HomeMy WebLinkAboutPermit M15-0038 - MALBRAIN RESIDENCE - VENTS AND FANMALBRAIN RESIDENCE
14255 53 AVE S
M13-0038
Parcel No:
Address:
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
MECHANICAL OTC PERMIT
7255200220 Permit Number: M15-0038
14255 53RD AVE S
Project Name: MALBRAIN RESIDENCE
Issue Date: 4/13/2015
Permit Expires On: 10/10/2015
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
MALBRAIN SHEILAJEANNE
14255 53RD AVE S , TUKWILA, WA,
98168
JEFF LANCASTER
14110 CANYON RD E , PUYALLUP, WA,
98373
RENEWAL REMODELS & ADDITIONS
Address: 14110 CANYON RD E, PUYALLUP, WA,
98373
License No: RENEWRA866JG
Lender:
Name:
Address:
Phone: (206) 391-5044
Phone:
Expiration Date: 4/7/2016
DESCRIPTION OF WORK:
NEW VENTING FOR BATH EXHAUST FAN AND RELOCATE EXISTING KITCHEN VENT INSTALLING NEW FAN
Valuation of Work: $400.00
Type of Work: NEW
Fuel type: GAS
Fees Collected: $118.82
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: TUKWILA
Sewer District: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
Permit Center Authorized Signature:
2012
2012
2012
2012
2012
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2012
Date: - t` I 1 .J
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.
Signature:
Print Name:
Date: 03/ !S
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.
7: Type 1 Hoods, the required grease duct leakage test and (light test shall be performed by a special
inspection and testing agency in accordance with I.M.C. Chapter 5.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1800 MECHANICAL FINAL
0701 ROUGH -IN MECHANICAL
CITY OF TUKI A
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.Tukwila W A.gov
Mechanical Permit No. 1 S OCGO
Project No.
Date Application Accepted:
Date Application Expires:
(For office use only)
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.: 7%S S oo 1-1. 0
Site Address: / `f 2J Y -5-3 -R6 Ave ' Suite Number: Floor:
Tenant Name: t .ott h>ta ?✓ . iZeS t New Tenant: ❑ Yes ❑.. No
PROPERTY OWNER
Name:
SAtt .;?_ ? l a +Mal risti,A.
Address:, . ,
City: te.-K! tkr L
State:
CONTACT :PERSON — person receiving all project
communication
Name:
tJQ A (,n.yr%_6:Ste'V
Address: /yll y e yy o A. Apt E.
City: ID
U State. %
3
2
2,
Phone:
206 '
Fax:
3'2t 3-0541
Email:
Q4a-Tr 6-) M
6GteI1 VI el Slid-h "rvosAi 1. Cr,
MECHANICAL CONTRACTOR INFORMATION
Company Name
Address: / C/ no 6.4ki to g
City: rState:
�
l_
Phone:
Contr Reg Nc�£mt. xp Date. 7942
16
Tukwila Business License No.: Cs
Valuation of project (contractor's bid price): $)
Describe the scope of work in detail s -ar te r/ hcnft„ •Q X Ra,t.1
- � - to c v—?( � ' t ftaS�e V Q t.,� -u.J�- ^.e-tir- �t✓L
a
Use: Residential: New ❑ Replacement
Commercial: New ❑ Replacement
Fuel Type: Electric ❑ Gas
Other:
H:\Applications\Forms-Applications On Line \2011 Applications\Mechanical Permit Application Revised 8-9-11.docx
Revised: August 2011
bh
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
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
t
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/I,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 OR AUTHORIZED AGENT:
Mailing Address: / tr C(d Ikt.t_�6 J2d.
Date: Y //06 (5
Day Telephone:
144&ter
City
(.vim_ ?,3
State Zip
H:\Applications\Forms-Applications 0n Line\2011 Applications\Mechanical Permit Application Revised 8-9-11.docx
Revised: August 2011
bh
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS I ACCOUNT I QUANTITY I PAID
PermitTRAK $352.97
M15-0038 Address: 14255 53RD AVE S Apn: 7255200220 $118.82
MECHANICAL $113.16
PERMIT FEE
R000.322.100.00.00
0.00
$80.66
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
TECHNOLOGY FEE $5.66
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$5.66
PG15-0048 Address: 14255 53RD AVE S Apn: 7255200220 $234.15
GAS $97.50
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
PERMIT FEE
R000.322.100.00.00
0.00
$65.00
PLUMBING $125.50
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
PERMIT FEE
R000.322.100.00.00
0.00
$93.00
TECHNOLOGY FEE $11.15
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R5045
R000.322.900.04.00
0.00 $11.15
$352.97
Date Paid: Monday, April 13, 2015
Paid By: RENEWAL REMODELS & ADDITIONS
Pay Method: CREDIT CARD 505712
Printed: Monday, April 13, 2015 2:45 PM 1 of 1
CSYS1EMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project
rlihL. rj
Type of nspection: d
Address:
l4/2 53'2c/
4
Date Called:
Special Instructions:
rill' i
Date Wanted: ,,,--
'-- 1/—!',
a.m.
p.m.
Requester:
Phone No:
Approved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
6 - 00 c)q ?I v wi. -,.
& S ? p-c._
I y c 1(
-'
6vv1-J i-ori
Inspector:
REINSPECTION FEE REQUIRED. Prior 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) 436-9350
M1OO)'8
ProA:, I
I brdke (A. f94
Typengf inspec io :
I 0
<if/tea
1
A.ddress-_
Date Ca le
( (12, 3 5- 53 1-4/4-Jejo ,
Special Instructions:
fril
Date Wanted :
a .M.
P.m.
Requester.
Phone No:
1Approved per applicable codes.
0 Corrections required prior to approval.
OMMENTS:
Date: y
(
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
RENEWAL REMODELS & ADDITTONS
Page 1 of 2
Home Inieio en Espanol Contact
Search L&I
A-Z Index Help My Secure Uzi
Safety Claims & Insurance Workplace Rights Trades & Licensing
Washington State Department of
Labor & Industries
RENEWAL REMODELS & ADDITIONS
Owner or tradesperson
EIDE, GEORGE LOVESTAD
Principals
EIDE, GEORGE LOVESTAD, PRESIDENT
RIDEB, RACHELLE, VICE PRESIDENT
EIDE, SHARON MARIE, SECRETARY
Doing business as
RENEWAL REMODELS & ADDITIONS
WA UBI No.
602 090 808
Parent company
RENEWAL CONSTRUCTION INC
14110 CANYON RD E
PUYALLUP, WA98373
253-682-1990
PIERCE County
Business type
Corporation
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor
License specialties
GENERAL
License no.
RENEWRA866JG
Effective — expiration
04/07/2014— 04/07/2016
Bond
.................
Ohio Cas Ins Co
Bond account no.
3670211
Received by L&I
04/07/2014
Active.
Meets current requirements.
$12,000.00
Effective date
03/26/2014
Expiration date
Until Canceled
Insurance
Houston Casualty Co $1,000,000.00
Policy no.
TEN11124
Received by L&I Effective date
05/06/2014 05/04/2014
Expiration date
05/04/2015
Insurance history
Savings
No savings accounts during the previous 6 year period.
Lawsuits against the bond or savings
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602090808&LIC=RENEWRA866JG&SAW= 4/13/2015