HomeMy WebLinkAboutPermit M07-074 - DOAK HOMESDOAK HOMES
11617 35 LN S
M07 -074
Parcel No.: 0733000021
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
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
1161735LNSTUB:W
DOAK HOMES
11617 35 INS , TUKWILA WA
DOAK HOMES INC
1181226 AV SW,BURIENWA
DARRYL DOAK SR
1181226 AV SW,BURIENWA
Contractor:
Name: HERITAGE ENTERPRISES INC
Address: 9001 PACIFIC AVE , TACOMA, WA
Contractor License No: HERITEI13604
MECHANICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
DESCRIPTION OF WORK:
RENEWAL OF M05 -187: INSTALLATION OF GAS FURNACE, DUCT WORK AND VENTILATION
SYSTEM.
Value of Mechanical: $2,000.00
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
EOUIPMENT TYPE AND OUANTITY
1
0
0
0
1
0
0
0
0
0
1
1
0
0
* *continued on next page **
Steve Lancaster, Director
Phone:
Phone: 206 372 -2280
Phone: 253 - 922 -2211
Expiration Date: 10/26/2007
Steven M. Mullet, Mayor
M07 -074
04/12/2007
10/09/2007
Fees Collected: $204.00
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 0
M07 -074 Printed: 04 -12 -2007
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be compile
constru - - • 1 - • - = . - ce of wo
Print Name: 0442 2- f — 1)014-r 31z.
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
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: MOT-074
Issue Date: 04/12/2007
Permit Expires On: 10/09/2007
Date:
permit and know the same to be true and correct. All provisions of law and ordinances
er specified herein or not.
The granting of this permit does not • resume to give authority to violate or cancel the provisions of any other state or local laws regulatinc
thorized to` gn and obtain this mechanical permit.
Signature: Date: 9/ 12
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: IMC -10/06 M07 -074 Printed: 04 -12 -2007
Parcel No.: 0733000021
Address: 11617 35 LN S TUKW
Suite No:
Tenant: DOAK HOMES
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: M07 -074
Status: ISSUED
Applied Date: 04/12/2007
Issue Date: 04/12/2007
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 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.
* *continued on next page **
doc: Cond -10/06 M07 -074 Printed: 04 -12 -2007
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 • erformance of work.
Signature: Date:
ame:
doc: Cond -10/06 M07 -074 Printed: 04 -12 -2007
CITY OF TUKWI
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://wwwcitukwila.wa.us
CA.TIO
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 Address: / I ! 7 3 S 5. -ow)/ 98/6 g
Tenant Name: V (A.00W17
Property Owners Name: ,-Ak 1'14 - /
Mailing Address: I) B l 2-- Z / -41
Name: ` J ?r te u
Mailing Address: `\ ' 1- 2-E /' - z 1 '
E -Mail Address: V)C,Z 1/ W 1t .
PERSON -who do we contact when your:permit is ready to be y issp
GENERAL CONTRACTOR INFORMATION.
� (Contracto�r Information for Mechanical (pg 4) :for ('lutnbi>ag'and Gas Piping (pg
Company Name:
Mailing Address: l l2 " 4t t 3»
Contact Person: ,
E -Mail Address: f � v o S O - C r l ' f C ( ( / . ( / -t
Contractor Registration Number:
Company Name: fi C- niel
Mailing Address:
Mailin g Address: t 42_37 / EL tA ! ✓N r \t€
Contact Person: . 1 1 '16+ 411 Sc kJ' ; '���
E -Mail Address: eC -{/kri f u-er ti4.5I4), (0 Fax Number:
Q: Appliatiom\Form s- Applications On Line\3 -2006 - Permit Application doe
Reviled: 9 - 2006
bh
King Co Assessor's Tax No.: 07330v - cp
Suite Number: Floor:
New Tenant: ❑ .... Yes gNo
WOfi t°�i
City
Day Telephone: 3 7Z -
City LL
Fax Number: 6 Z 5-q7 /p
13 1.V'tl°- 1
City
Day Telephone:
Fax Number:
Expiration Date:
I CT' OF "RECORD - All plans mast be .wet atampedby:Architeet of Record
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
ENGINEER OF RECORD -Alf plans must be wet stamped by Engineer of Reco
Company Name: 1 k V A / A - � r l ' 1 ✓1 t! V1 Vi
a �a W4 St->
)ct ((g - �' �2't/4ir /N c. A t'k (42 6,4
City State
Day Telephone: LI Z S 9 S5 It-13""
t' t "
611 1
74 z 7z,s�c
Wa
State
Via 9 L /6
State Zap
ae/A /a
State
Zip
Zip
Page 1
Valuation of Project (contractor's bid price): $
Q:WpplicationsWorms- Applications On Line\? -2006 - Permit Appliation.doe
Revised: 9 -2006
bh
Will there be new rack storage? 0.... Yes
Existing Building Valuation: $
Scope of Work (please provide detailed information): 1 W 5 4 (\O e ,Y/4 (c f /40,44,e_
'v f
o If yes, a separate permit and plan submittal will be required.
rovide All B
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.
Number of Parking Stalls Provided: Standard: 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
`LIC CORKS PERMIT T 4RMATIQN.
Scope "" of "" Work (please provide detailed information): A t l . N1eej� LJH t t'F7 �S , �XCGL &.i
Gvt!%` i �l Sfc +' o/1 o1 t I , es , q cw'( e'eS10110 t AI •
Water District
Tukwila Q... Water District #I25
❑...Water Availability Provided
Sewer District
...Tukwila
❑ ...Sewer Use Certificate 0... Sewer Availability Provided
I
❑ ...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
FINANCE INFORMATION
Fire Line Size at Property Line
❑...Water ❑...Sewer
Monthly Service Billing to:
Name:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
Call before you Dig: 1- 800 - 424-5555
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Q: 1AppliationztForms.Applicetione On LineO-2006 - Permit Application.doc
Revised: 9-2006
eh
❑ .. Highline
❑... ValVue ❑ .. Renton
Submitted with Application (mark boxes which apply):
• Civil Plans (Maximum Paper Size —22" x 34 ")
Q ...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
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ . Pavement Cut
❑ .. Looped Fire Line
0...Permanent Water Meter Size...3�t{ " WO #
❑...Temporary Water Meter Size.. f t WO #
❑ ...Water Only Meter Size WO #
❑ ...Sewer Main Extension Public _ Private _
Q ... Water Main Extension Public _ Private
❑ .. Geotechnical Report
❑ .. Maintenance Agreement(s)
❑ .. Work in Flood Zone
❑ .. Storm Drainage
Number of Public Fire Hydrant(s)
❑ ... Sewage Treatment
City
City
0 ...Renton
❑ ...Seattle
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.
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑...Traffic Impact Analysis
Q ...Hold Harmless — (SAO)
❑ ...Hold Harmless — (ROW)
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑...Deduct Water Meter Size
State
Day Telephone:
State
Zip
Day Telephone:
Zip
Page 3 of 6
Unit Type: "
Qty
Unit Type: -
Qty ,:
Unit Type:."
Qty
, Boiler /Compressor:
Furnace<100K BTU
,
I
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
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
Mg MECHANICAL PERMIT NF 'VIATI 6 - X3 -367
MECHANICAL CONTRACTOR INFORMATION
1-1eLk
9 (
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
1
€tier ;GZZI (
Contractor Registration Number: HEgIT 360
Valuation of Mechanical work (contractor's bid price): $ Z MC
Scope of Work (please provide detailed information): T.-44 S1 C0 • a+f ovi 44
work corcX vtltilac o
Use: Residential: New ....
1
Commercial: New .... 0
Fuel Type: Electric 0 Gas ....®- Other:
Indicate type of mechanical work being installed and the quantity below:
Q:\ApplicationslForms- Applications On Line3-2006 - Permit Application.doc
Revised: 9 - 2006
bh
Replacement ....0
Replacement ....0
To--. GSA 98 q
City State Zip
Day Telephone: 25? 922. 22.11
Fax Number: ?- S 3 S 970?
Expiration Date: /o`Ze/D
Page 4 of 6
PIJU11'iBING AND GAS PIPING 1, RNI INFORMATION
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name: 0 GY'rck r'y {) l Y9
Mailing Address: 14 I S svtff /9i
Contact Person: ev'L °'f 't
E -Mail Address: � /� p t� {�
Contractor Registration Number: 11 A)I i - 06 Z !� Fl
x06 -431.7
Valuation of Plumbing work (contractor's bid price): $
Valuation of Gas Piping work (contractor's bid price): $
Scope of Work (please provide detailed information): — �t'_
(1''1 C Oct s -b r / p i 1 0 ) C 'I
,re- r (ac avlkk Gw- wo*Cr vFUZIc .
Building Use (per Intl Building Code):
Occupancy (per Int'l Building Code): '/ `
(it uk Sewer: (lft� -C ` Ct
Utility Purveyor: Water: � y e l
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
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
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
Q: Applications\Porns- Applications On Line\3 -2006 - Permit Applieation.doc
Revised: 9 -2006
bh
pU lqo wet 9g372_
Cit I State Zip
Day Telephone: 25 3 77c 2 %( )
Fax Number: 2S 3 770 06174-
Expiration Date: 3JZ3/D
Page 5of6
due 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.
rcpiration of Plan Review - Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
I
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).
I HEREBY CERTIFY THA 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.
UILDINCI NERS R AUTH I " • ENT:
ignature:
flailing Address: t I 2_ 2,6 - S W
)ate Application Accepted: V !a i i t
Q:IApplications\Forms- Applications On Linel3 -2006 - Permit Application. doe
Revised: 9 -2006
bh
Date: ( /// 2 .--/ 0 7
rint Name: -J L - ' Day Telephone: Zoe L(Q 3 36 t
(&Uri ii Way 101
City State Zip
Date Application Expires:
Staff Initials: ju.....%.
L
Page 6 of 6
RECEIPT NO: R07 -00565
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../Iwww.ci.tukwila.wa.us
Initials: JEM Payment Date: 04/12/2007
User ID: 1165 Total Payment: 496.00
Payee: DOAK HOMES, INC.
SET ID: 0412B SET NAME: DOAK HOMES
SET TRANSACTIONS:
Set Member Amount
M07 -074 204.00
M07 -075 146.00
M07 -076 146.00
TOTAL: 496.00
SET RECEIPT
TRANSACTION LIST:
Type Method Description Amount
Payment Check 5437 496.00
TOTAL: 496.00
ACCOUNT ITEM LIST:
Description
MECHANICAL - RES
Account Code Current Pmts
000/322.100
TOTAL:
496.00
496.00
7060 04/12 /716 TOTAL 496.00
Project:
)/)471 / //9/G S
Type of Inspection:
/ /
Address:
//6/7 3s ZA/ S
Date Called:
Special Instructions:
Date Wanted:
Requester:
Phone No:
64 -3
72 - 77(0
3
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 -36
pproved per applicable codes. Corrections required prior to approval.
COMMENTS:
$00 REINSP ION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 outhcenter Blvd.. Suite 100. Call the schedule reinspection.
'Receipt No.:
'Date:
Project:
Type of Inspectio :
s 4Qv�
A //( /7 3S" k 4/r
Date Called:
Special Instructions:
Date W ante ��
7
a.m
P.
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
/o7" o
PERM ►,. •
,i
(206)431 -3670
❑ Approved per applicable codes. {Vorrections required prior to approval.
COMMENTS:
PA-a,"71 s /2. '
rr0
1
_re Cuv9� /, A Gr v
Pe : / /ri., •
'Inspect
Date:
5 9 - G
$58.00 REINS CTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
'Receipt No.:
!Date:
Project: 4
C. )
Type of Inspection: 7 0 e
/
Addre
/ i 7 .5
Date Called:
Special Instructions:
Date
5
,---a7
Requester:
Phone No:
/
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
206)431-3670
COMMENTS:
rfproved per applicable codes. Corrections required prior to approval.
El $58.00 REINS CTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
Receipt No.:
IDate:
&lige .••