HomeMy WebLinkAboutPermit M03-105 - FOSTER HEIGHTS - LOT 6FOSTER HEIGHTS -
LOT 6
4809 S 1457" STREET
M03 -105
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2610000060
Address: 4809 S 145 ST TUKW
Suite No:
Tenant:
Name: FOSTER HEIGHTS - LOT 6
Address: 4809 S 145 ST, TUKWILA WA
Owner:
Name: TRIDOR INC
Address: 2226 ELLIOTT AV, SUITE A, SEATTLE WA
Contact Person:
Name: CHARLES PRIB
Address: 14205 SE 255 PL, KENT WA
Contractor:
Name: LONG CLASSIC HOMES, LTD.
Address: 1624 PIONEER ST, ENUMCLAW, WA
Contractor License No: LONGCHL05409
DESCRIPTION OF WORK:
COMPLETION OF MECHANICAL WORK UNDER PERMIT NO. MO2 -101 WHICH EXPIRED IN 5/03.
INSTALL HEATING SYSTEM COMPLETE DUCTING, FURNACE AND WATER HEATER.
Value of Construction:
Type of Fire Protection:
Permit Center Authorized Signature:
Print Name:
doc: Mech
$15,000.00 Fees Collected: $47.00
NONE Uniform Mechnical Code Edition: 1997
taidk
I hereby certify that 1 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 graft ti n�'of does not presume to give authority to violate or cancel the provisions of any other state or local laws
regulatin ,constructio r the performance. _k. I am authorized to sign and obtain this mechanical permit.
t e: (k, /Z
Date:
Sig n a ur l�• 7/3
MECHANICAL PERMIT
Permit Number: M03 -105
Issue Date: 06/27/2003
Permit Expires On: 12/24/2003
Phone: 206 - 443 -7735
Phone: 253 -631 -6864
Phone:
Expiration Date:11 /05/2004
Date: c/' t1 - O
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 -105
Printed: 06 -27 -2003
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2610000060
Address: 4809 S 145 ST TUKW
Suite No:
Tenant: FOSTER HEIGHTS - LOT 6
1: ** *BUILDING DEPARTMENT CONDITIONS * **
PERMIT CONDITIONS
Permit Number: M03 -105
Status: ISSUED
Applied Date: 06/27/2003
Issue Date: 06/27/2003
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: 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).
7: 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.
8: Ventilation is required for all new rooms and spaces of new or existing buildings in conformance with the Uniform
Building Code and the Washington State Ventilation and Indoor Quality Code, Chapter 51 -13 WAC.
9: Fuel burning appliances may not be installed in sleeping rooms, U.M.C. 304.5.
10: Appliances which generate flame, spark or glowing ignition, shall be elevated 18 inches above the floor (U.M.C.
303.1.3.).
11: 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
reguiatig -con ruction or the performance of work.
Sig �i ure:
�G��,o� Date:
Print Name:
doc: Conditions
r PAN, rLA
M03 -105
Printed: 06 -27 -2003
Site Address:
Tenant Name:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
CITY OF TUKWILA
Community Development .partment
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
2949 ai'554 27k
:.CONTACTPERSON
Name: Lem
Mailing Address: /7 6
'GENERAL :CONTRACTOR INFORMATION;
applications \permit application (3- 2003)
3/2003
Page 1
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 **
255
Ivfechatiical Permit:. o
-Public.Works Permit Igo:
Project No: r,
or ofce,use only)
Kin e Co Assessor's Tax No.:
Suite Number: Floor:
Property Owners Name: jr-7 dpi L `tJC_ /
Mailing Address: Zzy� � /L, p- �V�= S -4_ A ,Cit t�P�- 1I �4..-
y
p D� Telephone:
r C ily
Fax Number:
New Tenant: ❑ .... Yes ..No
State
State
State
State
State
Y Zip
Zip
Zip
City
Day Telephone:
Fax Number:
Contractor Registration Number: Zo /./Zz) 6- ei O4 Expiration Date: /y/ /6 3
**An original or notarized copy of current Washington tate Contractor License must be presented d{ the time of permit issuance **
ARCHITECT OF RECORD 7 Ail plans must be wet stamped by Architect of Record,
Zip
City
Day Telephone:
Fax Number:
ENGINEER.OF :RECORD = All plans must be wet stamped by Engineer: of Record
Zip
City
Day Telephone:
Fax Number:
Valuation‘oftject Ilia elkaditgs bid price): $ Existing Building Valuation: $
Scope of WoZ'lCIpleaseprl vtle dLtai)ed information):
Will there be new rack storage? 0 ..Yes ❑ .. No If "yes ", see Handout No. for requirements.
Provide All Building Areas in Square Footage Below
l" Floor
2"" Floor'
3 Floor
Floors ::thru
Basement
•
Accessory Structure*
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? D ....Yes ❑ ..No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑..Sprinklers D..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.
lapplicationstpermit application (3.2003)
3/2003
Page 2
P WORKS :PERMIT. INFORMATION:- 206-433=0179
Scope of Work (please provide detailed information):
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
❑ ...Tukwila ❑... Water District #I25
❑ ... Water Availability Provided
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
%applications\permit application (3.2003)
3/2003
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..
❑...Water Only Meter Size
❑ ...Sewer Main Extension Public _
❑ ...Water Main Extension Public _
H
Call before you Dig: 1- 800 - 424 -5555
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
11
WO#
WO#
W O#
Private
Private
❑ .. Highlinc
❑ ...Renton
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.
❑ .. Geotechnical Report ❑...Traffic Impact Analysis
❑ .. Maintenance Agreement(s) ❑...Hold Harmless
0 .. Right -of -way Use - Profit for Tess than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑ .. Work in Flood Zone
❑ .. Storm Drainage
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑ ...Deduct Water Meter Size
FINANCE INFORMATION
Fire Line Size at Property Line
❑...Water ❑...Sewer
Monthly Service Billing to:
Name:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
Number of Public Fire Hydrant(s)
❑ ...Sewage Treatment
Day Telephone:
City
State
Zip
Day Telephone:
City
State
Zip
Page 3
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> 100K BTU
Evaporator Cooler
3-15 IIP/500,000 BTU
Floor Furnace
Ventilation Fan
. 3
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+ 1IP /1,750,000 BTU
Heat/Refrig/Cooling
System
Incinerator - Domestic
Air Handling Unit
<= 10,000 CFM
Incinerator — Comm /Ind
MECHANICAL`.PERMIT INFO1 : ATION -- 206431 -3670
MECHANICAL CONTRACT I ' INFOR ATI 1 N
Company Name:
Mailing Address:
Contact Person: �p �r tt
E -Mail Address:
Contractor Registration Number: t s1'l— L 655 b 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): $ 1 � n7ID
S ope of Work (please provide detailed informatio
� 1
\applicationslpermit application (3.2003)
3/2003
Use: Residential: New .... ( Replacement .... ❑
Commercial: New Replacement ....D
Fuel Type: Electric ❑ Gas ... Other:
Indicate type of mechanical work being installed and the quantity below:
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 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENA F PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER AUTHORIZED AG
S' acute:
Print Name: 71 yi ; ��?
Mailing Address: 3iJ)3
Day Telep :
t Vd City
Page 4
City Stale
Day Telephone: Z53_
Fax Number:
Q
Date:
State 1 Zip '
Date Application Accepted:
--27—�
Date Application Expires:
/Z —z 7
Staff Initials:
1
{ : . ^, CI'¢ ^ •'�t�'K ir:+'i...n .� .i` >5........ .'i: U�i....._..4r _..�.t. _...
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2610000060 Permit Number: M03 -105
Address: 4809 S 145 ST TUKW Status: APPROVED
Suite No: Applied Date: 06/27/2003
Applicant: FOSTER HEIGHTS - LOT 6 Issue Date:
Receipt No.: R03 -00787 Payment Amount: 47.00
Initials: BLH Payment Date: 06/27/2003 01:39 PM
User ID: ADMIN Balance: $0.00
Payee: LONG CLASSIC HOMES
TRANSACTION LIST:
Type Method Description Amount
doc: Receipt
Payment Cash
ACCOUNT ITEM LIST:
Description
MECHANICAL - RES
RECEIPT
47.00
Account Code Current Pmts
000/322.100 47.00
Total: 47.00
Printed: 06 -27 -2003
Pr ject:
' Ii { ��r- IJo
Type of Inspection:
C..c.�
Address:
Zi a01 S I4 6f
Date Calle
Cr - t7 —&3
Special Instructions:
Date Wanted:
1,-5o -03
of .m1
Requester: ff
(UL t'L
Phone No:
INSPE ON
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2
PER
al- N �r
s'I .
6)431 -3670
Approved per applicable codes. jJ Corrections required prior to approval.
COMMENTS:
Ir vv. i- Co w1 p \44.-t
'-t
1
El $47.00 REINSPEGTION 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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LICENSE DETAIL INFORM A TION Form
STATE OF WASHINGTON
DEPARTMENT OF LABOR AND INDUSTRIES
Specialty Compliance Services Division
P. O. Box 44000 Olympia, WA 98504 -4000
THE RESULT OF YOUR INQUIRY FOR LICENSE NUMBER SELECTED IS:
LICENSE DETAIL INFORMATION
Current Filter: None
Registration# or License LONGCHL054O9
LONG CLASSIC HOMES LTD
4441 S MERIDIAN #320
Name
Address
Address
City
State
Zip
Phone Number
Effective Date
Expiration Date
Registration Status
Type
Entity
Specialty Code
Other Specialties
UBI Number
PUYALLUP
WA
98373
2538485876
9/29/1995
11/5/2004
ACTIVE
CONSTRUCTION CONTRACTOR
CORPORATION
GENERAL
UNUSED
601452810
*VIEW CROSS REFERENCE FILE FOR THIS LICENSE* * *
*VIEW PRINCIPAL OWNER(S) FOR THIS LICENSE* * *
*VIEW CONTRACTOR BOND /SAVINGS INFORMATION
*CHECK INQUIRY FOR SUMMONS AND COMPLAINTS* * *
* VIEW CONTRACTOR INSURANCE INFORMATION * * *
New inquiry by CITY ,
L &I Contractor Industri
* **
NAME , PRINCIPAL OWNER NAME , LICENSE , UBI
NUMBER , check the
�1 Insurance Premium Status or return to the L&I Construction
Compliance Home Page
https : / /wws2.wa.gov /lni/bbip /TF2Form .asp ?License= LONGCHL054O9
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06/27/2003