HomeMy WebLinkAboutPermit M07-094 - REHABITAT NORTHWESTREHABITAT NW
13330 32 AV S
M07 -094
Parcel No.: 1523049101
Address:
Suite No:
13330 32 AV S TUKW
Tenant:
Name: REHABITAT NORTHWEST
Address: 13330 32 AV S , TUKWILA WA
Cityf Tukwila
Owner:
Name: MALINAK DOLORES
Address: 13330 32ND AVE S , SEATTLE WA
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
Contact Person:
Name: STEVE DETWILLER
Address: 3601 W MARGINAL WY SW , SEATTLE WA
Contractor:
Name: CASTLE HEATING & A/C INC
Address: PO BOX 620 , SOUTH PRAIRIE WA
Contractor License No: CASTLHA055DH
Value of Mechanical: $2,500.00
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
MECHANICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
DESCRIPTION OF WORK:
RENEWAL OF M06 -187: REPLACE EXISTING FORCED AIR FURNACE WITH NEW CARRIER, STA
0990 -16, 80 %.
EOUIPMENT TYPE AND OUANTITY
1
0
0
0
0
0
0
0
0
0
0
0
0
0
* *continued on next page **
Phone:
Phone: 206 932 -7355
Phone:
Expiration Date: 02/05/2008
M07 -094
04/26/2007
10/23/2007
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 -094 Printed: 04 -26 -2007
Permit Center Authorized Signature:
Signature:
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: http: / /www.ci.tukwila.wa.us
Print Name: . c "t-stk....t'•-- 1::: \ ���
Permit Number: M07 -094
Issue Date: 04/26/2007
Permit Expires On: 10/23/2007
Date: 0
I hereby certify that I have read and xaan�ined this permit and know the same to be true and correct. All provisions of law and ordinance:
governing this work will be complied t , 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 regulatinc
construction • - performance of work. I am authorized to sign and obtain this mechanical permit.
Date: k. N. CD
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 suspender
or abandoned for a period of 180 days from the last inspection.
M07 -094 Printed: 04 -26 -2007
Parcel No.: 1523049101
Address:
Suite No:
Tenant:
13330 32 AV S TUKW
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
REHABITAT NORTHWEST
1: ** *BUILDING DEPARTMENT CONDITIONS * **
PERMIT CONDITIONS
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 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.
M07 -094
ISSUED
04/26/2007
04/26/2007
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).
* *continued on next page **
doc: Cond -10/06 M07 -094 Printed: 04 -26 -2007
City of Tukwila
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.
Print Name:
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
Signature:
4 Q 1 - 5 Date:4 � 7
doc: Cond - 10/06 M07 -094 Printed: 04 -26 -2007
Site Address: / 3 3 Jc 3 f ''e.
Tenant Name:
Property Owners Name: R : f - ,
Mailing Address: a. �.:=A w'- '''Wt S
Name: cc � 'h+J� ``R.-.
Mailing Address: -yr-.L..
Company Name: g}-s4..
Contact Person:
E -Mail Address:
Company Name:
Company Name:
Contact Person:
E -Mail Address:
Colhmunity Developmeepartment
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188: •
http://www.ci.tukwila.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**
Q:MppIiestionsworms- Application. on Line\ -2006. Permit Applie tion.doe
Revised: 9 -2006
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rs�uiaingrer
King Co Assessor's Tax No.: /f 3 c '1 Y °f
Suite Number:
Fax Number:
Fax Number:
Floor:
New Tenant: D .... Yes D ..No
City .
14-
State
Day Telephone: ! ?,,s
City State Zip
E -Mail Address: Fax Number: �"v6 9 -J.3 721 r
0
noN
g 4) fo f Plumbtngand Gas Piping
GENERAL CONT;
( C ontractor Infortn o
Mailing Address:
City
Day Telephone:
Fax Number:
Contractor Registration Number: Expiration Date:
State
State
State
Zip
Mailing Address:
City
Contact Person: Day Telephone:
E-Mail Address:
Zip
Mailing Address:
City
Day Telephone:
Zip
Page 1 of 6
Valuation of Project (contractor's bid p : $ Existin4, i1ding Valuation: $ •5?-?,, cT sb
Scope of Work (please provide detailed information): /r glyt.. 4 — Ae 6u_A.e 2 124511411 � ,j� A - �
R�� ----.— k-(-& c 4 . %.%) t .440 vi►S /u' '1 - f �++ s
Q: Applications\Pom wApplieadons On Linen -2006 - Permit Applieation.doe
Revised: 9-2006
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L 94
Will there be new rack storage? D.... Yes 1=11. No If yes, a separate permit and plan submittal will be required.
cary
v6
v
4-3
/�-
A -3
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:
Will there be a change in use? ❑ Yes ❑ No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm
Handicap:
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 Safe 'Data Sheets.
SEPTIC SYSTEM
0 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
Unit 'I'P'e _
2ty .
,Unfit y e _.
=Unit Type : "
Qty , .
;Boiler /Compr`,essori '
4 tj'
Furnace<100K BTU
1
Air Handling Unit >10,000
CFM
Fire Damper
0-3 HP /100,000 BTU
Furaace>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
Hood and Duct
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 — Conun/Ind
MECHANICAL CONTRACTOR INf,,:MATION
Company Name: s?z6 hi-a:74 Afe4a jo.AA N
Mailing Address: 3( o 1 . r>~4 %M}L 4.,..t1 S;t,,l ta ..'-RA t W A c(S GBH
City State Zip
Contact Person: S ('' t_ D � VA—. Day Telephone: 4 3 L 7 3-8
E -Mail Address: S(.>ra....o. r■-tat.•■A.. ;4 k -L r . , x Number: b 9j —Z.kJ
Contractor Registration Number: /4E61-r i si Z 7 73 Z..
Valuation of Mechanical work (contractor's bid price): $ -
Scope of Work (please provide detailed information): 6"..a4 - t „ aro .
Use: Residential: New .... ❑ Replacement .153
Commercial: New .... ❑ Replacement .... ❑
Fuel Type: Electric ❑ Gas ....EP Other:
Indicate type of mechanical work being installed and the quantity below:
Q:v►pphation %Porn.- Applications On Line3-2006 - Permit Applieation.doe
Revised: 9-2006
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Expiration Date:
Page 4 of 6
Septic System:
❑ On -site Septic System — For on -site
FINANCE INFORMATION
Water Meter Refund/Billing:
Name:
Mailing Address:
LK IYII
N.* Fez° 'T5` xya
Scope of Work (please provide detailed information):
to #1: for fees and estt mate.st ee
Water District
❑ ...Tukwila
o ...Water Availability Provid
Sewer District
❑ ...Tukwila ■ .ValVue ❑ .. Renton
❑ ...Sewer Use Certificate 0.. ewer Availability Provided
Submitted with Application (mark boxes
❑ ...Civil Plans (Maximum Paper Size - 2
❑ ...Technical Information Report (Storm
❑ ...Bond ❑ .. Insurance
Proposed Activities (mark boxes that apply):
❑ ...Right -of -way Use - Nonprofit for less than 72 h • ❑ .. Right -of -way Use - Profit for less than 72 hours
❑ ...Right -of -way Use - No Disturbance ❑ .. Right -of -way Use — Potential 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
cubic yards
cubic yards
❑ ...Permanent Water Meter Size...
❑ ...Temporary Water Meter Size.. "
❑ ...Water Only Meter Size
❑ ...Sewer Main Extension Public
❑ ...Water Main Extension Public
,>
hich apply):
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
❑ ...Water ❑ ... Sewer ❑ ...Sewage Treatment
Monthly Service Billing to:
Name: Day Tel . ' hone:
Mailing Address:
Q:Wppliations\Porms- Applications On Line0-2006 - Permit Appliation.doe
Revised: 9 -2006
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x 34")
age)
Easement(s)
WO #
WO #
WO #
Private
Private
Call before you Dig: 1 =800 - 424 - 5555
0... Water District #125 ❑ .. Highline
❑ .. Abandon Sep Tank
❑ . Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
❑ .. Geotechnical Report
❑ .. Maintenance Agreement(s)
❑ .. Work in Flood Zone
❑ .. Storm Drainage
City
City
❑ ...Renton
❑ ...Seattle
tic system, provide 2 copies of a current septic design approved by King County Health Department.
❑ ...Traffic Impact Analysis
❑ ...Hold Harmless — (SAO)
❑ ...Hold Harmless — (ROW)
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
...Deduct Water Meter Size
State
Zip
Day Telephone:
State
Zip
Page 3 of 6
Date Ap lication Accepted:
Date Application Expires:
Staff Initials:
7- 7
1 0 9 ( 6 b
--
/
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.
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 may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested
in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition).
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION A1VD 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:
Signature:
Print Name: e %C
Mailing Address: v a t L)-1 • nr• Amts. I kT (4-11
Date: 1 7
Day Telephone: ..2 z ?
State Zip
City
Q:MpplicationsWomu- Applications On tine -2006 - Permit Applicadon.doc
Revised: 9 -2006
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Page 6 of 6
f ype:
:
. FtafiOO k , 3 ij.... `fir �
F,xt re,T e
E 1
r Fib iii a T ype
Bathtub or combination
bath/shower
D rinking 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
park sewer
Rain water system — per
drain (inside building)
Water heater and/or
vent
Additional medical gas
inlets/outlets — six or more
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
Contact Person:
E -Mail Address:
Contractor Registration Number:
Q: AppliationsWorms- Applications On Line\3 -2006 - Permit Application.doc
Revised: 9 -2006
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PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Addre
Valuation of Plumbing work (contractor's bid 'ce): $
Valuation of Gas Piping work (contractor's bid price): $
Scope of Work (please provide detailed information):
City State Zip
Day Telephone:
Fax Number:
Expiration Date:
Building Use (per Int'l Building Code):
Occupancy (per Intl Building Code):
Utility Purveyor: Water: Sewer:
)
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Page 5 of 6
RECEIPT NO: R07 -00689
Initials: JEM
User ID: 1165
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
Payee: REHABITAT NORTHWEST, INC.
SET ID: 042607 SET NAME: REHABITAT NORTHWEST
SET TRANSACTIONS:
Set Member Amount
D07 -145 315.88
M07 -094 146.00
TOTAL: 461.88
TRANSACTION LIST:
Type Method Description
ACCOUNT ITEM LIST:
Description
BUILDING - RES
MECHANICAL - RES
STATE BUILDING SURCHARGE
SET RECEIPT
Payment Date: 04/26/2007
Total Payment: 461.88
Amount
Payment Check 1729 461.88
TOTAL: 461.88
Account Code Current Pmts
000/322.100 311.38
000/322.100 146.00
000/386.904 4.50
TOTAL: 461.88
7579 04/27 9716 TOTAL 461.
Project:
� -/
1 /6t,
Type of Inspection: r /A//9 i
Address:
/ 3 ?? ? ?A7/
<.
el
Date Called:
Special Instructions:
.Aa6
Date Wanted:
— Z 7-4
a.m.
mm.
Requester:
`
J
Phone No:
- e/23-6
L
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT N
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431- 6
cf2lApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
Date4
00 REINSPECTION F REQU1Rb. Prior to inspection, fee must be
d at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Re - ipt No.:
Date:
License Information
License
CASTLHA055DH
Licensee Name
CASTLE HEATING & A/C INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
601610019
Ind. Ins. Account Id
88464700
Business Type
CORPORATION
Address 1
PO BOX 620
Address 2
City
SOUTH PRAIRIE
County
PIERCE
State
WA
Zip
98385
Phone
3608978626
Status
ACTIVE
Specialty 1
AIR HEAT,VENTILATION,EVAPORAT
Specialty 2
SHEET METAL
Effective Date
3/8/1995
Expiration Date
2/5 /2008
Suspend Date
Separation Date
Parent Company
Previous License
CASTLHA062C8
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
DOWNS, TERRY
01/01/1980
JOHNSON, DAVE
01/01/1980
DOWNS, DEBRA
01/01/1980
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.
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
OLD
REPUBLIC
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= CASTLHA055DH 04/26/2007