Loading...
HomeMy WebLinkAboutPermit M03-188 - WICKRE RESIDENCEWICKRE RESIDENCE 73334 MILITARY ROAD SOUTH M03 -7 88 z Wiz' �W. QQ� J V. 00 W I. J LL WO J LL Q' I- O Z I- uj p` U O N' 0 F-, UU 10 LL O .Z -r O z Parcel No.: 7346600126 Address: 13334 MILITARY RD S TUKW Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 BERNHARDT WICKRE 13334 MILITARY RD S, TUKWILA WA WICKRE BERNHARDT) & T 13334 MILITARY RD S, SEATTLE WA CANDICE GALLAGHER 2800 THORNDYKE, SEATTLE WA WASHINGTON ENERGY SERVICES CO Address: 2800 THORNDYKE AVE W, SEATTLE, WA Contractor License No: WASHIES9710B DESCRIPTION OF WORK: GAS TO GAS FURNANCE CHANGE OUT - 70,000 BTU'S Value of Construction: $2,933.00 Type of Fire Protection: N/A Permit Center Authorized Signature: Signature: doc: Mech Print Name: L1UL2 A 1 1 yn U(.S' - MECHANICAL PERMIT M03 -188 Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 282 -4700 Phone: 206 282 -4200 Expiration Date:09 /02/2005 M03 -188 11/06/2003 05/04/2004 Fees Collected: $52.00 Uniform Mechnical Code Edition: 1997 Date: //-4 -63 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 constrpction or the performance of work. I am authorized to sign and obtain this mechanical permit. Date: < < C CP w3 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: 11 -06 -2003 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 7346600126 Address: 13334 MILITARY RD S TUKW Suite No: Tenant: BERNHARDT WICKRE PERMIT CONDITIONS Permit Number: M03 -188 Status: ISSUED Applied Date: 11/06/2003 Issue Date: 11/06/2003 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. /tit G_S � - �Yt�t - � Signature: Print Name: L -t 1.t A t hd ✓iAQUa 1 doc: Conditions M03 -188 Date: (760(0.? Printed: 11 -06 -2003 z . I- ;1- w re 2 6 000 rn cn w 2 1_ = W _ z �. z° ui U � co O O H wi H U L I O .Z U= O� z Tenant Name: 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** SITELOC Site Address: - 3 3 1 M tu-FA-ci i2 s harc\-1- LL) Property Owners Name: : 3 at A1---371- uu c-{-4'e) Mailing Address: 1 -2 M 1 L Oc-P 12-e Name: C.CIY\AN (C\-.L, Mailing Address: E-Mail Address: catavka_. 6zcalaryka/ T Contact Person: E-Mail Address: Contractor Registration Number: W 1 e Contact Person: E-Mail Address: Contact Person: E-Mail Address: Upplicationskpermit application (3.2003) 3/2003 Page 1 King Co Assessor's Tax No.:7 Cd.D 2- Co Floor: E .... Yes p ..No Suite Number: New Tenant: City Day Telephone: P-e. 2 -1(f- 9786 City Fax Number: 71 W qa State Zip State Zip Company Name: tua.5-h Mailing Address: 0-8 D 11 iwy -A '4 (-() Z gy) City State Zip Day Telephone: .2-4)-( 2(E7 976n Fax Number: Expiration Date: Li (a 6 5 **An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance** •ARCHITECT Of. f.tFCPW-''Aflifaiis*Itfliit • 3 • -■;;•:..■••::" Company Name: Mailing Address: State City Day Telephone: Fax Number: Zip ENGqFORI—AiIpiansmust be wet stithpd -■ Company Name: Mailing Address: City Day Telephone: Fax Number: State Zip Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ Scope of Work (please provide detailed information): Will there be new rack storage? 0 ..Yes (] .. 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 Gatage. Attached Carport Detached :Carport;._ Covered Deck Uncovered Deck • 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: Will there be a change in use? 0 ....Yes 0 ..No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑..Sprinklers D..Automatic Fire Alarm ❑..None . Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ .. Yes D .. 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. \applicationslpermit application (3.2003) 3/2003 Page 2 Compact: Handicap: .......`._.__ . PUBLIC, WORKS PERMIT INFORMATION: _ 206- 433 -0179 .' Scope of Work (please provide detailed information): Please refer.to Publie:Works Bulletin #1 for fees and estimate sheet. Water District ❑ ...Tukwila 0... Water District 4125 ❑ ... Water Availability Provided 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. Submitted with Application (mark boxes which apply): ❑...Civil Plans (Maximum Paper Size -22" x 34 ") ❑ ...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report ❑...Traffic Impact Analysis ❑...Bond ❑..Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) ❑...Hold Harmless 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 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 _ \applications'permit application (3.2003) 3/2003 ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line fl Call before you Dig: 1- 800 - 424 -5555 WO# WO# WO# Private Private ❑ .. Highline ❑ .. Work in Flood Zone ❑ .. Storm Drainage Page 3 ❑ ...Renton ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑...Dcduct 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 <I OOK BTU I, 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 MECHANICAL CONTRACTOR INFORMATION Company Name: ( ) J C fit'\ gi/ -7 " Lil Se r ti / P Mailing Address: d o �T V l8`f"f']� C 7 ��� Cit State Zip Contact Person: �. Via tCL G 4..f.. QQi U` Day Telephone: t 24'2- k 2� Cr7� r J J Fax Number: Contractor Registration Number: (' j.) 11--S (�� ' 7 / 06 Expiration Date: ' / O * *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 q 33 t Scope of Work (please provide detailed information): E -Mail Address: Use: Residential: New ....0 Replacement .... ommercial: New .... Replacement Fuel Type: Electric J Gas ....1SL Other: Indicate type of mechanical work being installed and the quantity below: PERMIT APPI ICATION :NOTES- . Applicableto;all permits in t is.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. BUILDING OV■ ER OR A THORIZED AGENT: 1 QYn 1 Print Name: - IN DA 1 -tO r y? u Mailing Address: ? C> r 6 X ,903 Signature: Date Application Accepted: //-6' -d3 I Date Application Expires: .5 Staff Initials: Lpplicatiotutpermit appticuion (3-2003) Paor 4 Date: r'/O© /. 3 Day Telephone: Z Z 77 3Z P 9th City State Zip ACCOUNT ITEM LIST: Description doc: Receipt City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Z RECEIPT re 2 Parcel No.: 7346600126 Permit Number: M03 -188 6 Address: 13334 MILITARY RD S TUKW Status: PENDING U O Suite No: Applied Date: 11/06/2003 co w Applicant: BERNHARDT WICKRE Issue Date: w H co LL 2 Receipt No.: R03 -01339 Payment Amount: 52.00 g 5 Initials: SKS Payment Date: 11/06/2003 11:46 AM s D. a User ID: 1165 Balance: $0.00 Z ILI HO Z 1— W W Payee: WASHINGTON ENERGY SERVICES COMPANY m o o OP— o 1— =U TRANSACTION LIST: Type Method Description Amount H . O Payment Check 3219 52.00 WIZ' U= O H Z MECHANICAL - RES Account Code Current Pmts 000/322.100 52.00 Total: 52.00 • 449 11!'07 9716 TOTAL 8,6.15 Printed: 11 -06 -2003 INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 003 !8g PERM (206)431 -3670 Project: inartar IL)/ C. lt� dr ss'- . ( 1 / 1 ( ; 4 - a . - 00 ?pedal Type of Insp (1 'pate Salled: f ' Date Wanted: I 1 I 2.JO3 a.m. p.m. Reques eK: Phone No: ?vim 21I- 37Lo Approved per applicable codes. Corrections required prior to approval. COMMENTS: 61.1. T O Ins ector: _. 47.00 REINSPECTION FEE REQU paid at $300 Southcenter Blvd., S No.: Date: ED. Prior to inspection, fee must be ite 100. Call to schedule reinspection. Date: