Loading...
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