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HomeMy WebLinkAboutPermit M04-207 - KNOLLMEYER RESIDENCELLMEYER RESIDENCE Parcel No.: Address: Suite No: Owner: Name: Address: 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.tulnvila.wa.us 0040000625 4811 S 146 ST TUKW Tenant: Name: KNOLLMEYER RESIDENCE Address: 4811 SOUTH 146 ST, TUKWILA WA Value of Mechanical: $3,218.00 Type of Fire Protection: N/A KNOLLMEYER DANNY M & REGINA 4811 SOUTH 146TH ST, TUKWILA WA 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 DESCRIPTION OF WORK: LIKE FOR LIKE CHANGE OUT OF OIL 75000 BTU OIL FURNACE Contractor: Name: GLENDALE HEATING & A/C Address: 12462 DES MOINES WY S, SEATTLE, WA Contractor License No: GLENDHA053Q2 MECHANICAL PERMIT Contact Person: Name: RITA WALTERS Address: 12462 DES MOINES MEMORIAL DR, SEATTLE WA Permit Number: Issue Date: Permit Expires On: EQUIPMENT TYPE AND QUANTITY Fees Collected: $197.25 International Mechanical Code Edition: 2003 * *continued on next page ** Phone: Phone: 206 243 -7700 Phone: 206 - 243 -7700 Expiration Date:11 /02/2005 Steven M. Mullet, Mayor Steve Lancaster, Director M04 -207 11/23/2004 05/22/2005 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 0 Wood /Gas Stove 0 Water Heater 0 Emergency Generator 0 Other Mechanical Equipment M04 -207 Printed: 11 -23 -2004 Permit Center Authorized Signature: The granting regulating co Signature: doc: IMC- Permit mit 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 o t is •: st c n s not presu perf ance M04 -207 Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: M04 -207 Issue Date: 11/23/2004 Permit Expires On: 05/22/2005 Date: l/ 0.)3 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. to give authority to violate or cancel the provisions of any other state or local laws f wo I am authorized to sign and obtain this mechanical permit. Date: / 2� Print Name: eoA7 4. �7»l 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 -23 -2004 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 0040000625 Address: 4811 S 146 ST TUKW Suite No: Tenant: KNOLLMEYER RESIDENCE 1: ** *BUILDING DEPARTMENT CONDITIONS * ** doc: Conditions PERMIT CONDITIONS * *continued on next page ** M04 -207 Permit Number: M04 -207 Status: ISSUED Applied Date: 11/23/2004 Issue Date: 11/23/2004 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. Printed: 11 -23 -2004 doc: Conditions City of Tukwila ( . 6-v cX 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 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 provision of any other work or local laws regulating constru ' on the performance of work. Date: ((- 2- ) — M04 -207 Printed: 11 -23 -2004 Site Address: Contact Person: CITY OF TUKWILA Community Development Department 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 ** LI ( s I U c` = st Tenant Name: Property Owners Name: - 0 0.4Nh ∎\ n, 1C1, \ Ne Mailing Address: `A kl 5 \ s Name: Z \4 � C- \N . 1' Mailing Address: l?. `- 145 S Mc \ • E -Mail Address: T� 4c .voL City City ;'.GENERALS CO NTRACTOR �INFORMATIO Company Name: ( *ir-4a k kA \ ,, ,� ^ /� _ Mailing Address: l- (). to S 44 Q� vAec � oArvoyi l)✓ ���R. LD City State Zip Day Telephone: viCk E -Mail Address: Fax Number: (o Contractor Registration Number: 6-1...€K) l7 F # U s 30 Expiration Date: t.2- �� \ O� * *An original or notarized copy of current Washington State Contractor License must be presented at t the time of permit issuance ** :ARCHITECT OF RECORD' - All'plans must be - wet stamped by Architect of.Recor Company Name: Mailing Address: ENGINEER OF RECORD All plans must: be Wet stamped.by : Engineer of Record (For office uoe only) King Co Assessor's Tax No.: 0 6'4 6666 ( Suite Number: Floor: New Tenant: ❑ .... Yes ❑ ..No State Day Tel phone: .D (o -D-- U State Zip Fax Number: o (( W et- C OM'? City Contact Person: Day Telephone: E -Mail Address: Fax Number: State State Zip Zip Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Zip JiT ILDINGPERMIT: INFORWMON,= 206-431 -3670. ". Valuation of Project (contractor's bid price): $ 32-k5' 3 Scope of Work (please provide detailed information): Existing Building Valuation: $ Will there be new rack storage? ❑ .. Yes ❑...No If "yes " Handout No. for requirements. Provide All Building Areas in Square Footage Below 2°a Floor Fl Floors .` thru :. • Basement • Accessory : : Attached Garage Detached Garage :Attached Carport:: Pet c.hedCarport '.Covered Deck Uncovered Deck . Interior Remodel Addition to Existing Structure New Type of Construction per UBC Type of Occupancy per • UBC PLANNING DIVISION: Single- family building footprint (arca 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? 0.. 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. L PIIBLIC;WORKS PERMIT INFOIATION 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 #125 ❑ .. Water Availability Provided Sewer District ❑ .. Tukwila ❑...ValVue 0... Renton ❑ .. Seattle ❑ .. Sewer Use Certificate ❑ ...Sewer Availability Provided 0... 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 (nark boxes which apply): ❑ .. Civil Plans (Maximum Paper Size — 22" x 34 ") ❑ .. Technical Information Report (Storm Drainage) ❑ .. Bond ❑ .. Insurance 0 .. Easement(s) Proposed Activities (mark boxes that apply): ❑ .. Right -of -way Use - Nonprofit for less than 72 hours 0 .. Right -of -way Use - No Disturbance ❑ .. Construction /Excavation/Fill - Right -of -way Non Right -of -way ❑ .. Total Cut ❑ .. Total Fill cubic yards cubic yards ❑ .. Sanitary Side Sewer ❑ .. Abandon Septic Tank ❑ Cap or Remove Utilities ❑ .. Curb Cut ❑ .. Frontage Improvements ❑ .. Pavement Cut ❑ .. Traffic Control ❑ .. Looped Fire Line ❑ .. Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ .. Permanent Water Meter Size... WO# ❑ .. Temporary Water Meter Size.. WO# ❑ .. Water Only Meter Size WO# ❑ .. Sewer Main Extension Public _ Private ❑ .. Water Main Extension Public ^ Private Call before you Dig: 1-800-424-5555 0... Highline ❑ .. Renton 0... Geotechnical Report ❑ ...Traffic Impact Analysis 0... Maintenance Agreement(s) ❑ ...Hold Hannless 0... Right -of -way Use - Profit for less than 72 hours 0... Right -of -way Use — Potential Disturbance 0... Work in Flood Zone 0... Storm Drainage 0... Grease Interceptor 0... Channelization 0... Trench Excavation 0... 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: Day Telephone: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: City Day Telephone: City State Zip State Zip 1 Unit Type: .....: Qty 1 Unit Type: Air Handling Unit >= 10,000 CFM Qty Unit Type: Other Mechanical Equipment Qty Boiler /Compressor: 0 -3 HP /100,000 BTU 3 -15 HP /500,000 BTU Qty Furnace<I OOK BTU Furnace>100K BTU Evaporator Cooler Floor Furnace Ventilation Fan 15 -30 HP /1,000,000 BTU Suspended/Wall /Floor Mounted Heater Ventilation System 30 -50 HP /1,750,000 BTU Appliance Vent Hood 50+ HP /1,750,000 BTU Heat/Refrig /Cooling System incinerator - Domestic Air Handling Unit <= 10,000 CFM Incinerator — Comm/Ind '6 MECHANICAL PERMIT .INFORMATION - 206 -431 -3670 MECHANICAL CONTRACTOR INFORMATION Company Name: ( i a _ - T , Mailing Address: `)- (Dtb_Qs dItrkQ Contact Person: Vfk kr•L Wl t(S 7q god , ne rnOtri o-Q G 3i Valuation of Project (contractor's bid price): $ 0 Scope of Work (please provide detailed information): Ref (LUeQ.4Y Q4 V Use: Residential: New .... ❑ Replacement ... Commercial: New .... ❑ Replacement .... ❑ Fuel Type: Electric ❑ Gas....❑ Other: Ole. Indicate type of mechanical work being installed and the quantity below: 'Secs LOOT- kl City State Zip Day Telephone: a-1) E -Mail Address: C \1 Fax Number: k- o1-! 3 Contractor Registration Number: Gt. L N r 11°‘ C6 3Q-2— Expiration Date: ef 1 O i * *An original or notarized copy of current Washington State Contractor License must be presented 1 2.14) t th time of permit issuance ** .121\4154 t-‘ az) PERMITAPPLICATION 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. BUILD ER OR AUTHORIZED AGENT: Signatu Print Name: \ U c \ Y S Mailing Address: )- (0)-- Date Application Accepted: Date Application Expires: sz3�s / / -Z3 -a City Date: I \ \ \IA(..Y-1 Day elephone: (2 L V ? ')1© State z� Staff Initials: S Parcel No.: 0040000625 Permit Number: M04-207 Address: 4811 S 146 ST TUKW Status: APPROVED Suite No: Applied Date: 11/23/2004 Applicant: KNOLLMEYER RESIDENCE Issue Date: Receipt No.: R04 -01574 Initials: SKS User ID: 1165 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Payee: GLENDALE HEATING & AIR CONDITIONING RECEIPT TRANSACTION LIST: Type Method Description Amount doc: Receipt Payment Check 53948 167.25 ACCOUNT ITEM LIST: Description MECHANICAL RES Account Code Current Pmts 000/322.100 167.25 Payment Amount: 167.25 Payment Date: 11/23/2004 11:50 AM Balance: Total: 167.25 $0.00 '7253 1 97 TOTAL 167 n25 Printed: 11 -23 -2004 P e / Y ` / / /J / }/ Type of Insp ct on: oa 4 Adel s r O I ( Date Called: l 0 1- 1 i Special Instructions: r ( AMA A -`, Q —'31 \ � 0 �� Dy ig a.m. Requester: P one No: J INSPECTION RECORD R etain a copy with permit INSPE ION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 proved per applicable codes. El Corrections required prior to approval. COMMENTS: w .. 47.00 REINSPE ON FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: (Date: . • , w,1: 4 s:a:. btu: a: K"'. l>.:*=_. ...,:.Pik'ii..12::i.:s.+..:.:PS •uftii: :n ti:.9,_i "— .,'`;si:4x �� ".+"1 i�'_„`�'.i.`s'�ii.,..__._._.� __,,.....,._ P oject: 1 ,{ Type of In ection: s:' V 0 .fib, I`� l ‘ Date Call d: 2 , ► Jo Spe ial Instruct ons: VL' ( i 3'0D " ' 5'2D g-ta «.�t _ I Jeri Date Wanted N 0 a.m. Requester: TO 1 Rhone N ().n( /3 L ! - 5W INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit (206)431 -3670 A pproved per applicable codes. Corrections required prior to approval. COMMENTS: 7.00 REINSPECTIO FEE REQUIRVD. Prior to inspection, fee must be aid at 6300 Southcenter Blvd., Suit 100. Call to schedule reinspection. Receipt No.: 'Date: Prgject: ' i al e ( ) Type of Inspect' `� Q Ad ess. .• P l 1 Date Called: f i � l 1 � J c) � tl i a.m. Spec al Instructions: V . I tl `, P1/004. 3007 i ' Date Wanted: Requester: P c f "� � o: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION._: 6300 Southcenter Blvd., #100, Tukwila, WA 98188 OMMENTS: Inspect pproved per applicable codes. Oc1>t/Ah4'a'�'cA- i S INSPECTION RECORD Retain a copy with permit 1,/6%'s Lam/ .... --, eerni/ti(-74 y, t No.: 1Date: P R. T • if / (206)431 -3670 Corrections required prior to approval. f} A16 .✓c• /,47 J ./i r V, 9 / /L4-5 Date: C4 ,.Jr, w / / /z REINSPECTION FEE EQUIRED. P or to inspection, fee must be at 6300 Southcenter Bk4d., Suite 10 . Cali to schedule reinspection. .SI Pr 'e t: nfi1( �t 0A � 1 'Type of scon: - pe ti � Z -b G - 1 (t Ads: l �� Date Called: A �� Sped I IInst uctions: t 12,t rick., Date Wanted: ( ( �? a.m. Requester p-o (J? ) 2 igosa INSPECTION NO. CITY OF TUKWILA BUILDING DIVISIO 6300 Southcenter Blvd., #100, Tukwila, WA 98188 COMMENTS: l/F n%7/ (P d/t///b -c7 -/o 7' C2 l / /S n74 /�f� .42 / lilt.-' (742// Date: // /3 d 47 Approved per applicable codes. INSPECTION RECORD Retain a copy with permit i (* PRMIT NO. (200431 -3670 tE Corrections required prior to approval. •A. 7.00 REINSPECT! FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: DEPARTMENT OF LABOR AND INDUSTRIES REGISTERED AS PROVIDED BY LAW AS CONTT CONT GENERAL REGIST .:;'r` 5 "EXP. DATE CCO1" GLENDHA053Q2 ''11702 /2005 EFFECTIVE DATE 11/22/1995 GLENDALE HEATING & A/C 12462 DES MOINES WY S SEATTLE WA 98168 -2266 Anil Display DEPARTMENT ()F I.AIROR AND INI S LICENSED AS PROVIDED BY LAW AS ELEC CONTR HVAC /RFRG M1 ?r r t� (.•:.:.CR. gar %.,;.! '�' .,� rt i ,y . 't 1. • 7,1 GLENDALE. TTNCz `' c: FLEA ,t�;;�.• . • . I :1� 12 4 62. .►r e ' YC'•:.=- 16 O &IAL` DR' ,.,�/ ,, x -2266 • fI0 N , :E ....... ..