HomeMy WebLinkAboutPermit M14-0078 - FILLEY RESIDENCE - UTILITY, RESTROOM AND RANGE FANFII.I.FY RESIDENCE
12258 42 AVE S
M14-0078
Parcel No:
Address:
Project Name:
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
0179000100
12258 42 AVE S
FILLEY RESIDENCE
MECHANICAL OTC PERMIT
Permit Number: M14-0078
Issue Date: 4/2/2014
Permit Expires On: 9/29/2014
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
HODGINS ARTHUR W
12258 42ND AVE S , TUKWILA, WA,
98168
THOMAS FILLEY
225 4 AVE B301, KIRKLAND, WA,
98052
AFFIDAVIT ON FILE
11I
Phone: (425) 773-1972
Phone:
Expiration Date:
DESCRIPTION OF WORK:
EXHAUST FOR UTILITY, RESTROOM, AND RANGE USING
VENTS.
Valuation of Work: $100.00
Type of Work: REPLACEMENT
Fuel type: ELECT
Fees Collected: $102.38
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: TUKWILA
Sewer Distric: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
Internations Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
2012
2012
2012
Permit Center Authorized Signature:
Date:
(Y-1, Pi
I hearby 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 performance of work. I am authorized to sign and obtain this
development permit and agree to the conditions attached to this permit.
Signaturel"'`� %"•—joi'w'
Print Name:
Date: 4-/2- (t4,
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or
if the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***MECHANICAL PERMIT CONDITIONS***
2: All mechanical work shall be inspected and approved under a separate permit issued by the City of
Tukwila Permit Center (206/431-3670).
3: All permits, inspection record card and approved construction documents shall be kept at the site of work
and shall be open to inspection by the Building Inspector 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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1800 MECHANICAL FINAL
0701 ROUGH -IN MECHANICAL
CITY OF TUKW1'''
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htip://www.TukwilaWA.gov
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Mechanical Permit No.
Project No.
Date Application Accepted: V tLi
Date Application Expires: —
(For office use only)
AAA-orm
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
King Co Assessor's Tax No.: 01,T 100 —0 1.0Q
Site Address: 8' if 2-r`'`
Tenant Name: fit I /L-t►, �ti1J
PROPERTY OWNER
Name: } tI
r i L(Ar.7 s:A-0"
\
71 r+Gw�
Address: 227
(i'.` A-•f/E QJ ;i) 1
City:
State: i,i),.
Zip: % z,^
CONTACT PERSON — person receiving all project
communication
Name:
1 i{p, j i ('`el
Address:
2 2s 1 myEE — 30 1
City:
State: p,
Zip:
Phone:
73_Fax:
Email:
�^
- \'fitIto4cJ� pni,ezc ,nQ'-
Suite Number:
Floor:
New Tenant: ❑ Yes ❑.. No
MECHANICAL CONTRACTOR INFORMATION
Company Name: rrj W,, ty..
V �lJ W
Address:
City: State:
Zip:
Phone: Fax:
Contr Reg No.:
Exp Date:
Tukwila Business License No.:
Valuation of project (contractor's bid price): $ ( 0'
Describe the scope of work in detail: £X rliN4, 01-I (_t 1 ( Z63-72- L� t✓� �� P i Pe
DJL tit cf i 7 't6144= 1�t�,/1'n, j �RJ� ✓G3�
Use: Residential: New ❑ Replacement
Commercial: New ❑ Replacement ❑
Fuel Type: Electric if
Gas ❑
Other:
H \Applications\Forms-Applications On Line\2011 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
Floor furnace
Suspended/wall/floor
n
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 NOTES -
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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER 0
Signatures---- Y
Date: V2--/(If
Print Name: '1 tt 1 rL�c� Day Telephone: 4i5 773 z---
Mailing Address:
S> 9f3c)3Z
City State Zip
H:\Applications\Forms-Applications On Line\2011 Applications\Mechanical Permit Application Revised 8-9-11.docx
Revised: August 2011
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Page 2 of 2
INSPECTION RECORD
Retain a copy with permit Oil Li O Z
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd.,#100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Proj t: C i
P s
Type of Ins pec on
Address:
k ' C
Lk
art c)
Date Ca‘led:
,�
Special Instructions:
Date Wad:):
s
c
1
m
p.m.
Requester:
Phone No:
f-Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Date:
SPECTION FEE REQtRED. Prior too ext inspection, fee must be
at 6300 Southcenter Bl d., Suite 100. Call to schedule reinspection.
�12
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
Project
///
Type tt Inspection.
Addj ,—
/1 Jr
Date Called:
Special Instructions:
C r; c1
0 '�
Date Wanted:,•--
jjam/
a.
Requester:
Phone No:
Approved per applicable codes.
E3Corrections required prior to approval.
COMMENTS:
Date: 0 ` )j
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION C--'
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
I4'oan6
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
Project:
�(
f�
Type of Inspection:
R 0 U 6 4-1 1.,V
Address: _
225
,
_We
Date Called:
Special Instructions:
Date Wanted:— y ,
/C/ -14-f
j,. ,..,fin.,
P.m.
Requester
Phone No:
Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.
Date /
Iy
n REINSPECTION FEE REQUIRED. Prior to next inspectio6, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
DESCRIPTIONS
PermitTRAK
I ACCOUNT I QUANTITY
PAID
$102.38
M14-0078 Address: 12258 42 AVE S
Apn: 0179000100
$102.38
MECHANICAL
$97.50
PERMIT FEE
R000.322.100.00.00
$65.00
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
$32.50
TECHNOLOGY FEE
$4.88
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R1671
R000.322.900.04.00
$4.88
$102.38
Date Paid: Wednesday, April 02, 2014
Paid By: YELLOW BRICK RD PARTNERS LLC
Pay Method: CHECK 2005
Printed: Wednesday, April 02, 2014 12:58 PM 1 of 1