HomeMy WebLinkAboutPermit M02-218 - LINDGREN RESIDENCEM02 -218
JEFFRY K. LINDGREN
14054 MILITARY RD. S.
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 6099400050
Address: 14054 MILITARY RD S TUKW
Suite No:
Tenant:
Name: LINDGREN JEFFRY K
Address: 14054 MILITARY RD S, TUKWILA WA
Owner:
Name: LINDGREN JEFFRY K
Address: 14054 MILITARY RD S, TUKWILA WA
Contact Person:
Name: DEVORE, MICK
Address: 7649 S 180TH, KENT, WA
Contractor:
Name: PERFORMANCE HEATING
Address: 7649 S 180 ST, KENT WA
Contractor License No: PERFOHA15ORT
DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGE OUT OF GAS FURNACE
Value of Construction:
Type of Fire Protection:
Permit Center Authorized Signature:
Print Name: / 1..4
doc: Mech
$3,700.00
N/A
MECHANICAL PERMIT
MO2 -218
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 425 251 -0356
Phone: 425 251 -0356
Expiration Date: 04/28/2003
Fees Collected:
Uniform Mechnical Code Edition:
MO2 -218
11/14/2002
05/13/2003
$52.00
1997
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: Date: /(- /4' - d 4 -
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.
Date: / 7--/--7.--64
Printed: 11 -14 -2002
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
Parcel No.: 6099400050 Permit Number: MO2 -218
Address: 14054 MILITARY RD S TUKW Status: ISSUED
Suite No: Applied Date: 11/14/2002
Tenant: LINDGREN JEFFRY K Issue Date: 11/14/2002
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: /, 2-Lt -'
Print Name:
doc: Conditions
MO2 -218
Date: // / 4' ' e) 2.
Printed: 11 -14 -2002
Project Name/Tenant: ,
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of Mechanical Equipment:
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Site Address :
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City State /Zip:
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Tax Parcel Number:
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Property Owner: ,.
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Phone: ( 1 2 /� 6� 7�
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Street Address: City State /Zip:
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Contact Person:
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Street Address:
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BUILDING OWNER OR AUTHORIZED AGENT:
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Phone: (92 ), S ,6 / _
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Address: 76 .y 1 , LsJ
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CITY OF a JKWILA
Permit Center
6300 Southcenter Boulvard, 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.
MECHANICAL PERMIT REVIEW AND APPROVAL REQUESTED: (TO BE FILLED OUT BY APPLICANT)
Description of work to be done (please be specific):
6 7 G4 s 7 .n..v'A t E CA 4,7) e b 4 - f
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
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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.
Mechanical Permits
COMMERCIAL: Two complete sets of drawings and attachments required with application submittal
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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
Submittal Requirements
New Single Family Residence
Heat loss calculations or Form H -6.
Equipment specifications.
Change - out or replacement of existing mechanical equipment
1 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.
Receipt No.: R020001577
TRANSACTION LIST:
doe: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 6099400050 Permit Number: MO2 -218
Address: 14054 MILITARY RD S TUKW Status: PENDING
Suite No: Applied Date: 11/14/2002
Applicant: LINDGREN JEFFRY K Issue Date:
Initials: SKS Payment Date:
User ID: 1165 Balance:
Payee: PERFORMANCE HEATING & AIR CONDITIONING, INC
Amount
Payment Check 19038
ACCOUNT ITEM LIST:
Current Pmts
MECHANICAL - RES
RECEIPT
Type Method Description
Payment Amount: 52.00
52.00
Description Account Code
000/322.100 52.00
Total: 52.00
11/14/2002 09:04 AM
$0.00
2556 .11/18 9716 TOTAL 52.00
Printed: 11 -14 -2002
TRANSACTION LIST:
ACCOUNT ITEM LIST:
City of Tukwila
Current Pmts
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 8733000065 Permit Number: MO2 -118
Address: 5436 5 150 ST TUKW Status: APPROVED
Suite No: Applied Date: 06/10/2002
Applicant: LOWER )UNCTION - LOT 6 Issue Date:
Receipt No.: R03 -00012 Payment Amount: 70.25
Initials: SKS Payment Date: 01/06/2003 11:56 AM
User ID: 1165 Balance: $0.00
Payee: TRYON CONCEPTS, LLC
Amount
Payment Check 2863
MECHANICAL - RES
PLAN CHECK - RES
Type Method Description
Description Account Code
000/322.100
000/345.830
RECEIPT
70.25
56.20
14.05
Total: 70.25
41 11 01/07 97:16 TOTAL 5051.50
doc: Receipt Printed: 01 -06 -2003
Project. ' ,,
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Type of I pection:
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Special Instructions: 7
Date Wanted:
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INSpiCTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 981 88
(206)431-3670
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
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Date:
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0 $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100, Call to schedule reinspection.
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April 7, 2003
Mick Devore
7649 S 180th
Kent, WA 98032
RE: Permit Application No. MO2 -218
14054 Military Rd S
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:
Sincerely,
Xc: Permit File No. MO2 -218
Bob Benedicto, Building Official
City of Tukwila
• Call the City Of Tukwila Permit Center at (206) 431 -3670 to arrange for the next or final
inspection.
Thank you for your cooperation in this matter.
Stefanie Spencer
Permit Technician
Steven M. Mullet, Mayor
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 13, 2003,
your permit will become null and void and any further work on the project will require a new permit and
associated fees.
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 -431 -3670 • Fax: 206 - 431.3665
14125.n52 -(NUt I NP)71
State of Washington
County of King
L-t'ARTIVIENT OF LABOR AND INDUSTRIES
' `.; ;REGIST. # .
CCO1 PERFOHA15ORT
EFFECTIVE DATE
PERFORMANCE HEATING
7649 S 180TH
KENT WA 98032
I)UQc'II . \niI Ditiplay eerfficwc
EXP. DATE
04/28/2003
12/30/1985
& A/C INC
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
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/ _
(Signature)
Title:Vice President of Finance
My appointment expires: 6/19/05
Residing at: Renton. WA. 98055
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