Loading...
HomeMy WebLinkAboutPermit M09-082 - BUETLER RESIDENCEThis record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. M09 -082 Buetler Residence 3728 South 150th Street RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW 14 DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. BUSTLER RESIDENCE 3728 S 150 ST M09 -082 Parcel No.: 9572500010 Address: Suite No: 3728 S 150 ST TUKW Tenant: Name: BUETLER RESIDENCE Address: 3728 S 150 ST , TUKWILA WA Citylif Tukwila Owner: Name: BEUTLER CARL & JUDY Address: 3728 S 150TH ST , SEATTLE WA 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 Contact Person: Name: DEBRA COONS Address: 12462 DES MOINES MEMEORIAL 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 WALL FURNACE WITH SAME Value of Mechanical: $1,889.97 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: I MC -10/06 EOUIPMENT TYPE AND QUANTITY 1 0 0 0 0 0 0 0 0 0 0 0 0 0 * *continued on next page ** M09 -082 Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 - 660 -2681 Phone: 206 - 243 -7700 Expiration Date: 11/02/2009 M09 -082 07/01/2009 12/28/2009 Fees Collected: $157.03 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: 07 -01 -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 n � a),ua; Permit Number: MO9 -082 Issue Date: 07/01/2009 Permit Expires On: 12/28/2009 Date: - 1` I-07 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 : rmit does not presu to give authority to violate or cancel the provisions of any other state or local laws regulating construction or therf • . . ce of work 1 Jail} authorized to sign and obtain this mechanical permit. 4 Signature: . / Print Name: Date: 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 -082 Printed: 07 -01 -2009 Parcel No.: 9572500010 Address: Suite No: Tenant: doc: Cond -10/06 3728 S 150 ST TUKW BUETLER 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 * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: M09 -082 ISSUED 07/01/2009 07/01/2009 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. M09 -082 Printed: 07 -01 -2009 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: • City of Tukwila Print Name: 602411 a ire itcrett 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 doc: Cond -10/06 M09 -082 Date: ordinances governing or local laws regulating Printed: 07 -01 -2009 CITY OF TUKWIAP Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Building Permit No. Mechanical Permit No. 08), Public Works Permit No. Project No. ( For office use only) 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 ** SITE LOCATION Site Address: Tenant Name: Z7a- so..I 7 . Property Owners Name: ___ ar I I 5 U I 1 V Mailing Address: Name: Contact Person: E -Mail Address: q:Hpermits pluslice changes\permit application (7 -2004) Revised: 6-8-05 bh 31 )g - ? f ) 1 6 b 1 /rl :Pi L "� Mailing Address: I d, 1 4 !,.0 l W J ©YN,i E -Mail Address: aG0 P. thdal &h ta1 l1: (.Qvr Company Name: 7 f LOU) Mailing Address: Page 1 King Co Assessor's Tax No.: %116 00 ID Suite Number: New Tenant: ‘---1 1AVwi City • CONTACT PERSON Dav Telep one: � ` W) )1, A � ag lb g City State Fax Number: 01D(0 c p pp lti 1 p ?j GENERAL CONTRACTOR INFORMATION - (Mechanical Contractor information on back page) Way State State Floor: ❑ Yes No gag Zip Wip City II r_ p Contact Person: 1 N -1( V D D h 4 Dav Telephone: ()lp ` 4 bp 6 8 I E -Mail Address: (l )Dh ti P GP �,,/l l'�i Ylfail h v b Fax Number: r�t)(Q .- n ;) t3 `i `1 Contractor Registration Number: V L E NI) H A D6 0)- Expiration Date: 11 0). ` 10 * *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance ** ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: City Dav Telephone: Fax Number: Zip ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Dav Telephone: E -Mail Address: Fax Number: State Zip Unit Type: Q 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 jDomestic . r , , Other Mechanical Equipment Air Handling Unit <10,000 CFM Incinerator — Comm/Ind MECHANICAL: PERMIT:IN 206-4311 =3670 ? MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: City state Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: ^� Contractor Registration Number: Expiration Date: y r Valuation of Mechanical work (contractor's bid price): $ I � Scope of Work (please provide detailed information): Co ?iS (,(� 1- L aP(2Xb , Cr ` Use: Residential: New .... ❑ Replacement .... ❑ Commercial: New .... ❑ Replacement .... ❑ Fuel Type: Electric ❑ Gas .... ❑ Other: Indicate type of mechanical work being installed and the quantity below: H:\Applications\Forms- Applications On Line \2009 Applications \1 -2009 - Permit Application.doc Revised: 1 -2009 bh A Page 4 of 6 Scope of Work (please provide detailed information): Water District ❑ ...Tukwila ❑...Water Availability Provided Sewer District ❑ ...Tukwila ❑ ...Sewer Use Certificate Septic System: ❑ On -site Septic System — For on -site septic syste ovide 2 copies of a cuff Submitted with Application (mark boxes which apply ❑ ...Civil Plans (Maximum Paper Size — 22" x 34 ") ❑ ...Technical Information Report (Storm Drainage) ❑ ...Bond ❑ _Insurance ❑ .. Easement( Proposed Activities (mark boxes that apply): ❑ ...Right -of -wa Use - Nonprofit for Tess 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 Protection Irrigation Domestic Water Water Meter Refund/Billing: Name: Mailing Address: Please refer to Public Works Bulletin #1 for fees and es cubic yards cubic yards ater District #125 ❑ ... Valle I w ❑...Sewer A ';.,bility Provided Call before you Dig: 1 800 - 424 - 5555 ❑ .. Aband eptic Tank ❑ .. Curb ❑.. Pay ❑.. ent Cut ed Fire Line ❑ .. Highline H 1Applications\Porms •Applications On Line12009 Application]] -2009 - Permit Application.doc Revised 1 -2009 bh ❑ .. Renton ❑. ❑ ...Permanent Water Meter Size... WO # ❑...Temporar Water Meter Size.. ' •I WO # ❑ ...Water Only Meter Size WO # ❑...Sewer Main Extension Public I Private ❑ ❑ ...Water Main Extension Publ' ' ■ Private ❑ ptic design approved by King County Health Department. G j "echnical Report ntenance Agreement(s) Right -of -way Use - Profit for less than 72 hours 'ght -of -way Use — Potential Disturbance ❑ .. Wor Iood Zone ❑ .. Storm '_?, - t age ❑...Deduct Water City ate sheet. ❑ .. Renton ❑ .. Seattle ❑...Traffic Impact Analysis ❑ ...Hold Harmless — (SAO) ❑ ... Hold Harmless — (ROW) ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation .. Utility Undergrounding tze FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑ ...Water ❑ ...Se j - r ❑ ...Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: State Zip Day Telephone: City State Zip Page 3 of 6 4ti e ' z3r, s r wat °YF WFrtiYfi3► X .a'.+r 4' x' Appllcable•to alltpennutsR n t appli.eation 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 li - itation. oi in 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 OR RILED G Signature: v1 /J Print Name: CeyQA L10 /4 Mailing Address: /A %2- T$4 114intuff3 144911 7n • ate: 7 - (-- toJ Day Telephone: A- - S6)47/ CAA City :'' State z (P I Date Application Accepted: Date Application Expires: Staff Initials: H:\Applications\Fomss- Applications On Line\2009 Applications \1 -2009 - Permit Application.doc Revised: 1 -2009 bh O Page 6 of 6 1 .F'•ixture;Type: . Qty - F ':Qty•. ' P Qty. • F'ixtureTY Qty Bathtub or combination bath/shower Dishwasher, domestic, with independent drain Bidet Drinking fountain or water cooler (per head) Clothes w:. ?9's,' domestic , Food - :4``t grinder, co 'ial Dental unit, cuspidor Floor Drain Shower, single head trap Lavatory ountain Receptor, indirect waste Sinks Urinals *I''' 4 V Closet Building sewer and each trailer park sewer Rain water system - per drain (inside building) Water heater and/or vent N 4 1;44 y Indus ,, waste treatment interce.':;, 'ncluding trap and vent, : .t for kitchen • e :rease`e ce.tors Each grease trap (connected to not more than 4 fixtures - <750 :allon ca•aci Grease interceptor for commercial kitchen ( >750 gallon capacity) Each additional medical gas inlets /outlets greater g g than 5 Atmospheric-type vacuum P tYPe breakers not included in lawn sprinkler backflow protections (1 -5) .,i� / " 6 Repair or alteratio f, water piping an - ater treatment eq • . t •• r Backflo- .? ective devi' P" i' r than c s ,.t$ . • � a• j eric-type vacuum ers 2 in h (51 mm) , r eter or smaller`.: tmos heric- a P tYP vacuum breakers not included in lawn sprinkler backflow protections over 5 Repair or alte ' of drainage or ven `;.: 'ng Backflow protective • •+ . - other than atmospheric- P vacuum breakers inch (51 mm) diameter Gas piping outlets i P�P g ••,• Medical gas piping system serving 1 -5 inlets /outlets for a s.ecific as Each lawn sprinkler system on any one meter Y Y protect on devices c •,, „`•. • 'Z.!lv ::4 . �• • . ..�; •> f.• , .....�.. PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Comp . , Name: Mailing •dress: City State Zip Contact Pers. Day Telephone: E -Mail Address: Fax Number: Contractor Registra Number: Expiration Date: Valuation of Project (contra • .r's bid price): $ Scope of Work (please provid retailed information): Building Use (per Int'l Building Code Occupancy (per Int'l Building Code): Utility Purveyor: Water: Indicate type of plumbing fixtures and/or gas pipin H:■Applications\Forms- Applications On- Line12009 Applications \1-2009 Permit Application.doc Revised: 1 -2009 bh lets being installed and th Page 5of6 Parcel No.: 9572500010 Address: 3728 S 150 ST TUKW Suite No: Applicant: BUETLER RESIDENCE Payee: GLENDALE HEATING ACCOUNT ITEM LIST: Description MECHANICAL - RES • 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 Receipt No.: R09 -01013 Payment Amount: $157.03 Initials: WER Payment Date: 07/01/2009 03:07 PM User ID: 1655 Balance: $0.00 TRANSACTION LIST: Type Method Descriptio Amount Payment Check 62106 157.03 Authorization No. RECEIPT Account Code Current Pmts 000.322.102.00.0 157.03 Total: $157.03 Permit Number: M09 -082 Status: PENDING Applied Date: 07/01/2009 Issue Date: AY M E NT RECEIVED doc: Receiot -06 Printed: 07 -01 -2009 Project: 1.1 �� � I2 9- rs Type of Inspection: (I �/ R ovq In - Ni A j A—j. Address: S? 2Q, S 15 0 es( Date Called: Special Instructions: Date Wanted: 'T --- t 5 - 0C-7 p.m. A fir- -12_. 1t.I( M , it �� Pik .. Requester: Phone No: ..0(.0' 1 133 -2-BN I oi ^0$7 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION '- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3C7 Ej $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Approved per applicable codes. Corrections required prior to approval. COMMENTS: / � � . L i r �� � p (P t f Inspector: Date: Receipt No.: Date: License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status GLENDH0110PU GLENDALE HEATING Et OIL CO INC CONSTRUCTION CONTRACTOR GENERAL UNUSED 10/31/198911/2/1995 01/01/1980 ARCHIVED GLENDO*237DM GLENDALE OIL CO INC CONSTRUCTION CONTRACTOR BOILER /STEAM FIT /PRO PIPING AIR HEAT,VENTILATION,EVAPORAT 3/14/1977 11/2/1989 ARCHIVED Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 FIDELITY & DEPOSIT CO 30132423 11/02/1987 11/02/1988 01/01/1980 ATWOOD, STANLEY AGENT Name Role Effective Date Expiration Date HOEFER, ARTHUR A Impaired Date 01/01/1980 Received Date HOEFER, GERALD A Until Bond $12,000.0010/15 /2001 Untitled Page General /Specialty Contractor A business registered as a construction contractor with L &I 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 GLENDALE HEATING Et A/C INC Phone 2062437700 Address 12462 DES MOINES WY S Suite /Apt. City State Zip County Business Type Parent Company SEATTLE WA 981682266 KING Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 600003167 ACTIVE GLEN DHA053Q2 CONSTRUCTION CONTRACTOR 11/22/1995 11/2/2009 GENERAL UNUSED Other Associated Licenses Business Owner Information Bond Information Assignment of Savings Information • • Page 1 of 2 https://fortress.wa.gov/lni/bbip/Detail.aspx 07/01/2009