HomeMy WebLinkAboutPermit M09-114 - BARNETT RESIDENCESAVSSSZOU
ZE1DMZE1UIS}1
IIZEEM}IVU
Parcel No.: 1670400205
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
14025 55 AV S TUKW
BARNETT RESIDENCE
14025 55 AV S , TUKWILA WA
BARNETT NATHAN C
16416 53RD PL S , TUKWILA WA
Contact Person:
Name: NATHAN BARNETT
Address: 16416 53 PL S , TUKWILA WA
Contractor:
Name: OWNER AFFIDAVIT - NATHAN BARNETT
Address: 16416 53 PL S , TUKWILA WA
Contractor License No:
DESCRIPTION OF WORK:
REPLACE FURNACE WITH 80% EFFICIENT FURNACE
Value of Mechanical: $1,400.00
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
doc: IMC -10/06
Cityef 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
MECHANICAL PERMIT
EQUIPMENT TYPE AND QUANTITY
1
0
0
0
0
0
0
0
0
0
0
0
0
0
* *continued on next page **
M09 -114
Permit Number:
Issue Date:
Permit Expires On:
Expiration Date:
Phone:
Phone: 206 - 351 -7713
Phone: 206 - 351 -7713
M09 -114
09/21/2009
03/20/2010
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: 09 -21 -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.tulcwila.wa.us
•
Permit Number: M09 -114
Issue Date: 09/21/2009
Permit Expires On: 03/20/2010
Date:
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 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 mechanical permit.
Signature: Cp Mi� c' . Date:
Print Name: Yv 4 ( _ V (A`(
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 -114 Printed: 09 -21 -2009
Parcel No.: 1670400205
Address:
Suite No:
Tenant:
14025 55 AV S TUB:W
BARNETT RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
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
PERMIT CONDITIONS
* *continued on next page **
Permit Number:
Status:
Applied Date:
Issue Date:
M09 -114
ISSUED
09/21/2009
09/21/2009
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 -114 Printed: 09 -21 -2009
•
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
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.
` C. Date: ° J - 2) - 0c l
Signature: 1 V
Print Name: ( - � j ex C ywk T
doc: Cond -10 /06 M09 -114
ordinances governing
or local laws regulating
Printed: 09 -21 -2009
Tenant Name: Al/ dife4
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
MECHANICAL PERMIT APPLICATION
Mechanical Permit No. MOCI... 1 1
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: / '4 25 3 E .
iti/ / oaf
Property Owners Name: /(la fh s•), / . ar
Mailing Address: /G If Flo -are' P(. o .
.CONTACT PERSON - Who do we contact when your•permtt is ready to be issued •
Name: Al (5+1,01, r . o rrs04- y`
Mailing Address: /(o 4 I `r`‘ s- 0,51 I. 44 (�S i F
City
E -Mail Address: A/ AJ,- 1r-,"An 9.vs, /•«1ax Number:
MECHANICAL CONTRACTOR INFORMATION
Contact Person:
E -Mail Address:
Contractor Registration Number:
Contact Person:
E -Mail Address:
H:\Applications\Forms- Applications On Line \2009 Applications \I -2009 - Mechanical Permit Application.doc
Revised: 1.2009
bh
King Co Assessor's Tax No.:
L)VJ1,1k c
City
1(11040 c
Suite Number: Floor:
New Tenant: ❑ Yes
liv
State
Day Telephone: 20 (o — - rl
State Zip
State
9g E
Zip
Zip
City
Day Telephone:
Fax Number:
Expiration Date:
ARCHITECT OF.RE:CORD. =All plans must be`wet.stamped by: Architect 'of Record,
Company Name:
Mailing Address:
State
Zip
City
Day Telephone:
Fax Number:
ENGINEER OF RECORD — All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
State
Zip
City
Day Telephone:
Fax Number:
Page 1 of 2
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compres "sor:
Qty
Furnace <100K BTU
f
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
Valuation of Project (contractor's bid price): $ / t-/ DD '
Scope of Work (please provide detailed information): r
f4 • ko% r Yh"...
Use: Residential: New ❑ Replacement
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑
Indicate type of mechanical work being installed and the quantity below:
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 OR AUTHORIZED A5ENT:
Signature: /VCC/Z.4j C.
H:1Applications\Forms- Applications On Une\2009 Applications \I -2009 - Mechanical Permit Application.doc
Revised 1.2009
bh
•
Gas Other:
Date: 2/ —
Print Name: 1` } Lia -n ef
Mailing Address: 1\1rt4''til1 P c - ,ietf' 5- 2- `� � - • vv'c t Lc)r0" Tt- k t..t lam, W 6& c tTr . S S�
City State Zip
Day Telephone: 201,•- 35 - 1 7'7 (3
Date Application Accepted:
Date Application Expires:
Staff Initials:
Page 2 of 2
Payee: NATHAN BARNETT
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
Parcel No.: 1670400205 Permit Number: M09 -114
Address: 14025 55 AV S TUKW Status: PENDING
Suite No: Applied Date: 09/21/2009
Applicant: BARNETT RESIDENCE Issue Date:
Receipt No.: R09 -01468 Payment Amount: $157.03
Initials: WER Payment Date: 09/21/2009 09:38 AM
User ID: 1655 Balance: $0.00
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1400 157.03
Authorization No.
RECEIPT
Account Code Current Pmts
000.322.102.00.0 157.03
Total: $157.03
P
YMENT
CEIVED
doc: Receipt -06 Printed: 09 -21 -2009
Pro ct:
6 At n,[E
Type o nspecti n: / J
1 A4 �M
Addre -O.
l 0 2.-C 5S
r,
Date Called:
Special Instructions:
D 3 ��� -d '
s
g.Pfor ( ,4M ,
Date Wanted:
_ a.m.
-- WC p.m.
Requester:
•.l Phoneme o:
_ 3S- ' ! l /3
C c/ck
SPECTION RECORD /tog_ 1( 4
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION if-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
COMMENTS:
(� (toYE
P
Inspq
'Date: / !2- (L)
$60.09 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paidiat 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
Approved p applicable c odes. El Corrections required prior to approval.
COMMENTS:
^�
NS D o Nk k -D i r
D
__.
Date Called:
if,i) c? e , ) IA e'lLike
,a _s 1-c
5 p -e (-, 4-- - It e --
it-N) -P
it.4 eisl__ 4
V
,1 I1
Proj cwt: A a r
^�
Type of Ins .7_4 /
1 ,`
Address
1 10
,, -T L
� S M1
Date Called:
Special Instructions:
Date Wanted: � ua,rre
�' Qi p.m.
( �
Requester:
Phone N . — 9 /,3
INSPECTION RECORD PM 1
Retain a copy with permit
INSPECTIO NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
El Approved per applicable codes.
Corrections required prior to approval.
El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Insp ctor:
Date: I f r -0 f
Receipt No.:
Date:
f - r
NATHAN BARNETT
16416 53 PL S
TUKWILA WA 98188
RE: Permit No. M09 -114
14025 55 AV S TUKW
Dear Permit Holder:
Citj' of Tukwila
Jim Haggerton, Mayor
Department of Community Development
Jack Pace, Director
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, International Mechanical Code, Uniform
Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 05/16/2010.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and /or receive an extension prior to 05/16/2010, 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
Bill Rambo
Permit Technician
File: Permit File No. M09 -114
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206-431 -3670 • Fax: 206 - 431 -3665
CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431 -367o FAX (206) 431 -3665
E - mail: tukplan0ci.tukwila.wa.us
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
STATE OF WASHINGTON)
) ss.
COUNTY OF KING
•
C r - , states as follows:
[please print name]
1. I have made application for a permit from the City of Tukwila, Washington.
2. I understand that state law requires that all building construction contractors be registered with the
State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the
Revised Code of Washington, a. copy of which is printed on the reverse side of this Affidavit. I have
read or am familiar with RCW 18.27.090.
3. I understand that prior to issuance of a permit for work which is to be done by any contractor, the
City of Tukwila must verify either that the contractor is registered by the State of Washington, or that
one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I
hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090,
I consider the work authorized under this permit to be exempt under number j 7.--,"and will therefore
not be performed by a registered contractor.
5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to
persons making electrical installations on their own property or to regularly employed employees
working on the premises of their employer. The proposed electrical work is not for the construction
of a new building for rent, sale or lease.
I understand that I may be waiving certain rights that I might otherwise have under state law in any decision
to engage an unregistered contractor to perform construction work.
\\\\\\\\\\\1., i
_ �� „\E A. W II Owner /Owner's Agent*
� g1 0 N i JF 4 �
401 At
U - • - N S
A ' X
� G
/ III
1 %1%%%\\\\‘‘ . � ��
Signed and sworn to before me this
I day of (, °4r , 2009
OT' ' Y PUBLIC in and for the State of Washington
Residing at , County
Name as commissioned: /k0.6. -t o 'e A- C./aerie
My commission expires: 0 5 vii -/ D
Permit Center /Building Division
206 431 -3670
Public Works Department
206 433 - 0179
Planning Division
206 431 -3670
PERMIT NO: IA [ I
18.27.090 Exemptions. The registration provisions of this chapter do not apply to:
1. An authorized representative of the United States
government, the state of Washington, or any incorporated
city, town, county, township, irrigation district, reclamation
district, or other municipal or political corporation or
subdivision of this state;
2. Officers of a court when they are acting within the scope
of their office;
3. Public utilities operating under the regulations of the
utilities and transportation commission in construction,
maintenance, or development work incidental to their own
business;
4. Any construction, repair, or operation incidental to the
discovering or producing of petroleum or gas, or the
drilling, testing, abandoning, or other operation of any
petroleum or gas well or any surface or underground mine
or mineral deposit when performed by an owner or lessee;
5. The sale of any finished products, materials, or articles of
merchandise that are not fabricated into and do not become
a part of a structure under the common law of fixtures;
6. Any construction, alteration, improvement, or repair of
personal property performed by the registered or legal
owner, or by a mobile /manufactured home retail dealer or
manufacturer licensed under chapter 46.70 RCW who shall
warranty service and repairs under chapter 46.70 RCW;
7. Any construction, alteration, improvement, or repair
carried on within the limits and boundaries of any site or
reservation under the legal jurisdiction of the federal
government;
8. Any person who only furnished materials, supplies, or
equipment without fabricating them into, or consuming
them in the performance of, the work of the contractor;
9. Any work or operation on one undertaking or project by
one or more contracts, the aggregate contract price of
which for labor and materials and all other items is less
than five hundred dollars, such work or operations being
considered as of a casual, minor, or inconsequential nature.
The exemption prescribed in this subsection does not apply
in any instance wherein the work or construction is only a
part of a larger or major operation, whether undertaken by
the same or a different contractor, or in which a division of
the operation is made into contracts of amounts less than
five hundred dollars for the purpose of evasion of this
chapter or otherwise. The exemption prescribed in this
subsection does not apply to a person who advertises or
puts out any sign or card or other device which might
indicate to the public that he or she is a contractor, or that
he or she is qualified to engage in the business of
contractor;
io. Any construction or operation incidental to the
construction and repair of irrigation and drainage ditches
of regularly constituted irrigation districts or reclamation
districts; or to farming, dairying, agriculture, viticulture,
horticulture, or stock or poultry raising; or to clearing or
other work upon land in rural districts for fire prevention
purposes; except when any of the above work is performed
by a registered contractor;
11. An owner* who contracts for a project with a registered
contractor, except that this exemption shall not deprive the
owner of the protections of this chapter against registered
and unregistered contractors. The exemption prescribed in
this subsection does not apply to a person who performs
the activities of a contractor for the purpose of leasing or
selling improved property he or she has owned for less than
twelve months;
12. Any person working on his or her own property,
whether occupied by him or her or not, and any person
working on his or her personal residence, whether owned
by him or her or not but this exemption shall not apply to
any person who performs the activities of a contractor on
his or her own property for the purpose of selling,
demolishing, or leasing the property;
13. An owner* who performs maintenance, repair, and
alteration work in or upon his or her own properties, or
who uses his or her own employees to do such work;
14. A licensed architect or civil or professional engineer
acting solely in his or her professional capacity, an
electrician certified under the laws of the state of
Washington, or a plumber certified under the laws of the
state of Washington or licensed by a political subdivision of
the state of Washington while operating within the
boundaries of such political subdivision. The exemption
provided in this subsection is applicable only when the
person certified is operating within the scope of his or her
certification;
15. Any person who engages in the activities herein
regulated as an employee of a registered contractor with
wages as his or her sole compensation or as an employee
with wages as his or her sole compensation;
i6. Contractors on highway projects who have been
prequalified as required by RCW 47.28.070, with the
department of transportation to perform highway
construction, reconstruction, or maintenance work;
17. A mobile /manufactured home dealer or manufacturer
who subcontracts the installation, set -up, or repair work to
actively registered contractors. This exemption only applies
to the installation, set -up, or repair of the
mobile /manufactured homes that were manufactured or
sold by the mobile /manufactured home dealer or
manufacturer;
18. An entity who holds a valid electrical contractor's
license under chapter 19.28 RCW that employs a certified
journeyman electrician, a certified residential specialty
electrician, or an electrical trainee meeting the
requirements of chapter 19.28 RCW to perform plumbing
work that is incidentally, directly, and immediately
appropriate to the like -in -kind replacement of a household
appliance or other small household utilization equipment
that requires limited electric power and limited waste
and /or water connections. An electrical trainee must be
supervised by a certified electrician while performing
plumbing work.
• Per Washington State Department of Labor and Industries, lessee has been
interpreted to be equivalent to owner for the purpose of these exemptions.