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Home My WebLink AboutPermit M04-201 - BARSTOW RESIDENCEBARSTOW RESIDENCE 5930 S 149 ST M04 -201 Parcel No.: Address: Suite No: City CTukwila 3597000088 5930 S 149 ST TUKW Tenant: Name: BARSTOW RESIDENCE Address: 5930 S 149 ST, 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 Contact Person: Name: MICHELE M. FOX Address: 9367 RAINIER AV S, SEATTLE, WA Contractor: Name: ROSSOE ENERGY SYSTEMS INC. Address: 9367 RAINIER AV S, SEATTLE, WA Contractor License No: ROSSOES142QP Value of Mechanical: $2,202.00 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: NC- Permit MECHANICAL PERMIT Owner: Name: BARSTOW FMLY REV LVNG TRUST Address: C/O BARSTOW 3 E & W E TRSTE, 5930 S 149TH ST EQUIPMENT TYPE AND QUANTITY * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Expiration Date:11 /17/2004 DESCRIPTION OF WORK: GAS TO GAS FURNACE CHANGE OUT IN LAUNDRY ROOM. CARRIER GAS FURNACE MODEL 58CTA090114 - 71000 BTU'S. Phone: Phone: 206 725 -7555 Phone: 206 725 -7555 Steven M. Mullet, Mayor Steve Lancaster, Director M04 -201 11/12/2004 05/11/2005 Fees Collected: $188.94 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 M04 -201 Printed: 11 -12 -2004 re 2w. a V O, co O co w, w O g i u_ Q N w . z ' w w; 'O w w . -O 1 . . z p Permit Center Authorized Signature: Print Name: doc: IMC- Permit City 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 l Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: M04 -201. Issue Date: 11/12/2004 Permit Expires On: 05/11/2005 Date: /� /2 r 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 n• : esume to give authority to violate or cancel the provisions of any other state or local laws regulating constructio rfor • I am authorized to sign and obtain this mechanical permit. Signature: Date: it---/-42 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 -201 Printed: 11 -12 -2004 (Th City off Tukwila Department,of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 3597000088 Address: 5930 S 149 ST TUKW Suite No: Tenant: BARSTOW RESIDENCE 1: ** *BUILDING DEPARTMENT CONDITIONS * ** PERMIT CONDITIONS Permit Number: M04 -201 Status: ISSUED Applied Date: 11/12/2004 Issue Date: 11/12/2004 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. doe: Conditions * *continued on next page ** M04 -201 Printed: 11 -12 -2004 City et 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 w Signature: doc: Conditions M04 -201 Date: I / — /2 - 0 6 t of law and ordinances other work or local laws Printed: 11 -12 -2004 U CITY OF TUKWILA Community Development D - -..\ rtment Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 King Co Assessor's Tax No. 3 - Site Address: S • t , � a � '-'i� o�"�' �� l l q 9q) ldq Suite Number: Mailing Address'Savvn -L-.- 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 ** Tenant Name: y � _ _� i" Property Owners Name: V' � (t rV�(il - 1..70 -rtvv4 Name: Mailing Address: City E -Mail Address: Company Name d e- l., S''CQ"eCt Mailing Address:dl3LO t r X\lt't' V- 'c7CotJt o�` 'i-( 1',.9D \l$ City State Zip Day Telephone: Le -16 j E -Mail Address: Fax Number: Contractor Registration Number: C.S t u ZG'P Expiration Date: 1. \ 11 -0 Contact Person: .A1/4- a9--2.) * *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance ** ARCHITECT:OF REC4' % - All plans must be wet stamped by Architect of Record Company Name: Mailing Address. City Contact ' rson: Day Telephone: E- t • it Address: Fax Number: State Zip ENGINEER' OF:RECO =All plans must be wet stamped by Engineer of Record Company Name: Mailing Addr Zip City Cont �atPerson: Day Telephone: ail Address: Fax Number: 1petmits pluslicc chanscslpermit application (7 -2004) Page 1 Building. Permit ' Mechanical Permit No. Q 7 ''. Public Works Permit No. Project No (For o /tce use on City a Floor: New Tenant: ❑ .... Yes ..No State Day Telephone: Sta State Zip Zip Fax Number: BUILDING PERMIT INFORM' "'9ON. - 206 - . 431 -3670, Valuation of Project (contractor's bid price): S Existing Building Valuation: S 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 *Alec changes \permit application (7.2004) Page 2 tY? o0. too W = J F- N LL, WD C' a Z�. Z 1— W p - :C1 1— W uj LL 0 ': Z N 0 Existing Interior Remodel Addition to Existing . Structure New Type of Construction per IBC Type of Occupancy per IBC 1" Floor ' 2nd Floor 3 Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck ' , Uncovered Deck' = BUILDING PERMIT INFORM' "'9ON. - 206 - . 431 -3670, Valuation of Project (contractor's bid price): S Existing Building Valuation: S 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 *Alec changes \permit application (7.2004) Page 2 tY? o0. too W = J F- N LL, WD C' a Z�. Z 1— W p - :C1 1— W uj LL 0 ': Z N 0 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 Fumace> 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 MECHANICAL PERMIT• INFOR...ATION - 206 -431 -3670 MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip 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 ** Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): 45kO Date Application Accepted: BUILDING WNEtt ORAUTHORIZED AGED Print Name: �� iV :�-_ Mailing Address: _ . • _ fie'!' \penniu plw\kc changes \permit application (7 -2004) Indicate type of mechanical work being installed and the quantity below: 4s Use: Residential: New ....0 Replacement Commercial: New ....❑ Replacement ❑ Fuel Type: Electric ❑ Gas .... Other: 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. Day Telephone: 2.0 ( �. 16 .y e, \1-1 City State Zip Date Applicati x ires- Page 4 Staff Initials: ACS �✓�.a.�..:lja�:3..::t:! W.:. ti: t�.:,. 11tsu" n.::.:.%«' d +':aiW:i�'G�.lt..:,..o-.n...c.. : itA« y .: . Y, AC.'. uJ: �.::. �.'. t'. t..::. A;:: , s++.:.:— ..:t:.:.:i:u:.�.:e.e 4':.. PUBLIC:WORKS.PERMIT INFt,riMATION - Scope of Work (please provide detailed information): Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ ...Tukwila ❑... Water District #125 ❑ .. Highline • ❑ ...Renton ❑ ...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 Tess than 72 hours ❑ ...Right -of -way Use - No Disturbance ' ❑ ...Construction /Excavation/Fill - Right -of -way Non Right -of -way ❑ ...Total Cut ❑ ...Total Fill Vermin' ptus\icc changca\pc mit application (7 -2004) cubic yards cubic yards ❑ ...Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑...Frontage Improvements ❑ ...Traffic Control ❑ ...Backtlow 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 „ I t Call before you Dig: 1- 800 - 424 -5555 .. Abandon Septic Tank ❑ .. Curb Cut 0 .. Pavement Cut ❑ .. Looped Fire Line „ WO# WO# WO# Private Private .. Work in Flood Zone ❑ .. Storm Drainage ❑ .. Geotechnical Report ❑...Traffic 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 ❑...Deduct Water Meter Size 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 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 3597000088 Permit Number: M04 -201 Address: 5930 S 149 ST TUKW Status: PENDING Suite No: Applied Date: 11/12/2004 Applicant: BARSTOW RESIDENCE Issue Date: Receipt No.: R04 -01518 Payment Amount: 158.94 Initials: SKS Payment Date: 11/12/2004 02:51 PM User ID: 1165 Balance: $0.00 Payee: ROSSOE TRANSACTION LIST: Type Method Description Amount Payment Check 069599 158.94 ACCOUNT ITEM LIST: Description doc: Receipt MECHANICAL - RES Account Code Current Pmts 000/322.100 158.94 Total: 158.94 it/15 9716 TOTAL. 158.94 Printed: 11 -12 -2004 3 Pr • t: A /f (� }1+"4/I Type of Inspe tioq: a Ad ress: �b, i' � � D ate Called: ► ce q Special tructions: Date Wanted:1 9/04 /�a.ri � Requeste : 5 (C UtI r\ 5<.�U . P e No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 31 -3670 .Approved per applicable codes. COMMENTS: lam - io (rm p t I oate:2 J j am/ $ 7.00 REINSPECTION EE REQUIRED. Pt` to inspection, fee must be aid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. f ReiptNo.: (Date: El Corrections required prior to approval. tJ ?cp f b'` Type of Ins? ion � Addr 1‘ Sa. sf. Date Called. J l'2 (° Special I structions: Date Wanted: �� `` OL , Requester: c I A 1 v lam\ 4J )dui 166 1102 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 TA :Approved per applicable codes. INSPECTION RECORD Retain a copy with permit (206)431 -3670 Corrections required prior to approval. COMMENTS: r• Date: L/ .00 REINSPECTION'EE REQUIRED. Prior to inspection, fee must be aid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 'Receipt No.: 'Date: 7 = U O 0 I) W WO u- 0 Z p . Z ° uj o 0 W W ' u. - 0 w Z U= ~O ,6k DEPARTMENT OF LABOR AND INDUSTRIES LICENSED AS PROVIDED BY LAW AS ELEC CONTR GENERAL LICENSE:; # . EXP : DATE EC01 ROSSOESI42QP '11/17/2004 EFFECTIVE DATE 11/17/1986 ROSSOE ENERGY`SYSTEMS INC 9367 RAINIER AVE S SEATTLE WA 98118 Detach And Display Certificate