HomeMy WebLinkAboutPermit M02-211 - GOULD RESIDENCEGOULD RESIDENCE
14430 56T" AVENUE
SOUTH ��
M02 -211
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Parcel No.: 3365900445
Address: 14430 56 AV S TUKW
Suite No:
City of'iukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Tenant:
Name: GOULD RESIDENCE
Address: 14430 56 AV S, TUKWILA WA
Owner:
Name: LEE ROBERT M
Address: 2709 185TH AVE E, SUMNER WA
Contact Person:
Name: GREG GOULD
Address: 14430 56 AV S, TUKWILA, WA
Contractor:
Name: PERFORMANCE HEATING
Address: 7649 S 180 ST, KENT WA
Contractor License No: PERFOHA15ORT
DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT OF GAS FURNACE
Value of Construction: $3,700.00 Fees Collected:
Type of Fire Protection: Uniform Mechnical Code Edition:
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 permit.
Signature:
doc: Mech
MECHANICAL PERMIT
Permit Number: MO2 -211
Issue Date: 10/30/2002
Permit Expires On: 04/28/2003
Phone:
Phone: 206 - 443 -1100
Phone: 425 251 -0356
Expiration Date: 04/28/2003
1 C/ 461.th2 -) Date: l D Z
Print Name: "Me c.¢ ✓o e -- �
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 -211
Date: /d3O.
$65.00
1997
Printed: 10 -30 -2002
doe: Conditions
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
Parcel No.: 3365900445 Permit Number: MO2 -211 W
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Address: 14430 56 AV S TUKW Status: ISSUED
Suite No: Applied Date: 10/30/2002 U O
Tenant: GOULD RESIDENCE Issue Date: 10/30/2002 N 0
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1: ** *BUILDING DEPARTMENT CONDITIONS * ** N W
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division. W O
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3: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any construction. These
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documents are to be � <,
maintained and available until final inspection approval is granted. M
4: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997 Edition) as W
amended, Uniform Mechanical Code ? P
(1997 Edition), and Washington State Energy Code (1997 Edition). O
5: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations shall not be construed to be a W W
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 U
give authority to violate Q D-
or cancel the provisions of this code shall be valid. W W
6: Manufacturers installation instructions required on site for the building inspectors review. o
7: Fuel burning appliances may not be installed in sleeping rooms, U.M.C. 304.5. u.. ~O
8: Appliances which generate flame, spark or glowing ignition, shall be elevated 18 inches above the floor (U.M.C. 303.1.3.). .. Z
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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: ���� -� 4..�t_ Date: /° 3 0 Z
Print Name: Z J1 -
MO2 -211
Printed: 10 -30 -2002
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Project Name /Tenant:
Gec 6- 0
Value of Mechanical Equipment:
3, z m b
Site Address : City State /Zip:
/ o S �� 6 Amt S. T�KwiL4.
Tax Parcel Number:
3365'900 y9s
Property Owner:
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Phone: ( )
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Street Address: City State /Zip:
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Fax It: ( )
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Phone: ( )
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Street Address: City State /Zip:
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Fax It: ( )
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Contact Person:
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Phone: ( )
206 - f S / • 6 5 . 9S
Street Address: City State /Zip:
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Fax 11: ( )
BUILDING OWNER OR AUTHORIZED AGENT•
Signature:
Date: /6, ,. 3p_ ( 2 _
Print name:
/ *c_A4 -e./ 'b E yoeg
one:
Phone: ( 4/21" ) ZS / - C)3 56
Fax #: }/45..._) z si -0220
Address: 76 L/ s. / C7 74ti
City /State /Zip: e4,4. 9r° .
CITY OF 7 KWI LA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
' STAFF USE ONLY
Project Number.
Permit Number.
-1u1B•W►1
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.
MECHANICAL PERMIT REVIEW AND APPROVAL REQUESTED: (TO BE FILLED OUT BY APPLICANT)
Description of work to be done (please be specific):
6 5 7 474 /,4-0/9- e 4.1/1 oc-e
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 PER JURY 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
',such l,er',sir.doc
RECEIVED
CITY OF TUKWILA
OCT 302002
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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.
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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
II/2199
un. L1nm3
Submittal Requirements
New Single Family Residence
Heat loss calculations or Form H -6.
Equipment specifications.
Change - out or replacement of existing mechanical equipment
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.
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Parcel No.: 3365900445
Address: 14430 56 AV S TUKW
Suite No:
Applicant: GOULD RESIDENCE
Receipt No.: R020001527 Payment Amount: 65.00
Initials: KAS Payment Date: 10/30/2002 09:07 AM
User ID: 1684 Balance: $0.00
Payee: PERFORMANCE HEATING
TRANSACTION LIST:
ACCOUNT ITEM LIST:
doe: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431-3670
Current Putts
Amount
Type
Payment Check 19022
MECHANICAL - RES
PLAN CHECK - RES
RECEIPT
Method Description
65.00
Description Account Code
000/322.100 52.00
000/345.830 13.00
Permit Number: MO2-211
Status: PENDING
Applied Date: 10/30/2002
Issue Date:
Total: 65.00
2159 11/01 8716 TOTAL 65.00
Printed: 10-30-2002
Project:
OIC. /l, 4: C S /d r rll6.'
Type of Inspection:
/&,,c, - /�
Address:
/5 .../. /9v S
Date Called:
/2- ..3D -oz
Special Instructions:
Gee tvt� - ,c. -
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Date Wanted:
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Requester:
Phone No: 7
zoh'/atea7pf
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)
nspecto
es^ Date:
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MIA% PERM O
$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
1 -3670
Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
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Receipt No.:
'Date:
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F(,25fl52•000 (I)71
State of Washington
County of King
'DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
• REGTST. #
CCO1 PERFOHA15ORT
EFFECTIVE DATE
PERFORMANCE HEATING
7649 S 180TH
KENT WA 98032
RECEIVED
CITY OF TUKWILA
OCT 302002
PERMIT CENTER
D�la�h And Display CtrtiliL.lk
EXP. DATE
04/28/2003
12/30/1985
& A/C INC
I certify that this is a true and correct copy of a document in the possession of
Performance Heating & Air Conditioning, Inc. as of this date.
Dated: 5/ v�.2.
(Signature)
Title:Vice President of Finance
My appointment expires: 6/19/05
Residing at: Renton. WA. 98055