HomeMy WebLinkAboutPermit M03-047 - BROOME RESIDENCEi•
•
BROOME RESIDENCE
3320 S 132 ST
M03-047
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 1523049058
Address: 3320 S 132 ST TUKW
Suite No:
Tenant:
Name: BROOME RESIDENCE
Address: 3320 S 132 ST, TUKWILA, WA
Owner:
Name: SISLEY A D
Address: 3320 S 132ND ST, SEATTLE WA
Contact Person:
Name: MICHELE - ROSSOE ENERGY SYSTEMS
Address: 9367 RAINIER AV S, SEATTLE, WA
Contractor:
Name: ROSSOE ENERGY SYSTEMS INC.
Address: 9367 RAINIER AV S, SEATTLE, WA
Contractor License No: ROSSOES142QP
DESCRIPTION OF WORK:
ADDING HEAT RUN (DUCT WORK) NTO BASEMENT, INSTALLING CHIMNEY LINER AND EAC TO
EXISTING FURNACE.
Value of Construction:
Type of Fire Protection:
$500.00
N/A
Permit Center Authorized Signature: - ' / �� er __ Date: ' Z
7
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 thi • permit does not presume to give authority to violate or cancel the provisions of any other state or local laws
regulating constru J ion or the prmance of work. I am authorized to sign and obtain this mechanical permit. /
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Date: 3` 2 !U 3
Signature:
Print Nam = ( S //kJ ace
MECHANICAL PERMIT
Permit Number: M03 -047
Issue Date: 03/20/2003
Permit Expires On: 09/16/2003
Phone:
Phone: 206 725 -7555
Phone: 206 725 -7555
Expiration Date: 11/17/2004
Fees Collected: $41.40
Uniform Mechnical Code Edition: 1997
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.
doc: Mech
M03 -047
Printed: 03 -20 -2003
Parcel No.: 1523049058
Address: 3320 S 132 ST TUKW
Suite No:
Tenant: BROOME RESIDENCE
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
Permit Number: M03 -047
Status: ISSUED
Applied Date: 03/20/2003
Issue Date: 03/2012003
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.).
9: Water heater shall be anchored to resist earthquake (U.P.C. 510.5).
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 construction or the performance of work.
Signature:
Date: ,3 Z_v /3 3
Print Nam J 7 377 N Zi /e---
doc: Conditions
M03 -047
Printed: 03 -20 -2003
Project Name/Tenant: Qaa
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Value of Equipment:
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Site Address :
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City State/Zip:
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Tax Parcel Number:
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Street Address:
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Contractor:
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CITY OI- , UKWILA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
Mechanical Permit Application
Application and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or facsimile.
MECH411CAL PERMIT REVIEW AND APRRO.VALIREQUESTEp': (TO tIEF1LLED.OUTB1�APl'LICANT)''
Des riplion of work to be done (please be spgcific):
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Current copy of Washington State Department of Labor and Industries Valid Contractor's License. If not available at the time of
application, a copy of this license will be required before the permit is issued OR submit Form 1-1-4, "Affidavit in Lieu of Contractor
Registration ".
Building Owner /Authorized Agent: If the applicant is other than the owner, registered architect/engineer, or contractor licensed by the
Stale of Washington, a notarized letter from the property owner authorizing the agent to submit this permit application and obtain the
permit will be required as part of this submittal.
1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
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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 114.4 of the Uniform Mechanical Code (current edition). No application shall be
extended more than once.
Date application accepted:
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Date application expires:
Application taken by: (initials)
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Submittal Requirements
Floor plan and system layout
Roof plan required to identify individual equipment and the location of each installation (Uniform
Mechanical Code 504 (e))
Details and elevations (for roof mounted equipment) and proposed screening
Heat Loss Calculations or Washington State Energy Code Form #H -7
H.V.A.C. over 2,000 CFM (approximately 5 ton and larger) must be provided with smoke detection shut-
off and will be routed to the Fire Prevention division for additional comments (Uniform Mechanical
Code 1009).
Specifications must be provided to show that replacement equipment complies with the efficiency ratings
and other applicable requirements of the Washington State Nonresidential Energy Code.
Structural engineer's analysis is required for new and the replacement of existing roof equipment
weighing 400 pounds and greater (Uniform Building Code 1632.1). Structural documentation shall be
stamped by a Washington State licensed Structural Engineer.
Mechanical Permits
COMMERCIAL: Two complete sets of drawings and attachments required with application submittal
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RESIDENTIAL: Two complete sets of attachments required with application submittal
NOTE: Water heaters and vents are included in the Uniform Mechanical Code — please include any water
heaters or vents being installed or replaced.
Submittal Requirements
New Single Family Residence
Heat loss calculations or Form 11 -6.
Equipment specifications.
Change - out or replacement of existing mechanical equipment
Narrative of work to be done, including modification to duct work.
Installation of Gas Fireplace
Narrative with specification of equipment and chimney type.
If using existing chimney, provide a letter by a certified chimney sweep stating that the chimney is in safe
condition.
NOTE: Water heaters and vents are included in the Uniform Mechanical Code — please include any water
heaters or vents being installed or replaced.
TRANSACTION LIST:
ACCOUNT ITEM LIST:
Description
doc: Receipt
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
City of Tukwila
MECHANICAL - RES
•
Account Code Current Pmts
000/322.100 41.40
Total: 41.40
'03/20 2116 TOTAL AL. `i1.4(:)
Printed: 03 -20 -2003
RECEIPT
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Parcel No.: 1523049058 Permit Number: M03 -047 6 O
Address: 3320 S 132 ST TUKW Status: PENDING to 0
Suite No: Applied Date: 03/20/2003 N W
Applicant: BROOME RESIDENCE Issue Date: N 1
W O
2
Receipt No.: R03 -00360 Payment Amount: 41.40 g
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Initials: SKS Payment Date: 03/20/2003 03:05 PM w
User ID: 1165 Balance: $0.00 z H .
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Payee: ROSSOE v 0
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Type Method Description Amount I-- � '.
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Payment Check 65449 41.40 tll
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Project:
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Type of Inspection:
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Address:
3.37(1 S. 132►
Date C4110:
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Special Instructions:
Date W nt d:
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Requests :
►�eAcc&y
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
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El Corrections required prior to approval.
COMMENTS:
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Perk w• % r cow.
$
ctor:
7.00 REINSPECTI • FEE REQUIR •. Prior to inspection, fee must be
id at 6300 Southcenter Blvd., Suite 100. Call to schedule relnspection.
Receipt No.:
Date
Date:
Pr • t:
fS 070111C --
Sid mCQ
"Tyke..of Inspection:
Cc- V1/1 (ily
Address:
3 3x0 S /
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Date Calle
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Special Instructions:
Date Wa t
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Re uester :
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Phone 7 0(O —02q3
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D Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3670
COMMENTS:
/ , � 4 "2e& l4- -- 40/ � 2-v/6,
crl.0� , 1 � r� Trf-� 49d..`4t 4 .c,
Corrections required prior to approval.
Date ,
LJ $47.bO TEINSPECTION - REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection.
Receipt No.:
Date:
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DEPARTMENT OF LABOR AND INDUSTRIES
LICENSED AS PROVIDED
ELEC CONTR GENERAL
ECO1 ROSSOES142QP
EFFECTIVE DATE
EXP. DATE
11/17/2004
11/17/1986
ROSSOE ENERGY'6YSTEMS
9367 RAINIER AVE S
SEATTLE WA 98118
Detach And Display Certificate
BY LAW AS