HomeMy WebLinkAboutPermit M03-155 - CASCADE GLEN - LOT 4CASCADE GLEN
LOT 4
13214 38T" PLACE
SOUTH
M03-155
Signature:
doc: Mech
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 1422600040
Address: 13214 38 PL S TUKW
Suite No:
Tenant:
Name: CASCADE GLEN - LOT 4
Address: 13214 38 PL S, TUKWILA WA
Owner:
Name: DREAMCATCHER HOMES LLC
Address: 13407 51 AV W, EDMONDS WA
MECHANICAL PERMIT
Contact Person:
Name: JAY KIEROUZ
Address: PMB 1190, 13619 MUKILTEO SPEEDWAY, #D5
Contractor:
Name: 3 A K DEV & CONST CORP
Address: 13407 51ST AVE WEST, SEATTLE WA
Contractor License No: JAKDECCO23NS
DESCRIPTION OF WORK:
INSTALL NEW HVAC SYSTEM IN NEW SINGLE FAMILY RESIDENCE.
Permit Center Authorized Signature:
M03-1 55
Permit Number: M03 -155
Issue Date: 10/24/2003
Permit Expires On: 04/21/2004
Phone:
Phone: 206 - 300 -6874
Phone: 206 - 300 -6874
Expiration Date:09 /04/2004
Value of Construction: $4,500.00 Fees Collected: $83.56
Type of Fire Protection: NONE Uniform Mechnical Code Edition: 1997
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 construction or the performance of work. I am authorized to sign and obtain this mechanical permit.
Date: J 22 1 /
Print Name: —S
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: 10 -24 -2003
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 1422600040
Address: 13214 38 PL S TUKW
Suite No:
Tenant: CASCADE GLEN - LOT 4
PERMIT CONDITIONS
Permit Number: M03 -155
Status: ISSUED
Applied Date: 09/25/2003
Issue Date: 10/24/2003
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
3: Plumbing permits shall be obtained through the Seattle -King County Department of Public Health. Plumbing will be
inspected by that agency, including all gas piping (296- 4722).
4: 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).
5: 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.
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.
9: Fuel burning appliances may not be installed in sleeping rooms, U.M.C. 304.5.
10: Appliances which generate flame, spark or glowing ignition, shall be elevated 18 inches above the floor (U.M.C.
303.1.3.).
11: 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:
doc: Conditions
Date: / /Z't 7,6
13
M03 -155 Printed: 10 -24 -2003
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King Co Assessor's Tax No.: 14 ZZ 6 k] -- 66 D
Site Address: 13 Z ( Li 33 -p 7c f' c ,-J`14 Suite Number: Floor:
Tenant Name: t�; e ` t" :- - L . p-1 t.-0
Property erty Owners Name: 7{3�0�C TGt* CS
P
Mailing Address: 71-4. (t O at..11 1-k.,, -1 t-- 16- D N1/4 -- PG L YioA 1;› "Me:3 7
City State Zip
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Name: 7 te- e`tt -3'Z
Mailing Address:
E -Mail Address: V---" I .'" --1z) Z `: L ri
;GENE � ,A
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....�:..�..,,.
Company Name: 74■' I • (T -
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number: S / SS Expiration Date:
**An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
rott
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
%ap,Ucatio, s .sit appliutloe (3•7003)
3/7003
CITY OF TUKWILA
Community Development Dt.,...rtment
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**
>•+=i iii.' ii th L
Page I
Contact Person:
E -Mail Address:
New Tenant: .... Yes
[] ..No
` rCt i•s +y, .tir'+sn4a!YT':" t- �j'�!i.i. `•' •
�:'. •.. .....M... � ♦1�'.. w y{. :•]: .-. t^.It'� ....r!!1 .14.1.:,2' .
Day Telephone:( Zei 6 ' -� b 72-{
City
Fax Number:
State Zip
( 741 Z6
State
City
Day Telephone:
Fax Number:
State
State
Zip
� •� �..,rtj gmryw
•
Zip
City
Day Telephone:
Fax Number:
E 1N b
Company Name:
Mailing Address:
Zip
City
Day Telephone:
Fax Number:
;Unit :Type : = _
Q ty:
;Unit Type; : ,. .,
;Qty
Unjt ,;'
Other Mechanical
Equipment
'Qty::;!
'
;Boiler /Compressor
0 -3 H /100,000 BTU .
;Qty;
Furnace < 100K BTU
Air Handling Unit
>= 10,000 CFM
Fumace>100K BTU
Evaporator Cooler
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan
4
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 CONTRACTOR INFORMATION
Company Name:
E -Mail Address:
Print Name:
UpplicasionVenglit .plica1iow(3•200])
3/2003
Mailing Address: 7,g `S Z S
r`!
City State Zip
Contact Person: ` -r712. G, "t`) Day Telephone: "i .53) 74 v
Fax Number : @s5 � 3 I -- 4 1 1
Contractor Registration Number: _ Expiration Date: c9 e. /
**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): $
Scope of Work (please provide detailed information): (ti9 S- *-1-t.
Use: Residential: New ....a. Replacement .... ❑
Commercial: New .... ❑ Replacement .... ❑
Fuel Type: Electric ❑ Gas....' Other:
Indicate type of mechanical work being installed and the quantity below:
tc� 'Vet
i�ia.
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.
BUILDIN, OWNER AUTHORIZED AGE
Signature:
Page 4
Day Telephone:
City
Date: C, / `�' -1��
Mailing Address:
Zip
State
Date Application Accepted:
Date Application Expires:
Staff initials:
i
.ri ,cv2 : Aa'rrki } < -.a'.t n .
RECEIPT
Ct w
Parcel No.: 1422600040 Permit Number: M03 -155 6 D
Address: 13214 38 PL S TUKW Status: APPROVED U O
Suite No: Applied Date: 09/25/2003 co 0
co w
Applicant: CASCADE GLEN - LOT 4 Issue Date:
co w
w O
Receipt No.: R03 -01302 Payment Amount: 83.56 g 5
N D .
Initials: BLH Payment Date: 10/24/2003 03:44 PM z O
User ID: ADMIN Balance: $0.00 Z H
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Payee: JAK DEVELOPMENT AND CONSTRUCTION v
ON
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ww
Type Method Description Amount ii— H
O .
Payment Check 2299 83.56 .jj Z
UN
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TRANSACTION LIST:
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
MECHANICAL - RES
PLAN CHECK - RES
Account Code Current Pmts
000/322.100 66.85
000/345.830 16.71
Total: 83.56
4114 10/28 7710 TOTAL 5944.73
Printed: 10 -24 -2003
Proje/c-t�: S �� �� l u
Type of I
ctioA:
/--
Add ess: 44
Date Called:
Special Instructions:
Date Wanted:
��
a .
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPE
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3670
R pproved per applicable codes. El Corrections required prior to approval.
COMMENTS:
'Inspector
L �� IDate:
y
$47.001EINSPECT • N FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
'Receipt No.:
'Date:
Pr ect:
� cad -� G (.r4
Ty of In '
—i s pec ahl a - /iv
Address:
t3 2 4 .3w- tkD S.
Date Called: J
-
5 e ial I u /ions:
p �(� / 5F-
/
Date Wanted:
2 //d hi
a�
p.m.
Requester: /J
vy IC-
Phone No:
,--a(.0 — 7 30 a9 &2-
lInspector
:;
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PER
NO.
(206)43136'0
El Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
`4 oi•` 4i /
Date: „I_ 10 _01
$47,04EINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at Southcenter Blvd., Suite 100. Call to schedule reinspection.
'Receipt No.:
'Date:
COMMENTS:
Type of Inspection: "
'Le,y.f - ..--•
)
\) 1.)1.A.0 - Ci i Y S ?r)(A)r( -Pr ha-4 in
Special Instructions:
Date Wanted: a.m.
2— 6/ 0 Y Cp.m.
Requester:, / • `V CG / G.-
Phone C20 7-3Gl X96 Z
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Project: _,
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Type of Inspection: "
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Address:
/Y.. 38 `,GS
Date Called:
z -2 -o
Special Instructions:
Date Wanted: a.m.
2— 6/ 0 Y Cp.m.
Requester:, / • `V CG / G.-
Phone C20 7-3Gl X96 Z
INSPECTION NO.
CITY-OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
?'S ,L,.,
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
PERM N
06)431 -3670
orrections required prior to approval.
Inspectors � /► n ''��� /j
1Date
: 2_ H
.OLD
EI $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
(Receipt No.:
Date:
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M03 -155
PROJECT NAME: CASCADE GLEN — LOT 4
SITE ADDRESS: 13214 38 PLACE SOUTH
X Original Plan Submittal
DATE: 09 -25 -03
Response to Incomplete Letter #
Response to Correction Letter # Revision # after permit Is Issued
DEPARTMENTS: I
.Z /�tn�� D-1(1),-0,5
Building Division E
Public Works ❑
Fire Prevention
Structural
Complete Incomplete ❑
APPROVALS OR CORRECTIONS:
Documents /routing slip.doc
2.28 -02
El
DETERMINATI N OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 09 -30 -03
j
REVIEWER'S INITIALS:
PERMIT COORD COPY
Planning Division
Permit Coordinator
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 ROJDTING:
Please Route E 1' Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
DUE DATE: 10 -28 -03
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:
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
REGIST. # .EXP. DATE
CC01 JAKDECCO23NS 09 /04/2004
EFFECTIVE DATE ' 08/10/1998
J A K DEV & CONST CORP
13407 51ST AVE W
EDMONDS WA 98026
Signnwre
Issued by DEPAR
NT OF LrA AND INDUSTRIES