HomeMy WebLinkAboutPermit M03-163 - THAI RESIDENCE•
HOA THAI
RESIDENCE �:
6 m.
JU
0.
12049 AVENUE N W=
J �
i W O
SOUT H g
Z- W
O.
W LLJ
U0
O N:
0I-
W. .
Lij
V..
U N;
H
O
Z
M03 -163
Tenant:
Name:
Address:
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
MECHANICAL PERMIT z
Parcel No.: 3347401235 Permit Number: M03 -163 - 6
Address: 12049 46 AV S TUKW Issue Date: 10/06/2003 6 =
Suite No: Permit Expires On: 04/03/2004 v p
ND
co w
J 1-
co w
w
Owner: u.
Name: HOA THAI Phone: = a
Address: 12049 46 AV S, TUKWILA WA F- _
z '-
Contact Person: 1- O
Name: RODNEY TAYLOR Phone: 206 335 -0517 LU
Address: 5402 33 AV S, SEATTLE WA v o co
Contractor: a l-
N GOODGUY'S HEATING & COOLING Phone: 206 335 -0517 w w
Address: 5402 33 AV S, SEATTLE WA H H
Contractor License No: GOODGHC005JC Expiration Date:04 /15/2005 u_ p
HOA THAI
12049 46 AV S, TUKWILA WA
DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGE OUT OF GAS FURNACE TO GAS FURNACE.
40,000 BTU'S UPFLOW
Value of Construction: $2,000.00
Type of Fire Protection: N/A
Permit Center Authorized Signature: ,,�cdoe-<-0-
Signature:
Print Name:
doc: Mech
$52.00
Uniform Mechnical Code Edition: 1997
Fees Collected:
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 perforf ork. I am authorized to sign and obtain this mechanical permit.
Date: /r'
PO/ ../ve --
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 -163 Printed: 10 -06 -2003
z
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 3347401235
Address: 12049 46 AV S TUKW
Suite No:
Tenant: HOA THAI
PERMIT CONDITIONS
Permit Number: M03 -163
Status: ISSUED
Applied Date: 10/06/ 2003
Issue Date: 10/06/2003
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: ✓"_� -.�� Print Name: Name: n,ta 7/e')
doc: Conditions
M03 -163
Date:
Printed: 10 -06 -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 **
SI TE`IOCATI ON�
Site Address:
l2 055 qLI `'
Tenant Name: t
Property Owners Name:
Mailing Address:
Zip
Mailing Address: 5
Name:
E -Mail Address:
:GEN
Company Name:
Mailing Address:
E -Mail Address:
Company Name:
Mailing Address:
■applicationatpennit application (3.2003)
3/2003
cyC
Contact Person: K6-0N- 'iq
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
Page I
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ .... Yes J ..No
City
State
: i
Day Telephone: (,;-c (0) 3 S
City
Fax Number:
1NG
(to
City
Day Telephone:
Fax Number:
ULA4\ -- C'700
State Zip
State Zip
Contractor Registration Number: 6 .c3n 4 1 G Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
n° RCI�I o E EC ORD
• .. ..i -...} .:1 �,:'{a• ..:i .r. :ir .r;r�'S::
Company Name:
Mailing Address:
State
Zip
City
Day Telephone:
Fax Number:
- ENGINEER OFi
t plans d ust be }wet stampe
a giaeer,ol>4tecor
State
Zip
City
Day Telephone:
Fax Number:
u5l.,roa'tfaf
. dS .'4:�.:;.(i:::rx /�., ":i::�tit 4..�w.r...,.�ir.':
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Existing Building Valuation: $
Will there be new rack storage? ❑ ..Yes ❑.. No If "yes ", see Handout No. for requirements.
Provide Building Areas' in Square Footage Below •
:1 ":Fl
2 11 ,° , F1oor ; ,
3f° Floor
.
: Floors J::';'thru'
asement
Accessory. Structute t.
Attached Garage > _.
Detached; Garage
:Attached Carport.
petached Carport'
Covered Deck
Uncovered Deck
='Addition
Existing
Type of
Construction
-per UBC
Occupancy
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: Handicap:
Will there be a change in use? ❑ .... Yes ❑ ..No If "yes ", explain:
FIRE PROTECTIONMAZARDOUS 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.
Utplicationdpennit application (3.2003)
3/2003
Page 2
Scope of Work (please provide detailed information):
::Plessei efec.to Public Bulletin: #1:for;tees and estlmate;shee
Water District
❑...Tukwila 0... Water District #125
❑ ...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 ❑ .. 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
\applicationatpennit application (3.2003)
3/2003
cubic yards
cubic yards
❑...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
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
It
It
el
Call before you Dig: 1- 800 -424 -5555
WO#
WO#
WO#
Private
Private
❑ .. 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
Page 3
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undcrgrounding
❑ ...Deduct Water Meter Size
FINANCE INFORMATION
Fire Line Size at Property Line
❑ ... Water ❑ ...Sewer
Monthly Service Billing to:
Name:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
Number of Public Fire Hydrant(s)
❑ ...Sewage Treatment
Day Telephone:
City
State
Zip
Day Telephone:
City State Zip
' 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>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
MEC�HAN�AL E 12VJ
• ���! f, Yti. �,h.E.k4:h,11.��.o'�s�'�i�'jt: ,1 YAK .��{,(: .�s.
MECHANICAL CONTRACTOR INFORMATION
Company Name: CTZ UT?( -ULj -S \ Y.I� (1`
Mailing Address: 5 --- i('\LI •S
Contact Person: " R-)b1J 114 inr■
E -Mail Address: ,
Contractor Registration Number: c5Z)t - I - 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): $ r>2 *
Scope of Work (please provide detailed information): CJ \[V Y\ Q. ( ` e7 N S 1.521&e,
OW g er',4r/A/
g Cool \ H�,
City
Day Telephone:
Fax Number:
St to cigcv
Zip
cCG)
Use: Residential: New .... ❑ Replacement ....
Commercial: New ....0 Replacement ....
Fuel Type: Electric [] Gas.... Other:
Indicate type of mechanical work being installed and the quantity below:
ERMI P .LICATION:NOTES ='App Iicable toiall erinits°i rthis_a 'iii
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 OWNER A HORIZED•AGEN
Signature: / {� - -�1 �
Print Name: ...01)_11 e Li I C..
Mailing Address: 5/-0;,.
Date Application Accepted:
lappliationatpennit application (3.2003)
3/2003
Date Application Expires:
Page 4
Date: /00/0
Day Telephone: "�C_L�0 3 061
(� <m , % a
City State Zip
Staff Initials:
l7:IneC . {+M7}..%. /ntS: a',itRFortAWN;.;;'dsAW-0 : y;;. r.'n1 z�;'x �//'C ;�i;�r.cA� W,.
�1� :R ,._ ij �. '�.f:���AZTT7H
. 3'5111•3433...1-X nm r.
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 3347400420
Address: 12055 44 AV S TUKW
Suite No:
Applicant: HOA THAI
Receipt No.: R03 -01212 Payment Amount: 52.00
Initials: SKS Payment Date: 10/06/2003 09:25 AM
User ID: 1165 Balance: $0.00
Payee: RODNEY TAYLOR
TRANSACTION LIST:
Type Method Description
Payment Cash
ACCOUNT ITEM LIST:
Description
MECHANICAL - RES
RECEIPT
Permit Number: MO3 -163
Status: APPROVED
Applied Date: 10/06/2003
Issue Date:
Amount
52.00
Account Code Current Pmts
000/322.100 52.00
Total: 52.00
.3373 10/07 9716 TOTAL
52.00
doc: Receipt Printed: 10 -06 -2003
Pro ect: -T-1„a-,I •
Type of Insp iqn:
A ess:
J -c 'Y G
. S 9.
Date Called:
2 I 0
Special Instructions:
Date Wanted:
3/ /O
p .m.
Requester: _
11
Phone N :
c { � 2. 0 cf --
L�//������
( -7 -T`3
COMMENTS:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #1 00; Tukwila, WA 98188
S Approved per applicable codes. Corrections required prior to approval.
CO P-e.,r - w%
(Receipt No.:
8).2 Tn ; NJ yq 1
PE
20.)431 -3670
tor: Date:
71 h.r c.r,J g- Z - oy
7.00 REINSPECTION FE REQUIRED. Pr4or to inspection, fee must be
aid at 6300 Southcenter BIJd., Suite 100. Call to schedule reinspection.
'Date:
Project: .
aZ- 7`Aa, '
of Inspection: •
ee,- -. *,t/
Add `� c !r'
§
Date Called: el
Special Instructions:
,PQkci � (p
. S -
Date Wanted:
�'�. 7
3
a.m.
Requester:- ,
ica
Phone No:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3670
Approved per applicable codes. fJ Corrections required prior to approval.
COMMENTS:
r
c%k-;C.O 6"r")
r
nsp tor:
'Jr
Date:
I C� — "- 0
S4 .00 REINSPECTION F E REQUIRED. Prig to inspection, fee must be
p d at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
eipt No.:
Date:
February 2, 2004
Rodney Taylor
5402 33rd Avenue South
Seattle, WA 98001
RE: Permit Application No. M03 -163
12049 46th Avenue South
Dear Permit Holder:
City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
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 April 4, 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 -163
Bob Benedicto, Building Official
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
z
Z
41
U
W
H
LL
WO
g Q
a
W
H =
Z �
H O
Z
Lu
U �
O - .
0 t—
I U
I
u O
U - •
O 1-"
z
LICENSE DETAIL INFORM. ION Form Page 1 of 2
* *
* *
LICENSE DETAIL INFORMATION
Current Filter: None
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:
Registration# or License GOODGHC005JC
Name GOODGUY'S HEATING & COOLING
Address 5402 33RD AVE S
Address
City SEATTLE
State WA
Zip 98118
Phone Number 2063350517
Effective Date 4/3/2000
Expiration Date 4/15/2005
Registration Status ACTIVE
Type CONSTRUCTION CONTRACTOR
Entity PARTNERSHIP
Specialty Code AIR CONDITIONING
Other Specialties AIR HEAT,VENTILATION,EVAPORAT
UBI Number 602023219
* * *VIEW CROSS REFERENCE FILE FOR THIS LICENSE* * *
'VIEW *VIEW PRINCIPAL OWNER(S) FOR THIS LICENSE* * *
* * *VIEW CONTRACTOR BOND /SAVINGS INFORMATION * * *
*CHECK INQUIRY FOR SUMMONS AND COMPLAINTS* *
* VIEW CONTRACTOR INSURANCE INFORMATION * * *
*
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
Compliance Home Page
https : / /wws2.wa.gov /lni/bbip /TF2Form .asp ?License= GOODGHC005JC
10/06/2003
z
w
00
co
J • =
f-
w o
2
j .
u) p
D
z �.
i- 0
w ~
uj
U�
0-
0 E-
w uj
LL
O
W
H
O
z