HomeMy WebLinkAboutPermit M07-069 - DOAK HOMES - LOT 4DOAK HOMES
LOT4
1161135LNS
M07 -069
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Value of Mechanical: $2,000.00
Type of Fire Protection: NONE
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
0733000020
11611 35 LN S TUKW
DOAK HOMES INC - LOT 4
11611 38 LN S , TUKWILA WA
DOAK HOMES INC
11812 26 AV SW , BURIEN WA
DARRYL DOAK SR
11812 26 AV SW , BURIEN WA
Contractor:
Name: MONARCH PLUMBING
Address: 2415 INTER AV , PUYALLUP WA
Contractor License No: MONARP *062D8
Furnace: <100K BTU 1
>100K BTU 0
Floor Furnace 0
Suspended/Wall/Floor Mounted Heater 0
Appliance Vent 1
Repair or Addition to Heat/Refrig /Cooling System.... 0
Air Handling Unit <10,000 CFM 0
>10,000 CFM 0
Evaporator Cooler 0
Ventilation Fan connected to single duct 0
Ventilation System 0
Hood and Duct 1
Incinerator: Domestic 0
Commercial/Industrial 0
MECHANICAL PERMIT
EOUIPMENT TYPE AND OUANTITY
* * continued on next page **
M07 -069
Permit Number:
Issue Date:
Permit Expires On:
Expiration Date: 03/23/2009
DESCRIPTION OF WORK:
INSTALLATION OF GAS FURNACE, DUCT WORK AND VENTILATION SYSTEM FOR NEW SINGLE
FAMILY RESIDENCE. RENEWAL OF EXPIRED PERMIT NO. M06 - 164.
Steven M. Mullet, Mayor
Steve Lancaster, Director
Phone:
Phone: 206 - 372 -2280
Phone: 253 770 -2400
M07 -069
04/10/2007
10/07/2007
Fees Collected: $146.00
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 1
Wood/Gas Stove 0
Water Heater 0
Emergency Generator 0
Other Mechanical Equipment
Printed: 04 -10 -2007
Permit Center Authorized Signature:
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
(ILI/1k tiy,o-
Signature:
Print Name:
D4 -242-tiL it Trez -
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: M07 -069
Issue Date: 04/10/2007
Permit Expires On: 10/07/2007
Date: 1 1 -- / ° — " /
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 • ermit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulatinc
con r�f`uct1on or the pe - ce ofaver _ •• - thorized to sign and ob air this mechanical permit.
Date: 7/ ° ( °
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 suspende
or abandoned for a period of 180 days from the last inspection.
doc: I MC -10/06 M07 -069 Printed: 04 -10 -2007
Parcel No.: 0733000020
Address:
Suite No:
Tenant:
1: ** *BUILDING DEPARTMENT CONDITIONS * **
doc: Cond -10/06
1161135LNSTUKW
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
DOAK HOMES INC - LOT 4
PERMIT CONDITIONS
* *continued on next page **
Permit Number:
Status:
Applied Date:
Issue Date:
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 mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center
(206/431- 3670).
4: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
5: Manufacturers installation instructions shall be available on the job site at the time of inspection.
M07 -069
ISSUED
04/10/2007
04/10/2007
6: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the
International Building Code and the Washington State Ventilation and Indoor Air Quality Code.
7: 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.
8: 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.
9: 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.
10: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila
Permit Center.
11: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206 - 431 - 3670).
12: 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.
M07 -069 Printed: 04 -10 -2007
Signature:
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
I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating
construction or the performance of work.
Date: L/7 %-
M07 -069 Printed: 04 -10 -2007
CITY OF TUKIA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://wwwatulcwila.wa.us
Site Address:
11611 3.' Let 5 T �lCk v " ' 7e(6 R
Tenant Name: U ((m1 t
Property Owners Name: ` k ` I���11 . 5 , �'t C-•
Mailing Address: 1 12 2- 2,6-14't � .,
` -Sw
E
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 **
Who cio `we contaciwhen your pernn3t. is;ready,to be jsiti
Mailing Address: 1 \ 7 / K_ (k)
E -Mail Address: )t""kAA
' CONTRACTOR INFORMATION
i(Cont for Mechanical tpg 4) for.Pluiiibing and Gas Piping (pi
Company Name: `` ) ZALC- i o>' 'ke-5 E • -c
• Mailing Address: t e c 9 7
Name:
Contact Person:)
E -Mail Address: ' Dn �
Contractor Registration Number:
Company Name: t r0- e
Mailing Address:
•
; - t 1
mo I . CD�►
HT- n
Company Name: 4\ 1 ■\Cti* ' 4 iloc N
Mailin g 2 Address: k' 7 ME_ &"
Contact Person: H t r1 1 tl1 Sc
E -Mail Address: &l e\ 1 e u r CL 1'"
Q:WpplicationsWorms- Applications On Line\3 -2006. Permit Appliation.doc
Revised: 9-2006
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King Co Assessor's Tax No.: 077 D ZO
Suite Number: Floor:
New Tenant: [] .... Yes No
City
ITECT OF RECORD All plans mast be wet stamped by ,Architect of tecori
(A)C1
State
Zip
Day Telephone: 7- 3 72— Ze()
NA4e0 �) e ? Ryg
City 1 State p
Fax Number: ? 6 L . 6 5- q7
u j a 9
13(tiY'1
City State Zip
Day Telephone: 5 3 Z 2 ZPca
Fax Number:
Expiration Date: P / t��o`�
State Zip
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
NGINEER RECORD = All plans must be wet stamped by Engineer of Recor
Avt l - (4/ .t o'
City State I `
Day Telephone: ' Z U
S S 1 t ' ) r
/
Fax Number:
Page 1
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): Nie
Will there be new rack storage? ❑.... Yes
Number of Parking Stalls Provided: Standard:
Q:1AppHcationsWorms- Applications On LineU -2006 - Permit Appiication.doc
Revised: 9 -2006
bh
Existing Building Valuation: $
--Pettvi4(/
�.. N o If yes, a separate permit and plan submittal will be required.
PLANNING DIVISION:
Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Compact: Handicap:
Will there be a change in use? ❑ Yes ❑ No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No
If `yes', attach list of materials and storage locations on a separate 8 -1/2 "x 11 " paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
Page 2 of 6
!IC WORKS PERMIT
Scope of Work (please provide detailed information): A Ll i) &e q� � LXH cH e_S , -€XCCZ 4i 1
As n(te -f � ' Lr I �t�ies r U vv cc e'es/al20I .
Water District
Tukwila ❑... Water District #125
❑ ...Water Availability Provided
Sewer District
...Tukwila
❑ ...Sewer Use Certificate
Septic System:
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department.
Submitted with Application (mark boxes which apply):
Plans (Maximum Paper Size —22" z 34 ")
❑ ...Technical Information Report (Storm Drainage)
❑ ...Bond ❑ .. Insurance ❑ .. Easement(s)
Proposed Activities (mark boxes that apply):
❑ ...Right -of -way Use - Nonprofit for less than 72 hours
❑ ...Right -of -way Use - No Disturbance
...Construction /Excavation/Fill - Right -of -way
Non Right - of - way
❑ ...Total Cut cubic yards
❑ ...Total Fill cubic yards
❑ ... Sanitary Side Sewer
❑ ...Cap or Remove Utilities
❑'...Frontage Improvements
❑ ...Traffic Control
❑ ...Backflow Prevention - Fire Protection
Irrigation
Domestic Water
RI ...Permanent Water Meter Size...3/4
❑ ...Temporary Water Meter Size..
❑ ...Water Only Meter Size
❑ ... Sewer Main Extension Public _
❑ ...Water Main Extension Public
FINANCE INFORMATION
Water Meter Refund/Billing:
Name:
Mailing Address:
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
❑... ValVue ❑ .. Renton
❑... Sewer Availability Provided
Q:\Appliestions 5orms- Applications On LineO -2006 - Permit Applieation.doc
Revised: 9 -2006
bh
y O RMA TI ON..
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
,,
99
WO #
WO #
WO#
Private
Private
86 - 43179
Call before you Dig: 1- 800 - 424 -5555
❑ .. Highline
❑ .. Geotechnical Report
❑ .. Maintenance Agreement(s)
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑ .. Work in Flood Zone
❑ .. Storm Drainage
Fire Line Size at Property Line
❑ ...Water ❑ ...Sewer ❑ ...Sewage Treatment
Monthly Service Billing to:
Name:
Mailing Address:
Number of Public Fire Hydrant(s)
City
City
❑ ...Renton
❑ ...Seattle
❑...Traffic Impact Analysis
❑ ...Hold Harmless — (SAO)
❑...Hold Harmless — (ROW)
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
0... Deduct Water Meter Size
Day Telephone:
State
Day Telephone:
State
Zip
Zip
Page 3 of 6
Unit Type;
Qty
Unit Type:; .
Qty ::
Unit Type:..
Qty
Boiler /Compressor:
Qty
Furnace<I00K BTU
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
1
Hood and Duct
I
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 CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Use: Residential: New ....
He- r'i- flea
9'00 ( vacc-cl c
Contractor Registration Number: /FDST ii / 340(f
Valuation of Mechanical work (contractor's bid price): $ 2 ) r
Scope of Work (please provide detailed information): :L i S �4 vl : vT 2LL)C±
1,0 Coy K CteiCX vefiiilaijpl stic-fekri �l
Commercial: New .... 0
Indicate type of mechanical work being installed and the quantity below:
Q:\Apptications porms- Applications On LineU -2006 - Permit Application.doc
Revised: 9 -2006
bh
Replacement .... 0
Replacement ....0
City
GJk 9gV-1
State Zip
Day Telephone: 253 922. 22 I
Fax Number: 2 -S 3 S tp 70?
Expiration Date: /
Fuel Type: Electric El Gas ....- Other:
Page 4 of 6
14,11!o 1 r irlirltt ►rr++j aa1 V a` 7 "--
PLUMBING AND `• t GG�AS PIPING CONTRACTOR INFORMATION
Company Name: ! D h evrC -ii Pium bit ricj
Mailing Address: Z I S ,T+'tf /LV --
Contact Person: 75 t h Pk(
E -Mail Address: ,�n�N/y � 1 /� �r t�
Contractor Registration Number: I r � a 2 I iI
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Q : Applieations\Forms- Appliestions On Line\ -2006 - Permit Applieation.doc
Revised: 9 -2006
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p U et IlIT) Wet 99 - 7 z
City State Zip
Day Telephone: 7- 7 7(2
Fax Number: ZS 3 770 06.3
Expiration Date: 3 /Z3 /0
Valuation of Plumbing work (contractor's bid price): $
Valuation of Gas Piping work (contractor's bid price): $ n
Scope of Work (please provide detailed information): J- i 3 ' e r� cl oct 5 pip )� r / e.i
r (ace and._ LW{- Wafer dzi(< .
Building Use (per Intl Building Code):
Occupancy (per Int'l Building Code):
G i is i Sewer: Cal/ c (jJ!&C ' t
Utility Purveyor: Water: � y
Fixture Type:
Bathtub or combination
bath/shower
Bidet
Clothes washer, domestic
Dental unit, cuspidor
Dishwasher, domestic,
with independent drain
Building sewer or trailer
park sewer
Industrial waste
pretreatment interceptor,
including its trap and vent,
except for kitchen type
grease interceptors
Fixture Type:
Drinking fountain or water
cooler (per head)
Food -waste grinder,
commercial
Floor drain
Shower, single head trap
Lavatory
Rain water system — per
drain (inside building)
Repair or alteration of water
piping and/or water treating
equipment
Fixture Type
Wash fountain
Receptor, indirect
waste
Sinks
Urinals
Water Closet
Water heater and/or
vent
Repair or alteration
of drainage or vent
piping
Fixture Type :;
Gas piping outlets
Additional medical gas
inlets/outlets — six or more
Medical gas piping system
serving one to five
inlets/outlets for specific gas
Page 5 of 6
slue of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
possible revision by the Permit Center to comply with current fee schedules.
xpiration 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 ay grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested
in writing and justifiab cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition).
HEREBY CERTIFY THA I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE
SAME AME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
;UILDING ' . ► ' OR AUTH
ignature: ! L
tint Name:
-
)ate Application Accepted:
L /w -0 7
GENT:
Mailing Address: I t g I Z 6 AV.-- SW
Q:\Applications\Fonns- Applications On Line'3 -2006 - Permit Application doc
Revised: 9 -2006
bh
Date: 1- { /Ia /v
Day Telephone: 20e 4 103 36
�ur`I rm WA ?Si%
City State Zip
Page 6 of 6
Date Application Expires:
/0 - /D — a1
Staff Ini
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
Parcel No.: 0733000020 Permit Number: M07 -069
Address: 11611 35 LN S TUKW Status: APPROVED
Suite No: Applied Date: 04/10/2007
Applicant: DOAK HOMES INC - LOT 4 Issue Date:
Receipt No.: R07 -00544
Initials: BLit Payment Date: 04/10/2007 11:44 AM
User ID: ADMIN Balance: $0.00
Payee: DOAK HOMES INC
TRANSACTION LIST:
Type Method Description
Amount
Payment Check 5436 146.00
ACCOUNT ITEM LIST:
Description
MECHANICAL - RES
Account Code Current Pmts
000/322.100 146.00
Total: $ 146.00
Payment Amount: $ 146.00
6951 04/10 9716 TOTAL 146.00
doc: Receiot -06 Printed: 04 -10 -2007
Project:
4
44)247,z
on:
Type of Inspection:
/6a) ,( , ,,
Address:
1/4 // —:
_ S
Date Called:
Special Instruction / s::
1,C/
/
/---t/,
�/
Date Wanted: C
4- /-/ P.m.
Requester:
Phone No:
247 37Z --Z2z
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
/1
PERM
06 431 -367
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
4L9 - p4 ud'
711b - / &L/
Inspe
Date
.00 REINSPECTIO NEE REQUIREjPrior to inspection, fee must be
aid at 6300 Southcente Blvd., Suite 100. Call to sechedule reinspection.
eceipt No.:
Date:
License Information
License
MONARP *062D8
Licensee Name
MONARCH PLUMBING
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
601531614
Ind. Ins. Account Id
#7
Business Type
CORPORATION
Address 1
2415 INTER AVE
Address 2
City
PUYALLUP
County
PIERCE
State
WA
Zip
98372
Phone
2537702400
Status
ACTIVE
Specialty 1
PLUMBING
Specialty 2
AIR HEAT,VENTILATION,EVAPORAT
Effective Date
3/28/1994
Expiration Date
3/23/2009
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
SVEDARSKY, STEVEN M
PRESIDENT
01/01/1980
Bond
Amount
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#7
WESTERN
SURETY
CO
70247293
03/23/2007
Until
Cancelled
$6,000.00
04/06/2007
AMERICAN
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= MONARP *062D8 04/10/2007