HomeMy WebLinkAboutPermit M03-053 - CASCADE GLEN - LOT 6M03 -053
Cascade Glen —Lot 6
13223 38th Pl. So.
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Owner:
Name:
Address:
Contact Person:
Name:
Address:
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 1422600060
Address: 13223 38 PL S TUKW
Suite No:
Tenant:
Name: CASCADE GLEN - LOT 6
Address: 13223 38 PL S, TUKWILA, WA
DREAMCATCHER HOMES, LLC
PMB 1190, 13619 MUKILTEO SPEEDWAY, #D5
JAY KEIROUZ
PMB 1190, 13619 MUKILTEO SPEEDWAY, #D5
Contractor:
Name: J A K DEV & CONST CORP
Address: 13407 51ST AVE WEST, SEATTLE WA
Contractor License No: JAKDECCO23NS
MECHANICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Expiration Date:09 /04/2004
DESCRIPTION OF WORK:
INSTALL FORCED AIR GAS HEATING SYSTEM WITH DUCT WORK AND GAS PIPING
Value of Construction: $4,000.00
Type of Fire Protection: N/A
Permit Center Authorized Signature:
Signatur
doc: Mach
M03 -053
Phone: 206 300 -6874
Phone: 206 300 -6874
Phone: 206 - 300 -6874
Fees Collected:
Uniform Mechnical Code Edition:
M03 -053
06/02/2003
11/29/2003
$83.56
1997
Date: lv - 2 - 4 3
I hereby certify that I have read and examined `fFtis 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 const • or the performance of work. I am authorized to sign and obtain this mechanical permit.
-411411111111 _1. Date: 'C(
Print Name: cS M1s v' CT:1 7 05257
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: 06 -02 -2003
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 1422600060
Address: 13223 38 PL S TUKW
Suite No:
Tenant: CASCADE GLEN - LOT 6
PERMIT CONDITIONS
8: Manufacturers installation instructions required on site for the building inspectors review.
9: Water heater shall be anchored to resist earthquake (U.P.C. 510.5).
Permit Number: M03 -053
Status: ISSUED
Applied Date: 04/17/2003
Issue Date: 06/02/2003
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
3: Plumbing permits shall be obtained through the Seattle -King County Department of Public Health. Plumbing will be
inspected by that agency, including all gas piping (296- 4722).
4: Electrical permits shall be obtained through the Washington State Division of Labor and Industries and all electrical
work will be inspected by that agency (206- 835 - 1111).
5: 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.
6: Any exposed insulations backing material shall have a Flame Spread Rating of 25 or less, and material shall bear
identification showing the fire performance rating thereof.
7: 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).
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:
doc: Conditions
Print Name: c- tit- (�- �q1� -..S
M03 -053
Date: 4S/Z'��
Printed: 06 -02 -2003
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 **
SITVIOCATIO
Site Address: I ;Z Z '3 ��1 S� fli.. Suite Number: Floor:
Tenant Name: C._.0\-_,S C.4 a C LB t L. l ap New Tenant: .... Yes D ..No
Property Owners Name: 171z t��,A�-C t} t 1Z {�18t .t 5 U_ C
Mailing Address: Ph S l ( 13 1 °? ►"\ ti 1 C. V - - PT 1-7/■)?s fA 1 &37
City State Zip
CONTACT-PERS
Name:
Mailing Address: �—✓� t� . E
E -Mail Address: -J 1�. - l� -€N2 Z -Az) l-- • C27Z1
:GENERAL .CONTRACTORTNFORMATIO
•
Company Name:
Mailing Address:
City State Zip
Day Telephone( - z�G) :� L1
G 8 7
E -Mail Address: oW c 1�'L l -ems �@ z''�b t - .Cthh Fax Number: L/� 2 5) 7L-t I 7-6 Z4
Contractor Registration Number: 17 C _ t25 Z3 fv S Expiration Date: 9/0 /2-0 4
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
Contact Person: J - '( � . "--e z i Z
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
tappticatiorotpermit application (3.2003)
3/2003
King Co Assessor's Tax No.:
Day Telephone:C :d c) S t5-0 6 aw
City State Zip
Fax Number: GZ5)141 2634
ARCHITECT:OF RECORD All plans must be wet stamped by Areh!!tect.of Recur
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
Page I
State
State
Zip
E -Mail Address: Fax Number:
NGINEER O F RECORD All:plans must be Wet stamped byVErigineer of Record .:.
Zip
City
Day Telephone:
Fax Number:
...• !{ ;..... .. .Il: r'.to`.ti'.L'..J:`iu4iiu.i t. { "jr, s '.t�. %'�r >:v:JS�i;`.t:d�i Aiii;.'.t 6a.ic.•dn gii:iti':w
Unit Type::
Qty :
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:.
Qty '
Furnace <100K BTU
`
Air Handling Unit
>= 10,000 CFM
(
Other Mechanical
Equipment
0 -3 HP /100,000 BTU
Furnace>100K BTU
Evaporator Cooler
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan
It
15-30 HP /1,000,000 BTU
Suspended /Wall/Floor
Mounted Heater
Ventilation System
30 -50 HP /1,750,000 BTU
Appliance Vent
41it 1
Hood
i
50+ HP /1,750,000 BTU
Heat/Refrig/Cooling
System
Incinerator - Domestic
Air Handling Unit
<= 10,000 CFM
Incinerator - Comm /Ind
°MEOHANICAI PERM1T,`INF(+ ' ATIO "i206'= 431-367
cR`-� -, "H 7 Xi{. *- v -. 4 ,, ;) fi r,,,,, o f m r7{ v �. ,,t -"i*
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MECHANICAL CONTRACTOR INFORMATION
Company Name: <-aC\ 1G.- ,,c- 4 L
Mailing Address: "Fi ,,. 1 1 0 1 3 6 I r3 I1 U t 1.. E S l?c cY .t$-" - t YN.) u1(*r4D
City State Zip cm, 0 37_
Contact Person: c,'Y K.-- l t c.�� Day Telephone: C a0-c:3 74
E -Mail Address: _. t^ . G. - 14.-15 V 7 7e [._ . C2, Fax Number: qt 2 5 74 t 'Fa
Contractor Registration Number: -YA.V... 'pC Cam.. 0. Z 3NS Expiration Date: g/ c,i+
**An original or notarized copy of current Washington Slate Contractor License must be presented at the time of permit issuance**
Valuation of Project (contractor's bid price): $ at,--E)
Scope of Work (please provide detailed information): 11'-) S l A E'> aq q7
M w/ vGT tc.s � t - G
Use: Residential: New Replacement .... ❑
Commercial: New .... ❑ Replacement .... ❑
Fuel Type: Electric ❑ Gas Other:
Indicate type of mechanical work being installed and the quantity below:
4.PERMIT A PPTICATION NOTES A pplicable to all perm>tts''ia th>IS 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.
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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER
UTHORIZ
Signature:
Print Name: I1--1. 1`1 L.3
Mailing Address: �c
GENT:
Date Application Accepted:
Date Application Expires:
Staff Initials:
i
tapplicationstpennit application (3.2003)
3/2003
Page 4
Date: LI/ 17/D 3
Day Telephone: (mob, ace 6 8 7. 4 t
City
State
Zip
i[. + Stu ::. ,.. :u:...
Parcel No.: 1422600060
Address: 13223 38 PL S TUKW
Suite No:
Applicant: CASCADE GLEN - LOT 6
Receipt No.: R03 -00673 Payment Amount: 83.56
Initials: SKS Payment Date: 06/02/2003 11:03 AM
User ID: 1165 Balance: $0.00
Payee: DREAMCATCHER HOMES
TRANSACTION LIST:
Type Method Description Amount
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Payment Check 2187
ACCOUNT ITEM LIST:
Description
• MECHANICAL - RES
PLAN CHECK - RES
RECEIPT
Account Code Current Pmts
000/322.100 66.85
000/345.830 16.71
Permit Number: M03 -053
Status: APPROVED
Applied Date: 04/17/2003
Issue Date:
83.56
Total: 83.56
9207 06/03 9716 TOTAL 6075.78
Printed: 06 -02 -2003
/
•
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY' OF. TUKWILA BUILDING DIVISION
6300'Southcenter Blvd.; #100, Tukwila, WA 98188
PER
(206)431 -3670
Type of Inspectioa_�
Called:
�t
p.m•
Date a ia-7 03
Date Wanted: i op / 03
IV C I L
Requester:
Phone No:
o( � ° 73o
Approved per applicable. codes. 0 Corrections required prior to approval.
COMMENTS:
C t L i ►nt„
Inspector..
$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid, at $300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
Date:
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Date Called:
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Requester:
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes.
a orrections required prior to approval.
COMMENTS:
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Inspector: R etAd i r.
Date:
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El $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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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. Corrections required prior to approval.
nspector: n (� ' Date:
1'12v S3
(206)431 -3670
10- ��► -03
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0 $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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CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
PER
-3670
❑ orrection required equired prior to approval.
COMMENTS:
Date: _
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47.00 REINSPECTIONJFEE REQUIRED. Pr or to inspection, fee must be
aid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
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INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670
I spector:
7.00 REINSPECTIO
aid at 6300 Southce
eipt No.:
INSPECTION RECORD
Retain a copy with permit
Jc:4-1
Date:
'Date:
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PER
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Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
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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
COMMENTS:
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paid at 6300 Southcenter Blvd., Suite 100, Call to schedule reinspection.
Receipt No.:
Date:
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I ERMIT COOR . C
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M03 -053
PROJECT NAME: CASCADE GLEN LOT 6
SITE ADDRESS: 13223 38 PL S
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
DATE: 04 -21 -03
Revision # After Permit Is Issued
DEPARTMENTS:
Public Works ❑
Documents /routing slip.doc
2 -28 -02
D a S - i.o
Fire Prevention
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 04 -22 -03
Complete [l Incomplete ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS ROyrING:
Please Route , g Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: DUE DATE: 05 -20 -03
Approved ❑ Approved with Conditions Not Approved (attach comments) ❑
Notation:
REVIEWER'S INITIALS:
PERMIT COORD
Planning Division
Permit Coordinator
Not Applicable ❑
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
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REGISTERED AS PROVIDED BY LAW AS
:CONST CONT GENERAL • .
- ' REGIST. # .EXP. DATE
CC01 JAKDECCO23NS 09/04/2004
EFFECTIVE DATE ' 08/10/1998
. i
J A K DEV & CONS T CORP
13407 51ST AVE W
$
EDMONDS WA 98026
AgOtO■ Oft'
Signature
Issued by DEPAZMENT OF L AND INDUSTRIES