HomeMy WebLinkAboutPermit M03-165 - LORENZO RESIDENCEM03-165
Joe Lorenzo Residence
14108 53rd Ave. So.
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
doc: Mech
MECHANICAL PERMIT
z
Parcel No.: 1670400175 Permit Number: M03 -165 z
Address: 14108 53 AV S TUKW Issue Date: 10/07/2003
Suite No: Permit Expires On: 04/04/2004 -i 0
cow
Tenant:
Name: 30E LORENZO RESIDENCE u) u-
Address: 14108 53 AV S, TUKWILA WA 2
Owner:
u_ a
Name: 3OSEPH LORENZO Phone: co O
Address: 14108 53 AV S, TUKWILA WA H w
zF
Contact Person: H p
Name: 30E LORENZO Phone: 425 351 -6686 w I—
Address: 14108 53 AV 5, TUKWILA WA = o
Contractor: o 0 o i~
Name: PERFORMANCE HEATING Phone: 425 251 -0356
Address: 7649 S 180 ST, KENT WA = v
Contractor License No: PERFOHA15ORT Expiration Date: 04/29/2005 ti 0
.z
w
U =
O~
z
DESCRIPTION OF WORK:
ADDING A/C TO EXISTING FURNACE. A/C LOCATION NORTHWEST CORNER OF HOUSE NORTH
SIDE 10' FROM FRONT OF HOUSE.
Value of Construction: $5,000.00
Type of Fire Protection: N/A
Permit Center Authorized Signature:
Fees Collected:
Uniform Mechnical Code Edition:
M03 -165
$42.69
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.
Signature: Date: /° 7 -€
Print Name: /4/C/ i4 / t /e. Vo 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 -07 -2003
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 1670400175
Address: 14108 53 AV S TUKW
Suite
Tenant: 30E LORENZO RESIDENCE
doc: Conditions
PERMIT CONDITIONS
M03 -165
Permit Number:
Status:
Applied Da :e:
Issue Date:
M03 -165
ISSUED
10/07/2003
10/07/2003
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
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
regulating construction or the performance of work.
Signature:
Print Name: " 1 CA,ie f
Date: /' - 7 o3
ordinances
or local laws
Printed: 10 -07 -2003
Site Address:
Tenant Name:
Name:
E-Mail Address:
\applications\ 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**
5 rj- A-Jort
- Lc, r-c. r12_
Property Owners Name:
Mailing Address: i t /6 T? 5 -
Mailing Address: /t//�i
4 ?-er , cCdr fin v1
6 s.
tf c.. 1
cif "
Page 1
. zourr
City
King Co Assessor's Tax No.: /(,7 0 VC o / 7S
Suite Number: Floor:
New Tenant: El .... Yes fl ..No
State
Day Telephone: f 5 t 6
Y/64
City
Fax Number:
Fax Number:
State Zip
Company Name:
Mailing Address:
1.(1) ca_
Contractor Registration Number: 1 4 1 Sc / r Expiration Date: Y Z-1 /0 5
**An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance**
ARcHIT,EcT:OF:REcORD niiist be WetIstOlgedbY: ofRecord , '
Company Name:
Mailing Address:
Zip
Contact Person:
E-Mail Address:
State
City
Day Telephone:
Fax Number:
Company Name:
Mailing Address:
Zip
Contact Person:
E-Mail Address:
State
City
Day Telephone:
Fax Number:
1 1
z
1.1
6 =
O 0
rn 0
Ui
x
CO u_
u j 0
MI
u_
• a
Z
I-0
Z I—
LIJ
0
n 0
0 9
1-
w u j
0
1—
UJ
P
0 I-
DING:PERMIT,INFORMA 9ON -, 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? ❑ ..Yes ❑ .. No
If "yes ", see Handout No. for requirements.
Provide All Building Areas in Square Footage. Below
P Floor.
•
2° Floor
3`° Floor
Floors thru
Basement
Accessory
Attached Garage
Detached Garage
Attached Carport
Detached Carport
'Covered Deck '.
Uncovered Deck
Existing
Interior
Remodel
Addition to
Existing
Structure
. New • .
Type of
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: Handicap:
Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
O.. 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.
\applications\permit application (3.2003)
m00s
Page 2
ti?
si
3
UBLIC WORKS PERMIT INT ``RMATION 206-431411
I- rt::o .ttti ti,..M1 ��,t.1�� t t.i.- •,t�„*•..ir.ni'.��i ..r�.. r, ys',., } __u . ,.t���. Y,. .. .a.t �:
Scope of Work (please provide detailed information):
Water District
❑ ...Tukwila 0... Water District # 125
❑ ...Water Availability Provided
Sewer District
❑ ...Tukwila ❑... Va1Vue ❑ .. 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 _
\applications \permit application (3 -2003)
3/2003
Please refer:. to Public Works Bulletin #1 for fees and estimate sheet.
cubic yards
cubic yards
1)
H
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
)t
1 1
Call before you Dig: 1- 800 - 424 -5555
f.
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
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑...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
Page 3
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 I -IP /100,000 BTU
Furnace>100K BTU
Evaporator Cooler
/
2 -I .IN 2V,ace bMu
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
1-lood
50+ HP /1,750,000 BTU
Heat/Refrig/Cooling
System
Incinerator - Domestic
Air Handling Unit
<= 10,000 CFM
Incinerator — Comm /Ind
MECHANICAL PERMITINFORMATION --206-431-3670
MECHANICAL CONTR C TOR INFORMATION
Company Name: l rte - rm- a N C — 1 -1 -e at %A.)
Mailing Address: 7691 -S 4 01-1
Contact Person: ` c(�
E -Mail Address:
Mailing Address: 7 »o ye( 5 • / ire"
}-
\applications \permit application (3.2003)
3/2003
Page 4
/ A.V
Indicate type of mechanical work being installed and the quantity below:
r
jh 4.1)4. I
City
City State Zip
Day Telephone: / 2 S 2 Y 1 -U3 A
Fax Number: 4 /G r Zr(— 01 Y6
Contractor Registration Number: I' " r & 4 (per' )Z r Expiration Date: 4 //t ? /a T
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of pertnit issuance **
Valuation of Project (contractor's bid price): $ Sr—C) V Q
Scope of Work (please provide detailed information): A 0 C 7 v 13 -n
� GC44'l0 1J r ,rGr-rk �,rCS
Use: Residential: New .... Replacement ....
Commercial: New ....❑ Replacement
Fuel Type: Electric Gas.... Other:
Date: o —/—o)
State
Zip
Id
a y?fi 3 X L ri fle ° °
PERMIT 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.
1 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 OWNE R AUTHORIZED AGENT:
Signature:
Print Name: T`Db fr`J Day Telephone: 2 3"1 -03s
1 Date Application Accepted:
/4-2---e 3
Date Application Expires:
Staff Initials:
1
Payee: PERFORMANCE HEATING
Payment Check 19386
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
RECEIPT
Parcel No.: 1670400175 Permit Number: M03 -165
Address: 14108 53 AV S TUKW Status: PENDING
Suite No: Applied Date: 10/07/2003
Applicant: 30E LORENZO RESIDENCE Issue Date:
Receipt No.: R03 -01223 Payment Amount: 42.69
Initials: SKS Payment Date: 10/07/2003 03:23 PM
User ID: 1165 Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
42.69
Account Code Current Pmts
000/322.100 34.15
000/345.830 8.54
Total: 42.69
349 10/09 9716 TOTAL 42.69
Printed: 10 -07 -2003
z
w
00
Cl)
w w :
J
Nw
w0
g a.
CO
= d
�
Z
z �
o
z �
0
0 H.
= U_ '
u h-
Z .
11
0 52
0 /-
z
P oject:
[_e..elil Za A. p4- .
Type of Inspection:
= t n u�C
•
Address: sss: j� y_ [ ✓T �O
tb J3 , Se
�} Date Called:
1 O I (7
O
O Special In �
r I
fl n �n
C / r ( 1 ce,r I
Date Wanted: 1 � �
10 '" A
Requester;
Phone No: ((� I / ,,
�� 1 — q) — L-4' aVG0
1 1
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
124 03-I
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Date:
❑ $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:
Z
_
Z
re W
6
JU
00
CO CI
0 111
J I
C0 U.
u.
I--_
Z1-
ZO
V
N
0 I—
W
1-0
LL'O
W Z
U=
0
z
COMMENTS: /'�
l � G - � ( 01441 0 �l 11.P V (S
rer -I 'C,i' Gilt . HV . Leh e?.. t ✓v (} rwwk -Pd
-e_ 4 ir\ 4 , S-i- i i--.4 .I I -P I (( -D r -- i x i' At f
t VN C se)
o r `f'-o!" \16,e( .S l r � safe C�'t C - i v.rA I 411
p
lt vv,,- -� , -k \\Q f`1(,. , t -ar-e 1U 1 -1 -()3 -
}
0,n \D - ' 'far 1 c odI' CP -\ I
1
-to 1P(4 \"5 p.adev- W c, t, br
+ r , v , G1
G L ( 1 \- J CA ( � `4-ra r , 1-) - •D { rtb .
1�t r Lnr-r,e. - 7-n ■ 5 r U Vr 4-- \" - -v��l r\,!
( -\
fPOC� P? f.' 4 ,rrn` ` tv\ SD 1 Pritir` r'..,
( f ) (1
- e C , if' t fn,A (1 ,n E � it 1 C f v, 4 I 1 (-P r' ..l..o,r
I
A l `
r
1 n �J rn`1 ti f,,,, . 1V-0 lk) 1' �j -,- r r,, ( ( to 4%1 -P+n
t Vs, At 1 S S0 •�."�- (3,,,,A.
I���
Project: 71
L 7/2' ?1 /�S.
Type of Ins ection: ,/�
. -4 ��{_..
Address:
/ , 3,4z/ 5 .
DateCal ed:
/D -' 1 / —0.3
pecial Instructions:
. �j J , 3 /l /e r
•
Date Wanted:
/e "' /3----e7
�_
ra.
P.m.
Requester:
/
N
Phone No
INSPECTION RECORD
Ret a copy with permit
INSPECTION NO. - PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Appr p r
I n s pecto r'""!y
p Ica ble codes.
l AA
/14
C` J
Corrections required prior to approval.
Date:
El $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection.
Receipt No.:
Date:
5
P ee
I0 .2() 11.-9
, �
Type of Inspec jpn: •
Address:
( OR S3 Av .
'
Date Called:
?
U )9/0 _
2
Sp ci ' ll ` a - I " (Instructions:
Date Wanted:
(.m,,
0/03 p.m.
0// /
Requester:
1 1,-• 1 - 1 / 7,!
Phone No:
Lj
(— Leis cp
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
L
PERMIT NO JP k
0 4`31 -367
Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
1 rcA \J C P
(, w. 0,0(-A i r,r■ n 3 . Yn.I CA 1
l
InspectorC \) `
Date:
I0 — IU'G\
❑ $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:
rt 2
6 =
0
O 0
to a
cow
w
w • o
g -71
• <
D
I a
I- al
Z
I-0
Z
uj
0
• 1-
u j
w
L I 0
Z
O (4
I= I
o
H
-- 1
c
L
ed,
efrix.
.
,
,
f,_2.„
L-4
,d --
-re
a
;,i,
/Pico
11 _ iii 0- `/
h 1
RecEn
opro A
•••
mt .1 I
W ti ;,
.0
tu o
e i
i
PE FPNT CENTE
I
i
t
Mg-
I
,
.
i
I
.._,
1
—1—
110
I
rt 2
6 =
0
O 0
to a
cow
w
w • o
g -71
• <
D
I a
I- al
Z
I-0
Z
uj
0
• 1-
u j
w
L I 0
Z
O (4
I= I
o
DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST•CONT .GENERAL
CC01, PERFOHAT5ORT.04 /
EFFECTIVE` "BATE 12/30/1'985
PERFORMANCE HEATING & A /C'INC
7649 S 180TH •
KENT WA 98032
F625- 052 -000 (8/97)
State of Washington
County of. King
I certify that this is a true and correct copy of a document in the possession of
Performance Heating & Air Conditioning, Inc. as of this date.
Dated: 3
(Signature)
Title:Vice President of Finance
My appointment expires: 6/19/05
Residing at: Renton. WA. 98055