HomeMy WebLinkAboutPermit M10-003 - GIBSON RESIDENCEGIBSON RESIDENCE
15633 47 AV S
M10 -003
Parcel No.:
Address:
Suite No:
City* Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite # 100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /wwwci.tukwila.wa.us
8108600348
15633 47 AV S TUKW
MECHANICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
M10 -003
01/14/2010
07/13/2010
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
GIBSON RESIDENCE
15633 47 AV S , TUKWILA WA
GIBSON WILFRED C
15633 47TH AVE S , SEATTLE WA
NAIDA KHAN
1345 GULF RD , POINT ROBERTS, WA
WASHINGTON ENERGY SERVICES CO
2800 THORNDYKE AVE W , SEATTLE, WA
Contractor License No: WASHIES9710B
Phone:
Phone: 360 945 -2787
Phone: 206 282 -4200
Expiration Date: 09/02/2011
DESCRIPTION OF WORK:
REPLACE GAS 60K BTU FURNACE
Value of Mechanical: $3,734.00
Type of Fire Protection:
Fees Collected: $182.90
International Mechanical Code Edition: 2006
EQUIPMENT TYPE AND QUANTITY
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
1
0
0
0
0
0
0
0
0
0
0
0
0
0
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 Equipment0
* *continued on next page **
doc: IMC -10/06
M10-003
Printed: 01 -14 -2010
•
City of Tukwila
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
Permit Number: M10 -003
Issue Date: 01/14/2010
Permit Expires On: 07/13/2010
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
The granting of this permit does not pre
construction o the • erformance of work.
MIRO
Signature: Q.,L •
Date: 01 l 114 l I/ 0
ed this permit and know the same to be true and correct. All provisions of law and ordinances
th, hether specified herein or not.
Print Name:
to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to sign and obtain this mechanical permit.
-•0•
Date:
(< <t-e' 1O
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
M10-003 Printed: 01 -14 -2010
1
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
Parcel No.: 8108600348
Address: 15633 47 AV S TURIN
Suite No:
Tenant: GIBSON RESIDENCE
PERMIT CONDITIONS
Permit Number: M10 -003
Status: ISSUED
Applied Date: 01/14/2010
Issue Date: 01/14/2010
1: ** *BUILDING DEPARTMENT CONDITIONS * **
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.
* *continued on next page **
doc: Cond -10/06
M10-003 Printed: 01 -14 -2010
•
City of Tukwila
1
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 pe • ormance of work.
Signature:
Prmt
L L.-A-A- '--%3-2...."--
Date: 1 \ 1 1
doc: Cond -10/06
M10-003 Printed: 01 -14 -2010
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Building Permit No.
Mechanical Permit No.
PlumbinglGas Permit No.
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 **
Slit LOCATION
Site Address: 15633 47TH AVE S
King Co Assessor's Tax No.: 8108600348
Suite Number: Floor:
Tenant Name: New Tenant: ❑ Yes ❑ ..No
Property Owners Name: DOROTHY GIBBON
Mailing Address: same as property address
tukwila
City
wa 98188
State Zip
CONTACT PERSON - who do we contact when your permit is
ady to
be issued
Name: Naida Khan /Northwest Permit Inc
Mailing Address: 1345 Gulf Road
E -Mail Address: naida @nwpermlt.com
Day Telephone:
Point Roberts
360 - 945 -2787
WA 98281
City State
Fax Number: 360- 945 -2091
Zip
GENERAL CONTRACTOR INFORMATION
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name:
Mailing Address:
Zip
Contact Person:
E -Mail Address:
Contractor Registration Number:
City
Day Telephone:
Fax Number:
Expiration Date:
State
CHITECT OF RECORD — All plans must he wet stamped by Architect of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
ENGINEER OF RECORD
1 plan.
must: be wet stamped by E
too. eer of
cord
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Q:\Applications\Forms- Applications On Lin&3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 6
MECHANICAL PERMIT INFORMATION - 206 -431
MECHANICAL CONTRACTOR INFORMATION
Company Name: WESCO
Mailing Address: 2800 Thorndyke Avenue W
Seattle
WA 98199
City State Zip
Contact Person: Candice Gallagher Day Telephone: 206 - 378 -6649
E -Mail Address: Fax Number:
Contractor Registration Number: WASHIES971 OB Expiration Date: 09/02/11
Valuation of Mechanical work (contractor's bid price): $ 3734.00
Scope of Work (please provide detailed information): replace gas 60k btu furnace
Use: Residential: New .... ❑ Replacement ....
Commercial: New .... ❑ Replacement .... ❑
Fuel Type: Electric ❑ Gas ....[ Other:
Indicate type of mechanical work being installed and the quantity below:
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
Q :WpplicationsWonns- APPlications On Line'3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
Page 4 of 6
PERMIT APPLICATION NOTES — Applicable to all per
his application
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 OWNEB OR AUTHORIZED AGENT:
Q/ ��]
Signature: YY , ` _c) 9
Print Name: Na da Khan /Northwest Permit Inc. Day Telephone: 360- 945 -2787
Point Roberts WA 98281
Date: l V
Mailing Address: 1345 Gulf Rd
City State Zip
IDate Application Accepted:
ot( IL 0
Date Application Expires:
Staff Initials: ,
Q. ApplicationsWorms- Applications On Line\3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
Page 6 of 6
•
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
Parcel No.: 8108600348
Address: 15633 47 AV S TUKW
Suite No:
Applicant: GIBSON RESIDENCE
RECEIPT
Permit Number: M10 -003
Status: PENDING
Applied Date: 01/14/2010
Issue Date:
Receipt No.: R10 -00050
Payment Amount: $182.90
Initials: JEM Payment Date: 01/14/2010 09:09 AM
User ID: 1165 Balance: $0.00
Payee: WASHINGTON ENERGY SERVICES COMPANY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 5939 182.90
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
MECHANICAL - RES
000.322.102.00.00 182.90
Total: $182.90
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 01 -14 -2010
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
Mao -ooh
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION P'
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: D
Type of Inspe`cYion: A ` n
Addre »:
I C0 33 1r/ A-vb S .
Date Called:
Special Instructions:
go (kte AS"
S U f,-if 0 L.--
A/
Date Wanted:
i-23-10
p.m.
Requester:
- i
1
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector
Date: t 2 ( v
EJ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date: