HomeMy WebLinkAboutPermit M98-0218 - FLATEN ROLFCity of Tukwila
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M98 -0218
Type: B -MECH
Category: RES
Address: 13055 40 AV S
Location:
Parcel #: 734060 -0902 •
Contractor License No: FLATERJ334LR
TENANT FLATEN ROLF
13055 40 AV S, TUKWILA WA 98188
OWNER HOUSER PAUL W Phone: 206 255 -7445
PO BOX 59, RENTON WA 98057.
CONTACT ROLF FLATEN Phone: 206-244-5293
4216 S 173 ST,.SEATAC WA 98188
CONTRACTOR ROLF JOHN FLATEN Phone: 206244 -5293
4216 S 173 ST, SEATTLE, WA 98188
*************************** k******** * * ** * * * * * * * * * * **k ** * * * ******
Permit Description:
INSTALL HEATING SYSTEM - GAS FURNACE.
UMC Edition: 1997 Valuation:
MECHANICAL PERMIT
Total Permit Fee :. -
(206) 431 -3670
Status: ISSUED
Issued: 03/17/1999
Expires: 09/13/1999
4,000.00
102.25
k ** * * *'k * * ***•k* k*•k* k**• k**'******** k**** * * **** * ** **''***** * *•k * * * * * ***
Permit.Cent r Authorized Signature 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 Ape complied with, .whether specified herein or not.
The granting this permit does not. presume to give authority violate
or cancel the provisions of any other state or local'laws regulating
construction or the performance of work. I am.authorized to,sign for and
obtain this yu-'lding permit.
Signature:
Date: 12 9
Print Name: Q,¢..F fi Title: %1
This permit shall become null and void if' the w.ork not commenced. within
180 days from the date of issuance, or if.the "wark'is suspended or
abandoned for a period of 180. days from thelast inspection.
Project Name/Tenant-- : - ,(;
--
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes ❑ no
Attacchlilisttoof materials and stora a location on separate 8 1/2 X 11 a er Indicatin uantities & Material Safet Data Sheets
LJ Above Ground Tanks Antennas /Satellite Dishes nn�� Bulkhead /Docks Commercial Reroof
❑ Demolition ❑ Fence I" 1 Mechanical ❑ Manufactured Housing - Replacement only
❑ Parking Lots ❑ Retaining Walls ❑ Temporary Pedestrian Protection /Exit Systems
❑ Temporary Facilities ❑ Tree Cutting
Value of Construction:
Site Address: , . ., .
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City State /Zip:
. 1. -0t I CL_. ,
Tax Parcel Number:
/ 714 - -- 0762
Property Owner:. ,,
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0 Water
Phone:
2010 -
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Street Address:
,,
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City State /Zip:
Fax #:
Contact Person: n/ r ,
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City State /Zip:
Phone:
Fax #:
Street Address:
Contractor: ' 2 t :
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Phone:
Street Address:
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City State /Zip:
Fax #:
Architect: r , . •
Phone: i
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Street Address: . ,, . -) .. f --
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Engineer:
Phone:
Street Address:
City State /Zip:
Fax If:
.
MISCELLANEOUS PERMIT REVIEW AND APPROVAL REQUESTED: (TO BE'FILLED OUT BY APPLICANT)`
Description of work to be done: � . (�
IC ii II ?," i „ / 1 .t •� { ( r. 1 . f
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes ❑ no
Attacchlilisttoof materials and stora a location on separate 8 1/2 X 11 a er Indicatin uantities & Material Safet Data Sheets
LJ Above Ground Tanks Antennas /Satellite Dishes nn�� Bulkhead /Docks Commercial Reroof
❑ Demolition ❑ Fence I" 1 Mechanical ❑ Manufactured Housing - Replacement only
❑ Parking Lots ❑ Retaining Walls ❑ Temporary Pedestrian Protection /Exit Systems
❑ Temporary Facilities ❑ Tree Cutting
MONTHLY SERVICE BILLINGS TO:'
Name:
Phone:
Address:
City /State /Zip:
0 Water
0 Sewer
0 Metro
0 Standby
❑ Channelization /Striping
❑ Flood Control Zone
❑ Landscape Irrigation
❑ Storm Drainage
❑ Water Meter /Exempt #
❑ Water Meter /Permanent #
❑ Water Meter Temp #
❑ Miscellaneous
CITY OF rUKWILA
Permit CentE,
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
WATER METER DEPOSIT /REFUND BILLING:
Name:
Address:
MISCPMT.DOC 7/11/96
Project Number:
Permit Number:
Miscellaneous Permit Application
Application and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mall or facsimile.
APPLICANT MISCELLANEOUS PUBLIC WORKS PERMITS
❑ Curb cut/Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: Size(s):
❑ Land Altering: 0 Cut cubic yards 0 Fill cubic yards 0 sq. ft.grading /clearing
❑ Sanitary Side Sewer #: ❑ Sewer Main Extension 0 Private 0 Public
❑ Street Use ❑ Water Main Extension 0 Private 0 Public
0 Deduct 0 Water Only
Size(s):
Size(s):
Size(s): Est. quantity: gal Schedule:
❑ Moving Oversized Load/Hauling
Phone:
City /State /Zip:
OZJB
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.
Date application accepted ::
1/ - 4M
Date application expires:
- q -95
Appllcat/pn taken by: (Initials)
•
BUILDING '' ER 0 R AUT ORIZED AGEN1'r
SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR
Above Ground Tanks/Water Tanks - Supported directly upon grade
exceeding 5,000 gallons and a ratio of height to diameter or width
which exceeds 2 :1
PERMIT REVIEW
Submit checklist No:=. M -9
Signature: •r,%►
Antennas /Satellite Dishes
Submit checklist No: M -1
0
Awnings /Canopies - No signage
Date: // 7
Print name: V F 72
Bulkhead/Dock
Submit checklist No: M -10
I 0
Commercial Reroof
po „ 2 o 5� ax #:
i � '
Address: ( /v /( �� 7
7
5 7 4 - .
a
4
City/State/Zip: , s/ ,
ALL MISCELLANEOUS PE T APPLICATIONS MUST BE SUBM
D WITH THE FOLLOWING:
➢ • All.. I4FIAWINt S,SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN
> BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED
> ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT
• STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON
LICENSED STRUCTURAL ENGINEER
• CIVIL/SITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER
(P.E.)
® 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, unless the homeowner will be the builder 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.
MISCPMT.DOC 7/11/96
SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR
Above Ground Tanks/Water Tanks - Supported directly upon grade
exceeding 5,000 gallons and a ratio of height to diameter or width
which exceeds 2 :1
PERMIT REVIEW
Submit checklist No:=. M -9
®
Antennas /Satellite Dishes
Submit checklist No: M -1
0
Awnings /Canopies - No signage
Commercial Tenant Improvement
Permit
®
Bulkhead/Dock
Submit checklist No: M -10
I 0
Commercial Reroof
Submit checklist : No: M -6
i n
Demolition
Submit checklist No: M -3, ::M -3a
Fences - Over 6 feet in Height
Submit checklist No: M -9
0
Land Altering/Grading /Preloads
Submit checklist '. No: M -2
®
Loading Docks
Commercial Tenant Improvement
Permit. Submit checklist No: H -17
0
Mechanical (Residential & Commercial)
Submit checklist . No ' M -8,
Residential • only = H -6, H -16
0
Miscellaneous Public Works Permits
Submit checklist No H -9
®
Manufactured Housing (RED INSIGNIA ONLY)
Submit checklist No: M -5
0
Moving Oversized Load /Hauling
Submit checklist No: M -5
0
Parking Lots
Submit checklist No: M -4
®
Residential Reroof - Exempt with following exception: If roof structure.
to he repaired or replaced
Residential Building Permit
Submit checklist '.: No: M -6
0
Retaining Walls - Over 4 feet in height
Submit checklist No :. M -1
0
Temporary Facilities
Submit checklist No: M -7
El
Temporary Pedestrian Protection/Exit Systems
Submit checklist No :: M -4
ri
Tree Cutting
Submit checklist; No:. M =2
ALL MISCELLANEOUS PE T APPLICATIONS MUST BE SUBM
D WITH THE FOLLOWING:
➢ • All.. I4FIAWINt S,SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN
> BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED
> ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT
• STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON
LICENSED STRUCTURAL ENGINEER
• CIVIL/SITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER
(P.E.)
® 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, unless the homeowner will be the builder 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.
MISCPMT.DOC 7/11/96
Address: 13055 40 AV S
Suite:
Tenant: FLATEN ROLF
Type: 8-MECH
Parcel #: 734060-0902
**********Iii***********4444***************A*.**k********4(,*****A**A***4*********
Permit Conditions
1. No chan s will he made to the plans unless approved by the
Architect Or Engineer and tie4ykwile_Building Di vi '
2'. All permits, inspecttogO*0.4'Mn4f4Oroyed plans...shall be
available at the . .19K.. , ,2*06'0I6r to:ffra'sMki;2,X any con
struction. These to5be maineefOit, avail -.
-
able until fi..01*nspe.cOon ',e04.1r0a) is 0
4. Validt,tyybf'Permit.the iSsiia000..,of a permitor'„,..,appyovWOf
3. All construsrnii tp lna'nformand'a" a00,7d
5. MANUFACTURERS INSTALLATION iMiTRUCTIONS:,REPUIRED ONSII!
' of aii provisiOni of the. building code orHof"..an§:
Edition)
codeshall'be..„..valid...''::.'
othei tne,..Juris'oction No permit presuming ti:%
give:cauthor4tV' to vi6Tatt-orX!cancelthe provisionsofhie
FO THE poiL_ING-TIV,FECTORREV EW, '.,' .....
plansi ant,dpdmputaijons shall'not,bcpW4W,%
and WasOng ten State Energy CO:le, (1997 Eal t i on),,
strued/, a permit : 'Or an approval of, any vlilat iOn':,
plans and,re4Oiremeitts....6* the-UnilorM Bufid0946W(t997
. ... ..
BUILDING f" '
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CITY OF TUKWILA
II.
Permit. No M98-C218
Status: ISSUED
Appl ied: 11/09/1998
Issued: 03/17/1999
• • "
" • z`,.',,
PLA�� 41:441
W /ROUTG _ SLIP
ACTIVITY NUMBER: M98 -0218 DATE: 11 -9 -98
PROJECT NAME: FLATEN RESIDENCE
XX Original Plan Submittal Response to Incomplete Letter
Response to Correction Letter # Revision # After Permit Is Issued
DEPARTMENTS:
Builcing Division g,
rM_ t 2-"/-q1
Publ works,.
REVIEWERS INITIALS.
Fire Prevention
Structural
TUES /THURS ROUTING: Please Route
a
Routed by Staff (if routed by staff, make copy to master file and enter into Sierra)
Planning Division El
Permit Coordinator 0,
DETERMINATION OF COMPLETENESS: (Tues, Thurs) DUE DATE: 11 - 10 - 98
Complete Incomplete ❑ Not Applicable El
Comments:
No further Review Required El
DATE: 11- 10-
DUE DATE: 12
APPROVALS OR CORRECTIONS: (ten days)
Approved Approved with Conditions El Not Approved (attach comments) 0
REVIEWERS INITIALS: DATE:
GNIMMIMMIMMI
CORRECTION DETERMINATION:
\PR.ROUTE,DOC
6/98
DUE DATE:
Approved El Approved with Conditions ❑ Not Approved (attach comments) ID
REVIEWERS INITIALS: DATE:
�.
Projs t
Type of Ins ection.
A dress:
a
P --
Date called:
Special instructions:
Date want d:
a ,
Requester:
Phone:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
[Receipt No:
INSPECTION RECORD
Retain a copy with permit
Date:
PERMIT NO.
(206)431-3670 I
pproved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Li $47.00 REINSPECT ON FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Pro'ect: / �
1 <GM,44_,
Type of ection: '
YP / " f 4 7
!-?
Addre s: y ..
Date called
Special instructions:
Date wanted? 1.34 f'm
�n.
Requester:
Phone:
COMMENTS:
Inspector:
/)-, G I-41 / S
.0 ., . . i . Lain --
ri $47.00 REINSPECTION ' REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No:
Date:
Date:
:`r.�o;+ r.^.:' ?r�+rtn3 . •..l..- n'rI'r ^..:.. f.!w++.t;* ..
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 9818
•^ ^ �t."+..t.:...- .. .!.
8
PERMIT NO. 0„/
��'
(206)431- 336
El Approved per applicable codes.
C orrections required prior to approval.
Project:
U
Type of Ins coon:
�/
Address.
�3055 --t AO )
�ed:
Date ca ed:
Special instructions:
Date wanted:
m
Requester:
Phone:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 9818
A
PERMIT NO.
(206)431 -3670
54 Approved per applicable codes. E Corrections required prior to approval.
COMMENTS:
A AI
0 $47.00 REINSPECTI /FEE REQUIRED. Prior to inspection, fee must b paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No:
Date:
°
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TRANSMIT Number: R9800035 Amo
Payment Method: CHECK Nota
Permit No: M98
Parcel No: 734
Site Address: 130
~O218
0GO-O9O2
55 40 AV
4"'
' .
Account Code DeecriptioA
600/$45.830 PLAN CHECK - RES
000/322.100 MECHANICAL -7 RES `
�
Total Fees:
TRANSMIT
V � ******f.A�*+**^**6A*^*+.A*+**4
unt: 102.25 03/17/99 15:01
tion: ROLF FLATEN Init: TLB
.
'
��-�__~__^ ^__-------_---_-
[y e: B^MECH NECHAN1CAL PEKMIT
102.25
102,25
•00
This payment 102"25 . Total ALL Pmts: •
Balance:,
++a+*++*a**««+****^A***4
Amount
20,45
81.80
' ^-~
���9 0�/22 q7�g�'� '102"25��'''
`_ �' �
(._____ ________,____ '''' _
Project Name: ,
_ " U.Y.: LL(i 'l -'–)0( . ...
Address: . . i Y
I ill {, :/:.,,..'( = 1 . Lt.; 1/) 4: (' IC I;-�1�
(:` y�,
Residential Building Permit Number:
P - O3so
1 . Prescriptive Option W.S.E.C. Chapter 6, (check building permit option used):
❑ I. ❑ II ❑ III. ❑ IV. ❑ V. ❑ VI. ❑ VII. ❑ VIII.
2. House Square Footage (HSqFt) / 7 ( y
3. Heating System installed, (check system type below):
, ❑ a. Electric Resistance /21 BTU /h per sq. ft.
El b. Electric (forced air) /24 BTU /h per sq. ft.
0 c: Other Fuels (gas, heat pump) /27 BTU /h per sq. ft.
4. Equipment: 0
a. Make L-- �;.' C I i L . i .
b. Model -64 :: '..) 0 7002
c. Size in BTU's 5 0(.)0 (')/C.t C' e.. (Jowl() — .. F)G0O0 Vii))
5. Calculation /(HSqFt) 17 09 (see line 2 above)
, CO 0 (see line 3 a, b, or c above)
BTU /h X ':-:::1
• ::::::S .0 C-`C) BTU Equipment Maximum Size
Prescriptive Heating System Sizing for
Single Family Homes - New Construction
Washington State Energy Code Chapter 9, Climate Zone 1
PERMIT APPLICATION #:
Applicant's Signature•. a
//iiL Yti J ti °`:`/eot /11
7/9/96
CITY 4 - TUKWILA {i
Permit Center
6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188
Telephone: (206) 431 -3670
Date:
H -6
RECEIVED
Miry or T ukwu
NOV 91998
PERMIT CENTER
April 19, 2000
Rolf Flaten
42165 173' St
Seatac Wa 98188
City of Tukwila
Dear Mr Flaten:
Department of Community Development Steve Lancaster, Director
RE: Permit Status M98 -0218
13055 40 Ave S
In reviewing our current permit files, it appears that your permit to install a gas furnace heating
system, issued on March 17, 1999, has not received a final inspection as of the date of this letter
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 provision 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, if a final inspection is not called for within ten (10) business days from the
date of this letter, the Permit Center will close your file and the work completed to date will be
considered non - complying and not in conformance with the Uniform Building Code and/or
Mechanical Code.
Please contact the Permit Center at (206)431 -3670 if you wish to schedule a final inspection.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
G/Q
Xc: Permit File No. M98 -0218
Duane Griffin, Building Official
Steven M. Mullet, Mayor
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206.431.3670 • Fax: 206-431-3665
REGISTERED AS PROVIDED BY LAW AS
CONST COQ ISTEI*RAL EXP. DATE
CCO1 FLATERJ334LR 10/12/1999
EFFECTIVE DATE 06/19/1967
FLATEN, ROLF JOHN
4216 S 173RD: ST
SEATTLE WA 98188
Signature
Issued by DEPARTM •• OF LABOR AND INDUSTRIES