HomeMy WebLinkAboutPermit M04-205 - FROLAND RESIDENCEFROLAND RESIDENCE
3509 S 137 ST
M04 -205
Parcel No.: 8864000735
Address: 3509 S 137 ST TUKW
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Value of Mechanical: $4,750.00
Type of Fire Protection: N/A
doc: IMC- Permit
City GI' 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
FROLAND RESIDENCE
3509 S 137 ST, TUKWILA WA
RHONDA FROLAND
3509 S 137TH, TUKWILA WA
Contractor:
Name: OLYMPIC MECHANICAL INC
Address: PO BOX 5326, LYNNWOOD WA
Contractor License No: OLYMPMI17001
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
ROSIE COREY
21718 66 AV W, #207, MOUNTLAKE TERRACE, WA
DESCRIPTION OF WORK:
INSTALLATION OF ONE (1) GAS FURNACE, ONE (1) HOT WATER HEATER AND ONE (1)
THERMOSTAT - REPLACEMENT LIKE FOR LIKE
EQUIPMENT TYPE AND QUANTITY
Fees Collected: $205.56
International Mechanical Code Edition: 2003
* *continued on next page **
M04 -205
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 425 774 -8841
Phone:
Expiration Date:01 /26/2006
Steven M Mullet, Mayor
Steve Lancaster, Director
M04 -205
11/18/2004
05/17/2005
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 1
Wood /Gas Stove 0
Water Heater 1
Emergency Generator 0
Other Mechanical Equipment
Printed: 11 -18 -2004
ti
Permit Center Authorized Signature:
City t:i* 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. tiva. us
Permit Number:
Issue Date:
Permit Expires On:
��- Date:
Steven M. Mullet, Mayor
Steve Lancaster, Director
M04 -205
// /coy
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 cons tetion or the erfo man o work. I am authorized to sign and obtain this mechanical per it.
Signature:
doc: !MC-Permit
M04 -205
Date:
Print Name: `lFf iLS
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: 11 -18 -2004
doc: Conditions
City of Tukwila
Parcel No.: 8864000735
Address: 3509 S 137 ST TUKW
Suite No:
Tenant: FROLAND RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
PERMIT CONDITIONS
* *continued on next page **
M04 -205
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Permit Number: M04 -205
Status: APPROVED
Applied Date: 11/18/2004
Issue Date:
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 Tess 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.
Printed: 11 -18 -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: / y .X HOL —S
doc: Conditions M04 -205
Date: 11 / D
of law and ordinances
other work or local laws
Printed: 11 -18 -2004
E-Mail Address:
CITY OF TUKWILM
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Site Address: JSO`I 1 F •
Name: (- s ', CI)CP
Mailing Address; 2.-V
Contact Person:
E-Mail Address;
Contact Person:
E -Mail Address;
Contact Person:
E -Mail Address;
■appiieationstpennit application (7.2004)
Paget
Building Permit No.
Mechanical . Permit No. 1
Public Works Permit No
Project No.
or al ke &w o
( and, plans . ) 'must,be,aompleterin;order t4g,accepted<forplan review,}
Applications wilinot be accepted through die mail by . fax..
* *Please Print **
`SITEIACATION
King Co Assessor's Tax No.: D S(D(OO O1 3s
Suite Number: Floor:
New Tenant: ❑ Yes ❑ ..No
Tenant Name:
Property Owners Name;
Mailing Address;
City
State
State
State
State
Zip
TACT,:!
Day Telephone: WS • 1u 'XL-1
kw_ (A) 2 Mc a\k \Ae T-er cDe e L ), `e043
City State Zip
Fax Number: XVS - CO - 1 Z- 1 % /A I
RAL CONTRACTOR INFORMATION l (Mechanica Contract infor on back page)
Company Name:
Mailing Address:
Zip
City
Day Telephone:
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;
RECORD
s y
alit: be:wet;tamp
Company Name:
Mailing Address;
Zip
City
Day Telephone:
Fax Number:
EN GINEER OF RECORD , All plans must be wet star
by Engineer o[
Company Name:
Mailing Address:
Zip
City
Day Telephone:
Fax Number:
Unit Type: ..
Qty :,
: Unit Type: `
Qty
:. Unit Type:
Qty.
Boiler /Compressor: :`
' Q ty
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
k
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
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
'MECHANICAL' PERMIT INFORMATION 2064314670
MECHANICAL CONTRACTOR INFORMATION
Company Name: O \C"t1plG 11Pe\fVAnira.\ 1 r e ,
Mailing Address; 211 1S Le Le clue_ L.) 2.0 m() L&R.: P ��cr 1 L)A / q
8 dy.T
City State Zip
Contact Person: S1 s? Coeg_' -' Day Telephone: tk?S 4- A f3U
uzS- i7 - 1(3
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date: .2 1 ? OS"
* *An original or notarized copy of current Washington State Contractor License must be present e d at th time of p ermit
issuance**
Valuation of Project (contractor's bid price): $ g' )SO• 00 11
Scope of Work (please provide detailed information): a Y1 s \ \o.A1 on c- c \ Si,.S VUr n o.e. C 1
Laz Residential: New ❑ Replacement
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑ Gas Other:
Indicate type of mechanical work being installed and the quantity below:
PLICATION NOTES A
Signature:
Print Name:
Mailing Address;
1 Date Application Accepted:
/fie-O V
\appliations'pennit application (7-2004)
plienble to; a
Page 4
rni : iu' its' t his` Oplicatio
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 QR A THORIZ AGENT:
sly Corey
17 (S C Q (,k ii e L,) -4 201 MounkOce. - Vicrae
City
Date: II- 1 (o_py
Day Telephone: L12S - i 1 t-( ae 4 ►
G . A 9NnN3
State Zip
Date Application Expires:
Staff
�S
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 8864000735
Address: 3509 S 137 ST TUKW
Suite No:
Applicant: FROLAND RESIDENCE
Payee: OLYMPIC MECHANICAL, INC.
RECEIPT
Receipt No.: R04 -01558 Payment Amount: 175.56
Initials: SKS Payment Date: 11/18/2004 03:12 PM
User ID: 1165 Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
doc: Receipt
Payment Check 19584
ACCOUNT ITEM UST:
Description
MECHANICAL - RES
175.56
Account Code Current Pmts
000/322.100 175.56
Permit Number: M04 -205
Status: PENDING
Applied Date: 11/18/2004
Issue Date:
Total: 175.56
7D92 I.1./.1.9 97.11 TOTAL. 17.5:,56
Printed: 11 -18 -2004
Project:
/
`l. .•7
Type of Inspection:
/7 4_e
/‘-
Address: ��
/
ate Called:
Special Instructions:
Date Wanted:
4-
a.m.
2-7 5 --- a
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTIQN NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PER
(20 • )431 -3670
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
/;;
El S58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
(Receipt No.:
'Date:
Project r 1 /
t /am
Type of Inspe
• n:
--
Address:
Speciallnstructions:
ate Called:
Date Wanted:
/
.m.
Requester:
Phone No:
INSPECTION NO.
INSPECTION RECORD
�� s
Retain a copy with permit �'`
PERMIT 1 .'
CITY OF TUKWILA BUILDING DIVISION Y '
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
MENTS:
pproved per applicable codes. Corrections required prior to approval.
$58. REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
(Receipt No.:
Date:
Pr t:
e "
Type of nspection:
Ad e q S.
t37
S T
Date Cal ed: ,ZI Z OO
Special Instructions:
_
Date Wanted: '. , / � /a4 /:m
I� p.m.
Requester: ,p
1—o e
Phone No: 4ZS, J 774 ` giEW
INSPEGION ; RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION -,.
.
6300 Southcenter Blvd., #100, Tukwila, WA 98188
mo4005
PER
d i
•y'
31 -3670
COMMENTS:
A
'Date:
El Approved per applicable codes. Corrections required prior to approval.
EJ $47.00 REINSPECTIO FEE REQUIRED. Prior to inspection, fee must e
paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection.
(Receipt No.:
Date:
1
05 -03 -2005
ROSIE COREY
21718 66 AV W, #207
MOUNTLAKE TERRACE, WA 98043
RE: Permit No. M04 -205
3509 S 137 ST TUKW
Dear Permit Holder: .
Thank you for your cooperation in this matter.
Sincerely,
Stefania Spencer,
Permit Technician
City of Tukwila
xe: Permit File No. M04 -205
Bob Benedicto, Building Official
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
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 anytime after the work is commenced for a period of 180 days.
Based on the abovc, 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 06/19/2005, your permit will become null and
void and any further work on the project will require a new permit and associated fees.
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 =3670 • Fax: 206- 431 - 3665
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_ L_ C6A COLYMP M I.O'OZDGm03 08 jS.20
A EFFECTIVE DATE . ... 03/.07/-2000 - ..'1L
` • :OLYMP IC MECHANICAL INC
21718 66TH AVE W SUITE 207
:MOUNTLAKE TERRAC WA 98043
•
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DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT• GENERAL
.;.CCQ- OLYMPMLIZOO]:: .0112612. QQ6
;:EFFECTIVE DATE — 09/2111983'
OLYMPIC MECHANICAL INC
P 0 BOX 5326
LYNNWOOD WA 98046
•
' '': ,7• PARTMENT?OF:. LABOR AND Il�TDUSTRIE (' _,._
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S .PROVIDED 'BY
_ LAW AS '"
H RF'RG• i ;,` s�q, f a.
State of Washington
Cowity of •Snnhnmish
I certify that this is sue and correct copy of a document in the possession of OIvrnric.
Mechanical Tnc as or this date.
Dated: — \ -Q
�► fti (Signature)
75 - 00 ,r,• 4�
•µms..
.1.54 t` � ;,::•; _ .
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My appointment expires C)
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