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Permit M07-076 - DOAK HOMES
DOAK HOMES 11629 35 LN S M07 -076 Parcel No.: 0733000030 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: 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 11629 35 LN S TUKW DOAK HOMES 11629 35 LN S , TUKWILA WA DOAK HOMES INC 1181226AV BURDEN WA DARRYL DOAK SR 1181226AVSW,BURIENWA Contractor: Name: HERITAGE ENTERPRISES INC Address: 9001 PACIFIC AVE , TACOMA, WA Contractor License No: HERTTEI13604 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 Fart connected to single duct Ventilation System Hood and Duct Incinerator: Domestic Commercial/Industrial MECHANICAL PERMIT EOUIPMENT TYPE AND OUANTITY 1 0 0 0 1 0 0 0 0 0 1 1 0 0 * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Expiration Date: 10/26/2007 DESCRIPTION OF WORK: RENEWAL OF M06 -166: INSTALLATION OF GAS FURNACE, DUCT WORK AND VENTILATION SYSTEM. Steven M. Mullet, Mayor Steve Lancaster, Director Phone: Phone: 206 372 -2280 Phone: 253 -922 -2211 M07 -076 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 M07 -076 Printed: 04 -12 -2007 I hereby certify that I have read and governing this work will be complied Signature: 1 Print Name: 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: htty: / /www.ci.tukwila.wa.us Permit Center Authorized Signature: (l JAW 41I \G Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: M07 -076 Issue Date: 04/12/2007 Permit Expires On: 10/09/2007 Date: QA[12 -6(1' permit and know the same to be true and correct. All provisions of law and ordinance: er 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 regulatin< constructioi(& the pe • • - ce of wor . I : uthorized to si • and obtain this mechanical permit. Date: y /lzro - 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. M07 -076 Printed: 04 -12 -2007 Parcel No.: 0733000030 Address: 11629 35 LN S TITKW Suite No: Tenant: DOAK HOMES doc: Cond - 10/06 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 * *continued on next page ** Permit Number: M07 -076 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 d 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. M07 -076 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 construc . • or e p - nuance • - k. Signature: 1 Print Name: DfW;'L . . 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: "#V doc: Cond -10/06 M07 -076 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 Site Address: ' 16 Z 3 S T 1 i& c i13160 Tenant Name: \J CAcL94j Property Owners Name: �' ' l? Xk / I - ' ,Ofl �� D Mailing Address: 110 2- 2-6-2-6-114 ITvt" 3 UU CT :PERS Who do we contactwhen your permit isyea d y : to be Name: Mailing Address: 11 E -Mail Address: CONTRACTOR INFORMATION -- 'o Contractor Information 4`or Mechanicat (pg 4) for ptuinbing and Gas Piping (pg Company Name: ) 1X t AtQ - • Mailing Address: (Z f lu Contact Person: ;t) __ E -Mail Address: DS;�t�"'► ,tos 1. Contractor Registration Number: TECT OF RECORD =- Ail plans must be wet stamped by Architect of Record Company Name: e_/' " Mailing Address: 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** Vi,1.1.),Nt�° r 44.4f+ 1 - CFl1 s(( \-- k-.- '1 • King Co Assessor's Tax No.: 6733 - 030 Suite Number: Floor: New Tenant: ❑ .... Yes No j?0r`r eP1 City W State (q4 Zip Day Telephone: 206 3 City t Fax Number: 2 zSt to e6 5277 p Or ( , 9-(C/6 City State Zip Day Telephone: r 3 ' 1 Z 7 zPC) Fax Number: 2.C6 Expiration Date: A/t /nom - City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: .E OF RECORD -All plans must be wet stamped by;Engineer of Reco Company Name: A I V wit✓1 1 r i nvi (A- as.--,, r Mailing Address: t x I,J tJ Av�,, Ise ,,,.a(� - �'az-N - kc % :) City State Zip Contact Person: ) ‘ '1'1 1 SG (Alf 'tile f- Day Telephone: /� 3 E -Mail Address: SUh e r 114.5p , ( 1' Fax Number: Q :MpplicationsTorms- Application On Linen- 2006 - Permit Application doe Page 1 Revised: 9 -2006 bh - Valuation of Project (contractor's bid price): $ Niel") Existing Building Valuation: $ i Scope of Work (please provide detailed information): ! S V�j� ,Y1i ( ,i,/y J y Will there be new rack storage? ❑.... Yes ravide Ail B uil din g 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 ❑ Non ❑ 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. Q :1Applications\Forma- Applications On Line\3 -2006 - Permit Appliation.doc Revised. 9 - 2006 bh o If yes, a separate permit and plan submittal will be required. Page 2 of 6 Scope of Work (please provide detailed information): A l\ A e jf 'tck CAI V €C Cc 4 C Sin etf;on of L ti es � c r r y l ow/ of eesialzorffi Water District 14..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): [..Civil Plans (Maximum Paper Size — 22" x 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 frIr 206-4317 Please refer to Public Works Bulletin #1 for fees and estimate sheet. ❑...Total Cut cubic yards ❑ ... Total Fill cubic yards ❑...Sanitary Side Sewer ❑ ...Cap or Remove Utilities 0...Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water ...Permanent Water Meter Size...3/4 ❑ ...Temporary Water Meter Size.. ❑ ...Water Only Meter Size ❑ ...Sewer Main Extension Public ❑ ...Water Main Extension Public 0... ValVue ❑ .. Renton 0... Sewer Availability Provided „ „ Call before you Dig: 1- 800 -424 -5555 ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line WO # WO # WO # Private Private ❑ .. 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 ❑ ...Renton ❑ ...Seattle ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑...Deduct Water Meter Size ❑ ...Traffic Impact Analysis ❑ ...Hold Harmless — (SAO) ❑ ...Hold Harmless — (ROW) FINANCE INFORMATION Fire Line Size at Property Line ❑ ...Water Monthly Service Billing to: Name: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: Number of Public Fire Hydrant(s) 0... Sewer ❑ ...Sewage Treatment Day Telephone: City State Zip Day Telephone: City State Zip QMpplicationsWonns- Applications On Line\3 -2006 - Permit Application.doe Revised: 9 bh Page 3 of 6 Unit Type: Qty Unit Type: Qty :. ' Unit Type:, Qty , Boiler /Compressor: Qty Furnace<100K BTU 1 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 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 A I Hood and Duct 1 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 t; L ?KRAUT ,ANT, Q:Wpplications\Fonns- Applications On LineU -2006 - Permit Application.doc Revised: 9 -2006 bh - - MAP.. 2 6 1146 MECHANICAL CONTRACTOR INFORMATION Company Name: N e X i T � I-{ f '1 /lc) Mailing Address: 900 raerci c fit C„ Contact Person: 1 E -Mail Address: 17 , E.L JE/1el' , tayezzi ( , Gc°j�Yi Contractor Registration Number: 14EILI j' / 360 Use: Residential: New .:.. Replacement .... 0 Commercial: New .... D Replacement .... 0 Indicate type of mechanical work being installed and the quantity below: City Goa 98 State Zip Day Telephone: ZS.S 92Z 22 ( I Fax Number: 2-S 3 S `i 9 7°? Expiration Date: /One/ Valuation of Mechanical work (contractor's bid price): $ 7490 Scope of Work (please provide detailed information): Zh Si cA1 at `9vt e 4 oLuc± work M L ion► s yr -f�c� al Fuel Type: Electric 0 Gas.... Other: Page 4 of 6 PLUMBING AND ✓GAS PIPING CONTRACTOR INFORMATION 14 ki { t4 U ()1 Company Name: Mailing Address: C_ Contact Person: JJ E -Mail Address: n Contractor Registration Number: / /1 17 12-P Z F f plumbing fixtures and/or as piping outlets being installed and the quantity below: Q: ApplicationssForms- Applications On Line\3 -2006 - Permit Appliation.doc Revised: 9 -2006 bh alt:, W. 9g372_ Sta Zip Ci Day Telephone: 753 7 7(.7 2 -YGD Fax Number: 2S 3 770 0636. Expiration Date: 3/2-3/0 Valuation of Plumbing work (contractor's bid price): $ Valuation of Gas Piping work (contractor's bid price): $ Sco -1 el of Work (please provide detailed information): el 3 ( I�fl r7 ° J a S p ip kg) ��e.1 - fi r (ac ho - Wort er (< . Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): C �� ( �- / -' � �` l 0k-c/o t Sewer: / fr A Gt Utility Purveyor: Water: � y Page5of6 Fixture Type: :Qty Fixture Type: Qty Fixture ;Type: . , Qty `Fixture Type: = Qt3+ 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 CONTRACTOR INFORMATION 14 ki { t4 U ()1 Company Name: Mailing Address: C_ Contact Person: JJ E -Mail Address: n Contractor Registration Number: / /1 17 12-P Z F f plumbing fixtures and/or as piping outlets being installed and the quantity below: Q: ApplicationssForms- Applications On Line\3 -2006 - Permit Appliation.doc Revised: 9 -2006 bh alt:, W. 9g372_ Sta Zip Ci Day Telephone: 753 7 7(.7 2 -YGD Fax Number: 2S 3 770 0636. Expiration Date: 3/2-3/0 Valuation of Plumbing work (contractor's bid price): $ Valuation of Gas Piping work (contractor's bid price): $ Sco -1 el of Work (please provide detailed information): el 3 ( I�fl r7 ° J a S p ip kg) ��e.1 - fi r (ac ho - Wort er (< . Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): C �� ( �- / -' � �` l 0k-c/o t Sewer: / fr A Gt Utility Purveyor: Water: � y Page5of6 nlicabie ' 0 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. UILD , " ' OR AUTHOR = GENT: ignature: _ � Date: f7 / tint ame: 7 � ' L -- ' Day Telephone: 2O 4 /03 36 1 ( UU City State Zip flailing Address: t r (3 12_. 2E Date Application Expires: >ate Application Accepted: Q:Wpplications\Fonns- Applications On Line\3 -2006 - Permit Application.doc Revised 9 - 2006 bh Staff Initials: Page 6 of 6 1 RECEIPT NO: R07 -00565 Payee: DOAK HOMES, INC. SET TRANSACTIONS: Set Member Amount M07 -074 204.00 M07 -075 146.00 M07 -076 146.00 TOTAL: 496.00 ACCOUNT ITEM LIST: Description MECHANICAL - RES 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 RECEIPT Initials: JEM Payment Date: 04/12/2007 User ID: 1165 Total Payment: 496.00 SET ID: 0412B SET NAME: DOAK HOMES TRANSACTION LIST: Type Method Description Amount Payment Check 5437 496.00 TOTAL: 496.00 Account Code Current Pmts 000/322.100 TOTAL: 496.00 496.00 7060 04/12 /716 TOTAL 496.00 Project: G / //lid d Type of Inspection: / �5 Q 3r - ,4/A4 Ad/ 6 7 v3 Date Called: Special Inst ctions: Date Wanted: / / a.m. C / f. p.m. Requester: Phone No: 7,Z- 372--2--4 7 INSPECTION RECORD Retain a copy with permit ,41 7€72 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION R. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 proved per applicable codes. ❑ Corrections required prior to approval. $58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: Proje 7/ (‘ /_/071/ 5 Type of Inspection: Address: 7/Z. 35Z7t/ S Date Called: Special Instructions: Date Wanted: Requester: Phone No: —5 1Z. - C) 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 El Approved per applicable codes. Corrections required prior to approval. COMMENTS: /21 11ie rf 7,1 Inspector: 1‘./ Atitza■ 0-- Date: dr qv/ sy $58.00 REINSPECTION REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: Projec L if. ea Type of Ir3pec n: Adc ir)76 2 3 5 C) Date Called: Special Instructions: - Date Wa ted: a, p.m c Requester: Phone No: Mo7o7.4 INSPECTION NO. PERMIT N ( INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 1=3670 C R Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: InspectoI' • e1 ' © $58.00 REINSPECfION FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: 'Date: