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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 bh 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 bh 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 bh 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 bh 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 bh 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 bh 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