Permit Expires On: 05/03/2005
Printed: 11 -04 -2004
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2223049039
Address: 4608 S 160 ST TUKW
Suite No:
Tenant: ROBERTSON RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
PERMIT CONDITIONS
Permit Number: M04 -197
Status: ISSUED
Applied Date: 11/04/2004
Issue Date: 11/04/2004
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 -197
Printed: 11 -04 -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:
doc: Conditions
•
M04 -197
Date:
of law and ordinances
other work or local laws
ikt /0t4
Printed: 11 -04 -2004
.ELOCATION
Site Address: 4 60 0 g V L 1EJOT$
Tenant Name: "11O 1iERT`L'�O kJ.
Property Owners Name: RAD- itJ15•'El2`1 .
Mailing Address: 4CDOR S 1 ��Tl• Sr
Name: bOLitJFo U p
4GO t J 34 TAI - PL.
Mailing Address;
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Building Permit No
Mechanical Permit NO. 1211/.
Public Works Permit No
Project No
(For ofce use only)
W
TUKWILA
w
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 **
E -Mail Address:
King Co Assessor's Tax No.: cgavA 30'49039
Suite Number: Floor:
New Tenant: ❑ Yes ❑ .. No
( 9a
t()WILA
City
State Zip
A C : * ) - " 7 900
City Statc
ca- Fax Number: , " a2 8 ` 19
'GENERAL CONTRACTOR>INFORMATION ( Mechanical Contractoranformation ow back Page):
Company Namc:� • %t� - i l,
Mailing Address: 4(00i S 154 ri.t er L.
Contact Person: `' IJj i? C SACS
E -Mail Address: Fax Number:
' T .. t-•A ( ;)A £ a16 :g
City Sia Zip
Day Telephone: e2 c�`f 2� - - 7C10?)
Contractor Registration NumberBRe- tLI ac.. i Rcl. Expiration Date: i t **
**An original or notarized copy of current Washington State Contractor License must be presented at th time o permi issuance
ARCHITECT OF RECORD All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address-
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
ENGINEER
RECORD „Allplans must be wet :Stamped:by ;of Record !.
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address; Fax Number:
applieatlons'pcnait application (7.2004)
Paue 1
Slate
Zip
Unit Type: '.
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
i
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
Thermostat
15 -30 HP/I,000,000 BTU
Suspended/Wall /Floor
Mounted Heater
Ventilation System
Wood/Gas Stove
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood
Water Heater
50+ HP /1,750,000 BTU
Heat/Refrig/Cooling
System
Incinerator - Domestic
Emergency
Generator
Air Handling Unit
<10,000 CFM
Incinerator - Comm/Ind
Other Mechanical
Equipment
Signature:
)applications■permit application (7.2004)
IM
:MECHANICAL PERMIT INFORMATION 206- 431 -3670
MECHANICAL CONTRACTOR INFORMA ION r
Company Name: t`)REI\ CAA 1 L/�5.
Mailing Address: +00 I 3 15 TA -L
Contact Person: kii. V AO
E -Mail Address:
Contractor Registration Number l:MNik f R.9 Expiration Date: Ia. /r cl l U
* *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): $ 1
Use: Residential:), New
Commercial: New ❑
Fuel Type: Electric ❑ Gas
BUILDING OWNER OR AUTHOR1Z18'D C NT:
Print Name: 841 tI ALCekl
Mailing Address; 4011 `� I� - r+. - fit ,
Ca.
Scope of Work (please provide detailed information):
Indicate type of mechanical work being installed and the quantity below:
fICATION NOTE
Applicablito 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.
Date Application Accepted:
7 y— '
Date Application Expires:
5_4
Staff Ini '
Pace 4
�( okLL► 1 A On °I SI(c
City State Zip
Day Telephone: -4-k -79OD
Fax Number: 1.�bC ' $ - 7
Replacement
Replacement ❑
Other:
Date: Lt/14M
Day Telephone: r l �-. , t 4 ZS '79. OD
City
Statc Zip
I: •
ACCOUNT ITEM LIST:
Description
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2223049039 Permit Number: M04 -197
Address: 4608 S 160 ST TUKW Status: PENDING
Suite No: Applied Date: 11/04/2004
Applicant: ROBERTSON RESIDENCE Issue Date:
Receipt No.: R04 -01489 Payment Amount: 150.63
Initials: SKS. Payment Date: 11/04/2004 11:24 AM
User ID 1165 Balance: $0.00
Payee: SHAWNEAN ALLEN
TRANSACTION LIST:
Type Method Description Amount
Payment Check 702 150.63
doc: Receipt
MECHANICAL- RES
RECEIPT
Account Code Current Pmts
000/322.100 150.63
Total: 150.63
6663 :11/05 X716 TOTAL 150.63
Printed: 11 -04 -2004
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Type of Inspection: •
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Addrgss:
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$4
Date Call
S pecial Instructions:
i phone
Date n d:
Reque .
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Approved per applicable codes.
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COMMENTS:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 981 88
1 e
EJ Correction required prior to approval.
L
/ —
.00 REINSPECTION FE REQUIRE . Prior to inspection, fee must be
paid at 6300 Southcenter BI d., Suite 100. Call to schedule reinspection.
!Receipt No.:
'Date:
(206)431-3670
P r ct
I d�nc�
T Inspection:
W i
A e s:
Date Called: 11
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Spec al Instructions:
3 ‘v
Date Wanted:
1 )(Cs
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Requester:
fifi
Ph:
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION NO.
Approved per applicable codes.
PER
(206)431 -3670
Corrections required prior to approval.
COMMENTS:
,P /cVa /1 — C'e 4 -
Inspect r• /
R
4
Date:
/— / - os
.00 REINSPECTION EE REQUIRED. Prior to inspection, fee must be
id at 6300 Southcenter Blvd., Su(te 100. Call to schedule reinspection.
ceipt No.: 'Date:
Pro
ct:
Ll/ -C14
O)'\ f2...
Type of
nspection:
/ 4 it
Acd
e ss:
et�og 1 ,s
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Date Called:
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Special Instructions:
Date Wanted:
r1-11/01 a�
`gip m'
Requester:
Phone No:
)-o (0
— c/ g =7966
COMMENTS:
nsp
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
D41 1
Approved per applicable codes. Corrections required prior to approval.
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Date: /
aLd -.Lout
.00 REINSPECTION EE REQUIRE
aid at 6300 Southcente Blvd., Suit
ceipt No.: 'Date:
rior to inspection, fee must be
00. CaII to schedule reinspection.
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DLtch And Display Certificate
Detach And Display Certificate
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I certify this is a true and correct copy of the original
document as presented to me on 1- ,11•4•1 �fB. 11Vikc-
Signature of Notary Public
Danielle Z. 1
Printed name of Notiry Public
Re//
Residing at
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My mmision expires
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