HomeMy WebLinkAboutPermit M07-075 - DOAK HOMESDOAK HOMES
11623 35 LN S
M07 -075
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:
City of Tukwila
0733000025
11623 35 LN S TUKW
DOAK HOMES
11623 35 LN S , TUKWILA WA
DOAK HOMES INC
1181226AV BURIEN WA
DARRYL DOAK SR
1181226AVSW,BURIENWA
Contractor:
Name: HERITAGE ENTERPRISES INC
Address: 9001 PACIFIC AVE , TACOMA, WA
Contractor License No: HERJTEI13604
DESCRIPTION OF WORK:
RENEWAL OF M06 -165: INSTALLATION OF GAS FURNACE, DUCT WORK AND VENTILATION
SYSTEM.
Furnace: < 1005 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
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: htto: / /www.ci.tukwila.wa.us
MECHANICAL PERMIT
EOUIPMENT TYPE AND OUANTITY
1
0
0
0
1
0
0
0
0
0
1
1
0
0
* *continued on next page **
M07 -075
Permit Number:
Issue Date:
Permit Expires On:
Steve Lancaster, Director
Phone:
Phone: 206 372 -2280
Phone: 253 - 922 -2211
Expiration Date: 10/26/2007
Steven M Mullet, Mayor
MOT -075
04/12/2007
10/09/2007
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 0
Printed: 04 -12 -2007
Permit Center Authorized Signature;
I hereby certify that I have read and
governing this work will be compile
Signature:
doc: IMC -10/06
vae
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 Number: M07 -075
Issue Date: 04/12/2007
Permit Expires On: 10/09/2007
Date:
Steven M. Mullet, Mayor
Steve Lancaster, Director
permit and know the same to be true and correct. All provisions of law and ordinance.
r 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 regulatinc
construc ' . _ • erformance "r• I am authorized to sign and obtain this mechanical permit.
Date: ViZ/E
Print Name: L
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 suspend&
or abandoned for a period of 180 days from the last inspection.
M07 -075 Printed: 04 -12 -2007
Parcel No.: 0733000025
Address: 11623 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 -075
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.
6: 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.
doc: Cond -10/06
* *continued on next page **
M07 -075 Printed: 04 -12 -2007
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.
Signature:
Print Name: Dig /L- �
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
Date: 7/ 2 / 6
M07 -075 Printed: 04 -12 -2007
CITY OF TUKW
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://wwwatukwila.wa.us
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 **
KO Co Assessor's Tax No.: 07 331) - O2 S
/
Site Address: /1 1-3 3c` ` S Tv►Ct! `1 � `'`! 68 Suite Number:
Tenant Name: ( 34- New Tenant:
Property Owners Name: vk Ii Wte 5 �•LC-,
Mailing Address: I � Si z- Z-6414 c5 &'.)
City
Floor:
... Yes
(Ala
e
No
(`l4
Zip
Name:
Mailing Address: 1
E -Mail Address: G Y w ' 114-
'ER ON :who do, We contact when your permit is ran,
r
GENE CONTRACTOR INFORMATION,-
`(Contractor Inforimnation for Mechanical (pg.4) for plumbing and Gas Piping (pg
Company Name: t - --
. t , 1 I •.f-f _
Mailing J(Li Contact Person: ;1/ ` Day Telephone:
E -Mail Address: Sc eQ S�� � 't 1 I . CDC► Fax Number:
Contractor Registration Number: \� k- S-1 Expiration Date:
to be lssu
Day Telephone: '206 2 C
Fax 2- S 1 V 5—q7 P
Fax Number: Z- S
State Zip
3 Z2z$cD
Z S 7�
CRI' ;E OF RECORD All plans must be wet stamped by,Architect of Record
t
Company Name: erat1 S 19 1'1 .
Mailing Address: V
State
Zip
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
NGINiEER OF RECORD -All plans must be wet stamped by Engineer of Recor
Company Name:
Mailing Address: ( 230 NE.
Contact Person: ) 4 '\ C ' tiJ SG ��J � 'ct1C r
E -Mail Address: SG(„ r-; f e' t -51v' co
Q:MppliationsTonm- Appliatiom On Line\3 -2006 - Permit Appliation.doc
Revised: 9 -2006
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( )ore invl
City S State Zip
Day Telephone: WC C 1 g
Fax Number:
Page I I
j imkg 1(6
Will there be new rack storage? El . Yes
Number of Parking Stalls Provided: Standard:
Q: Applications\Forms- Applications On Line\3 -2006 - Permit Application doc
Revised: 9 - 2006
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Valuation of Project (contractor's bid price): $ Existing Building Valuation: $
Scope of Work (please provide detailed information): Ne-t/ S (\O` ( i'YIFi ,/ttie_
y
o If yes, a separate permit and plan submittal will be required.
ovide All Bnildtn
are`
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 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 WORKS PERMIT
Scope of Work (please provide detailed
t r a , D C n S t (i (on
R11!IATION
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
Tukwila 0... Water District #125 ❑ .. Highline
❑ ...Water Availability Provided
Sewer District
...Tukwila
❑ ...Sewer Use Certificate 0... Sewer Availability Provided
Septic System:
information): /\ t ` o 1 eiio LA , 4 2 . X XCQ f 4
c o-( tt I t °s j eorctc tvi-c pip( ces /T7✓[csi .
0... ValVue ❑ .. Renton
❑ 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):
.Civil Plans (Maximum Paper Size -22" x 34 ")
❑ ...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report
❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(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
❑...Total Fill
❑ ...Sanitary Side Sewer
❑ ...Cap or Remove Utilities
❑'...Frontage Improvements
❑...Traffic Control
❑ ...Backflow Prevention - Fire Protection
Irrigation
Domestic Water
la ...Permanent Water Meter Size...3/4 "
❑ ...Temporary Water Meter Size..
❑ ...Water Only Meter Size
❑ ...Sewer Main Extension Public
❑ ...Water Main Extension Public
cubic yards
cubic yards
„
Q:tApplieshonsWorms- Applications On Linen -2006 - Permit Application doe
Revised: 9 -2006
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❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
„
WO #
WO #
WO#
Private
Private
206433 4179
Call before you Dig: 1- 800 - 424 -5555
❑ .. Work in Flood Zone
❑ .. Storm Drainage
❑ ...Renton
❑ ...Seattle
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑ ...Traffic Impact Analysis
❑ ...Hold Harmless — (SAO)
0... Hold Harmless — (ROW)
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑...Deduct Water Meter Size
FINANCE INFORMATION
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
❑ ...Water ❑ ...Sewer ❑ ...Sewage Treatment
Monthly Service Billing to:
Name:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
Day Telephone:
City
State
Zip
Day Telephone:
City State Zip
Page 3 of 6
Unit Type:.
Qty
Unit Type :; .
Qty
•Unit Type:.
Qty
. Boiler /Compressor:
Qty
Furnace <I00K BTU
1
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
I
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
i
I
Hood and Duct
i
11
Emergency
Generator
50+ HP /I,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
CIAINICAL PERMIT PIE ' 1436
MECHANICAL CONTRACTOR INFORMATION
Company Name: N e,1ri Rea+ in
Mailing Address: 9'(x)1 C,tCt f?Lt
Contact Person: 1
E -Mail Address:
ell r ; ce2Zi( .6e , 4.7
Contractor Registration Number: I1ERZT 1 3601
Valuation of Mechanical work (contractor's bid price): $ 2,000 r p
Scope of Work (please provide detailed information): I '1 S�Z-� GIfi�B� vT S nC'C � oLL C±
work cod ve/tiilachan
Use: Residential: New ..:. Replacement .... 0
Commercial: New .... Replacement .... 0
Indicate type of mechanical work being installed and the quantity below:
Q:\Applications\Fonns- Applications On Line 3 -2006 - Permit Appiieation.doe
Revised: 9 -2006
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1 GtCC /44{
City
Wc2 98Y ( 1 4 /
State Zip
Day Telephone: 253 922 72
Fax Number: 2 - S3 S 97o?
Expiration Date: /
Fuel Type: Electric 0 Gas .... Other:
Page 4 of 6
Fixture Type:
, Qty
: Fixture Types " " ,
Qty
: Fixture Type:
, Qty
Fixture Type:
Bathtub or combination
bath/shower
Drinking fountain or water
cooler (per head)
Wash fountain
Gas piping outlets
Bidet
Food -waste grinder,
commercial
Receptor, indirect
waste
Clothes washer, domestic
Floor drain
Sinks
_
Dental unit, cuspidor
Shower, single head trap
Urinals
Dishwasher, domestic,
with independent drain
Lavatory
Water Closet
Building sewer or trailer
sewer
Rain water system — per
drain (inside building)
Water heater and/or
vent
Additional medical gas
inlets/outlets — six or more
park
Industrial waste
pretreatment interceptor,
including its trap and vent,
except for kitchen type
grease interceptors
Repair or alteration of water
piping and/or water treating
equipment
Repair or alteration
of drainage or vent
piping
Medical gas piping system
serving one to five
inlets/outlets for specific gas
`PLUMBING AND GAS PIPING " ftMIT INFORMATION 206-431
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name: z4 / 1 Oh Gw 4 �,(XY► 6`111c5
"�-
Mailing Address: O a l lt)O � � 9g
- Z+'
City State Zip
Day Telephone: 7-53 7767
Fax Number: ZS 3 770 U4' 3
Contact Person:
E -Mail Address:
Contractor Registration Number: / #J//� 7 R P e,g 2 b1-1
Building Use (per Intl Building Code):
Valuation of Plumbing work (contractor's bid price): $
Valuation of Gas Piping work (contractor's bid price): $
Scope of Work (please provide detailed information): .141 C) (ko O r7 c Oct S p I — �'i r te
- C r [ace.. cv GLof wotf 'c i(< .
Occupancy (per Int'l Building Code): .,,��//
Utility Purveyor: Water: tile` -y Cr{ I is ► Sewer: Cif, (t •• ,, 'l l Ci
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Q:\Applicatiorn\Forms- Applications On Line\3 -2006 - Permit Applieation.doe
Revised: 9 -2006
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Expiration Date: 3/2-3/0
Page 5 of 6
E APP,
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).
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.
)ate Application Accepted:
flailing Address: t t s 1 Z 2,6`" A-- SW
Q: \Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc
Revised: 9 -2006
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Date: �{ �(7
Day Telephone: 2O6, CIO 36, 11 V) �//
&Urii 0 1
�CJ -T6
City State Zip
Staff Initials: �,
Page 6 of 6
RECEIPT NO: R07 -00565
Initials: JEM Payment Date: 04/12/2007
User ID: 1165
Payee: DOAK HOMES, INC.
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
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
TRANSACTION LIST:
Type Method Description Amount
Payment Check 5437
ACCOUNT ITEM LIST:
Description
MECHANICAL - RES
SET RECEIPT
Total Payment: 496.00
496.00
TOTAL: 496.00
Account Code Current Pmts
000/322.100
TOTAL:
496.00
496.00
7060 04/12 9716 TOTAL 496.00
Proj ct:
,l)D / / /6 /1/
C
Type of Inspection:
, /
Address:
//• ?
/.v .
Date Called:
Special Instructions:
Date Wanted:
_ - 7 . _
- O 7
��-
P.m.
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (20
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
w I A
1
r
((,a6
Date: .��� - ri 7
$58.00 REINSP CTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
'Receipt No.:
'Date: