HomeMy WebLinkAboutPermit M07-010 - CUREVAC RESIDENCECUREVAC RESIDENCE
16212 42 AV S
M07 -010
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
doc: I MC -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: httn: / /www.ci.tukwila.wa.us
5379800684
16212 42 AV S TUKW
CUREVAC RESIDENCE
16212 42 AV S , TUKWILA WA
SENGSTOCK F j ESTATE
C/O BOLSTER GLORIA , 20322 92ND AVE S
Contact Person:
Name: PREMIER HEATING & AIR
Address: 3520 MILITARY RD E , TACOMA WA
Contractor:
Name: PREMIER HEATING & AIR
Address: PO BOX 44815 , TACOMA WA
Contractor License No: PREMIHA950MG
DESCRIPTION OF WORK:
REPLACEMENT OF MODULAR BLOWER
Value of Mechanical: $2,500.00
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
MECHANICAL PERMIT
EOUIPMENT TYPE AND OUANTITY
0
0
0
0
0
0
1
0
0
0
0
0
0
0
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 253 536 -3357
Phone: 253 241 -3086
Expiration Date: 07/07/2007
Steven M Mullet, Mayor
Steve Lancaster, Director
M07 -010
01/24/2007
07/23/2007
Fees Collected: $158.94
International Mechanical Code Edition: 2003
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 0
M07 -010 Printed: 01 -24 -2007
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
Signature(
Print Name:
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: httn: / /www.ci.tukwila.wa.us
) 100 LA �
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: M07 -010
Issue Date: 01/24/2007
Permit Expires On: 07/23/2007
48J(
permit and know the same to be true and correct. All provisions of law and ordinances
r specified herein or not.
Date: t E2'4 1,c1]::-
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulatinc
construction or the • - rformance of work. I am authorized to sign and obtain this mechanical permit.
Date: / - G2 `t - d
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 suspender
or abandoned for a period of 180 days from the last inspection.
M07 -010 Printed: 01 -24 -2007
Parcel No.: 5379800684
Address:
Suite No:
Tenant:
16212 42 AV S TUKW
CUREVAC 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:
Status:
Applied Date:
Issue Date:
M07 -010
ISSUED
01/24/2007
01/24/2007
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 Washington State Department
of Labor and Industries (206/248 - 6630).
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 **
M07 -010 Printed: 01 -24 -2007
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.
Signa
Print Name:
doc: Cond -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
IQ,-
14a>2 - n Ida u 1^-
Date: ° mot' —07
ordinances governing
or local laws regulating
M07 -010 Printed: 01 -24 -2007
Name:
CITY OF TUKWI
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
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
i C King Co Assessor's Tax No.: 531 (0 8 I- 4 1
Site Address: (O a I D. Li n Pt e S Suite Number: Floor:
Tenant Name: New Tenant: ❑ Yes ❑ ..No
Property Owners Name: m RCah C i ke_e. 0 0. 0
Mailing Address: Same a S a b o Ve.
CONTACT PERSON — who do we contact when your permit is ready to be issued
eo '1*IZac k - See $e ko 1,J
Mailing Address:
State
E -Mail Address:
Contractor Registration Number: PRE YY\S 14 19 R 50 (Yl 6-
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
Q:Wpplications\Fams- Applications On Linel9 -2006 - Permit Application.doc
Revised: 9-2006
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Building Permit No.
Mechanical Permit No. M.t -oi t7
Plumbing/Gas Permit No.
Public Works Permit No.
Project No.
(For office use only)
City
Day Telephone:
City
State
State
State
Zip
Zip
Fax Number:
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name: P R-erh i ea_. ∎A e a} i r 3 4- A i (2_
Mailing Address: 3 Sa o jY 1 i ki \--a tt-u RdL G - VA COrnA tA) A q gy y (0
.J City State Zip
Contact Person: p \ Y1 i e ` Ui Qw Day Telephone: a 63 — 5 3 (c - 3 351
E -Mail Address: `( ( A01_, C Ore• Fax Number: a5 3- 5 a913
Expiration Date: 9/07 'Coq
ARCHITECT OF RECORD — All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
Zip
ENGINEER OF RECORD — All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
Page 1 of 6
Zip
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
Fumace>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 PERMIT INFORMATION — 206 -431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name: 9 (ze rni e(Z e.0. +inq 4- A ■ R.
Mailing Address: 3 S _O Yni I i to e (ck 1-t^.t..0 0 rn a tA) A 9 gt-lq b
City State Zip
Contact Person: C>X 1 ul)CkLt- V '' Day Telephone: a 53 53( - 3 3 57
E -Mail Address: 922 mi ea_ klecti @ RD L . CO r"r Fax Number: a 53 — 5L18 - Xi 73
Contractor Registration Number: ? R.E. mx Or A ° 1S t) YY1 6 Expiration Date: - 7 " 7 _ O '7
oC
Valuation of Mechanical work (contractor's bid price): $ a 5 00
Scope of Work (please provide detailed information): (2 Q laces-1...e A* o 4 rr oe&u \ a [Z- 01
Use: Residential: New .... ❑ Replacement ...
Commercial: New .... ❑ Replacement .... ❑
Fuel Type: Electric.... Gas....
Indicate type of mechanical work being installed and the quantity below:
Q: Applications\Fmns- Applicaacns On Line 3 -2006 - Permit Applicalim.doc
Revised: 9 -2006
bh
Other: to L - ►�i 3R 39
Page 4 of 6
PERMIT APPLICATION NOTES — Applicable to all permits in this 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 OWNER OIL A ORKED AGENT:
Signature: 11`J --"
Print Name: C , C it eX WGl,1.t r
Mailing Address: 3 Sa 0 yY\ i I t''s aej
Date Application Expires:
Date Application Accepted:
Q:UpplicationsFoans- Applications On line\3 -2006 - Pemtit Application doc
Revised: 9.2006
bh
Rck E
Date: { - a a - b"7
Day Telephone: a 53 - 5 3 (o - 335
rj
�0.CU LOA G IS4L4(O
City
State Zip
Staff Initials: ,
Page 6 of 6
Parcel No.: 5379800684 Permit Number: M07 -010
Address: 16212 42 AV S TVKW Status: APPROVED
Suite No: Applied Date: 01/24/2007
Applicant: CUREVAC RESIDENCE Issue Date:
Receipt No.: R07 -00096 Payment Amount: 5158.94
Initials: JEM Payment Date: 01/24/2007 09:12 AM
User ID: 1165 Balance: 50.00
Payee: PREMIER HEATING & AIR
Payment Check 1539 158.94
TRANSACTION LIST:
Type Method Description Amount
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
Account Code Current Pmts
000/322.100 158.94
Total: $ 158.94
7. 01/24 171TOTAL 5E,
doc: Receiot -06 Printed: 01 -24 -2007
Pr� y 7/i ?f vg e 4
S
Type o / �sie � 9 : / \J
Addr
/6Z /z 4 12 11V
S
Date Called:
Special Instructions:
Date Wanted: O.
7 -2 y- 27
Requester:
Phone No: 5360 60 3 35 --)
2�3^ 7
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
1 Approved per applicable codes.
COMMENTS:
F /4
ecto
Receipt No.:
GIM^)
INSPECTION RECORD
Retain a copy with permit
5810 REINSPECTION FEE REQUIRED.
paid at 6300 Southcenter Blvd., Suite 1
Corrections required prior to approval.
D
rior to inspection, fee must be
Call the schedule reinspection.
'Date:
(206)431 -
Pro ct:
Type of Inspection: n ,�
Address:
/(per /Z YZ 4'
S
Date Called:
Special Instructions:
/ ) , *l ^ � -�
/
I/�
Date Wanted:
7 — Z (.-/ c2
p.m.
Requester:
Phone Noz,.
L , — D g6.. X 5.5
— 7
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Receipt No.:
INSPECTION RECORD
Retain a copy with permit
'Date:
410 - o /D
(206)431 -3
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
v
oy: \ Date:
Am.AAjc,tk, 7 — tb, 0 -
x _ .00 REINSPEC7ION FEE REQ RED. Prior to inspection, fee must be
aid at 6300 Southcenter Blvd., S ite 100. Call the schedule reinspection.
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RECEIVED
JAN 2 4 2007
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DISCRETE PART NUMBER -BELOW
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Lewisburg, TN 37091
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06 -04 -2007
PREMIER HEATING & AIR
3520 MILITARY RD E
TACOMA WA 98446
RE: Permit No. M07 -010
1621242AVSTUKW
Dear Permit Holder:
In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division.
Per the International Building Code and/or the International Mechanical Code, every permit issued by the Building Division under the
provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not
commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or
abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the Building Code does allow thc Building Official to approve one or more extensions of time for
additional periods not exceeding 90 days each. Extension requests must be in wrftinf and provide satisfactory reasons why
circumstances beyond the applicants control have prevented action from being taken.
In the event you do not call for the above inspection and receive an extension prior to 07/23/2007 , your permit will become null and
void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
er Marshall,
Pemut Technician
xc: Permit File No. M07 -010
Cizy of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
License Information
License
PREMIHA950MG
Licensee Name
PREMIER HEATING & AIR
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
602188259
Ind. Ins. Account Id
#2
Business Type
INDIVIDUAL
Address 1
PO BOX 44815
Address 2
City
TACOMA
County
PIERCE
State
WA
Zip
98444
Phone
2532413086
Status
ACTIVE
Specialty 1
AIR CONDITIONING
Specialty 2
AIR HEAT,VENTILATION,EVAPORAT
Effective Date
7/7/2005
Expiration Date
7/7/2007
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
WAUN, DANIEL W
OWNER
07/07/2005
Bond
Amount
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#2
GREAT
AMERICAN
INSURANCE
CO
FS7781052
07/07/2006
Until
Cancelled
$6,000.00
07/27/2006
Washington State Department of Labor and Industries
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.
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= PREMIHA950MG 01/24/2007