HomeMy WebLinkAboutPermit M13-100 - LE RESIDENCE - REPLACE FURNACELE RESIDENCE
4066 S 152 ST
M13-100
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://www.TukwilaWA.gov
MECHANICAL PERMIT
Parcel No.: 0041000590
Address: 4066 S 152 ST TUKW
Project Name: LE RESIDENCE
Permit Number: M13-100
Issue Date: 06/03/2013
Permit Expires On: 11/30/2013
Owner:
Name: DEUTSCHE BANK NATIONAL TRUS
Address: 3815 SW TEMPLE , SALT LAKE CITY UT 84115
Contact Person:
Name: ALEX LE
Address: 1124 S 36 ST , RENTON WA 98055
Email:
Phone: 206 384-7499
Contractor:
Name: OWNER AFFIDAVIT ON FILE - ALEX LE Phone:
Address:
Contractor License No: Expiration Date:
DESCRIPTION OF WORK:
REPLACE OLD GAS FURNACE
Value of Mechanical: $1,800.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
aurin
dth,
Fees Collected: $167.70
International Mechanical Code Edition: 2009
Date:
d this permit and know the same to be true and correct. All provisions of law and ordinances
hether specified herein or not.
The granting of this permit does not pres - 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 and agree to the conditions on the
back of this permit
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.
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PERMIT CONDITIONS
Permit No. M13-100
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 City of Tukwila
Building Department (206-431-3670).
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: IMC -4/10
M13-100 Printed: 06-03-2013
CITY OF TUKWI•4
Community Developmt... Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
MECHANICAL PERMIT APPLICATION
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
//�� mg Co Assessor's Tax No.:
Site Address: ,L.� V 6�'// M- Sl Iv tt> I /0 Suite Number: Floor:
Tenant Name: A\pY L-9-- New Tenant: ❑ Yes ❑.. No
PROPERTY OW
Name:
Address:
City:
/ I p( LQOpt
! Statee:Gue4 Zip:
I '
CO ACT P R ON u
courtication
a t
Name:
Address:
City:
State:
Zip:
Phone: )D6.
b
4 Fax:
g6(— 7ql
Email:
MSCI ANIC
ONTRACTORANK0,
AT
Company Name: Ur _nom /
Address:
City:
State: Zip:
Phone: Fax:
Contr Reg No.: Exp Date:
Tukwila Business License No.:
Valuation of project (contractor's bid price): $
Describe the scope of work in detail:
6tQ' PyR'
cid gas
21/1 %%Q r_.o
J
Use: Residential: New ❑ Replacement
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑ Gas Other:
H.\Applications\Forms-Applications On Line\201 I Applications\Mechanical Permit Application Revised 8-9-11.docx
Revised: August 2011
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Page 1 of 2
Indicate type of mechanical work being installed and the quantity below:
Unit Type
Qty
Furnace <100k btu
Furnace >100k btu
1
Floor furnace
Suspended/wall/floor
mounted heater
Appliance vent
Repair or addition to
heat/refrig/cooling
system
Air handling unit
<10,000 cfm
Unit Type
Qty
Air handling unit
>10,000 cfm
Evaporator cooler
Ventilation fan
connected to single duct
Ventilation system
Hood and duct
Incinerator — domestic
Incinerator —
comm/industrial
Unit Type
Qty
Fire damper
Diffuser
Thermostat
Wood/gas stove
Emergency generator
Other mechanical
equipment
Boiler/Compressor
Qty
0-3 hp/100,000 btu
3-15 hp/500,000 btu
15-30 hp/1,000,000 btu
30-50 hp/1,750,000 btu
50+ hp/1,750,000 btu
PERMIT APPLICATION
OTES-
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 grant one extension of time for additional periods not to exceed 90 days each. The extension shall be requested in writing
and justifiable cause demonstrated. Section 105.3.2 International Building 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING 0
AUTHORIZED AGENT:
Signature:
Print Name:
Mailing Address:
Day Telephone:
Date: q313
City
1-1 \Applications\Forms-Applications On Line \2011 Applications\Mechanical Permit Application Revised 8-9-11 docx
Revised: August 2011
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State Zip
Page 2 of 2
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.TukwilaWA.gov
Parcel No.: 0041000590
Address: 4066 S 152 ST TUKW
Suite No:
Applicant: LE RESIDENCE
RECEIPT
Permit Number: M13-100
Status: PENDING
Applied Date: 06/03/2013
Issue Date:
Receipt No.: R13-01785
Payment Amount: $167.70
Initials: JEM Payment Date: 06/03/2013 03:18 PM
User ID: 1165 Balance: $0.00
Payee: TONIA NGUYEN
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 02498G
ACCOUNT ITEM LIST:
Description
167.70
Account Code Current Pmts
MECHANICAL - RES
000.322.102.00.00 167.70
Total: $167.70
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//
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 ;'�Z (206) 431-3670
Permit Inspection Request Line (206) 431-2451
t 3- goo
Project:
Le_ Rs;
Type of Inspection:
A
Address:
Date Called:
Special Instructions:
Date Wanted:
qaiL
p.m.
Requester:
-7- ici13
c O 3 8L -t' 2i -t99
I approved per applicable codes. Corrections required prior to approval.
COMMENTS:
p\Er (Ft 1/1.4/
Dal-/�-!�
n ' El SPECTION FEE RC UIRED. Pr or to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
,INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION.
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
r11 (o c
Project
RcS
Type of Inspection:
r1N11L
Address:Date
1-1 o CSC, S
t _Z -.
Called:
Special Instructions:
Date Wanted:. ,a m
—1? P.m.
Requester:
Phone No:
oz.o-Sgc{-7u55
❑ Approved per applicable codes.
EiCorrections required prior to approval.
COMMENTS: v
� A Axl etl 67c1
4 pector:
Date :
// 1 /
P<RI
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 <V_ (206) 431-3670
Permit Inspection Request Line (206) 431-2451
!!)
MI3-100
Pro�'ect:E Rsg ,� C�
TYP��In1�JeA-L )U
Addre s:
- 66 I52'ST
Date Called:
._
Special Instructions:
j9!hc' C,* -s
1f
LJ/ /' Ce
Date Wanted:1 �,�j m. -a.m.,
Le "- 1 " 3 P.
Requester:
Phe ,- 15-3<3'7
❑ Approved per applicable codes. "Corrections required prior to approval.
COMMENTS:
Ci) ( v 4' SuJ i h — ;
rnspe or: J ! Date: ci --�
;Civt/ ! �i�C , !'-t-� �' / /
EINSPECTION FEE REQI,IRED. Prior to next inspection, fee must be
paled at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.