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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 bh 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