HomeMy WebLinkAboutPermit M03-110 - SAVAGE RESIDENCESAVAGE RESIDENCE
16055 47T" AV S
M03 -110
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City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 6818300025
Address: 16055 47 AV S TUKW
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Permit Center Authorized Signature:
SAVAGE SUSAN P
16055 47TH AVE S, SEATTLE WA
SAVAGE SUSAN P
16055 47TH AVE S, SEATTLE WA
Contact Person:
Name: CANDICE GALLAGHER (WESCO)
Address: 2800 THORNDYKE AV W, SEATTLE, WA
Contractor:
Name: WASHINGTON ENERGY SERVICES CO
Address: 2800 THORNDYKE AVE W, SEATTLE
Contractor License No: WASHIES990CW
DESCRIPTION OF WORK:
REPLACE EXISTING GAS FURNACE WITH NEW GAS FURNACE. LIKE FOR LIKE
Value of Construction: $2,864.00
Type of Fire Protection: N/A
MECHANICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 282 -4700
Phone: 206 282 -4700
Expiration Date:02 /16/2005
M03 -110
07/08/2003
01/04/2004
Fees Collected: $65.00
Uniform Mechnical Code Edition: 1997
ti elZ2/2"./Ce-1- Date:
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 constr ction or e performance of work. I am authorized to sign and obtain this mechanical permit.
Signature: L.o /�i' Date: -7 110
Print Name: I, L 7 iI 4771 OW 7
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 -110
Printed: 07 -08 -2003
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Permit Number: M03 -110
Status: ISSUED
Applied Date: 07/08/2003 6 V
Issue Date: 07/08/2003 c) 0
5: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations shall not be v O w
construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any o i`
other ordinance of the jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this = w
code shall be valid.
Parcel No.: 6818300025
Address: 16055 47 AV S TUKW
Suite No:
Tenant: SAVAGE SUSAN P
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).
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 �`' "'t- al Va Date: 7 ` / G - 2
Print Name: Lin 7207 /1Q Ul/�`
doc: Conditions
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
M03 -110
Printed: 07 -08 -2003
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SITELOCATIi
Site Address:
Name: Cand'lce 9//&qk Mailing Address: ,+1tD, c Gen
E -Mail Address:
Contact Person: Cg hci tLe.) bg het r
E -Mail Address:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
\applications \permit application (3.2003)
3/2003
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 **
f O 4 7 1+11E
Page I
Building Permit No
Mechanical. Permit Noy
Public Works Permit
Project N
King Co Assessor's Tax No.: (Olc 2�
Suite Number:
New Tenant:
City
Fax Number:
Company Name: 1 t7 I) nn �,.,
Mailing Address: Lea) T{�(S f D�Kg V& Sec347`lrC
City
Day Telephone:
Fax Number:
City
Day Telephone:
Fax Number:
or'ofce rise only). ;"
State
State
State
Floor:
Tenant Name: SuS .'\eb J Cif' 1 n v c
Property Owners Name: .. a n'J G h n ye-161e
Mailing Address: I (0DS 4 AVE , 9 f /6 '
City
E ... Yes
State Zip
Cu 4 Y8 i19
Day Telephone0e6, z-S 2- txv
.No
Zip
,:!:GENERAL: CONTRACTORINFORMATIO
City State Zip
Day Telephone: 1 &O
Fax Number:
Contractor Registration Number: L.t)FSF"r...ZES ?'7 C. C.. J Expiration Date: 2-- / Le 65
* *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 Record
Company Name:
Mailing Address:
Zip
; ENGINEER:OF.,: RECORD ` =All plans imistbe wet;stamped by Eng ineer of R ecoi
Zip
Valuation of Project (contractor's bid price): $
Will there be new rack storage? 0 .. Yes .. No
\applications ■permit application (3.2003)
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_601 �
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Existing Building Valuation: $
Scope of Work (please provide detailed information):
`(�ClZAst-tew e � �5 cA ct C4, c.A�ry�c�c
If "yes ", see Handout No. for requirements.
Provide All Building Areas in. Square Footage Below
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:
[2.. 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.
Existing
Interior
Remodel
Addition to
' Existing
Structure
New
Type of
Construction
: per UBC
Type of
Occupancy per
UBC
Is' Floor :. .
2" Floor
3 Floor
Floors - thru
Basement .'
Accessory Structure *.
Attached. Garage ,
Detached. Garage
Attached Carport .:
Detached Carport ..
Covered Deck
Uncovered Deck ` ,
Valuation of Project (contractor's bid price): $
Will there be new rack storage? 0 .. Yes .. No
\applications ■permit application (3.2003)
3/2003
OF'
_601 �
Page 2
CD
Existing Building Valuation: $
Scope of Work (please provide detailed information):
`(�ClZAst-tew e � �5 cA ct C4, c.A�ry�c�c
If "yes ", see Handout No. for requirements.
Provide All Building Areas in. Square Footage Below
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:
[2.. 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.
PUBLIC WORKS PERMIT INF - IMATION 206 433 0179::
Scope of Work (please provide detailed information):
Water District
❑ ...Tukwila 0... Water District #I25
❑ ...Water Availability Provided
Sewer District
❑ ...Tukwila 0... 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
Please refer. to Public Works Bulletin #1 for fees and estimate sheet.
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 _
\applications \permit application (3.2003)
3/2003
ff
Call before you Dig: 1- 800 - 424 -5555
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
ff
17
WO#
WO#
WO#
Private
Private
❑ .. Highline
❑ ...Renton
❑ .. 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
❑ .. 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
Stale
Zip
Page 3
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 /I,750,000 BTU
Heat/Refrig/Cooling
System
Incinerator - Domestic
Air Handling Unit
< =10,000 CFM
Incinerator — Comm /Ind
MECHANICAL ° PERMIT:INFOicMATION 206 -431 -3670
MECHANICAL CONTRACTOR INFORMATION
LO 68 CO
City Slate Zip
Contact Person: C4 // /ee i 1 jkQ Day Telephone: e66.0 Z02-- 47C
E -Mail Address: Fax Number:
Company Name:
Mailing Address:
Contractor Registration Number: (.006 . 4 7GY CL) Expiration Date: 2- "al - 05
* *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): $ / Z- , g
Scope of Work (please provide detailed information):
:; «
Use: Residential: New .... Replacement ....
Commercial: New ....0 Replacement ....
Fuel Type: Electric 0 Gas ....(' Other:
Indicate type of mechanical work being installed and the quantity below:
Q T 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
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING O R OR AUT ORI ED AGENT: / I ^ � 9/ ` Q �
Signature: k� cAril /'( Date: --7
Print Name: G //7dt 7� R c LJJf/ Day Telephone: 0Z-6' / 7D 32.68
Mailin Address: 7fl gtflfp - 1 - 00&,y 20.x%' 4//1 /on_ 9ges3
City State Zip
Date Application Accepted:
Date Application Expires:
C/
I Staff Initials:
\applications\permit application (3.2003)
3/2003
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Payee: BLUE DOT
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 6818300025 Permit Number: M03 -110
Address: 16055 47 AV S TUKW Status: PENDING
Suite No: Applied Date: 07/08/2003
Applicant: SAVAGE SUSAN P Issue Date:
Receipt No.: R03 -00813 Payment Amount: 65.00
Initials: SKS Payment Date: 07/08/2003 10:16 AM
User ID: 1165 Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 002838
ACCOUNT ITEM LIST:
Description
MECHANICAL - RES
PLAN CHECK - RES
RECEIPT
65.00
Account Code Current Pmts
000/322.100 52.00
000/345.830 13.00
Total: 65.00
0264 07/09 /116 TOTAL. 65.00
Printed: 07 -08 -2003
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Pr.: _ t:
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Type of Ins
t4on:
l
A
i (ID
ess:
c )
L At
Date Called:
A /0
Special Instructions:
Date Wanted:
n' `a
7((/ ( � ""
Requester:
Phone_No:
COMMENTS:
Inspector
1 /4 "As
$47. EINSPECfI
paid at 6300 Southc
INSPECTION RECORD
Retain a copy with permit
INSP TION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
111 - 410
(206)431 -3670
Approved per applicable codes. 0 Corrections required prior to approval.
-7,
FEE REQUIRED. Prior to inspection, fee must be
ter Blvd., Suite 100. Call to schedule reinspection.
[Receipt No.:
•
'Date:
F625•11j:.00V7S,97,1..
State of Washington
y ounty of Snohomish
I certify that this is a true and correct copy of said document as of this date
Date: mcrct. 3, a, ao
> � (Y)
Title
My Appointment Expires on Icy c1/63
DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL •
REGIST. # 'EXP. DATE
CCO1 WASHIES990CW 02/16/2005
EFFECTIVE DATE 02/16/2001
WASHINGTON ENERGY SERVICES CO
2800 THORNDYKE AVE W
SEATTLE WA 98199 -2997
Detach And D;•piac Certificate