HomeMy WebLinkAboutPermit M03-071 - BRUCE RESIDENCEBRUCE RESIDENCE
13018 32 AVENUE
SOUTH
M03-071
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
doc: Mech
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 7359600430
Address: 13018 32 AV S TUKW
Suite No:
BRUCE ROBERT + JULIE M
PO BOX 69013, TUKWILA WA
BRUCE ROBERT + JULIE M
PO BOX 69013, TUKWILA WA
ROBERT BRUCE
Address: 13018 32 AV S, TUKWILA, WA
Contractor:
Name: PERFORMANCE HEATING
Address: 7649 S 180 ST, KENT WA
Contractor License No: PERFOHA15ORT
DESCRIPTION OF WORK:
REMOVE AND REPLACE RESIDENTIAL GAS FURNACE.
Value of Construction: $2,800.00
Type of Fire Protection:
Permit Center Authorized Signature:
Signature: C -A 4
Print Name: A1i .1/-e -/ 00A - p
MECHANICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 242 -4106
Phone: 425 251 -0356
Expiration Date: 04/29/2005
Fees Collected: $52.00
Uniform Mechnical Code Edition: 1997
Date:
M03 -071
05/15/2003
11/11/2003
/S
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 presume to give authority to violate or cancel the provisions of any other state or local laws
regulating construction or the performance of work. I am authorized to sign and obtain this mechanical 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.
M03 -071
Date: f- / SS- D 3
Printed: 05 -15 -2003
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 7359600430
Address: 13018 32 AV S TUKW
Suite No:
Tenant: BRUCE ROBERT + JULIE M
1: ** *BUILDING DEPARTMENT CONDITIONS * **
PERMIT CONDITIONS
Permit Number: M03 -071
Status: ISSUED
Applied Date: 05/15/2003
Issue Date: 05/15/2003
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:
Print Name: //c.-/ (3L
/L � 2C
doc: Conditions
M03 -071
Date: S /s- v--3
Printed: 05 -15 -2003
Tenant Name:
E -Mail Address:
E -Mail Address:
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
1applicationslpennit application (3.2003)
3/2003
CITY OF TUKWIL4
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
SITE::LOCATI
Site Address: /30 /2? 3Z'` ,4JE $
Property Owners Name: ROIEP_T 312u eG`
Mailing Address: / 3 0 / $ 32 i9✓e S
Name: (Zo (36" k2 r (3 e u cE:
Mailing Address: r 3 o/
Company Name: pcg f ' •ant 4 /t/ GC / 7rL/¢% /A) (�
Mailing Address: 7g. l 7 Sc ' /
Contact Person: 44 rc
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
King Co Assessor's Tax No.: 735 ?G bb4/30
Suite Number: Floor:
New Tenant: .... Yes D..No
Tit (.,J(' L6
city
w4
State
CONTACTPERSO
Day Telephone: 20 6 2 yL - 4 7 / /0�
'71tLt.A.
City
Fax Number:
UM. 7S/6 g
State Zip
•TNGINEER OF ORD All plans be wet stn ped tiy:En Recor
l .A4- 9 d' o3 2
City State Zip
Day Telephone: 1 /2f -2 5 / - ° $
Fax Number: «25- 2_5 - 02eV
Contractor Registration Number: ?2R Fa // i¢ /3 i Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
ARCHITECT `.OF RECORD All•, plans must-be wet stamped by Architect of Recor
Company Name:
Mailing Address:
State
?8"7.‘ 44'
Zip
Zip
City
Day Telephone:
Fax Number:
Company Name:
Mailing Address:
State
Zip
City
Day Telephone:
Fax Number:
.BUILDING PERMIT INFORMATION _ 206=431 -3670
,E `:�i�c.y qtr y`� �' ' H , . t . 1 . .. .. : }:7 i.: i � s .i ; � .;+` s .. • -
Valuation of Project (contractor's bid price): $ 2 � X e 0
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
1" Floor :. •
2° ° Floor
3 Floor
Floors, ' thru..•
Basement
Accessory Structure * -
Attached Garage •
Detached Garage.
Attached, Carport
;;Detached Carport. :;
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 (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.
\applications \permit application (3.2003)
3/2003
Page 2
',PUBLIC °WORKS PERMIT.INF ^RMATION' .206433 017
-
Scope of Work (please provide detailed information):
Please refer to Public. Works Bulletin #1 for fees and estimate sheet.
Water District
❑ ...Tukwila ❑...Water District #125
❑ ...Water Availability Provided
Sewer District
❑ ...Tukwila ❑... ValVue ❑ .. Renton ❑ ...Seattle
❑ ...Sewer Use Certificate 0... Sewer Availability Provided ❑ .. 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 (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):
❑ ...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
cubic yards
cubic yards
❑ ...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.. 11
❑ ...Water Only Meter Size If
❑ ...Sewer Main Extension Public _
❑ ...Water Main Extension Public
\applications \permit application (3.2003)
3/2003
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
Call before you Dig: 1 -800- 424 -5555
WO#
WO#
WO#
Private
Private
p .. Highline
❑ ,. Geotechnical Report ❑...Traffic Impact Analysis
❑ .. 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
❑ ...Renton
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑ ...Deduct Water Meter Size
It
FINANCE INFORMATION
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
❑ ...Water
Monthly Service Billing to:
Name:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
❑ ...Sewer ❑ ...Sewage Treatment
Day Telephone:
City
State
Zip
Day Telephone:
City
State Zip
Z
1 I--
l— Z
6
W
JU
O 0
N D
-
N W
W O
l- W
z
1- 0
W
W
V co
O co
D i-
WW
0
ti .Z
O~
Z
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
1
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
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
1- IeatlRefrig /Cooling
System
Incinerator - Domestic
Air Handling Unit
<= 10,000 CFM
Incinerator — Comm /Ind
MECHANICALTERMI .INFORMATION =. 206- 431 =3670 :
MECHANICAL CONTRACTOR INFORMATION
Company Name: f"� =��`'� x9, lam �7� t1 / /it/
Mailing Address: /efo
Contact Person: "c4 �E
E -Mail Address:
Contractor Registration Number: /76 `by4 / $ o(Q7 Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
Valuation of Project (contractor's bid price): $ 2, go
Scope of Work (please provide detailed information): 6 i1- 5 f G4J / c.',�w4-CC (j-/4.19e..._ oc
Use: Residential: New .... ❑
Commercial: New .... ❑
Fuel Type:
Replacement ...
Replacement ....
Indicate type of mechanical work being installed and the quantity below:
City
Day Telephone:
State Zip
Yzs'zr/ - 03 -(
Fax Number: '2f - Zrl — 62_b'
Electric EJ Gas .44 Other:
PERMIT AP.PI ICATION NOTES Applicable to alt perm>its'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.
BUILDING OWNER OR AUTHORIZED AGENT:
Signature: at/,<
Print Name: /e/ c L4 e / DE-(/o2 /
Mailing Address: 7 6 Y 7 .5-0 / 8 °
lapplicationalpermit application (3.2003)
3/2003
Page 4
City
Date: S / r- 0 3
Day Telephone:
c,U 7r03 Z
State Zip
Date Application Accepted:
lrS" d 3
Date Application Expires:
/ / — /s d3
Staff Initials:
i
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Payee: PERFORMANCE HEATING & NC INC
RECEIPT
Parcel No.: 7359600430 Permit Number: M03 -071
Address: 13018 32 AV S TUKW Status: APPROVED
Suite No: Applied Date: 05/15/2003
Applicant: BRUCE ROBERT + JULIE M Issue Date:
Receipt No.: R03 -00597 Payment Amount: 52.00
Initials: SKS Payment Date: 05/15/2003 09:50 AM
User ID: 1165 Balance: 60.00
TRANSACTION LIST:
Type Method Description Amount
doc: Receipt
Payment Check 19216
ACCOUNT ITEM LIST:
Description
MECHANICAL - RES
52.00
Account Code Current Pmts
000/322.100 52.00
Total: 52.00
9702 05/15 9716 TOTAL 52.00
Printed: 05 -15 -2003
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Date Calle . / , /
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Date Wanted:
r; 0103 p.m.
Special Instructions:
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RequestrZ .
Phone -,..
—4 100
. 2. .•...
INSPECTION NO.
•
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Inspector:
lEr Approved per applicable codes.
1 /14 0 3-0
(206)431-3670
JJ Corrections required prior to approval.
COMMENTS:
"---: - re) Veci
t t v v - c c - A -
C wx
T '\ir , 01
Date:
El $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
F625.052.000 (8/97)
State of Washington
County of King
DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
;' ;�REGIST ,•,$# ;..,-; EXP ( DATE'
.CCOL :.PERFOHA150RT`:04'/29/.'2:0.05
EFFECTIVE "DATE 12/,30/1985
PERFORMANCE.HEATING & A/C INC
:7649 S 180TH
KENT WA 98032
I certify that this is a true and correct copy of a document in the possession of
Performance Heating & Air Conditioning, Inc. as of this date.
Dated: � /° 3
(Signature)
Title:Vice President of Finance
My appointment expires: 6/19/05
Residing at: Renton, WA. 98055