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Home My WebLink AboutPermit M02-129 - SANDRA DELEZASANDRA DELEZA 12240 43RD AVE SO M02 -129 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 0179000300 Address: 12240 43 AV S TUKW Suite No: Tenant: Name: SANDRA DELEZA Address: 12240 43RD AV S, TUKWILA, WA Owner: Name: DELEZA SANDRA J Address: 12240 43RD AVE S, TUKWILA WA Contact Person: Name: RITA WALTERS Address: 12462 DES MOINES MEM DR, SEATTLE, WA Contractor: Name: GLENDALE HEATING & A/C Address: 12462 DES MOINES WY S, SEATTLE, WA Contractor License No: GLENDHA053Q2 Value of Construction: Type of Fire Protection: Permit Center Authorized Signature: doc: Mech $3,100.00 N/A MECHANICAL PERMIT Permit Number: MO2 -129 Issue Date: 06/19/2002 Permit Expires On: 12/16/2002 Phone: (206)767 -4264 Phone: 206 243 -7700 Phone: 206- 243 -7700 Expiration Date: 11/02/2003 DESCRIPTION OF WORK: REMOVAL OF EXISTING GAS FURNACE; REPLACEMENT WITH NEW LENNOX ELITE 80 GAS FURNACE. WILL INCLUDE SHEET METAL TRANSITION TO RETURN AIR AND WARM AIR; NEW FLUE TO B -VENT CHIMNEY. NEW GAS VALVE SHUT OFF Fees Collected: Uniform Mechnical Code Edition: $52.00 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 construct' n or the performance of work. I am authorized to sign and obtain this mechanical permit. Signature: /� _ / �i . _ Date: / 7 Print Name: .94414e4 t- .1)EZ... 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. MO2 -129 Printed: 06 -19 -2002 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 0179000300 Address: 12240 43 AV S TUKW Suite No: Tenant: SANDRA DELEZA PERMIT CONDITIONS Permit Number: MO2 -129 Status: ISSUED Applied Date: 06/19/2002 Issue Date: 06/19/2002 1: ** *BUILDING DEPARTMENT * ** 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: Q S ) Date:/ / CZ/4/oz Print Name: c ri Le Cr c doc: Conditions MO2 -129 Printed: 06 -19 -2002 Project Name/Tenant: SAtYb LE4 " TH • RIZEDAGENT: , n V of Mechanical Equipment: 7 3too Site Address : Cit 1 2 40 1 -4Rn -A S - tuxbOt U4 State/Zip: 4078 Tax Parcel Number: Pr peer: r Malt- Phone ) ��7 14264 Street Address: City State/Zip: Fax #: ( ) Contra cto 1)A -1- a, m& 4 i4i c 3D f7Th/\) ( Phone : 2 ( o( o ) 2 4 3 77 Street (ate DES Ab l∎) �S M>k.1X uJA Lf l rod'' Fax #: a 2 4 ;Nel Contact Person: Ek MA tjJj rLTE &S i / , Phone: ( ) 2rr(,0 2-4-2,-)7 Street t!O ? s F Nloc .€ Me t4 1)e / sm Sta ii7 �j d ' 0 Fax #: (r ) 24 2) U l T F;BWIL GO.WNER[• ; " " TH • RIZEDAGENT: , n ,.. ' Signature: Date:/9 ,t /2QZ Print names 11 i A i Phone: ( { z e ) 7( / / � Fax #: j ) Address: /2-7-- i10 i / 1-) All/FS City/StarZy /- I /cA e t 9 p /7,Q' CITY OF T' - 'KWI LA Permit Center 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 Mechanical Permit Application Application and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or facsimile. R STAI I USE 01\11Y Project Number. Permit Number. MECHANICA i P.ERMIr REVIEW'ANDfAPPROVALi REQUESTED'i`.(TO REFILLED OUT BY APPLICANT) Description of work to be done (please be specific): Rvv>iJ4 (f ExisTir44 GP1/4-5 FuRJ. .` R --ICE etr t,t) tT 1 K) E ill f .. E.L Trui-oScri -- te) +Reru.e_&JP-i2 WW1 /-tz i.kk j L - D 6 -\JE - C c Nom ^ N . * - r cb Current copy of Washington State Department of Labor and Industries Valid Contractor's License. If not available at the time of application, a copy of this license will be required before the permit is issued OR submit Form H-4, "Affidavit in Lieu of Contractor Registration ". Building Owner /Authorized Agent: If the applicant is other than the owner, registered architect/engineer, or contractor licensed by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this permit application and obtain the permit will be required as part of this submittal. 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. 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 114.4 of the Uniform Mechanical Code (current edition). No application shall be extended more than once. Date application accepted: Date application expires: Application taken by: (initials) 11/2/99 mech permil.doc ✓ Submittal Requirements Floor plan and system layout Roof plan required to identify individual equipment and the location of each installation (Uniform Mechanical Code 504 (e)) Details and elevations (for roof mounted equipment) and proposed screening Heat Loss Calculations or Washington State Energy Code Form #H -7 H.V.A.C. over 2,000 CFM (approximately 5 ton and larger) must be provided with smoke detection shut- off and will be routed to the Fire Prevention division for additional comments (Uniform Mechanical Code 1009). Specifications must be provided to show that replacement equipment complies with the efficiency ratings and other applicable requirements of the Washington State Nonresidential Energy Code. Structural engineer's analysis is required for new and the replacement of existing roof equipment weighing 400 pounds and greater (Uniform Building Code 1632.1). Structural documentation shall be stamped by a Washington State licensed Structural Engineer. Mechanical Permits COMMERCIAL: Two complete sets of drawings and attachments required with application submittal NOTE: Water heaters and vents are included in the Uniform Mechanical Code — please include any water heaters or vents being installed or replaced. RESIDENTIAL: Two complete sets of attachments required with application submittal 11/2/99 miscpmtdoc Submittal Requirements New Single Family Residence Heat loss calculations or Form H -6. Equipment specifications. Change - out or replacement of existing mechanical equipment I Narrative of work to be done, including modification to duct work. Installation of Gas Fireplace Narrative with specification of equipment and chimney type. If using existing chimney, provide a letter by a certified chimney sweep stating that the chimney is in safe condition. NOTE: Water heaters and vents are included in the Uniform Mechanical Code please include any water heaters or vents being installed or replaced. TRANSACTION LIST: doc: Receipt City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 0179000300 Address: 12240 43 AV S TUKW Suite No: Applicant: SANDRA DELEZA Amount RECEIPT Receipt No.: R020000817 Payment Amount: 52.00 Initials: SKS Payment Date: 06/19/2002 11:42 AM User ID: 1165 Balance: $0.00 Payee: SANDRA DELEZA Type Method Description Payment Check 6724 52.00 ACCOUNT ITEM LIST: Current Pints MECHANICAL - RES Description Account Code 000/322.100 52.00 Permit Number: MO2 -129 Status: PENDING Applied Date: 06/19/2002 Issue Date: Total: 52.00 Printed: 06 -19 -2002 re w U <n W W O I t O 2 D . U O— o � W W ' V . IL. I- O : z U =: O F- z Project c _ A ftIllad- Ct ( -----iezci of Inspection: F i 4 •-1,,( Address: _ , )R,94,0 y3 „l _ Date called: Special instructions: r n • le coed 4 , , . e , ,in tt r a . 0 r F t'dc. Li ' d :oc., - Wed. r•-c. / 11 .1. (AO Va 700 wanted: , , 07/0 Wool. (n) Requester: ..e/lCi/c(--Pe-etzei P O : a 741, 14,24 9 ,_ 44,, c.., ..„ • INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 Approved per applicable codes. COMMENTS: Insp 7.00 REINSPECTION E RE 6300 Southcenter Blvd., Suite • VIE .•• • ctor: Ipt NO: • INSPECTION RECORD Retain a copy with permit j4'& c • Corrections required prior to approval. Date: PERMIT NO. (206)431-3670 UIRED. Prior to inspec on, fee must be pal 00. Call to schedule eins I ection. D e: F625.0S2.000 (II/97) 42:1Z2=1:1111. quo. ••••• ••••• • DEPARTMENT OF LABOR AND INDUSTRIES REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL DATE CC .:QLENPAIS40()AXI/0 2 /2.00.3 E FENITY. E iaEfilki • ; . , :i.„1.a4: 2 ?/. 3 4 19 §. GLENDALE.HEATING & A/C. 12462 DES MOINES WY S SEATTLE WA 98168-2266 Detach And Display Certificate • I 2-057