HomeMy WebLinkAboutPermit M09-029 - WADE RESIDENCEWADE RESIDENCE
4122 S 131 ST
M09 -029
Parcel No.: 7341600110
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
4122 S 131 ST TUKW
CityOf Tukwila
WADE RESIDENCE
4122 S 131 ST , TUKWU A WA
WADE JOHN D +EVELYN
4122 SOUTH 131ST ST , SEATTLE WA
Contact Person:
Name: RITA WALTERS
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:
REPLACE EXISTING GAS FURNACE WITH NEW LENNOX GAS FURNACE
Value of Mechanical: $3,364.75
Type of Fire Protection:
Furnace: <100K BTU
>100K BTU
Floor Furnace
Suspended/Wall/Floor Mounted Heater
Appliance Vent
Repair or Addition to Heat/Refrig /Cooling System....
Air Handling Unit <10,000 CFM
>10,000 CFM
Evaporator Cooler
Ventilation Fan connected to single duct
Ventilation System
Hood and Duct
Incinerator: Domestic
Commercial/Industrial
doc: IMC -10/06
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
MECHANICAL PERMIT
EQUIPMENT TYPE AND QUANTITY
1
0
0
0
0
0
0
0
0
0
0
0
0
0
* *continued on next page **
M09 -029
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 - 972 -7661
Phone: 206 - 243 -7700
Expiration Date: 11/02/2009
M09 -029
03/19/2009
09/15/2009
Fees Collected: $175.39
International Mechanical Code Edition: 2006
Boiler Compressor:
0 -3 HP /100,000 BTU 0
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
Printed: 03 -19 -2009
Permit Center Authorized Signature:
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
c),,,e
Permit Number: M09 -029
Issue Date: 03/19/2009
Permit Expires On: 09/15/2009
Date f,..
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 p rformance of work. I a authorized to sign and obtain this mechanical permit.
Signature: C l /t/!_(.( !\ 7 i Date: *-
Print Name: c- tra \
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.
M09 -029 Printed: 03 -19 -2009
Parcel No.: 7341600110
Address: 4122 S 131 ST TUKW
Suite No:
Tenant: WADE RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
• •
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
Permit Number: M09 -029
Status: ISSUED
Applied Date: 03/19/2009
Issue Date: 03/19/2009
2: No changes shall be made to the approved plans unless approved by the design professional in 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.
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.
doc: Cond -10/06
* *continued on next page **
M09 -029 Printed: 03 -19 -2009
•
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 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:
Print Name: c ( t . C / v- V
doc: Cond -10/06
(Jawek Date:
3//,9/0.52
M09 -029. Printed: 03 -19 -2009
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.cLtukwila.wa.us
Site Address: 41)-a 5 1 3 I c3 ' T � Le— u.;Acl 9F023°)
Tenant Name:
Property Owners Name: E V i .X - W (.,-(1
Mailing Address: LA k. ZZ S 4 9 % ( $Y
Name: Gln r, i a Q.t 2 l ir,
Mailing Address: 2- 2- • DQS M plv.e S nrtai o V
E -Mail Address: eXYV..1\ ( 512.nd.11 e 6c tnO , (c rv�
Contact Person:
E -Mail Address:
Contractor Registration Number:
Q:\Applications\Porms- Applications On Line \3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
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.:
City
Expiration Date:
734 I6ob flu
Suite Number: Floor:
New Tenant: El .... Yes p ..No
State
Day Telephone: 212 - ? - t3
City State Zip
Fax Number: Z-
GENERAL CONTRACT!
(Con"tractor. Information. fo Meeh
NF''ORNTATION —
pg 4) for Plumbing and Ga
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
State
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
State
Zip
Zip
Zip
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 6
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Will there be new rack storage? ❑.... Yes
or
YI
[oars,;
Ace
,Car"
Covei
dl
Uncovered =Dec
di
uilding Areas i
otag
FIRE PROT TION/HAZARDOUS MATERIALS:
Type of
rceuptincy per
IBC
PLANNING DIVISION:
Single family building footprint (. `a of the foundation of all structures, plus any decks over 18 i ' hes and overhangs greater than 18 inches)
*For an Accessory dwelling, pr ide the following:
Lot Area (sq ft): Floor area of principal dwelling: loor area of accessory dwelling:
*Provide documen .tion that shows that the principal owner lives in one of the dwellings as his o ,her primary residence.
Number of Parking Sta Provided: Standard: Compact: Handicap:
Will there be a chan t in use? ❑ Yes ❑ No If "yes ", explain:
❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No
If "yes', attach list of materials and storage locations on a separate 8 - 1/2" x 11" paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
Q:\Applications\Forms- Applications On Line \3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
Existing Building Valuation: $
❑ .. No If yes, a separate permit and plan submittal will be required.
Page 2 of 6
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
Air Handling Unit >10,000
CFM
Fire Damper
0 -3 HP /100,000 BTU
Furnace>100K BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
to Single Duct
Thermostat
15 -30 HP /1,000,000 BTU
Suspended /Wall/Floor
Mounted Heater
Ventilation System
Wood /Gas Stove
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood and Duct
Emergency
Generator
50+ HP /1,750,000 BTU
Repair or Addition to
Heat/Refrig/Cooling
System
Incinerator - Domestic
Other Mechanical
Equipment
Air Handling Unit
<10,000 CFM
Incinerator - Comm /Ind
MECHANICAL CONTRACTOR INFORMATION
G\ aai -e(L-1:1
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
\ 2.' - \ Oes Mo„wS R&M ov IX -e
City State Zip
Day Telephone: Z 0 611 Z- 7 ( f
Fax Number: 2_0(p -A43 45 544
Expiration Date: 2—) 0 6 1
�\ \-c WOLAttis
ern -A c7lencl� l-c1�r �n cow,
Contractor Registration Number: 6 1A N b 05 Q 2
Valuation of Mechanical work (contractor's bid price): $ 33( 91 l 5
Scope of Work (please provide detailed information): .1eQ a,u _v*is v ( 3qS - 1'�jrrllOt�2 vats h t„)
?o x co ckS kvt n-O --�-- J
Use: Residential: New .... Replacement ....
Commercial: New .... Replacement ....
Fuel Type: Electric I] Gas.... Other:
Indicate type of mechanical work being installed and the quantity below:
Q: Wpplications\Forms•Applications On LineU -2006 - Permit Application.doc
Revised: 9 -2006
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Page 4 of 6
Scope of Work (please provide detailed information):
Water District
❑ ...Tukwila
❑ ...Water Availability Provide
Sewer District
❑ ...Tukwila
❑ ...Sewer Use Certificate
Proposed Activities (mark boxes that apply):
❑ ...Right -of -way Use - Nonprofit for less than 72 hours
❑ ...Right -of -way Use - No Disturbance
❑ ...Construction/Excavation/Fill - Right -of -way
Non Right -of -way
❑ ...Total Cut
❑ ...Total Fill
❑ ...Sanitary Side Sewer
❑ ...Cap or Remove Utilities
❑...Frontage Improvements
❑ ...Traffic Control
❑ ...Backflow Prevention - Fire Protect
Irrigation
❑ ...Permanent Water Meter S
❑ ...Temporar Water Met ize
❑ ...Water Only Meter S
❑ ...Sewer Main Exte ion Public
❑ ...Water Main E nsion Public
FINANCE INF • RMATION
Water Meter Refund/Billing:
Name:
Mailing Address:
Q:\Applications\Forms- Applications On Line \3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
❑...Water District #125
Call before you Dig: 1- 800 - 424 -5555
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
❑ .. Highline
❑... : 1Vue ❑ .. Renton
0... Se ,-r Availability Provided
Septic System:
❑ On - site Septic System — For on - site septic
Submitted with Application (mark boxes which
❑ ...Civil Plans (Maximum Paper Size — 22" x 34
❑ ...Technical Information Report (Storm Drainage)
❑ ...Bond ❑ .. Insurance ❑ .. Ease t(s) ❑ .. Maintenance
cubic yards
cubic yards
Domes Water
❑..
tern, provide 2 copies of a current septic design approv
andon Septic Tank
urb Cut
.. Pavement Cut
. Looped Fire Line
WO #
WO #
WO #
Private
Private
0 ...Sewage Treatment
❑ .. Geotechnical Re
-of -way Use - Profit for less than 72 hours
ight -of -way Use — Potential Disturbance
❑ ' Work in Flood Zone
❑ . orm Drainage
Fire Line Size at Property Line
❑ ... Water ❑ ... Sewer
Monthly Service Billing to:
Name:
Mailing Address:
Number of Public Fire Hydrant(s)
❑ ...Deduct Wate eter Size
Day Telephone:
City
Day Telephone:
City
❑ ...Renton
❑ ...Seattle
y King County Health Department.
❑ ...Traffic Impact Analysis
reement(s) 0... Hold Harmless — (SAO)
❑...Hold Harmless — (ROW)
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
State
State
Zip
Zip
Page 3 of 6
PERMIT APPLICATI
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.
Building and Mechanical Permit
The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be
requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
Plumbing Permit
The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested
in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition).
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.
BUILDING OWN
Signature:(
Print Name:
Mailing Address:
Date Application Expires:
Date Application Accepted:
Ejt OOR A
-4
Q:Wpplications\Forms- Applications On Line \3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
3//r/0.9
Day Tele hone: 7 2 (1 7 7
Ct (3
City
Date:
State Zip
Staff Initials:
Page 6 of 6
i
Fixture Type:',
Qty
Fixture Type:
Qty
. xture Type:
Qty
Fixture Type:
Qty
Bathtub or combination
bath /shower
Drinking fountain or wat
cooler (per head) f
h fountain
Gas piping outlets
Bidet
Food -waste grinder ,
commercial
Rece •r, indirect
waste
Clothes washer, domestic
Floor drain
Sinks
Dental unit, cuspidor
Shower, sin a head trap
Urinals
Dishwasher, domestic,
with independent drain
Lavatory ,
Water Closet
Building sewer or trailer
park sewer
Rain, ater system — per
dr n (inside building)
Water heater an r
vent
Additional medical gas
inlets /outlets — six or more
Industrial waste
pretreatment interceptor,
including its trap and vent,
except for kitchen type
grease interceptors
,�'
; r
pair or alteration of water
piping and /or water treating
equipment
Repair or alteration
of drainage or vent
piping
Medical gas piping system
serving one to five
inlets /outlets for specific gas
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number:
Valuation of Plumbing work (co
Valuation of Gas Piping work (contr
Scope of Work (please provide detailed
Building Use (per Int'1 Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
Indicate type of plumbing fixtures and/or gas piping outlets be
Q:Wpplications\Forms- Applications On Line\3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
Sewer:
City State Zip
Day Telephone:
Fax Number:
Expiration Date:
stalled and the quantity below:
Page 5 of 6
Parcel No.: 7341600110
Address: 4122 S 131 ST TUKW
Suite No:
Applicant: WADE RESIDENCE
Payee: GLENDALE HEATING
ACCOUNT ITEM LIST:
Description
MECHANICAL - RES
S
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
Initials: WER Payment Date: 03/19/2009 11:32 AM
User ID: 1655 Balance: $0.00
Receipt No.: R09 -00442 Payment Amount: $175.39
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 61707 175.39
RECEIPT
Account Code Current Pmts
000.322.102.00.0 175.39
Total: $175.39
Permit Number: M09 -029
Status: PENDING
Applied Date: 03/19/2009
Issue Date:
PAYr.ENT
RECEIVED
doc: Receiot -06 Printed: 03 -19 -2009
Project: '
LJAO a_ 2 eSS
Typ of Inspec
of 5,..4 s eon: 1 -
Address: ss
Date Called:
Special Instructions:
O 3 2 f 4r) - O k,
...t) 4.10 k--
�,.
Date Wanted
0 am
P• •
Requester:
Phone
, 1A2 - sq P
Ak v2c
INSPECTION RECORD
Retain a copy with permit
INSP CTION N O. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION . V 9- -
6300 Sotthcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
t Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
1 0(A-,"
Inspecto(
Date: 3',, 07
$60.00 REINSPECTION FEE REQUIRED. Prior to inspection, lee must be
paid at 6300 Southcenter Blvd:, Suitg 100. Call to schedule reinspect ion.
Receipt No.:
Date:
1
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
FIDELITY 8
DEPOSIT
CO
30132423
11/02/1987
11/02/1988
01/01/1980
Date
ATWOOD, STANLEY
AGENT
Name
Role
Effective Date
Expiration Date
HOEFER, ARTHUR A
Impaired
01/01/1980
Received
HOEFER, GERALD A
Savings Account
01/01/1980
Date
FULTON, DAVID C
Date
01/01/1980
Date
ATWOOD, STANLEY
AGENT
01/01/1980
Savings
Assignment of
Effective
Release
Assignment
Impaired
Amount
Received
Savings Account
Date
Date
Type
Date
Date
Untitled Page
•
I
General /Specialty Contractor
A business registered as a construction contractor with Lai 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
Business Type
Parent
Company
GLENDALE HEATING Ft
A/C INC
2062437700
12462 DES MOINES WY S
SEATTLE
WA
981682266
KING
Corporation
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
Business Owner Information
Bond Information
Assignment of Savings Information
https: / /fortress.wa. gov /lni/bbip/Detail. aspx ?License= GLENDHA05 3 Q2
Page 1 of 2
03/19/2009