HomeMy WebLinkAboutPermit M03-005 - DONAHUE RESIDENCEDONAHUE
RESIDENCE
13738 53 AV S
M03 -005
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Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
DESCRIPTION OF WORK:
REPLACE GAS FURNACE
Signature:
doc: Mech
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
0003000096
13738 53 AV S TUKW
Address: ,
Contractor License No:
DONAHUE RONALD J SR
13738 53RD AVE S, TUKWILA WA 98168
DONAHUE RONALD J SR
13738 53RD AVE S, TUKWILA WA 98168
RONALD DONAHUE
13738 53 AV 5, TUKWILA WA
OWNER AFFIDAVIT ON FILE
Value of Construction: $300.00
Type of Fire Protection:
Permit Center Authorized Signature: Kct (/t{
MECHANICAL PERMIT
)a
Print Name: .•1✓A ) A- h 1,. .
M03 -005
Permit Number:
Issue Date:
Permit Expires On:
Expiration Date:
Phone:
Phone: 206 - 243 -6487
Phone:
Fees Collected:
Uniform Mechnical Code Edition:
Date: /— 7 3-
/ Date:
M03 -005
01/13/2003
07/12/2003
$45.55
1997
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 wi I -be c mplied with, whether sp ified herein or not.
The gr nfing of this permit do :s of esume to give authoritjto Violate or cancel the provisions of any her state or ocal laws
regulatii g constr etion or th a p: rfo e of w' rk. I am au ized to sign and obtain this mechanic 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.
Printed: 01 -13 -2003
•
Signature:
Print Name:
doc: Conditions
City of Tukwila
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 granti of-t is permit does nopresu- e o give authority to v olat a or'cancel the provision of any other work or local laws
regula ing construcion or theper (man e of ork. / j
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
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Parcel No.: 0003000096 Permit Number: M03 -005
Address: 13738 53 AV S TUKW Status: ISSUED 6 v
Suite No: Applied Date: 01/13/2003 U 0
Tenant: DONAHUE RONALD J SR Issue Date: 01/13/2003
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1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
3: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any
construction. These documents are to be maintained and available until final inspection approval is granted.
4: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997
Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition).
5: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations 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 ordinance of the jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this
code shall be valid.
6: Manufacturers installation instructions required on site for the building inspectors review.
7: Fuel burning appliances may not be installed in sleeping rooms, U.M.C. 304.5.
8: Appliances which generate flame, spark or glowing ignition, shall be elevated 18 inches above the floor (U.M.C.
303.1.3.).
ot/ A-- �� ... _
M03 -005
Date:
Printed: 01 -13 -2003
■
: SITE;LOCATION,
p° K C o Assessor's Tax No.:
Site Address: / - 5 r 1 ` ,ew1 l Suite Number: Floor:
Tenant Name: 0 AM (C' J UOM/4 V {p S /`— New Tenant: 0 .... Yes 0..No
Property Owners Name: / �t/41-1-6 J &wt. 4 t , ,Q S i7L---
3 7 3 P ^ 5 - - 3 e.° _5' 7---ti/et,, t ity / � w/9 _ 9 state
Mailing Address:
- v .�-�t ,� e
Mailing Address: 3 7 5( ' 5
E -Mail Address:
GENERAL CONTRACTOR'S INFORMATIO
Name:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
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 **
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
■apptications\pennit application (1 -2001)
1/2001
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 **
Page 1
Building Permit No
Mechanical Permit No d 0
ate
Public Works Permit No
(For office useonly '.::..
Day Telephone: ZQ 6' ` Y3 67T;
(/9 ' 9.59/6 ' P
City State Zip
Fax Number:
City
Day Telephone:
Fax Number:
State
City
Day Telephone:
Fax Number:
State
State
Zip
Zip
Zip
Zip
ENGINEER .OF.;RECORD =All plans must be wet stamped by Engineer. of Record
City
Day Telephone:
Fax Number:
BUILDING PERMIT INFORMA _ SON 206 431 3670
Valuation of Project (contractor's bid price): $ Existing Building Valuation: $
Scope of Work (please provide detailed information):
Will there be new rack storage? ❑...Yes ❑ .. No
'applicationslpennit application (1.2003)
1/2003
If "yes ", see Handout No.
Page 2
for requirements.
Provide AB Building Areas in Square Footage Below
I' Floor
2 " Floor
r Floor.
.Floors thru
Basement
Accessory. Structures
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
per UBC
Type of
Occupancy per
UBC
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.
UTILITY DISTRICTS:
Note: If the utility district is not City of Tukwila, you must provide written verification and approval from that utility district at the time of permit
application.
Water
❑ .. City of Tukwila Water District 0.. Water District #I25 ❑... Highline Water District ❑...City of Renton Water District
Sewer
❑ .. City of Tukwila Sewer District ❑.. Val Vue Sewer District ❑...City of Renton Sewer District ❑...City of Seattle Sewer District
❑ .. Septic System (if property is served by a septic system, 2 copies of approved septic design from King County Health Department must be
submitted at the time of permit application)
.. niw... a.+.: A:: .::..,.t..'.:. �•::: ,..,,...isk2,:�>+�l:::C. r..::):} viia, Jyj1u):{.'k' X:: eir�, 1: w; 4k„ tiib�: M:}:. 2r' XV .i.%.:i.ir.�.�:.+•'.:Y:6': +:��.
PUBLIC PERMIT INFL .NATION 2
Scope of Work (please provide detailed information):
Street Use:
❑ .. Street Use
Water Meter Refund/Billing:
Name:
Mailing Address:
tapplicationstpennil application (1.2003)
1 /2003
❑... Channelization /Striping
6- 433 -01
Call before you Dig: 1- 800 - 424 -5555
City
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
0... Curb cut/Access/Sidewalk
1
i
1
Land Altering and /or Hauling:
I ❑ .. Land Altering: ❑...Cut cubic yards 0... Fill
1
f Storm Drainage:
1 ❑ .. Storm Drainage ❑...Flood Control Zone
1
I Sewer Information:
i ❑ .. City of Tukwila Sewer District ❑.. Val Vue Sewer District ❑...City of Renton Sewer District ❑ .. City of Seattle Sewer District
1 ❑ .. Sanitary Side Sewer ❑.. Sewer Main Extension ❑ .. Private ❑ .. Public
i
I Water Information:
t ❑ .. City of Tukwila Water District ❑.. Water District #125 ❑ ... Highline Water District 0... City of Renton Water District
❑ .. Water Main Extension ❑ .. Private ❑...Public
❑ .. Water Meter/Exempt: Size(s): ❑.. Deduct ❑...Water Only
❑ .. Water Meter Permanent #: Size(s):
❑ .. Water Meter Temporary #: Size(s): ❑ .. Est. Quantity: gallons
❑ .. Fire Loop/Hydrant (main to vault) #: Size(s): ❑ .. Landscaping Irrigation
a ❑ .. Miscellaneous:
1
9
9
Page 3
cubic yards ❑ .. Hauling
Monthly Service Billing to:
Name: Day Telephone:
Mailing Address:
City State Zip
Water ... ❑ Sewer ... ❑ Sewage Treatment ❑ Fire Line .... ❑
Day Telephone:
State Zip
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Unit Type:
Qty
Unit Type:
Qty
Unit Type:.
Qty
Boiler /Compressor:
Qty
Furnace <I00K BTU
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipment
0 -3 HP /100,000 BTU
Furnace >I00K BTU
Evaporator Cooler
3 -15 HP /500,000 BTU
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
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person: ,(
E -Mail Address:
Contractor Registration Number:
* *An original or notarized copy of current Washington State Contractor
Valuation of Project (contractor's bid price): $ (v e
Scope of Work (please provide detailed information):
pki L La Bois
Use: Residential: New .. Replacement ....&
Commercial: New ....0 Replacement ....❑
Fuel Type: Electric 0 Gas... ►4; Other:
Indicate type of mechanical work being installed and the quantity below:
PERMIT: APPLICATION. NOTES - Applicable to alt 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 applica or a period not exceeding 180 days upon written request by the applicant as
defined in Section 107.4 of the Unifor 'ng Code (current es ti . n). No application shall be extended more than once.
I HEREBY CERTIFY THA
PENA ' RJURY BY
BUILD G O • ' ' OR AU
Signature:
Print Name:
Mailing Address:
\applications \permit application (1.2003)
I/2003
1ZED
0A m-4 C1,, 0dti 49 S /-
City
CA/A Day Telephone:
Fax Number:
Expiration Date:
d C� t - 2�3 4
License must be presented at the time of permit issuance **
D THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
AND EXA
LA OF HE STAT r O' WASHINGTON, AND I AM AUTHORIZED TO APPLY F R T IS PERMIT.
Page 4
Date:
Day Telephone: 2 (O
City
State
Zip
Date Application Accepted:
Date Application Expires:
Staff Injtials:
i
User ID: 1684
Payee:
TRANSACTION LIST:
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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RECEIPT 4z.
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C.)
Parcel No.: 0003000096 Permit Number: M03-005 co 0
Address: 13738 53 AV S TUKW Status: PENDING Co w
Suite No: Applied Date: 01/13/2003
Applicant: DONAHUE RONALD J SR Issue Date: N w
w O.
Receipt No.: R03 -00031 Payment Amount: 45.55 g 5
CO
Initials: KAS Payment Date: 01/13/2003 09:03 AM H W '
Balance: $0.00
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Type Method Description Amount = U'
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Payment Check 3504 45.55 ti Z
Off'
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RONALD DONAHUE
MECHANICAL - RES
Account Code Current Pmts
000/322.100 45.55
Total: 45.55
4335 01/14 cJ7.t6 TOTAL 4555
Printed: 01 -13 -2003
Proje t:
0vue hcc7 /tom. ,
Type of In tion:
i
Add s:
Date Called: ut
Special Instructions:
Date Wanted:
L f3 p.m.
Re ester:
K 0� (
Phone No:
a `t3 -cam 4B 7
Approved per applicable codes.
0,..,
D required pri to approval.
COMMENTS:
(9
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CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Inspect
6.
INSPECTION NO.
44))-
0$4 R EINSPECTIO FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
INSPECTION RECORD
Retain a copy with permit
Date: 1 l 7
p463
PERM., N
(206)431 -3670
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AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
STATE OF WASHINGTON
COUNTY OF KING
( Zoe- l % r be i v E? s , states as follows:
1. I have made application for a building permit from the City of Tukwila, Washington.
2. I understand that state law requires that all building construction contractors be registered with the
State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the
Revised Code Washington, a copy of which is printed on the reverse side of this Affidavit. I have
read or am familiar with RCW 18.27.090.
3. I understand that prior to issuance of a building permit for work which is to be done by any
contractor, the City of Tukwila must verify either that the contractor is registered by the State of
Washington, or that one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby
attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I
consider the work authorized under this building permit to be exempt under No. I2— , and
will therefore not be performed by a registered contractor.
I understand that I may by waiving certain rights that I might otherwise have under state lawn any decision to
engage an unregistered contractor to perform construction work.
AFFCONT 1/13/00
CITY OF T, :WILA
Permit Center
6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188
Telephone: (206) 431 -3670
)
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APPLICANT
Signed and sworn to before me this
13 day of'`'`
, 20 0 � -
NOTARY PUBLIC in and for the State of Washington,
residing at
Name as commissioned:
My commission expires:
County.
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18.27.090 Exemptions. This chapter shall not apply to:
1. An authorized representative of the United States
Government, the State of Washington, or any
incorporated city, town, county, township, irrigation
district, reclamation district, or other municipal or
political corporation or subdivision of this state;
2. Officers of a court when they are acting within the
scope of their office;
3. Public utilities operating under the regulations of the
utilities and transportation commission in
construction, maintenance, or development work
incidental to their own business;
4. Any construction, repair, or operation incidental to the
discovering or producing of petroleum or gas, or the
drilling, testing, abandoning, or other operation of any
petroleum or gas well or any surface or underground
mine or mineral deposit when performed by an owner
or lessee;
5. The sale or installation of any finished products,
materials, or articles of merchandise which are not
actually fabricated into and do not become a
permanent fixed part of a structure;
6. Any construction, alteration, improvement, or repair
of personal property, except this chapter shall apply
to all mobile /manufactured housing. A
mobile /manufactured home may be installed, set up,
or repaired by the registered or legal owner, by a
contractor licensed under this chapter, or by a
mobile /manufactured home retail dealer or
manufacturer licensed under chapter 46.70 RCW;
7. Any construction, alteration, improvement, or repair
carried on within the limits and boundaries of any site
or reservation under the legal jurisdiction of the
federal government;
8. Any person who only furnished materials, supplies, or
equipment without fabricating them into, or
consuming them in the performance of, the work of
the contractor;
9. Any work or operation on one undertaking or project
by one or more contracts, the aggregate contract
price of which for labor and materials and all other
items is less than $500, such work, or operations
being considered as of a casual, minor, or
inconsequential nature. The exemption prescribed in
this subsection does not apply in any instance
wherein the work or construction is only a part of a
larger or major operation, whether undertaken by the
same or a different contractor, or in which a division
AFFCONT 1/13/00
of the operation is made into contracts of amounts
less than $500 for the purpose of evasion of this
chapter or otherwise. The exemption prescribed in
this subsection does not apply to a person who
advertises or puts out any sign or card or other
device which might indicate to the public that he is a
contractor, or that he is qualified to engage in the
business of contractor;
10. Any construction or operation incidental to the
construction and repair of irrigation and drainage
ditches of regularly constituted irrigation districts or
reclamation districts; or to farming, dairying,
agriculture, viticulture, horticulture, or stock or poultry
raising; or to clearing or other work upon land in rural
districts for fire prevention purposes; except when
any of the above work is performed by a registered
contractor;
11. An owner who contracts for a project with a
registered contractor;
12. Any person working on his own property, whether
occupied by him or not, and any person working on
his residence, whether owned by him or not but this
exemption shall not apply to any person otherwise
covered by this chapter who constructs an
improvement on his own property with the intention
and for the purpose of selling the improved property;
13. Owners of commercial properties who use their own
employees to do maintenance, repair, and alteration
work in or upon their own properties;
14. A licensed architect or civil or professional engineer
acting solely in his professional capacity, an
electrician licensed under the laws of the state of
Washington, or a plumber licensed under the laws of
the state of Washington while operating within the
boundaries of such political subdivision. The
exemption provided in this subsection is applicable
only when the licensee is operating within the scope
of his license;
15. Any person who engages iri the activitie
regulated as an employee of a,regi contractor
with wages as his sole compensation;
•
16. Contractors on highway projeats have been
prequalified as required by chapter 133 of the Laws of
1961, RCW 47.28.070 with the department of
transportation to perform highway construction,
reconstruction, or maintenance work.