HomeMy WebLinkAboutPermit M03-189 - BOTHAM RESIDENCEBOTHAM RESIDENCE
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Parcel No.: 7661600029
Address: 14702 51 AV S TUKW
Suite No:
Tenant:
Name: RICHARD BOTHAM
Address: 14702 51 AV S, TUKWILA WA
Owner:
Name: BOTHAM RICHARD H
Address: 16334 LINDEN AVE N, SEATTLE WA
Contact Person:
Name: CANDICE GALLAGHER
Address: 2800 THORNDYKE, SEATTLE WA
Contractor:
Name: WASHINGTON ENERGY SERVICES CO
Address: 2800 THORNDYKE AVE W, SEATTLE, WA
Contractor License No: WASHIES9710B
DESCRIPTION OF WORK:
GAS TO GAS WATER HEATER CHANGE OUT - 40,000 BTU'S
Value of Construction: $600.00
Type of Fire Protection: N/A
Permit Center Authorized Signature:
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 ermit.
(I / 407 7
Signature: l/'r-Ck
Print Name: L ( 1 4 -J4 72'Lct -4UU i
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.
doe: Mech
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
MECHANICAL PERMIT
M03 -189
Permit Number: M03 -189
Issue Date: 11/06/2003
Permit Expires On: 05/04/2004
Phone:
Phone: 206 282 -4700
Phone: 206 282 -4200
Expiration Date:09 /02/2005
Fees Collected:
Uniform Mechnical Code Edition:
$34.15
1997
Date: /7-6
Date:
Printed: 11 -06 -2003
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 7661600029
Address: 14702 51 AV S TUKW
Suite No:
Tenant: RICHARD BOTHAM
PERMIT CONDITIONS
Permit Number: M03 -189
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.
Signature:
doc: Conditions
Print Name: L(hi)At rilovn_ 6: at
M03 -189
( / / ek3�3
Date:
Printed: 11 -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**
King Co Assessor's Tax No.: . 1 OLP I , F)O n 21
•I y 702 5 I tem s` ,u i.
Tenant Name: R 1C ha,rd t- cst r / - inn
Property Owners Nam Y �1rT p f �� 4.- C �� 1a I,
Mailing Address: t Cn_ �J I ACE ( I 4 (_,L) 7(414P/
City
Site Address:
Suite Number:
New Tenant:
Floor:
.... Yes 0..No
State Zip
Name: CO lad CQ Cj G(, tlQ S � � Day Telephont (O 2-ea t c-
Mailing Address: pD 51v� 'c - � A te q�'(l / '7 Zip
E -Mail Address: Fax Number:
1 .
Company Name: ()Q 4 -
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V I ) La
Mailing Address: c�- - O C -1-'f 1
hO ( . — - ? w fl qa l
. �I City State Zip
CO Contact Person: ` M LCQ O"Ac. (�9 "Pc Day Telephone: 7 (p 2 Y-a- Y
Y
E -Mail Address: Fax Number:
Contractor Registration Number: l.Utioi 5 { (C S 17 I op Expiration Date: q /Z /OS
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
Page I
\applications\pennit application (3.2003)
3/2003
Company Name:
Mailing /address:
Contact Person:
7 E -Mail Address:
ARCHITECT OF RECORD; =-AiU plans must be Wet 'stamped by, Architect: of Record.
Company Name:
Mailing Address:
Co ct Person:
-Mail Address:
State
State
Zip
City
Day Telephone:
Fax Number:
ENGINEER: OF, RECORD - All plans must be ,wet stamped by Engineer: of Record
Zip
City
Day Telephone:
Fax Number:
BUILDING PERMIT INFURMATION- 206431 -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
1" Floor
2h
3`° Floor
Floors
Basement
Accessory Structure *
Attached Garage
Detached Garage
Attached Carport
Detached Carport'.::
Covered Deck
Uncovered Deck
Interior •
Remodel
Addition'to
..Existing
Structure
Ty o f
.::.Construction
perUBC'
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:
❑ ❑..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.
Vpplications\permit application (3.2003)
3/2003
Pagc 2
PUBLIC. WORKS PERMIT .INFORMATION: -.206433.4)179 3 .
. . _.
Scope of Work (please provide detailed information):
Water District
❑...Tukwila ❑...Water District #125
❑ ... Water Availability Provided
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
El ...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 _
\appticationt\permit application (3 -2003)
3/2003
cubic yards
cubic yards
„
„
„
„
Call before you Dig: 1- 800 - 424 -5555
Please refer to Public Works Bulletin #1' for,fees and estimate sheet.
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
WO#
WO#
WO#
Private
Private
❑ .. Highline
Sewer District
❑...Tukwila ❑... ValVue ❑ .. Renton ❑ ...Seattle
❑...Sewer Use Certificate ❑...Sewer Availability Provided p .. 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
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑ .. Work in Flood Zone
❑ .. Storm Drainage
Page 3
p ...Renton
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑ ...Deduct Water Meter Size 11
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
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.....u.�.. -v a. — +..vr..�aw✓ �i •+..'Aih'- , w1.�a.�l'......L*An . .unF .J2
Unit Type:.
Qty
. 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
Furnace>100K BTU
Evaporator Cooler
(L) t 4 44
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
E -Mail Address:
MECHANICAL PERMIT .INFORMATION _ 206 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name: Ult C f J ( 1
Mailing Address: 2-4)190, Vl �
Contact Person: CA 11.4 1 2 l (c C /�
Contractor Registration Number: t ✓ O l—I l c' to 0
* *An original or notarized copy of current Washington State Co
Valuation of Project (contractor's bid price): $ LP 0 D
Scope of Work (please provide detailed information):
Lpplicationitpctmit application (3.2003)
Print Name:
BUILDING 0
Signature:
9&3+v 96.s ( A ) P ( ( u • Cho rq-e
474 oou ms`s
Use: Residential: New .... (j Replacement ....X
Commercial: New .... Replacement ....
Fuel Type: Electric 17 Gas ....J Other:
Indicate type of mechanical work being installed and the quantity below:
PERIVIIT' 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.
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.
R OR AU ORIZED AGENT:
f V1.41.
Li r 'G1 G1 / `or7 &U( S
Mailing Address:P OB6X 0o3(-1
Date Application Accepted:
Date Application Expires:
'dV
Staff Iniitials:
.
i
� - Lc) ti to /47
City State Zip
Day Telephone: (40C:. / C;. - 2-ed- T 760
Fax Number:
Expiration Date: V2.. -/
ntractor License must be presented at the time of permit issuance **
City
11 /(
Date:
Day Telephone: 4 7 7 0 32d8
State
Zip
Payee:
ACCOUNT ITEM LIST:
Description
doc; Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 1(206) 431 -3670
RECEIPT .
Parcel No.: 7661600029 Permit Number: M03 -189 _10
Adress: 14702 51 AV S TUKW Status: PENDING co o
Suite No: Applied Date: 11/06/2003 w w
Applicant: RICHARD BOTHAM Issue Date: N LL
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Receipt No.: R03-01340 Payment Amount: 34.15 u_ j
fa d
Initials: SKS Payment Date: 11/06/2003 11:49 AM H w
User ID: 1165 Balance: $0.00 z H
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TRANSACTION LIST: H C.,
Type Method Description Amount u_ ~O
Payment Check 3219 34.15 w c o
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WASHINGTON ENERGY SERVICES
MECHANICAL - RES
Account Code Current Pmts
000/322.100 34.15
Total: 34.15
44.4 11X07 9716 TOTAL 06.15
Printed: 11 -06 -2003
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COMMENTS:
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Date Called:
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Special Instructions:
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Date Called:
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IN RECORD
Retain a copy with permit
INSPECTION NO. PERMIT
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #,100, Tukwila, WA 98188 (206)431 -3670
Ei Approved per applicable codes.
'Inspector:
I
Corrections required prior to approval.
Date:
Ej $47.00 REINSPECTIOIY FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
{Receipt No.:
Date:
10 -01 -2004
CANDICE GALLAGHER
2800 THORNDYKE
SEATTLE WA 98199
RE: Permit No. M03 -189
14702 51 AV S TUKW
Dear Permit Holder:
In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division.
Per the International Building Code and /or the International Mechanical Code, every permit issued by the Building Division 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 and receive an extension prior to 11/02/2004, 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 -189
Bob Benedicto, Building Official
City of Tukwila
Department of Community Development Steve Lancaster, Director
Steven M. Mullet, Mayor
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 -431 -3670 • Fax: 206 - 431 -3665
April 1, 2004
Candice Gallagher
2800 Thorndyke
Seattle, WA 98199
RE: Permit Application No. M03 -189
14702 51st Avenue South
Dear Permit Holder:
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:
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 May 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.
Stefania Spencer
Permit Technician
City of Tukwila
• Call the City Of Tukwila Permit Center at (206) 431 -3670 to arrange for the next or final
inspection.
Xc: Permit File No. M03 -189
Bob Benedicto, Building Official
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206-431-3665