HomeMy WebLinkAboutPermit M03-172 - AUSTIN RESIDENCEAUSTIN RESIDENCE
14250 56T" AVENUE
SOUTH
EXPIRED
4 -25 -04
M03 -172
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Parcel No.: 3365900270
Address: 14250 56 AV S TUKW
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
doc: Meth
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188/(206) 431 -3670
EDWARD AUSTIN
14250 56TH AVE S, TUKWILA WA
EDWARD F. AUSTIN
14250 56TH AVE S, TUKWILA WA
DONNA JACK
Address: 4601 S 134TH PLACE, TUKWILA WA
Contractor:
Name: BRENNAN HEATING CO INC
Address: 4601 S 134 PL, TUKWILA, WA
Contractor License No: BRENNHC077NC
DESCRIPTION OF WORK:
OIL TO GAS FURNACE CHANGE OUT (80 K BTU'S)
Value of Construction: $2,598.00
Type of Fire Protection: N/A
Permit Center Authorized Signature:
Signature:
Print Name: / - .al Lr z ( l) 2 1
MECHANICAL PERMIT
1
M03 -172
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 248 -7900
Phone: 206 - 248 -7900
Expiration Date :03/01 /2004
M03 -172
10/20/2003
04/17/2004
Fees Collected: $59.25
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 con n or the performance work. I am authorized to sign and obtain this mechanical permit.
Date: tb cze
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 -20 -2003
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City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 3365900270
Address: 14250 56 AV S TUKW
Suite No:
Tenant: EDWARD AUSTIN
PERMIT CONDITIONS
Permit Number: M03 -172
Status: ISSUED
Applied Date: 10/20/2003
Issue Date: 10/20/2003
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: SuA J W
doc: Conditions
M03 -172
Date: lb/e4b
Printed: 10 -20 -2003
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Site Address:
Tenant Name:
Property Owners Name:
Mailing Address:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
lapplicationa\pennit application (3.2003)
3/2003
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
�Ca - re- , A
e.0 AU S n
Name: em N k 14 AT i !L<✓ °L '
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1\L
Company Name: iv AI. t, v—
Mailing Address: 4 tool S 1
Contact Person: ACV--
ENGINEER0 F.11ECORD 7. All plans; must be.wet stamped by Engineer of Record
Page 1
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 **
King Co Assessor's Tax No.: j psq � 7 0
Floor:
Suite Number:
New Tenant: ❑ .... Yes
Mailing Address: t L O F L ? -+ A \I l U K-w1 Lf\
City State Zip
Day Telephone: c)i -(-R 7901:)
I C.) KLJ 1 LP, CJA c10
City State Zip
Fax Number: a4 -. -1 ° 1 O
GENERAL CONTRACTOR,INFORMATION
City State Zip
Day Telephone:
E -Mail Address: Fax Number: c--- 1
State
❑ ..No
Contractor Registration Number: 1✓Qt\31 k( s 7 '7 / .C. Expiration Date: 3-1 -
* *An original or notarized copy of current Washi gton State Contractor License must be presented at the time of permit issuance **
ARCHITECT.; OF, RECORD All plans must be wet stamped by Architect of Recor
•
Zip
City
Day Telephone:
Fax Number:
City State Zip
Day Telephone:
Fax Number:
BUILDING PIiaRMIT +' I NFORMI"�"'(ON - 206_431. =36,7
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Will there be new rack storage? [] ..Yes 0.. No If "yes ", see Handout No. for requirements.
' 'Provide All Building Areas in Square Footage Below
-Addition to
• Existing
Structure
2° Floor
Floor
,Floors •
thru
Basement
Accessory Structure *.;
Attached Garage •
Detached Garage,
Attached Carport
Detached. Carport
'Covered Deck
Uncovered
•
Deck
Existing
'Interior
Remodel
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:
Will there be a change in use? 0 ....Yes J ..No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑..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)
3noo3
Page 2
Existing Building Valuation: $
Handicap:
PSERMITrINT� _,.. IATI
T !,t, tYU' .. � 1.1' J• � 'St,:, `A
Water District
❑ ...Tukwila ❑...Water District #125
❑ ...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
0...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
FINANCE INFORMATION
Fire Line Size at Property Line
❑...Water ❑...Sewer
Monthly Service Billing to:
Name:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
'appliations"permit application (3-2003)
3/2003
cubic yards
cubic yards
„
„
, f
W O#
WO#
WO#
Private
Private
Scope of Work (please provide detailed information):
Call before you Dig: 1 - 800 - 424 - 5555
Please'refer to public Works Bulletin #1, for , fees and.estilnate sheet...
❑ .. Highline p ...Renton
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
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.
❑ .. Geotechnical Report ❑...Traffic Impact Analysis
❑ .. Maintenance Agreement(s) ❑...Hold Hartnless
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑ .. Work in Flood Zone
❑ .. Storm Drainage
Number of Public Fire Hydrant(s)
❑ ...Sewage Treatment
Page 3
City
❑...Deduct Water Meter Size
City
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
Day Telephone:
State
Zip
Day Telephone:
State
Zip
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 100K BTU
Evaporator Cooler
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan
15 -30 HP/I,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 /lnd
MECHANICAL PERMIT INFO - IATION 206 431 =3670,
MECHANICAL CONTRACTOR INFORMATION
Company Name:" )2EN1►.1 i 1 ' 1 4E A 1 1 i
Mailing Address: l (pCA S «4 m L_
-{-
Contact Person: 'tThJ kl-A J Q (
E-Mail Address:
Contractor Registration Number: 1312-El\l.PJ k C4X`7 7 t' . C,
Use: Residential: New ....D Replacement ....
Commercial: New .... ❑ Replacement ....0
Fuel Type: Electric ❑ Gas Other:
Mailing Address:
\appliationstpermit application (3.2007)
3/2003
Indicate type of mechanical work being installed and the quantity below:
BUILDING O OR AUTHORIZE A
Signature: C ) 1 0 _
Print Name: C Ali3K LAN1 All U F
Page 4
� l � 141),) f'a UOA kNo
City State Zip
Day Telephone: &4 -ES - -771 ()C.)
Fax Number: at-4-g-. - 7'165
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): $ c2 -C3z)
Scope of Work (please provide detailed information):
City
'PERMI APPLICATION NOTES -- Applie4ble to all ,permits m 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.
Date: 1 0407D-5
Day Telephone: c. . ° - 7` i O I
i
State
Zip
Date Application Accepted:
/0 -26 -0
Date Application Expires:
A 7 4 - o 2 0
Staff Initials:
1
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Proj t:
S r n
Jai ,
Type of Insr 4on:
% G3 p
T ess:
Ad
I
' `
Date Called:
i r 'f / Speci
1 Instructions:
Date Wante : a.m.
I 71 e,
Reques er:
Phone o:
Q '" CWO - 53/0
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
PERMIT
(2 06)431 -3670
Corrections required prior to approval.
COMMENTS:
C-. 5 y2M4"
MA Xi.e)tt
V,Cz,
- '7
Date:
/1/2-2;7— °3
$47.00 REINSPECTIOt EE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection.
Receipt No.:
IDate:
February 2, 2004
Donna Jack
4601 South 134th Place
Tukwila, WA 98168
city of Tukwila
RE: Permit Application No. M03 -172
14250 56th Avenue South
Dear Permit Holder:
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 24, 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 -172
Bob Benedicto, Building Official
Steven M. Mullet, Mayor
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 431 - 3665
•
I:625- 0524X) (88/97)
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
REGIST. # EXP. DATE
CCO1 . BRENNHC077NC 03/01/2001
EFFECTIVE. DATE; 08/03/1993
BRENNAN HEATING.CO INC
4601 S 134TH .PL; .
TUKWILA WA 98168 -3240
Signature
Issued by I)PPARTME•NT OF LABOR ND INDUSTRIIis
DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
rREGI ST : +;. #. •• ;EXP . DATE
CCO1 ;: BRENNHC077NC 03/01/2004
EFFECTIVE;.'DATE:; :;08/03/1993
BRENNAN•,HEATING CO INC
4601 S 134TH- PL. .
TUKWILA WA 98168 -3240
I certify this is a true and cprrect copy of the original
oq
document as presented to me on h -iU') by- J AVtC 5 of �i-i'cNN4
NOTARY= 1 JOYC GROEN
MY Co. ;10I, ^^ :V.09 -2002
Printed nal c of Notary Public
647
Residing at
My coin tision expires k •
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