HomeMy WebLinkAboutPermit M03-143 - ANTEZANA INVESTMENTSANTEZANA
INVESTMENTS
15215 52ND AVENUE
SOUTH
EXPIRED
8-31-04
M03-143
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City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 1157200017
Address: 15215 52 AV S TUKW
Suite No:
Tenant:
Name: ANTEZANA INVESTMENTS
Address: 15215 52 AV S, TUKWILA WA
MECHANICAL PERMIT
Owner:
Name: ANTEZANA INVESTMENTS LLC Phone:
Address: 15215 52ND AVE S, TUKWILA WA
Permit Number: M03 -143
Issue Date: 09/23/2003
Permit Expires On: 03/21/2004
Contact Person:
Name: RICHARDO ANTEZANA Phone: 206 244 -6709
Address: 15215 52 AV S, TUKWILA WA
Contractor:
Name: BURIEN NATURAL GAS SERVICE INC Phone:
Address: 153 SW 154 ST, BURIEN WA
Contractor License No: BURIENG0270D Expiration Date:08 /19/2005
DESCRIPTION OF WORK:
INSTALLING A NEW MITSUBISHI 1.5 TON MINI SPLIT A/C SYSTEM FOR COMPUTER ROOM ON
1ST FLOOR. CONDENSER TO BE MOUNTED ON ROOF.
Value of Construction: $6,000.00 Fees Collected: $61.06
Type of Fire Protection: N/A Uniform Mechnical Code Edition: 1997
Permit Center Authorized Signature: Date: -3 /U
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 con ction or the performance of work. I am authorized to sign and obtain this mechanical permit.
Signature: 'OA— Y
Print Name: �-- `r /0 -61 Sa v
doc: Mech
M03 -143
Date: .2 T3
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.
Printed: 09 -23 -2003
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 1157200017
Address: 15215 52 AV S TUKW
Suite No:
Tenant: ANTEZANA INVESTMENTS
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: Readily accessible access to roof mounted equipment is required.
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: 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:
Print Name:
doc: Conditions
v` <C
;s .
PERMIT CONDITIONS
M03 -143
Permit Number: M03 -143
Status: ISSUED
Applied Date: 09/05/2003
Issue Date: 09/23/2003
Date:
Printed: 09 -23 -2003
Site Address:
Tenant Name:
Property Owners Name: Jam' Aim �-
i i S2 CU
Mailing Address:
Name: t �'tA V' cL 0 1'1_ c--
Mailing Address: 1S 5-2- 4: ,5
GENERAL; CONTRACTOR•'INF,ORMATIO
Company Name: ( n A
Mailing Address: )53 at )5c/
Contact Person: E ' . & e) 5'4 i'
E -Mail Address:
Contact Person:
E -Mail Address:
\applicatioro■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 **
�
King Co Assessor's Tax No.:
L5, 1 S �� ' ra A/0 s Suite Number: /(�)
trYn -o to tS New Tenant:
Page I
City
ENGINEER' =A11 plans must be wet` stamped by Engineer or Record
State
CONTACTPERSO
Day Telephone:c 06, �c l0 d
Zip
E -Mail Address: Fax Number: (-) c 3- 3) c 5—
City State
S P cU Ce c
k) A-
State
Day Telephone: 00 c:)
City
Fax Number: 9--L26.
Contractor Registration Number: BGL R :7E_ A.) (,. Expiration Date: — `1
* *An original or notarized copy of current Washington State Contractor License must be presented at the time
Floor:
...Yes
(
L )A- C f1Igg
State
State
Zip
� c i o C)
S
0
of permit issuance **
Company Name:
Mailing Address:
Zip
City
Day Telephone:
Fax Number:
Company Name:
Mailing Address:
t City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Zip
BUILDING PERMIT - INFORMATION206 - 431 36
;�. .f)`•.' ;at`.. �.t '. :1:� .�1_�. ;i i_.il'A': :t" ti1
.� i'tr✓i ,_,.i. ?ti: .. _... . -., ....'.'f'o "�•.. . ?•'fy' �' :�.E`t'.1Q ":k.'i`i *�'_;,�!. J.'..:.
Will there be new rack storage? D .. Yes 0 .. No
Number of Parking Stalls Provided: Standard: Compact:
\appliations\permit application (3.2003)
3/2003
Page 2
Valuation of Project (contractor's bid price): $ Existing Building Valuation: $
Scope of Work (please provide detailed information):
If "yes ", see Handout No. for requirements.
ProvideAll Building Areas in :SquareFootage;Below:
I "'Floor..:
2° Floor
3 Floor
Floors
Basement •
Accessory " Structure!.:
Attached Garage
Detached Garage
Attached
Detached : Carport;: 7.:
Covered Deck:
Uncovered Deck
Interior.
Addition;to
.Existing
Structure:.;
`:iType.of.
Construction
='per UBC .%
Type of
• 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.
Handicap:
Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
0.. 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 •INFORMATION:;: ;;'206433; 017
Scope of Work (please provide detailed information):
Water District
❑...Tukwila 0... Water District #125
0... 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 ap
❑ ...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
❑...Sanitary Side Sewer
❑...Cap or Remove Utilities
❑ ...Frontage Improvements
❑ ...Traffic Control
❑...Backflow Prevention - Fire Protection
Irrigation
Domestic Water
FINANCE INFORMATION
Water Meter Refund/Billing:
Name:
Mailing Address:
bpplicatiomtpermit application (3.2003)
3/2003
Call before you Dig: 1- 800 - 424 -5555
Please.refer Publie Works‘Bulletin #1.for.fees estimate' sheet.
cubic yards
cubic yards
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
❑ .. 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
❑ ...Renton
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑ ...Permanent Water Meter Size... WO#
❑ ...Temporary Water Meter Size.. 1 1 WO#
❑...Water Only Meter Size 11 WO# ❑...Deduct Water Meter Size "
❑ ... Sewer Main Extension Public _ Private
❑ ...Water Main Extension Public _ Private
Page 3
City
City
State Zip
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
❑ ...Water ❑ ...Sewer ❑ ...Sewage Treatment
Monthly Service Billing to:
Name:
Mailing Address:
State Zip
Day Telephone:
Day Telephone:
Unit Type:
Qty
Unit Type: ' _
Qty . :
Unit Type:.
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipment
0 -3 HP /100,000 BTU
Fumace>I00K 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 /I,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
MECHANICAL CONTRACTOR INFORMATION ��
Company Name: 3L(✓1i* i( ec -- a.T ej &) 11 . `5 SC,-{2t) ,
Mailing Address: )' 3 S, (,U, ) L'/ f 3C- t,rr'C(n 1 A' 7 gi& 6
City State Zip
Contact Person: ',r ,G A.)e „I S (') in Day Telephone•0 6 ci c - II i
Fax NumberrD 41 t '/ O 'DA d c=
Contractor Registration Number: xL a 1. �-- e /1� 0 D-) 0 0 Expiration Date: a -) G/ ` 0 �j
* *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): $ G / Ott (2- ' c)
E -Mail Address:
Scope of Work (please provide detailed information): vl c, ({?,ce)
1 t S - To v\- tin I n, S FLT- A/c_ Sysq - e.vv. UNg 0-0 0\-
vin C) 0 0 2 — t> r1 Cf 10 o C.e_l O v1
Use: Residential: New .... [] Replacement ....0
Commercial: New ..} Replacement ....
Fuel Type: Electric... Gas ....El 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 0 R OR AUT 0 ZED AGENT:
Signature:
Print Name:
Mailing Address:
tapplicationstpermit application (3.2003)
snnen
Day Telephone:
City
Date: V() —�
0(., - :I
It)
State Zip
Date Application Accepted:
-s = R
I Date Application Expires:
Staff Initials:
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City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 1157200017
Address: 15215 52 AV S TUKW
Suite No:
Applicant: ANTEZANA INVESTMENTS
Receipt No.: R03 -01156
Initials: LAW
User ID: 1630
Payee: BURIEN NATURAL GAS SERVICE INC
TRANSACTION LIST:
Type Method Description
ACCOUNT ITEM LIST:
Description
doc: Receipt
Payment Check 1619
MECHANICAL - NONRES
PLAN CHECK - NONRES
RECEIPT
Account Code Current Pmts
000/322.100 48.85
000/345.830 12.21
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Permit Number: M03 -143 -1 o
Status: APPROVED co 0
Applied Date: 09/05/2003 w =
Issue Date: J H N u_
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Payment Amount: 61.06 u. j
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Payment Date: 09/23/2003 08:39 AM t w '
Balance: $0.00 ?
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Total: 61.06
3012 09/25 9716 TOTAL 61.06
Printed: 09 -23 -2003
COMMENTS:
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Special Instructions:
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INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
Approved per applicable codes. Corrections required prior to approval.
r:
Date: �
7.00 REINSPECTION FEE REQUIRED Prior 'to inspection, fee must be
id at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
08/14/03 THU 12:11 FAX 253 820 8214
GENSCO QUOTING
Job Name:
Purchaser:
Engineer:
Submitted To:
Submitted By:
Unit Designation: Schedule No.
Submittal Data: PK18FK3 & PU18EK
MITSUBISHI ELECTRIC
Capacities:
Cooling 18.5 MBH
Outdoor Design Temp °F DBNVB
Cooling 95175
EER
SEER
Indoor Unit:
Power Supply (V /PH/ Hz) 115/1/60
Max. Fuse Size 15 Amps
Min. Ampacity 1 Amps
Weight 53 Lbs.
Sound dB(A) L- 35/H43
Outdoor Unit:
Power Supply (V/ PH/ Hz)
Max. Fuse Size
Min. Ampacity
Weight
Refrigerant Piping:
Max. Ht. Difference 130 Ft.
Max. Length 130 F
Liquid (OD) 3/
Gas (OD)
Standard Features:
• Six year compressor warranty
• One year parts warranty
• Auto restart following a power outage
• Advanced Microprocessor controls
• Slim -line outdoor unit
• Refrigerant charge for up to 100 feet of piping
• Zone control
• Quiet operation - both, indoor and outdoor units
• On/Off timer
• Self Diagnostics
• Condenser fan control down to 0 °F. •
'Requires low ambient wind baffle
Location:
For ❑ Reference ❑ Approval ❑ Construction
Date:
Model No.:
10.6
11.3
208- 230/1/60
20 Amps
16 Amps
154 Lbs.
Dimensions — Inches
'PU18EK
PK18FK3
34- 1/4 ° - --►
55.1/8°
33 -1?
CITY OF TUKftiU
APIPRO ED
PU18EK
"
Notes:
RECEIVED
CITY OF TUKWILA
SEP 0 5 2003
PERMIT CENTER
SEP-92003
AS AtO IDA
SSD PK18FK3 022803 OMItsubishi Electric 2003_,
fi t70 3 _/q3
July 2, 2004
Ricardo Antezana
15215 52nd Avenue South
Tukwila, WA 98188
RE: Permit Application No. M03 -143
15215 52nd 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:
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 August 29,
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 pencer
Permit Technician
Xc: Permit File No. M03 -143
Bob Benedicto, Building Official
City of Tukwila
Department of Community Development Steve Lancaster, Director
• Call the City Of Tukwila Permit Center at (206) 431 -3670 to arrange for the next or final
inspection.
Steven M. Mullet, Mayor
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 -431 -3670 • Fax: 206 - 431 -3665
February 3, 2004
Ricardo Antezana
15215 52nd Avenue South
Tukwila, WA 98188
Dear Permit Holder:
Sincerely,
Xc: Permit File No. M03 -143
Bob Benedicto, Building Official
City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
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• Call the City Of Tukwila Permit Center at (206) 431 - 3670 to arrange for the next or final W W
inspection. H 0
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit
~ O
or last inspection; or if the project should be considered abandoned. tii
U ='
If such determination is made, the Building Code does allow the Building Official to approve a one -time ~O F- ,
extension up to 180 days. Extension requests must be in writing and provide satisfactory reasons why Z
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 21, 2004,
your permit will become null and void and any further work on the project will require a new permit and
associated fees.
RE: Permit Application No. M03 -143
15215 52nd Avenue South
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:
Thank you for your cooperation in this matter.
Stefanie Spencer
Permit Technician
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
•
ACTIVITY NUMBER: M03 -143
PROJECT NAME: ANTEZANA INVESTMENTS
SITE ADDRESS: 15215 52 AVENUE S
DATE: 09 -08 -03
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # after permit Is Issued
DEPARTMENTS:
I G�- 0-05
Building ivIsion [�' Fire Pr eve n tr io �� DI Planning Division ❑
Public Works El Structural ❑ Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 09 -09 -03
Complete
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
Incomplete ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS R�TING:
Please Route Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
REVIEWER'S INITIALS:
Documents/routing slip.doc
2-28-02
• r
n ,_' .. .,. .,
PERMIT 1. Li; :.:. .. r
Not Applicable ❑
DUE DATE: 10 -07 -03
APPROVALS OR CORRECTIONS:
Approved ❑ Approved with Conditions [� Not Approved (attach comments) ❑
Notation:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
F625-052-009 (8/97)
DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT . SPECIALTY
REGISTc EXP DATE:_
OCGAF.: BURIENd027OD 08/19/2005
EFFECTIVE ' DATE 09/04/1998
•
BURIEN NATURAL GAS SERVICE INC
153 SW 154 ST
BURIEN WA 98166
Detach And Display Certificate
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FILE COPY
I understand that the Plan Check approvals are
subject to errors and omissions and approval of
plans does not authorize the violation of any
adopted code or ordinance. Receipt of con -
tractor's copy of approved plans acknowledged.
RVSIONS
NO CHANGES SHALL BE MADE TO
THE SCOPE OF WORK WITHOUT PRIOR
APPROVAL OF TUKWILA BUILDING DIVISION.
NOTE revISIONS %ta i- MUM M A 1� PINS SlTAL
" '; t 1 � ". RAN REVIEW PM
EXPIRED
41 3 1 2004
•
AIONVIID
SEP 0 5 2003
PMtr a,vres.
1
SEPARATE PERMIT
REQUIRED FOR:
❑ MECHANICAL
ELECTRICAL
PLUMBING
GAS PIPING
CITY OF TUKWILA
BUILDING DIVISION
WOW
S Ep -9 2003
AS CU
/103- /1/3
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