HomeMy WebLinkAboutPermit M2000-222 - DESSALEGNE RESIDENCEM2000 -222
Dessalegne
Residence
4628 S 160 St
Clay of Tukwila (206) 431 -367o
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M2000 -222
Type: B-MECH
Category: RES
Address: 4628 5 160 ST
Location:
Parcel #: 222304 -9095
Contractor License No: ASUPEHC044KS
TENANT
OWNER
CONTACT
CONTRACTOR
MECHANICAL PERMIT
ADAM DESSALEGNE Phone:
4628 5 160 ST, TUKWILA, WA 98188
TAYLOR GERALD W & MARCIA A
12005 SE 284TH ST, KENT WA 98031
JIM ADSLEY Phone: 253 - 850 -9509
1307 S CENTRAL AV; UNIT J, KENT, WA 98032
A SUPERIOR HEATING COMPANY INC Phone: 253- 850 -9509
1307 SOUTH CENTRAL AV UNIT J, KENT, WA 98032
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Permit Description:
GAS TO GAS CHANGEOUT OF FURNACE.
UMC Edition: 1997 Valuation:
Total Permit Fee:
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Permit Center
horized Signature Date
I hereby certify that I have read and examined t h i s permit and now the
same to be true and correct. All provisions of law and ordinances
governing this work will he 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 s i g n for and
obtain this bull .frrt) r lit.
Signature ;_
Print. Name: sfw?
Date:
Status: ISSUED
Issued: 09/14/2000
Expires: 03/13/2001
1,454.00
65.00
NM AMY
Title :
This permit shall become null and void if the work 1.; 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,
CITY OF TUKWILA
Address: 4628 S 160 ST
Suite:
Tenant: ADAM DESSALEGNE
`h ype: D-MECH
Parcel g : 222304.9095
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Permit Conditions:
1. •APPLIANCES, WHICH GENERATE A FLAME, SPARK OR GROWING
IGNITION, SHALL DE ELEVATED 18 INCHES ABOVE THE FLOOR,
U.M.C. 303.1.3.
No changes will be: made to the plans Unless approved by the
Engineer and the Tukwila Building division.
All permits, inspection records, end apprtoved plans shall be
available at,the .$ob site prior to the ;tarot of canµ
struction. These ; dOcuments . are to be maintained and 'bvei l -
able unt;l l:a f inal isnspect.ion approval is granted, „
All cOnitruation to be done in Conformance with approved
plans KOnd requirements of the Uniform Building Code.. (199X
Edition,) as r amended, Uniform Mechanical Code (1997 `Edition
and : Washington State Energy 'Code, ( 1997 Edition)
Va1 fd ' of Permit. The issuance or a
� � permit or `appr+ava�i
teecif icat ions, . and computations shall not'kre COn-
strtied to be a permit for,.. o,' an approval of, any iflo1et1on
;of; any of the provisions of the building code or of ony
otter ordinance of the► A
��ur� i�df�tinn. °_ Na prtirmit prt�uraingi in
gi authority to violate, or cancel the provisions of this
codra; she)) be valid.
Manufacturers installation n instructions required
for the b u i l d i n g t riipec tnr rr:v i ew',
Permit No: M2000 -222
Status: ISSUED
Applied: 09/14/2000
Issued: 09/14/2000
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Project Name/Tenant:
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Signature: I MAj�rt il
Value o �M�`�n al Equipment:
Site Address :
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Address: �,
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Phone: ( ) 116
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Street Address: r ' �DO
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Fax #: ( )
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4 im pity State/Zip:
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Phone: ( )
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Fax #: ( )
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Phone: (5/j) 4 Sy _9 n
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Street Address:
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Contact Person: 1,1 4(/
Street Address:
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Fax #: ( )
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BUILDING OWNE ', • R AUT. • IZ D AGENT:
Signature: I MAj�rt il
Date: Oirhalo
Print name: . 5 . eYL I N i tet,
Phone: _ v ) ) a s 0 ..
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Fax N: I P 3 :FR
Address: �,
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CITY G 'TUKWiLA
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.
MECHANICAL PERMIT REVIEW AND APPROVAL REQUESTED: (TO BE FILLED OUT BY APPLICANT)
Description of work to be done (please be specific):
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 H4, "Affidavit In Lieu of Contractor
Registration ".
Building Owner /Authorized Agents If the applicant is other than the owner, registered architect/en��ggineer, or contractor licensed by the
State of Washington, a notarized letter from the property owner authorizing the agent to submit thi4 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 100 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 ap_ication accepted:
1//2199
meth pernsft doc
00
Date application expires:
1 LE 01
FO' STAFF USE ONLY
Project Number:
Permit Number.
Mz000 222
ca n taken by: (initials)
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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 a licable re uirements of the Washin ton State Nonresidential Ever 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
Submittal I? 'quirements
New Sin le Famil Residence
Heat loss calculations or Form H•6.
Equipment specifications,
Chan e•out or re lacement of existitt: mechanical a ul , men(
Narrative of work to be done includin; modification to duct work.
Installation of Gas Fire' lace
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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Project:
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T e of In pection:
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Address:
Date calledi
a n .
Special instructions:
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Date wanted:
Requester: t
Phone:
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COMMENTS:
Receipt No:
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INSPECTION RECORL
Retain a copy with permit
INSPECtION NO,
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter BIvd, #100, Tukwila, WA 98188
PERMIT NO
(206)431 -3670
Approved per applicable codes. Corrections required prior to approval.
$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd. Suite 100, Call to schedule reins'ection.
Date:
LICENSE DETAIL INFORMATION Form
ootti
STATE OF WASHINGTON
DEPARTMENT OF LABOR AND INDUSTRIES
Specialty Compliance Services Division
P. O. Box 44000 Olympia, WA 98504 -4000
THE RESULT OF YOUR INQUIRY FOR LICENSE NUMBER SELECTED IS:
LICENSE DETAIL INFORMATION
Current Filter: None
Registration# or License ASUPEHC044KS
Name A SUPERIOR HEATING COMPANY INC
Address 1307 SOUTH CENTRAL AVE UNIT J
Address
City KENT
State WA
Zip 98032
Phone Number 2638609609
Effective Date 6/10/96
Expiration Data 4/16/01
Registration Status ACTIVE
Typo CONSTRUCTION CONTRACTOR
Entity CORPORATION
Specialty Code AIR CONDITIONING
Other Specialties
U81 Numbor 601634420
OWNERS) FO__R_THIS__LICEN.SE* * *
* * *VIEW CONTRACTOR _BONNDISAVENGE INFQRMATTION * * *
*,* *OHEQKlNQUIRY FOR SUMMONS AND QQMPLAINTS * *
* * * VIEW CONTRACTOR INSUJICE * *
Page 1 of 1
New inquiry by CITY, NANIE, PRINCIPAL OWNER NAME, NUMBER, UBI NUMBER or
return to the L &1 Construction Compliance Home Page
http: / /www.lni.wa.gov/ CONTRACTORS /TF2Form .asp ?License= ASUPEHC044KS
9/14/00