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HomeMy WebLinkAboutPermit M03-152 - SMYTHE RESIDENCESMYTHE RESIDENCE 14143 34T" AVENUE SOUTH M03-152 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 MECHANICAL PERMIT z 1 i~ Parcel No.: 9415000050 Permit Number: M03 -152 w Address: 14143 34 AV S TUKW Issue Date: 09/25/2003 Suite No: Permit Expires On: 03/23/2004 -J 0 co o CO 11J - -- ui O 2 Owner: g a Name: SMYTHE ROBERT 3 Phone: u) O Address: 14143 34TH AVE S, SEATTLE WA H w Contact Person: Z 0 Name: CANDACE GALLAGHER Phone: 206 282 -4200 zo Address: 2800 THORNDYKE AVE W, SEATTLE WA ? o U Contractor: o H ': Name: WASHINGTON ENERGY SERVICES CO Phone: 206 282 -4200 Address: 2800 THORNDYKE AVE W, SEATTLE, WA = v Contractor License No: WASHIES9710B Expiration Date:09 /02/2005 LI ro z UN 0 H O Tenant: Name: Address: ROBERT 7. SMYTHE 14143 34TH AVE S, SEATTLE WA DESCRIPTION OF WORK: GAS TO GAS FURNACE CHANGEOUT - BRYANT 310AAV36070 70,000 BTU'S Value of Construction: $2,293.00 Fees Collected: $52.00 Type of Fire Protection: N/A Uniform Mechnical Code Edition: 1997 Permit Center Authorized Signature: Date: 9_ d 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 construction or the performance of work. I am authorized to sign and obtain this mechanical permit. Signature: lf'v ' w V - - "� Date: Print Name: 1 1-Uk YHd»'l.6 ui 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 -152 Printed: 09 -25 -2003 z City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 9415000050 Address: 14143 34 AV S TUKW Suite No: Tenant: ROBERT). SMYTHE PERMIT CONDITIONS Permit Number: M03 -152 Status: ISSUED Applied Date: 09/25/2003 Issue Date: 09/25/2003 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: 4 4c& C A540 -- t,GL - q) Print Name: Ll !/L/1- 7 0/ sr doc: Conditions M03 -152 Date: 9 7 2 q 6 Printed: 09 -25 -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** Site Address: 1 I ` - / / 44 3 L f Y -V . Tenant Name: Property Owners Name: C.L4 i Mailing Address: 1 Li ( 41 3 '3 .- rtt f-LU City CONTAC Name:C t rla iCe_ 61C4.1 ( QC1/'}PJ Day Telephone: 004 Z3 2.(1 Mailing Address: 28 00 Thw-nC1 Li kg k Lv G -HLQ. C,c_J,A q43 / N City State Zip E -Mail Address: Fax Number: Company NameWAS k fr J (7-3Y 1 E •rVICCS AAIE cv ` - ecW-e_ wA 9e qC Mailing Address: ' p . * c2rv\C Contact Person: CG rC[ (.(Ct E -Mail Address: Fax Number: Contractor Registration Numbeckl -Aa4 1 S 91( ) 3 Expiration Date: 4 I3 f 0 1 7 * *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance ** ARCHITECT OF RECORD -All pians.must be wet stamped by Architect.ofRecord: Company Name: Mailing Address: Contact Person: E -Mail Address: Contact Person: E -Mail Address: tapplicationttpermit application (1.2001) 7(2001 Page 1 King Co Assessor's Tax No.:9 15 ©nCO so Suite Number: City State Zip Day Telephone:2 Z 2_ ky City Day Telephone: Fax Number: Floor: New Tenant: .... Yes 0 ..No c:JA qs_R State Zip S State Zip ENGINEER OF;RECORD: All pla ns must be `yet stamped by Engrrieer of Record Company Name: Mailing Address: Zip City Day Telephone: Fax Number: 1 BUILDING PERMIT-INFORMATION' 206 431 - 3670' Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ Scope of Work (please provide detailed information): Will there be new rack storage? 0 ..Yes ❑.. No If "yes ", see Handout No. for requirements. '::P,rovide.All Building Areas in Square Footage Below 1 'Floor 2n 3 Floor "• Floors -' Basement, Accessory : Structure:- Attached Garage Detached:Garage,.. Attached Carport Detached Carport :: Covered Deck Uncovered peck i Interior',: Remodel Addition.to Existing Structure 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: tapplicationskpermit application (3-2003) 3/2003 Page 2 Handicap: 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? 0..Yes ❑ ..No 1f "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,WORKSPERMIT INFORMATION: = 206= 433=0179 Scope of Work (please provide detailed information): Water District ❑ ...Tukwila ❑...Water District #125 ❑ ... 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 ❑..: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 _ Vpplicationstpermit application (3.2003) 312003 Please.refer td Public `Works Bulletin #1: for fees: and estimatesheet. cubic yards cubic yards fl Call before you Dig: 1-800-424-5555 ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line WO# WO# WO# Private Private Page 3 ❑ .. 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 t r I'TT,Z VI • FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑ ...Water ❑ ... Sewer ❑ ...Sewage Treatment Monthly Service Billing to: Name: Mailing Address: Day Telephone: City Water Meter Refund/Billing: Name: Mailing Address: Day Telephone: City State State Zip Zip J Unit Type: Qty Unit Type: ' Qty . Unit Type: Qty Boiler /Compressor :; : Qty Furnace <100K BTU I Air Handling Unit >= 10,000 CFM Other Mechanical Equipment 0 -3 HP /100,000 BTU Furnace>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 HeatlRefrig/Cooling System Incinerator - Domestic Air Handling Unit < =10,000 CFM Incinerator — Comm/Ind 'MECHANICAL PERMIT.INFORMATION -= 206=431 -3670 MECHANICAL CONTRACTOR INFORMATION Company Name: (J O S U, / 11 `7 CYl j .liiLC &-f Mailing Address: ;..D< C 7 e/ 7'ldW . ' c CCJ Gt' t, We 7 / g ? City State Zip C7 )l Contact Person: Ca (NCifCt. (la kill-QC E -Mail Address: Fax Number: / Expiration Date: / / cD 5' Contractor Registration NumberWAS �{ l i S 6-7 1 * *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): $ .3 t Scope of Work (please provide detailed information): S `-k J ► C e— Chh40 � (-M I t AAV306 . 7° uz Use: Residential: New ....0 Replacement ...:4 Commercial: New ....0 Replacement ....0 Fuel Type: Electric 0 Gas _Xi Other: Indicate type of mechanical work being installed and the quantity below: : PERMIT; APPLICATION :NOTES - : Applicable :to`all permitsin 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 Signature: Date Application Accepted: bpplicatiotu\permit application (3-2003) PINVI ER OR / 104/1 t PlYq kt-i J Mailing Address( ?' 'L0 Print Name: L I 1101 — Ff .- torn 6Nu(s- j Date Application Expires: Pao. 4 Day Telephone: 2 <)Cp 2 82 ..., ., _ ,,. Date: Day Telephone: Zz5— 77 32 -e Kir`liciAv WcL Ti30S3 City State Zip Staff Initials: • City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 9415000050 Address: 14143 34 AV S TUKW Suite No: Applicant: ROBERT 3. SMYTHE Payee: WASHINGTON ENERGY SVS Payment Check 3061 ACCOUNT ITEM LIST: Description doc: Receipt MECHANICAL - RES RECEIPT TRANSACTION LIST: Type Method Description Amount Account Code Current Pmts 000/322.100 52.00 Permit Number: M03 -152 Status: PENDING Applied Date: 09/25/2003 Issue Date: Receipt No.: R03 -01172 Payment Amount: 52.00 Initials: SKS Payment Date: 09/25/2003 10:59 AM User ID: 1165 Balance: $0.00 52.00 Total: 52.00 3043 09/25 9716 TOTAL. 116.88 Printed: 09 -25 -2003 INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Pr ,ject: Address:. Special Instructions: Type of Ipspectio Date Called: 1v( v3 1 0 � 7 / o3 Date Wanted: Req ester: � { i/vt y-1'L, e Phone No: 204 — -( t 4 proved per applicable codes. OMMENTS: Inspe • . .00 REINSPECTION F REQUIRED. Pri s to inspection, fee must be d at300 Southcenter Ivd., Suite 100. CaII to schedule reinspection. pt No::. c&-c) t El Corrections required prior to approval. (tV6'" Date: Date: 1V1o3-6sa PERMIT (206)431 -3670 REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL krLiY " r 1 ' . ;,: :f i:) 1'.`'43 `,L! i, � ', $ �-•. ;r;; ;R .; #,,x.t:,? jEXP; 7. DATE !EFFECTIVE S DATE 971OB 09%02/ WASHINGTON" ENERGY SERVICES.: CO 2800•THORNDYKE AVE W SEATTLE WA •98199 • State of Washington County of Snohomish I certify that this is a true and correct copy of said document as of this date Date: � /03 Detach And Display Certificate r, ler-SCIVCC.GS . Title My Appointment Expires on J D/q 1O3 z • ,_ ~ w re O 0 y 0, W = • w w 0 2 J • ?. • N d w I— z F I— 0. Z I— w 0 O - ' 0 I- wW H . 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