HomeMy WebLinkAboutPermit M08-265 - CANNON RESIDENCECANNON RESIDENCE
5111 S 163 PL
EXPIRED
OS -03 -09
M08 -265
Parcel No.: 8700500080
Address:
Suite No:
5111 S 163 PL TUKW
Tenant:
Name: CANNON RESIDENCE
Address: 5111 S 163 PL , TUKWILA WA
City Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
Owner:
Name: CANON ELAINE C +FLAQUINTI TH
Address: 5111 S 163RD PL , TUKWILA WA
Contact Person:
Name: CHRIS LIEBEL
Address: 12462 DES MOINES MEMORIAL DR , SEATTLE WA
Contractor:
Name: GLENDALE HEATING & A/C
Address: 12462 DES MOINES WY S , SEATTLE, WA
Contractor License No: GLENDHA053Q2
DESCRIPTION OF WORK:
RETROFIT NEW GAS BOILER AND EXISTING ZONE VALVES
Value of Mechanical: $7,641.59
Type of Fire Protection:
Furnace: <100K BTU 0
>100K BTU 0
Floor Furnace 0
Suspended/Wall/Floor Mounted Heater 0
Appliance Vent 0
Repair or Addition to Heat /Refrig /Cooling System.... 0
Air Handling Unit <10,000 CFM 0
>10,000 CFM 0
Evaporator Cooler 0
Ventilation Fan connected to single duct 0
Ventilation System 0
Hood and Duct 0
Incinerator: Domestic 0
Commercial/Industrial 0
doc: IMC-10/06
MECHANICAL PERMIT
Fees Collected: $208.00
International Mechanical Code Edition: 2006
EOUIPMENT TYPE AND QUANTITY
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206- 243 -7700
Phone: 206- 243 -7700
Expiration Date: 11/02/2009
M08 -265
11/04/2008
05/03/2009
Boiler Compressor:
0 -3 HP /100,000 BTU 1
3 -15 HP /500,000 BTU 0
15 -30 HP /1,000,000 BTU.. 0
30 -50 HP /1,750,000 BTU.. 0
50+ HP /1,750,000 BTU 0
Fire Damper 0
Diffuser 0
Thermostat 0
Wood/Gas Stove 0
Water Heater 0
Emergency Generator 0
Other Mechanical Equipment 0
M08 -265 Printed: 11 -04 -2008
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:
Print Name:
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.
doc: IMC -10/06
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: http://www.ci.tukwila.wa.us
Permit Number: M08 -265
Issue Date: 11/04/2008
Permit Expires On: 05/03/2009
• Date: l ( Q Q
Date:
) 0 r
M08 -265 Printed: 11 -04 -2008
Parcel No.: 8700500080
Address:
Suite No:
Tenant:
5111 S 163 PL TUKW
CANNON RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
doc: Cond -10/06
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
PERMIT CONDITIONS
* *continued on next page **
Permit Number:
Status:
Applied Date:
Issue Date:
2: No changes shall be made to the approved plans unless approved by the design professional m responsible charge and the
Building Official.
3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
4: Manufacturers installation instructions shall be available on the job site at the time of inspection.
M08 -265
ISSUED
11/04/2008
11/04/2008
5: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired appliances
shall not be located in, or obtain combustion air from, any of the following rooms or spaces: Sleeping rooms,
bathrooms, toilet rooms, storage closets, surgical rooms.
6: Equipment and appliances having an ignition source and located in hazardous locations and public garages, PRIVATE
GARAGES, repair garages, automotive motor -fuel dispensing facilities and parking garages shall be elevated such that
the source of ignition is not less than 18 inches above the floor surface on which the equipment or appliance rests.
7: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall
be at points within the upper one -third and lower one -third of the water heater's vertical dimension. A minimum
distance of 4- inches shall be maintained above the controls with the strapping.
8: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila
Permit Center.
9: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
10: VALIDITY OF PERMIT: The issuance or granting of a permit 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 ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
M08 -265 Printed: 11 -04 -2008
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and
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
construction or the performance of work.
Signature: AM Date: ////// nee
Print Name: 56 , a V \ 1 yr V
doc: Cond M08 - 265
ordinances governing
or local laws regulating
Printed: 11 -04 -2008
Name:
Mailing Address:
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Site Address: S11 l
Tenant Name: —' CGwho v\ ''P.S■ k(N
Property Owners Name: I` 1 C,i he_. t-
Mailing Address: <11 1 Z16 3 fr..)
, f t�S
E -Mail Address:
Company Name: a I �y,c)
Mailing Address: 1 Zc • Z
Contact Person: , tt`S
c
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
* *Please Print **
King Co Assessor's Tax No.: t'7005t
Suite Number: Floor:
New Tenant: ❑ .... Yes El ..No
City
A-
State
O z
CONTACT PERSON
Day Telephone: Z &2 Alt 3 77CO
S W A-
u .�
•
•
City
Fax Number:
State
Zip
City
Day Telephone: ZU Co - ZZ-1 3- 7704
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
State Zip
be wet stamped by Architect of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
ENGINEER OF. RECORD All plans must be
stamped by Engineer of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
43o
Qty
Furnace<100K BTU
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipment
HP /100,000 BTU
Fumace>100K BTU
Evaporator Cooler
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan
15 -30 HP /1,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood
50+ HP /1,750,000 BTU
Heat/Refrig/Cooling
System
Incinerator - Domestic
Air Handling Unit
<= 10,000 CFM
Incinerator - Comm/Ind
MECHANICAL CONTRACTOR INFORMATION
Company Name: (�
Mailing Address: ( Fffp Z
0-11
Contact Person:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
Valuation of Project (contractor's bid price): $ 71 / , b I
Scope of Work (please provide detailed information):
Use: Residential: New .... ❑ Replacement .. ' .
Commercial: New .... ❑ Replacement .... ❑
Fuel Type: Electric ❑ Gas...., Other:
Indicate type of mechanical work being installed and the quantity below:
- PERMIT'APPLICATION N O TES
al - - •.'.Y t@.,C i • 4-
Apphhcable,to all permits li this : app p cation
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.
1 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.
BUILDING OWNE OR AUTHORIZED GENT:
Signature
Print Name:
,✓S S c- L G / - qi rr/ �g
City S tate Zip
Day Telephone: 206 Z-( 3 7766
9 ,I fn l,( Imo►'
Date: /1/1 D a
Day Telephone: 2-067 24 3 � j 770 0
Mailing Address: ,S N c �� f J q b I
City state tp '�
Date Application Expires:
Date Application Accepted:
Staff Initials:
1
Parcel No.: 8700500080
Address: 5111 S 163 PL TUKW
Suite No:
Applicant: CANNON RESIDENCE
Payee: GLENDALE HEATING
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 61056 208.00
ACCOUNT ITEM LIST:
Description
MECHANICAL - RES
RECEIPT
Receipt No.: R08 -03681 Payment Amount: $208.00
Permit Number: M08 - 265
Status: PENDING
Applied Date: 11/04/2008
Issue Date:
Initials: WER Payment Date: 11/04/2008 11:24 AM
User ID: 1655 Balance: $0.00
Account Code Current Pmts
000.322.102.00.0 208.00
Total: $208.00
doc: Receiot -06 Printed: 11 -04 -2008
04 -02 -2009
CHRIS LIEBEL
12462 DES MOINES MEMORIAL DR
SEATTLE WA 98168
RE: Permit No. M08 -265
5111 S 163 PL TUKW
Dear Permit Holder:
In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division.
Per the Intemational Building Code and/or the International Mechanical Code, every permit issued by the Building Division 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:
Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or final inspection.
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 one or more extensions of time for
additional periods not exceeding 90 days each. 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 and receive an extension prior to 05/03/2009 , your permit will become null and
void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
xc: Permit File No. M08 -265
City of Tukwila • Jim Haggerton, Mayor
Department of Community ;S evelopment Jack Pace, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 -431 -3670 • Fax: 206 - 431 -3665
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
FIDELITY Et
DEPOSIT
CO
30132423
11/02/1987
11/02/1988
01/01/1980
ATWOOD, STANLEY
AGENT
Name
Role
Effective Date
Expiration Date
HOEFER, ARTHUR A
01/01/1980
HOEFER, GERALD A
01/01/1980
FULTON, DAVID C
01/01/1980
ATWOOD, STANLEY
AGENT
01/01/1980
Untitled Page
Business Owner Information
Bond Information
•
•
General /Specialty Contractor
A business registered as a construction contractor with La! to perform construction work
within the scope of its specialty. A General or Specialty construction Contractor must
maintain a surety bond or assignment of account and carry general liability insurance.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
GLENDALE HEATING 8t
A/C INC
2062437700
12462 DES MOINES WY S
SEATTLE
WA
981682266
KING
Business Type CORPORATION
Parent
Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous
License
Next License
Associated
License
Specialty 1
Specialty 2
600003167
ACTIVE
GLENDHA053Q2
CONSTRUCTION
CONTRACTOR
11/22/1995
11/2/2009
GLENDH0110PU
GENERAL
UNUSED
Assignment of Savings Information
Assignment of Effective Release lAssignmentlImpairedl
https: / /fortress.wa. gov /lni/bbip/Detail. aspx ?License= GLENDHA053 Q2
Received
Page 1 of 2
11/04/2008