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Home My WebLink AboutPermit M03-133 - GIBSON RESIDENCE• GIBSON RESIDENCE 15633 47TH AVENUE SOUTH M03-133 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 8108600348 Address: 15633 47 AV S TUKW Suite No: CO CO Ill J H Nu_ w Phone: I w Contact Person: z Name: CANDICE GALLAGHER Phone: 206 282 -4700 Z O Address: 2800 THORNDYKE AV W, SEATTLE WA ? w Contractor: p N Name: WASHINGTON ENERGY SERVICES CO Phone: 206 282 -4700 0 '— Address: 2800 THORNDYKE AVE W, SEATTLE 2 w Contractor License No: WASHIES990CW Expiration Date: 02/16/2005 O U z U= O 1- z Tenant: Name: GIBSON RESIDENCE Address: 15633 47 AV S, TUKWILA WA Owner: Name: GIBSON WILFRED C Address: 15633 47TH AVE S, SEATTLE WA Print Name: doc: Mech MECHANICAL PERMIT DESCRIPTION OF WORK: INSTALLING NEW BRYANT AIR CONDITIONER - BRYANT 591 BNX024 2 -TON 1800 CFM'S Value of Construction: $4,016.00 Fees Collected: $64.88 Type of Fire Protection: N/A Uniform Mechnical Code Edition: 1997 Permit Center Authorized Signature: Q.yoc• Date: 7—.ts"--.) I hereby certify that I have read and examined his 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 the performance of work. I am authorized to sign and obtain this mechanical permit. Signature: ?AZ '2.61. '2.61. ic , 7S Date: - `l / .,/ kti-K 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. M03 -133 z Permit Number: M03 -133 w Issue Date: 09/25/2003 rt Permit Expires On: 03/23/2004 6 v O 0 Printed: 09 -25 -2003 doc: Conditions City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 z w QQ : � J U 0 ( n J = H w 2 u- u_.? � z � 1 0 z I- w w 0 ( DI— LL u j 6: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations shall not be H construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any LL O other ordinance of the jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this i w z code shall be valid. 0 i Off' Parcel No.: 8108600348 Address: 15633 47 AV S TUKW Suite No: Tenant: GIBSON RESIDENCE PERMIT CONDITIONS 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division. 3: 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). 4: 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. 5: 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: Manufacturers installation instructions required on site for the building inspectors review. 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: c C '1 207 11 Date: %PA? Print Name: ' ¢ Tilorn6LL) /S1' M03 -133 Permit Number: M03 -133 Status: ISSUED Applied Date: 08/21/2003 Issue Date: 09/25/2003 Printed: 09 -25 -2003 z (2v\ SITETO CATII Site Address: I ' j ( Tenant Name: t,�,ro)'-4-4-V & 1bSo j Property Owners Name: ,S WYle c S � / �0(f Mailing Address: 1G (425S (4-1P , -1P v e S -- rU k 4111a City Name: CO h Dice, 2aJ ta g l� r l L- evJC -d Mailing Address: 2s cc -ycv� t y L E -Mail Address: Company Name: L O C.. D Mailing Address: 2--SOo l'TYY1d /_ 1cs � �� Contact Person: ca Y Y��C� 6 j e- 711_a- E -Mail Address: Contact Person: E -Mail Address: Contact Person: E -Mail Address: tapplications■pcnnit application (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 ** King Co Assessor's Tax No. J C)6_oD 9 qe, Suite Number: Fax Number: New Tenant: t- )A- q t88 .CONTACT PERS Day Telephone: S 0D_06, 2;x).2 Z:x�L/T"�� Li A City State Fax Number: City Day Telephone:?-49C,, Z. 2 �( X Fax Number: 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 City Day Telephone: Floor: .... Yes E ..No State State Zip `ENGINEER OF,RECO All plans must be ,wet stamped by Engineer;of Record Company Name: Mailing Address: State Zip Zip Zip City Day Telephone: Fax Number: Zip 3/2003 Pa e F +.t +.i4�Y.o7'`j� >Foi i'�::' �f iK+ f ��wi! S �6' - .Ma "T';C c sF ` Sk#- ,i�`�•6+f`�" t 1 r .,.. .'.., r'.. ,` , .> _.: : , . .,...z . i:), " t ' : a �.. r�1.. -}. 1. ? #- .. •�.. b' • � a.•rnt'; is �'i )+.i .,�,,... � WS�C .h..l +�.�.... n 1. BUILDING PERMIT INFORMATION t_ 6-.431 -36 it' Valuation of Project (contractota id price): $ Existing Building Valuation: $ Scope oflYtirIc( provtde'deta i nformation): Will there be new rack storage? ❑ ..Yes ❑ .. No If "yes ", see Handout No. for requirements. rovide All Building Areas in Spare Footage:Below .1 "'Floor Floors• Basement, Accessory;Structure', Attached Garage Detached:Garage Attached Carport Detached C Covered Deck . Uncovered Deck .:: Addition'to w.Existing: Structure : Construction _ . per UBC Occupancy per' 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? [] ....Yes ❑ ..No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑.. Sprinklers ❑ ..Automatic Fire Alarm 0..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 Compact: Handicap: . .,':,iii`. +:.4,.�aa.:,:..a. `� ... `'T •'. 'dj:y� .. ',..Y., ...,.- t ��. ....+.o1::5S::.i�+.z'u�: z tr w J O U 0 CO 0 CO Ill J H W O ( .2a = W z F. H O z H W W U O O N 0 H W H LT • O Z W = O ~ z PUBLIC, WORKS 'PERMIT INFORMATION -;.706.4337017 Scope of Work (please provide detailed information): ❑ ...Total Cut ❑...Total Fill FINANCE INFORMATION Water Meter Refund/Billing: Name: Mailing Address: «? ; fie • ipplicationApermit application (3.2003) 3/2003 Call before you Dig: 1 -800- 424 -5555 Please refer t� Public` Bulletin #1 for fees and estimate'sheet. Water District ❑ ...Tukwila 0... Water District #125 ❑ ...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 ❑ ...Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑ ...Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water cubic yards cubic yards ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line It 41 Page 3 ❑ .. Highline ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ ...Renton Sewer District ❑ ...Tukwila ❑... ValVue ❑ .. Renton ❑ ...Seattle ❑ ...Sewer Use Certificate ❑... Sewer Availability Provided ❑ .. Approved Septic Plans Provided p ...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 ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑ ...Permanent Water Meter Size... WO# ❑ ...Temporary Water Meter Size.. WO# ❑ ...Water Only Meter Size WO# ❑ ...Deduct Water Meter Size ,, ❑ ...Sewer Main Extension Public Private _ ❑ ...Water Main Extension Public — Private _ Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑ ...Water ❑ ...Sewer ❑ ...Sewage Treatment Monthly Service Billing to: Name: Mailing Address: City State Zip Day Telephone: Day Telephone: City State Zip Unit Type: Qty: Unit. Type: ' Qty 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 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 Heat/Refrig/Cooling System Incinerator - Domestic Air Handling Unit <= 10,000 CFM Incinerator – Comm /Ind E -Mail Address: F.WcflATNICALTERMIT,INFORMATION 206=431 -3670 . MECHANICAL CONTRACTOR INFORMATION Company Name: Lve.,.._s co Mailing Address: e'.-at:1CD `` l–f- rl /! kE Contact Person: C-- (.Ce 64,1 Lk S �JV Contractor Registration Number.{.!,) /OS qq6CA ) Expiration Date: 0 -WD * *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): $ Use: Residential: New .... Commercial: New ....0 Fuel Type: Electric Signature: BUILDING OWN •.R OR AUT 11,M, RI ED AGENT: Scope of Work (please provide detailed information): s--f . I 1 v1c- r Ce:m8 BMX z 24 2- i o 0 C Fees s Replacement .... Replacement .... E Gas....❑ Other: Indicate type of mechanical work being installed and the quantity below: PERMIT APPLICATION: NOTES Applicable•to'all. permits in this 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. Arda Print Name: L / A) Y \ 7 LOrn u(i Day Telephone: 6 / 7c 308e Mailing Address: e7 ' 3 (r lar44.J l r o e - 'S State Zip Date Application Accepted: raPelli IV s \applicatioro\pertnit application (3.2003) City Date Application Expires: amShlogene Nor 4 se644-6_, Lem- 98 let7 City State Zip Day Telephone: 2-8 z- T < 'Z) Fax Number: Date: e/77 Staff Initials: * i ACCOUNT ITEM LIST: Description City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Payee: WASHINGTON ENERGY SERVICES Payment Check 3061 MECHANICAL - RES PLAN CHECK - RES RECEIPT Parcel No.: 8108600348 Permit Number: M03 -133 Address: 15633 47 AV S TUKW Status: APPROVED Suite No: Applied Date: 08/21/2003 Applicant: GIBSON RESIDENCE Issue Date: Receipt No.: R03 -01173 Payment Amount: 64.88 Initials: SKS Payment Date: 09/25/2003 11:02 AM User ID: 1165 Balance: $0.00 TRANSACTION LIST: Type Method Description Amount 64.88 Account Code Current Pmts 000/322.100 51.90 000/345.830 12.98 Total: 64.88 3043 09/25 9716 T0TAL. 116.88 Printed: 09 -25 -2003 C l bsor\ t 5 Co "33 c4 /SUE So , AUG -15 -2003 07:38 SEPARATE PERMIT REQUIRED FOR: ❑ MECHANICAL [ELECTRICAL gl PLUMBING [GAS PIPING CITY OF TUKWILA BUILDING DIVISI DN WASHINGTON ENERGY SERVICE 206 378 6603 P.01/01 51'nflkt jp Date EXPIRED Permit No. AR 22 2004 'r REASOINS NO CHANGES SHALL BE MADE TO THE SCOPE OF WORK WITHOUT PRIOFI APPROVAL OF 'ILA BUILDING DIVISION. NOTE: REVISIONS WILL REQUIRE A NEW PLAN SUI3MI17AL AND MAY IN,S11S�.5 E,Dor nciot PLAN clrldIEW FEES. I understand that the Plan Check approvals are subject to errors and omissions and approval of plans does not authorize the violation of any dopted code or ordinance. Receipt of con- „tractor's copy of approved, pl . • - - knowledged. 'fro Hem s 04-0 v sc C L,Na) • ^`FILE COPY By VA2 lL1 RECEIVED ITY OF TUKWILA VG 2 1 2003 ERMIT CENTER iucit.;44 mo 3d33 February 3, 2004 Candace Gallagher 2800 Thorndyke Avenue West Seattle, WA 98199 RE: Permit Application No. M03 -133 15633 47th 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 March 20, 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 -133 Bob Benedicto, Building Official City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 - 3665 PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: M03 -133 PROJECT NAME: GIBSON RESIDENCE SITE ADDRESS: 15633 47 AV S DATE: 08 -21 -03 X Original Plan Submittal Response to Incomplete Letter # _ Response to Correction Letter # Revision # After permit Is Issued DEPARTMENTS: 80195 Bu din Division (1 Public Works ❑ My 1 titA A Fire Prevention Q Structural ❑ Planning Division Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 08 -26 -03 Complete Q Incomplete ❑ Not Applicable ❑ Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS ROJJTING: Please Route 2i Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: DATE: DUE DATE: 09 -23 -03 Approved ❑ Approved with Conditions [2( Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Permit Center Use Only CORRECTION LETTER MAILED: Departments Issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents /routing sllp.doc 2.28.02 PERMIT COORD COPY • I V , y, F625- 052.000 (8/97) DEPARTMENT OF LABOR AND INDUSTRIES REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL � EXP,3�,DATB;. CC01 WASHIES971OB.' /02/2005 EF DATE 09 WASHINGTON ENERGY SERVICES .tCO 2800•THORNDYKE AVE W SEATTLE WA 98199 Detach And Display Certificate State of Washington County of Snohomish I certify that this is a true and correct copy of said document as of this date Date: 9 M /C7 l- }ury,r.I2.csa►x pa Title My Appointment Expires on a Ic) /O3 z • Z W 6 U) 0 : CO LLI CO U- W O 2 g Q O I- • al Z F. Z � 2 • uf U ' O N O W, O 1 11 p