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HomeMy WebLinkAboutPermit M03-114 - NGUYEN THANNGUYAN RESIDENCE 72055 44T" AVENUE SOUTH EXPIRED 1 -22 -04 M03 -114 z • z. re W JU U 0. W= J N LL. W O: 2 LL =_ D. a H W. Z )- O Z 1— 2p U O �. 0 H. W W. 160 ..Z Ut O City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Tenant: Name: THAN NGUYAN Address: 12055 44 AV S, TUKWILA WA Contractor: Name: Address: , Contractor License No: SPARKEL981L0 Permit Center Authorized Signature: Signature: doc: Mech MECHANICAL PERMIT z Q • Parcel No.: 3347400420 Permit Number: M03 -114 z Address: 12055 44 AV S TUKW Issue Date: 07/11/2003 re w 2! Suite No: Permit Expires On: 01/07/2004 6 v CD Cl U) Ill J H CO IL w Owner: § 5 Name: 3ENNE RAYMOND W Phone: d Address: 12055 44TH AVE S, SEATTLE WA Z Contact Person: z ~ Name: RON SEBOLD Phone: 360 609 -5789 z O Address: w U 0— oI-- ww I--- L I O w z U= O~ z SPARKY'S ELECTRIC (ALLSTAR HEATING &COOLING) Phone: Expiration Date:06 /20/2004 DESCRIPTION OF WORK: REPLACING OLD FURNACE WITH NEW FURNACE IN NEW LOCATION. INCLUDING DUCTWORK, REGISTERS AND VENTING. OVER THE COUNTER. Value of Construction: $2,861.71 Fees Collected: $74.06 Type of Fire Protection: N/A Uniform Mechnical Code Edition: 1997 -eu- Date: 7 /f 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 constructs r the ce of work. I am authorized to sign and obtain this mechanical permit. Date: 7 Print Name: 44) 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 -114 Printed: 07 -11 -2003 Parcel No.: 3347400420 Address: 12055 44 AV S TUKW Suite No: Tenant: THAN NGUYAN 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: Print Name: doc: Conditions City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 /64/ 5e sz-L PERMIT CONDITIONS M03 -114 Permit Number: M03 -114 Status: ISSUED Applied Date: 07/11/2003 Issue Date: 07/11/2003 Date: 7-1/-o3 Printed: 07 -11 -2003 . a.......».,..... .SITE LOCATION' *Site Address: • /.Zc:9 3 Tenant Name: 1Lj ca-in A IVyuyek.. New Tenant: Property Owners Name: Mailing Address: -040,1 E ' CONTACTFERSON Name: Mailing Address: /9 B C7 ,'J -e_Lo y Doti _ s o fet 3 c E -Mail Address: Contact Person: E -Mail Address: Contact Person: E -Mail Address: ■applicatiuns\pertnit application (3.2003) 3/2003 CITY OF TUKWILA Community Development — . partment 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 ** ford 556 0Z4 Company Name: Mailing Address: q 'ov /ca - /rte GENERAL CONTRACTOR INFORMATION Company Name: Mailing Address: City Day Telephone: Fax Number: ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Contact Person: E -Mail Address: Page 1 Building Perm. . 10.. Mechanical Permit-No., Public Works Permit No; Project No. (For of cc. use only) 1 Co Assessor's Tax No.: Suite Number: City Floor: .... Yes D ..No Stale Day Telephone: (CO/ ) 9 5 - - 3 - 4-/o/ 7 um-- 9 , 9 od `f C City !/ ! State Zip Fax Number: State Zip Zip Contractor Registration Number: 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 Record Company Name: Mailing Address: State Zip City Day Telephone: Fax Number: City State Zip Day Telephone: Fax Number: BUILDING: PERMIT INFORMATION- =206 -431= 3670- if Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ Scope of Work (please provide detailed information): Will there be new rack storage? o ..Yes D.. No 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: Will there be a change in use? 0 ....Yes 0 ..No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑..Sprinklers 0 ..Automatic Fire Alarm D..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. tapplicationatpermit application (3.2003) 3/2003 Page 2 Compact: Handicap: 3-33,, s! Existing Interior Remodel Addition to Existing Structure New Type of Construction per UBC Type of Occupancy per UBC I" Floor 2 "° Floor 3t° Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck BUILDING: PERMIT INFORMATION- =206 -431= 3670- if Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ Scope of Work (please provide detailed information): Will there be new rack storage? o ..Yes D.. No 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: Will there be a change in use? 0 ....Yes 0 ..No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑..Sprinklers 0 ..Automatic Fire Alarm D..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. tapplicationatpermit application (3.2003) 3/2003 Page 2 Compact: Handicap: 3-33,, s! mule LIC WORKS PERMITINFORMATION Scope of Work (please provide detailed information): Water District ❑ ...Tukwila 0... Water District #I25 ❑ ...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 0 .. 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 ❑...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 FINANCE INFORMATION Fire Line Size at Property Line ❑...Water ❑...Sewer Monthly Service Billing to: Name: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: bpplicationstpetmit application (3.2003) 3/2003 cubic yards cubic yards ❑• ❑• ❑• ❑ . Call before you Dig: 1- 800 - 424 -5555 Please refer to Public Works Bulletin #1 for fees and estimate sheet. . Abandon Septic Tank . Curb Cut . Pavement Cut . Looped Fire Line 1. WO# WO# WO# Private Private 6- 433-0179 ❑ .. 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 Number of Public Fire Hydrant(s) 0... Sewage Treatment Page 3 ❑...Deduct Water Meter Size " Day Telephone: City City ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding State State Zip Zip Day Telephone: Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Furnace <IOOK BTU l ( Air Handling Unit >= 10,000 CFM Other Mechanical Equipment 0 -3 1-IP /100,000 BTU Furnace >IOOK BTU Evaporator Cooler 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan 15 -30 HP/I,000,000 BTU Suspended /Wall /Floor Mounted Heater Ventilation System 30 -50 HP /1,750,000 BTU Appliance Vent Hood 50+ 11P /1,750,000 BTU Heat/Refrig/Cooling System Incinerator - Domestic Air Handling Unit <= 10,000 CFM Incinerator— Comm /Ind MECHANICAL PERMIT INFOT ~ 'ATION - 206 - 431 -3670 E -Mail Address: MECHANICAL CON RACT Company Name: / 1 s Mailing Address: ‘7 Ai t / P 6 aie ' 0 1 Contact Person: 01'E`' . -t�000 9 City Stale Zip Day Telephone: ( 9.$ - Lf O ( 7 Fax Number: Contractor Registration Number: ✓/ KEL. ?)8 f L 0 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): $ �e e ( Scope of Work (please provide detail information): e� 2 6.46.4-5 � rM (Ci �- �.a 4 -e. i OW G 4'jvt Use: Residential: New -.0 Replacement ....,® Commercial: New ....0 Replacement ....0 Fuel Type: Electric 0 Gas ....Fg 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 PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON. AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNS R AU: ED AGENT: Signature: Q �+ Print Name: 44) SIB © t L Date: 7 l O 3 Day Telephone: g 95 3 — f — 0 ' C S a.* ( 7 Mailing Address: 06 Alai ((I/ Or: L J - c r GJf�"" / Q�6 17 Cit State Zip Date Application Accepted: 7 / —d3 Date Application Expires: e Staff initials: 1 lapplicatiunslpermit application (3.2003) 3/2003 Page 4 Payee: RECEIPT 1Z it 2 w . Parcel No.: 3347400420 Permit Number: M03 -114 Address: 12055 44 AV S TUKW Status: PENDING 0 0 Suite No: Applied Date: 07/11/2003 w co w Applicant: THAN NGUYAN Issue Date: -� co w wO Receipt No.: R03 -00832 Payment Amount: 74.06 u. co g Initials: SKS Payment Date: 07/11/2003 04:12 PM H w User ID: 1165 Balance: $0.00 z H TRANSACTION LIST: Type Method Description Amount 1- 0 Payment Check 1072 74.06 U N; H H 0 Z ACCOUNT ITEM LIST: Description doc: Receipt City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 O; z f- W ALLSTAR HEATING & COOLING 0 co O 0 H w, MECHANICAL - RES PLAN CHECK - RES Account Code Current Pmts 000/322.100 59.25 000/345.830 14.81 Total: 74.06 422 07/15 9710 TOTAL 74.06 Printed: 07 -11 -2003 Pro 'e t• Type or spectioo: r Ad r e s: D55 4/f , S Date Called: - 7 0 20103 Special Instructions: Date Wants;, 3 a.m. Requester: 0h Phone � 5 iy9.. INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (Receipt No.: (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. COMMENTS: A10 5siv F pNs /icc, 7, ; 4),2p 1 .4-6eAc-i -- Kr°%s/ b1(/ /(3 1 -ter �- J 6 ,max Date: 7/.2.3/ rnf47.00 REINSPECTION FEE REQUI D. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., ite 100. CaII to schedule reinspection. Date: royals are and omissions and approval of FILE k;OP‘t* understand that the Plan Check approvals n of any subject to errors violation of con - plans does detouo ordinance. adopted of ap proved pl ans acknowledged. tractor's copy By Date permit No. s\P f C1v SEPARATE PERMIT REQUIRED FOR: 0 MECHANICAL ELECTRICAL [ U BING 1/T GAB PIPING CITY OF TUKWIL.A BUILDING DING DIVISION CM of minim o JUL 1 1 2003 AS NOTED 1 Ross v4 Ave sotr+ti T L:L --- 110,1„1 4,11 uy vtie t,ts 0-00 6TH goo eFnre . n:�gs.r •rr� , at. "�':,r:3'itYi:S'' ?:` ..2.��s`.....:'��.....,. ,.. ,. December 8, 2003 Ron Sebold 12055 44th Avenue South Tukwila, WA 98168 City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director RE: Permit Application No. M03 -114 , 12055 44th Avenue South Dear Permit Holder: In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the Uniform Building Code and /or Uniform Mechanical Code, every permit issued by the Building Official under the provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Based on the above, you are hereby advised to: • Call the City Of Tukwila Permit Center at (206) 431 -3670 to arrange for the next or final inspection. This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if the project should be considered abandoned. If such determination is made, the Building Code does allow the Building Official to approve a one - time extension up to 180 days. Extension requests must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from being taken. In the event you do not call for the above inspection or request and receive an extension prior to January 19, 2004, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Stefania Spencer Permit Technician Xc: Permit File No. M03 -114 Bob Benedicto, Building Official 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206 - 431 -3665 LICENSE DETAIL INFORM ATION 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 SPARKEL981 LO Name SPARKY'S ELECTRIC LLC Address E 1212 PRINCETON Address City SPOKANE State WA Zip 99207 Phone Number 5094871477 Effective Date 6/20/2002 Expiration Date 6/20/2004 Registration Status ACTIVE Type ELECTRICAL CONTRACTOR Entity LIMITED LIABILITY COMPANY Specialty Code GENERAL Other Specialties UNUSED Other License UBI Number 602214025 *VIEW CROSS REFERENCE FILE FOR THIS LICENSE* * * *VIEW PRINCIPAL OWNER( FOR THIS LICENSE* * * *VIEW CONTRACTOR BOND /SAVINGS INFORMATION * * * Page 1 of 1 New inquiry by CITY , NAME , PRINCIPAL OWNER NAME , LICENSE , UBI NUMBER , check the L &I Contractor Industrial Insurance Premium Status or return to the L &I Construction C ompliance Home Page https://wws2.wa.gov/lni/bbip/TF2Form.asp?License=SPARKEL981L0 07/11/2003