HomeMy WebLinkAboutPermit M04-221 - ALLEN RESIDENCEr
Parcel No.: 8864000530
Address: 3380 5140 ST TUKW
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
DESCRIPTION OF WORK:
REPLACE LIKE FOR LIKE FURNACE 84 BTU
Value of Mechanical: $4,500.00
Type of Fire Protection: NONE
doc: IMC- Permit
City 671' 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
ALLEN RESIDENCE
3380 S 140 ST, TUKWILA WA
ALLEN DANNY L
3380 S 140TH ST, SEATTLE WA
NICOLE
3616 S GENESEE, SEATTLE WA
Contractor:
Name: GENESEE FUEL AND HEATING CO INC
Address: P.O. BOX 18206, SEATTLE, WA
Contractor License No: GENESFH370006
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 1
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
Permit Number:
Issue Date:
Permit Expires On:
EQUIPMENT TYPE AND QUANTITY
* *continued on next page **
M04 -221
Phone:
Phone: 206 - 722 -1545
Phone: 206 722 -1545
Expiration Date:09 /01/2005
Steven Al. Mullet, Mayor
Steve Lancaster, Director
MO4 -221
12/21/2004
06/19/2005
Fees Collected: $205.56
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... 0
Printed: 12 -21 -2004
City G Tukwila
Permit Center Authorized Signature: 4
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
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: M04-221
Issue Date: 12/21/2004
Permit Expires On: 06/19/2005
l l4 Date: 1 Z __ 2 + 6)1 /
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 •resume to give authority to violate or cancel the provisions of any other state or local laws
regulating construction or e ' -rf• ' ance of work. I am authorized to sign and obtain this mechanical permit.
Signature:
Print Name:
doe: IMC- Permit
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 -221
Date:
Printed: 12 -21 -2004
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City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 8864000530
Address: 3380 S 140 ST TUKW
Suite No:
Tenant: ALLEN RESIDENCE
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2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the 2
Building Official. g Q
3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to d
start of any construction. These documents shall be maintained and made available until final inspection approval is Ili .
granted. z
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4: All construction shall be done in conformance with the approved plans and the requirements of the International w w'
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code. 2 3
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5: Manufacturers installation instructions shall be available on the job site at the time of inspection. o I—
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6: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the F v
International Building Code and the Washington State Ventilation and Indoor Air Quality Code. ti P '
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7: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired appliances v co
shall not be located in, or obtain combustion air from, any of the following rooms or spaces: Sleeping rooms, 0
bathrooms, toilet rooms, storage closets, surgical rooms. z
1: ** *BUILDING DEPARTMENT CONDITIONS * **
PERMIT CONDITIONS
Permit Number: M04 -221
Status: ISSUED
Applied Date: 12/21/2004
Issue Date: 12/21/2004
8: 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.
9: 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.
10: 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).
11: 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).
12: 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 -221
Printed: 12 -21 -2004
cc
00
doc: Conditions
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
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
regulating construction or the performance of work.
Signature:
Print Name:
M04 -221
as outlined. All provisions
cancel the provision of any
of law and ordinances
other work or local laws
Date:
Printed: 12 -21 -2004
Property Owners Name:
E -Mail Address:
CITY OF TUKWILA
Community Development- 'partment
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 **
Site Address: 33d L 1.10+11 0"1
i1
Tenant Name: .ThA h t `'icA` i �G� ,
Y1 h �1 I
Mailing Address: 33 sb S � �1 1 LA 1
City
Name: N t L
Mailing Address:_�Q 11P G
\permits plus \icc changes\permit application (7.2004)
Page 1
Building Pern;' o.
Mechanical Permit No. M 0 4- az,/
Public Works Permit No.
Project No.
(For office use only)
King Co Assessor's Tax No.: (136409 0005 30
Suite Number: Floor:
New Tenant: ❑ .... Yes
State
State
State
CJA- crVIL9C
State Zip
CONTACT PERSON
Day Telephone: ,a0co ( s
City State l Zip
Fax Number:
GENERAL CONTRACTOR INFORMATION - (Mechanical. Contractor 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 **
Zip
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:
Zip
ENGINEER OF RECORD — All plans must be wet stamped by. Engineer of Record
Company Name:
Mailing Address:
Zip
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
BUILDING PERMIT . INFORMA ON 206- 431 -3670
Valuation of Project (contractor's bid price): $
%permits plus)icc changes\pennit application (7 -2004)
Page 2
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:
la. 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.
Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of
. Construction
per IBC
Type of
Occupancy per
IBC
lit Floor
•
2° Floor
3r Floor
Floors thru
Basement
Accbssory. Structure*
-
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck . .
Uncovered Deck
BUILDING PERMIT . INFORMA ON 206- 431 -3670
Valuation of Project (contractor's bid price): $
%permits plus)icc changes\pennit application (7 -2004)
Page 2
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:
la. 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.
PUBLIC WORKS PERMIT INFATION 206- 433 - 0179
Scope of Work (please provide detailed information):
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):
0...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
❑...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 _
‘permits plus \icc chanties\permit application (7 -2004)
Call before you Dig: 1- 800 -424 -5555
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
L ...Tukwila 0... 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
El ...Septic System - For onsite septic system, provide 2 copies of a current septic design approval by King County Health Department.
cubic yards
cubic yards
If
It
a.
❑.
0.
❑.
11
If
. Abandon Septic Tank
. Curb Cut
. Pavement Cut
. Looped Fire Line
WO#
WO#
WO#
Private
Private
❑ .. Geotechnical Report
El.. Maintenance Agreement(s) ❑...Hold Harmless
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑ .. Work in Flood Zone
❑ .. Storm Drainage
Page 3
❑...Traffic Impact Analysis
❑ .. Grease Interceptor
❑ .. Channel ization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑...Deduct Water Meter Size
FINANCE INFORMATION
Fire Line Size at Property Line
❑ ...Water ❑ ...Sewer ❑ ...Sewage Treatment
Monthly Service Billing to:
Name:
Mailing Address:
Number of Public Fire Hydrant(s)
Water Meter Refund/Billing:
Name:
Mailing Address:
Day Telephone:
City
State
Zip
Day Telephone: -
City
State
Zip
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
0 -3 HP /100,000 BTU
Qty
Furnace <100K BTU
1
Air Handling Unit >10,000
CFM
Fire Damper
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
MECHANICAL PERMIT INFO 'Th TION — 206- 431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address: , 'i l.- _ - _ __ -'! . A,/ ,! 4 n
A , City State ip
Contact Person: /�/�� Day Telephone: • � ��T
E -Mail Address: +'{ Fax Number:
Contractor Registration Number: G 5 Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at e time of permit issuance **
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Use: Residential: New ....❑ Replacement..
((
Commercial: New .... ❑ Replacement El
Fuel Type: Electric ❑ Gas.. Other:
Indicate type of mechanical work being installed and the quantity below:
t
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 • READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERDU : b o r 'AWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILD
*'' � � :� E AGEN/
B ,
r /
Signa e: �� i Date:
Print Name: 4_A
Mailing Address: , j
Date Application Accepted:
2 -
permits plus\tcc changes \permit application (7.2004)
Date Application Expires:
Page 4
City
y Telephone: C e-00
State
Staff I
Zip
Receipt No.: R04 -01699
Initials: BLH
User ID: ADMIN
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
8300S,uthcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 8864000530 Permit Number: M04 -221
Address: 3380 S 140 ST TUKW Status: PENDING
Suite No: Applied Date: 12/21/2004
Applicant: ALLEN RESIDENCE Issue Date:
Payee: NORTHWEST PERMIT INC
TRANSACTION LIST:
Type Method Description. Amount
Payment Check 7465
MECHANICAL - RES
RECEIPT
175.56
Account Code Current Pmts
000/322.100 175.56
Payment Amount: 175.56
Payment Date: 12/21/2004 12:56 PM
Balance: $0.00
Total: 175.56
8076 12/22 9710 TOTAL L 175.5'6
Printed: 12 -21 -2004
P eqt: it ,An
Type of In
ddress:
3380 _ , 1 r ..
Date Calle
\
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05
Special Instructions:
Date Wanted: 1
V ( r m
1 nf/
Requester:
tkiriVt
\f A4( eA.
Ply-57)N ((
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes.
Corrections required prior to approval.
$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
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Ty if Inspectiory .
Ad s:
Date Ca e 1 CDC
Specia ns ructions:
Date Wanted: 1 0 7b 5 .-/ a,in„
Req' Va./VI A A
P 6ne No:
r4D(�� ,,,,Rc4 Li �41.55
INSPECTION RECORD
Retain a copy with permit
INSPECT1ON NO. PERM
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes.
y r( Corrections required prior to approval.
/, /
/ r .
$47.00 REINSPECTION EE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
'Receipt No.:
'Date:
COMMENTS:
06 -07 -2005
City of Tukwila
NICOLE C/O GENESEE FUEL & HEATING CO. INC.
3616 S GENESEE
SEATTLE WA 98118
RE: Permit No. M0 21
3380 S 140'ST TURW
Dear Permit Holder:
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 any time after the work is commenced for a period of 180 days.
Based on the above, 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 07/09/2005, your permit will become null and
void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Stefania Spencer,
Permit Technician
xc: Permit File No. M04 -221
Bob Benedicto, Building Official
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 -431 -3665
License
GENESFH37006
Licensee Name
GENESEE FUELEtHTNG CO INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
578049915 Verify Contractor Premium
Status
Ind. Ins. Account
Id
Business Type
CORPORATION
Address 1
PO BOX 18206
Address 2
City
SEATTLE
County
KING
State
WA
Zip
981180206
Phone
2067221545
Status
ACTIVE
Specialty 1
AIR HEAT,VENTILATION,EVAPORAT
Specialty 2
SHEET METAL
Effective Date
9/26/1963
Expiration Date
9/1/2005
Suspend Date
Separation Date
Parent Company
Previous License
•
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Name
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•
Look Up a Contractor, Electrician or Plumber
Find a Law or Rule Get a Form or Publication
„General/Specialty Contractor
A business registered as a construction contractor with Lal to perform construction work within the scope
of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment
of account and carry general liability insurance.
License Information
I Role I Effective Date
Topic Index I Contact Info
https://fortress.wa.gov/lni/bbip/detail.aspx?License=GENESFH37006
12/21/2004
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