HomeMy WebLinkAboutPermit M03-167 - HANEY RESIDENCEHANEY RESIDENCE
73820 38T" AVENUE
SOUTH
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Owner:
Name:
Address:
Contact Person:
Name:
Address:
Print Name:
doc: Mech
City of Tukwila
Signature: a4z - ij
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 8864000925
Address: 13820 38 AV S TUKW
Suite No:
Tenant:
Name: DOROTHY HANEY
Address: 13820 38TH AVE S, TUKWILA WA
Permit Center Authorized Signature:
DOROTHY HANEY
13820 38TH AVE S, TUKWILA WA
MICHELLE @ ROSSOE ENERGY
9367 RAINIER AV S, SEATTLE WA
Contractor:
Name: ROSSOE ENERGY SYSTEMS INC.
Address: 9367 RAINIER AV S, SEATTLE, WA
Contractor License No: ROSSOES142QP
DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGE OUT OF OIL FURNACE
Value of Construction: $3,296.00
Type of Fire Protection: N/A
/ 1//m / j L
MECHANICAL PERMIT
Fees Collected: $52.00
Uniform Mechnical Code Edition: 1997
Permit Number:
Issue Date:
Permit Expires On:
M03 -167
Phone:
Phone: 206 725 -7555
Phone: 206 725 -7555
Expiration Date:11 /17/2004
M03 -167
10/14/2003
04/11/2004
Date: /4"/
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:
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 -14 -2003
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 8864000925
Address: 13820 38 AV S TUKW
Suite No:
Tenant: DOROTHY HANEY
PERMIT CONDITIONS
Permit Number: MO3 -167
Status: ISSUED
Applied Date: 10/14/2003
Issue Date: 10/14/2003
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:
Date: JD – /V — O,
R1Y V/ ,4
doc: Conditions
M03 -167 Printed; 10 -14 -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'LOCA
Tenant Name:
Name:
Mailing Address:
E -Mail Address:
Contact Person:
Company Name:
Mailing A • : ess:
C • act Person:
E -Mail Address:
Company Name:
Mailing Ad • ss:
Con t Person:
-Mail Address:
Vpplicationa\pennit application (3.2003)
3/2003
Site Address: \ LO 3 k'---
Property Owners Name: '‘ VDoX - o
Mailing Address: 1 ? 7.,7 O
Company Name: 1 6 n e U
Mailing Address: �`Q� `K (),-1„,I1
E -Mail Address:
City
Pagc 1
King Co Assessor's Tax No.: (04 bO
Suite Number:
New Tenant:
Floor:
.... Yes D3O.No
Wk c 6, —4
State Zip
:•;CONTACT PERSO
Day Telephone: 20 (p ?J4 2 -7 (Z(
City
Fax Number:
State
Zip
GENERAL'
SS
City State Zip
Day Telephone: ' 2. 0 (9 *7 2S ��
Fax Number: 20 (D * t 2.
4 3 3
Z� Expiration Date: \ —'� "Q�
Contractor Registration Number:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
ARCHITECT OF.RECORD :- All plans:must be wet stamped by'Arehitect :or:Record
State
Zip
City
Day Telephone:
Fax Number:
:ENGINEER>OF,RECORD ; :All plans must be by Engineer=ot Record :
State
Zip
City
Day Telephone:
Fax Number:
• 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? El ..Yes D.. No If "yes ", see Handout No. for requirements.
Provide All Building Areas in Square Footage Below
.1 'Floor..
2 " Floor
3` Floor
Floors
Basement.:.
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached, Carport
Covered Deck -
Uncovered Deck
•
Existing
Interior
Remodel
Addition•to
Existing
Structure:
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:
tappliations\pamit application (3.2003)
312003
Page 2
Compact: Handicap:
Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑.. Sprinklers [] ..Automatic Fire Alarm [J ..None J . 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 TFRIKTTINFoRNIAPPN : ;:206 - 433;0179
Scope of Work (please provide detailed information):
Water District
❑ ...Tukwila ❑...Water District #I25
❑ ... Water Availability Provided
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
FINANCE INFORMATION
❑ ...Water
Water Meter Refund/Billing:
Name:
Mailing Address:
Vppliutionstpermit application (3.2003)
3/2003
Please refer. Bulletin #1 for fees and estimate "sheet.
cubic yards
cubic yards
Call before you Dig: 1 800 - 424 - 5555
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
"
❑...Sewer ...Sewage Treatment
❑ .. Highline
❑ ...Renton
Sewer District
❑ ...Tukwila p... ValVue ❑ .. Renton ❑ ...Seattle
❑ ...Sewer Use Certificate p... 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.
❑ .. 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
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
Page 3
City
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑ ...Permanent Water Meter Size... WO#
❑ ...Temporary Water Meter Size.. WO#
❑ ...Water Only Meter Size " WO# ❑ ...Deduct Water Meter Size "
❑ ...Sewer Main Extension Public Private _
❑ ...Water Main Extension Public _ Private
Monthly Service Billing to:
Name:
Mailing Address:
City State Zip
Day Telephone:
Day Telephone:
State Zip
: �.:..:x. x .,.� �. :.a,,. ;:u ;. xxaM t _,r. �._....— . �u> :.� :� :aL;•_� s
Unit Type: _ :
Qty
: Unit Type: '
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <I00K BTU
1
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 /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
MECHANICAL' PERMIT:,INFORMATION - 206=431
MECHANICALA)NTRACTOR INFORMATION
Company Name: a)e r 'l.A
Mailing Address: G --) LO 1 k? ( t, Jr
-e o411 Vdk C C'
1
City State Zip
Contact Person: N Day Telephone: �
W 75) s5cS"
E -Mail Address: Fax Number: /j) j p 1 2.. 3311 6 1
Contractor Registration Number: _-c c)es 1 4 ZS? Expiration Date: 1 1 H 7 -014
* *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): $ 2 I
Scope of Work (please provide detailed information): O1' 01 \ �r1r10.0 e C . Y lCu (V,d - t
V
Use: Residential: New ....0 Replacement ....
Commercial: New ....0 Replacement ....
Fuel Type: Electric 0 Gas....E Other: D\ \
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.
1 HEREBY CERTIFY THAT 1 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.
BUILDM(
Signature:
1 c ,hey Fc›.(
Mailing Addressc\'314)
Print Name:
OWNER OR ORI D AGENT
Date Application Accepted:
Date Application Expires:
Staff Initials:
1
%applications\permit application (3.2003)
Pave d
Date: lb V - 0 - 5
Day Telephone: 20 Lp - 7 r 2.55 - �S�S J
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City S to Zip
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RECEIPT Z
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Parcel No.: 8864000925 Permit Number: M03 -167 _1 U .
Address: 13820 38 AV S TUKW Status: PENDING N o
Suite No: Applied Date: 10/14/2003 w =
Applicant: DOROTHY HANEY Issue Date: _i F-
w O
Receipt No.: R03 -01248 Payment Amount: 52.00 u.. < '
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Initials: SKS Payment Date: 10/14/2003 11:31 AM i - w
User ID: 1165 Balance: $0.00 z �'
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Type Method Description Amount u.
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Payment Cash 52.00 I1! N
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Payee:
TRANSACTION LIST:
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
ROSSOE ENERGY
MECHANICAL - RES
Account Code Current Pmts
000/322.100 52.00
Total: 52.00
. 3695 10/15 9716 TOTAL 52.00
Printed: 10 -14 -2003
•
P o'ect: El
rarry 491cLa-i„
Type of Inspection:
ill
l- 3 PAV S
Date
Date Called:
//—/q —0,—?
Special Instructions:
C1-4 ItiP//"--/
eoSvb t-R. P letter A
Aitenatiitai ‘? x,d2„,td
Date Wanted:
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Requester:
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INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 981 88
-4--
(1 Approved per plicable codes.
i
COMMENTS:
INSPECTION RECORD
Retain a copy with permit
A
Inspector
(f)Z TO • /IV 4- /
iSt No.:
d erv.. p /to l •
f' ",•%•e4V.1
A ' • 4 '
Date:
Date:
.(2 6)431-3670
El Corrections required prior to approval.
K47. REINSPECTION F REQUIRED. Prick to inspection, fee must be
paly1 at 6300 Southcenter Blvd., Suite .100. Call to schedule reinspection.
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10 (8/971
DEPARTMENT OF LABOR AND INDUSTRIES
LICENSED AS PROVIDED BY LAW AS
ELEC CONTR GENERAL
LTCENSE;, 4 ; • .EXP DATE
ECO1 ROSSOESI /17/2004
EFFECTIVE DATE 11/17/1986
ROSSOE ENERGY'SYSTEMS INC
9367 RAINIER AVE S
SEATTLE WA 98118
Detach And Display Certificate