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Permit M05-043 - HAYES RESIDENCE
HAYES RESIDENCE • 4216 S 116 ST EXPIRED M05-043 • Parcel No.: 3347400025 Address: 4216 S 116 ST TUKW Suite No: Value of Mechanical: $3,942.00 Type of Fire Protection: NONE City oi Tukwila Tenant: Name: HAYES RESIDENCE Address: 4216 S 116 ST, TUKWILA WA Owner: Name: WGW CONSTRUCTION Address: 329 NW 2 PL, RENTON WA Contact Person: Name: BILL THURMAN Address: PO BOX 5377, SPANAWAY WA Contractor: Name: THURMAN'S HEATING AND AIR LLC Address: PO BOX 5377, SPANAWAY WA Contractor License No: THURMHA998BU DESCRIPTION OF WORK: INSTALL 1 AIR CONDITIONER TO EXISTING UNIT. Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: ci.tukwila.wa.us Furnace: <100K BTU 0 >100K BTU 0 Floor Furnace 0 Suspended /Wall /Floor Mounted Heater 0 Appliance Vent 0 Repair or Addition to Heat/Refrig /Cooling System.... 1 Air Handling Unit <10,000 CFM 0 >10,000 CFM 0 Evaporator Cooler 0 Ventilation Fan connected to single duct 0 Ventilation System 0 Hood and Duct 0 Incinerator: Domestic 0 Commercial /Industrial 0 doe: IMC- Permit MECHANICAL PERMIT EQUIPMENT TYPE AND QUANTITY * *continued on next page ** M05 -043 Permit Number: Issue Date: Permit Expires On: Phone: Phone: 253- 875 -0094 Phone: 253 -875 -0094 Expiration Date: 02 /03/2006 Steven M. Mullet, Mayor Steve Lancaster, Director M05 -043 03/28/2005 09/24/2005 Fees Collected: $167.25 International Mechanical Code Edition: 2003 Boiler Compressor: 0 -3 HP /100,000 BTU 1 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 0 Wood /Gas Stove 0 Water Heater 0 Emergency Generator 0 Other Mechanical Equipment Printed: 03 -28 -2005 Permit Center Authorized Signature: City G Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: ci.tukwila.wa.us Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: M05 -043 z Issue Date: 03/28/2005 W re 2 Permit Expires On: 09/24/2005 UO tnp; co W tl WO 2 Date: L f2.17 ga 5 u.a d Z al z I- O z � uj U ,O - H W ' U U O I hereby certify that I have read and examined this permit and know the same to be true and correct. 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 provisions of any other state or local laws regulating const tion or the performance of work. I am authorized to sign and obtain this mechanical permit. Signature: Date: - e--?9.--6 Print Name: (q.1: I (t`G (r P ! y V�•�t�•J 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 suspended or abandoned for a period of 180 days from the last inspection. doc: IMC- Permit M05 -043 Printed: 03 -28 -2005 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 3347400025 Address: 4216 S 116 ST TUKW Suite No: Tenant: HAYES RESIDENCE 1: ** *BUILDING DEPARTMENT CONDITIONS * ** PERMIT CONDITIONS Permit Number: M05 -043 Status: ISSUED Applied Date: 03/28/2005 Issue Date: 03/28/2005 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: 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. 5: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Department of Public Health - Seattle and King County (206/296- 4932). 6: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department of Labor and Industries (206/248- 6630). 7: 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: Conditions * *continued on next page ** M05 -043 Printed: 03 -28 -2005 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 3347400025 Address: 4216 S 116 ST TUKW Suite No: Tenant: HAYES RESIDENCE 1: ** *BUILDING DEPARTMENT CONDITIONS * ** PERMIT CONDITIONS Permit Number: M05 -043 Status: ISSUED Applied Date: 03/28/2005 Issue Date: 03/28/2005 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: 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 Tess than 18 inches above the floor surface on which the equipment or appliance rests. 5: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Department of Public Health - Seattle and King County (206/296- 4932). 6: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department of Labor and Industries (206/248- 6630). 7: 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: Conditions * *continued on next page ** M05 -043 Printed: 03 -28 -2005 I t • I hereby certify that I have read these conditions and will comply with them as outlined. All provisions 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 regulating construction or the performance of work. doc: Conditions City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 M05 -043 of law and ordinances other work or local laws Date: ° C—C - 5 Printed: 03 -28 -2005 CITY OF TUKWILA -) Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 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: L 4 . ) (c3 S. 0 6 -t om Sr Tenant Name: T QPItJu µ Property Owners Name: l .QA ,�(}Q Mailing Address: " � — I a l b I)b a'` 5 7 City Name: . 1 `Tkurrh Mailing Address: E -Mail Address: Company Name: n Mailing Address:' k Q- 1 C s3 7 Contact Person: \permits plus\icc changes \permit application (7.2004) `5 I + Page I Building Permit No. Mechanical Permit No M 05 Public Works Permit No Project No. (For office use only) King Co Assessor's Tax No.: 4 - 140 —' 5 Suite Number: New Tenant: Day Telephone: Floor: ❑ .... Yes ❑ ..No State Zip - ooq C1 3 • City Fax Number: City State Zip GENERAL CONTRACTOR INFORMATION - ( Mechanical Contractor information on back page) State Zip Day Telephone: .5� ? 7 S a 9 E -Mail Address: + l_ n Q Fax Number: 0-c `.3 ( , r Contractor Registration Number: 1 ik U C IN I P 9 CI 0.B a Expiration Date: Ca- /U 3 0 6 * *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance ** ARCIEUTCT OF RECORD -- . All .plains must be wet stamped by Architect of Record Company Name: Mailing Address: City State Contact Person: Day Telephone: E -Mail Address: Fax Number: ENGINEER OF RECORD All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip Zip Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Furnace <100K BTU 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 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 Water Heater 50+ HP /1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System i t Incinerator - Domestic Emergency Generator Air Handling Unit <10,000 CFM Incinerator — Comm/Ind Other Mechanical Equipment MECHANICAL PERMIT INFORMATION - 206 -431 -3670 MECHANICAL CONTRACTOR INFORMATION Company Name: n Mailing Address: ( ( 5 3 �7 u l )UO, l p, g3 %7 City State Zip Contact Person: 1 1 , Day Telephone: '3 — IN7s " ()09 9 E -Mail Address: Fax Number: 4 D -5 3 •6 ^ R a $- Contractor Registration Number: f !a r w 14,N q 9' 6 (A Expiration Date: ©' / 03 / D CD * *An original or notarized copy o current Washington tate Contractor License must be presented at the time of permit issuance ** Valuation of Project (contractor's bid price): $ : • On Scope of Work (please provide detailed information): Q , rtdaT Use: Residential: New .... ig. Replacement ❑ Commercial: New .... ❑ Replacement ❑ Fuel Type: Electric cgi Gas ....0 Other: Indicate type of mechanical work being installed and the quantity below: PERMIT APPLICATION NOTES — Applicable to all permits in this application 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. The Building Official may extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once. I HEREBY CERTIFY THAT 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. BUILDING OWNE�HORIZE G T: Signature: Print Name: e..(/)//10 ;,Yt • f 710 1r Mailing Address: -P O G-6-6 S 7 7 \permits plus \ice changeslpermit application (7.2004) Page 4 Day Telephone: Date: 3 af - 0 s 253 0694f State Zip Date Application Accepted: 3- 26 --o5" Date Application Expires: 9 —ZP v� Staff Initials: i ACCOUNT ITEM LIST: Description doc: Receipt City of Tukwila ti . '6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Payee: BILL THURMAN MECHANICAL - RES RECEIPT Parcel No.: 3347400025 Permit Number: M05 -043 Address: 4216 S 116 ST TUKW Status: APPROVED Suite No: Applied Date: 03/28/2005 Applicant: HAYES RESIDENCE Issue Date: Receipt No.: R05 -00429 Payment Amount: 167.25 Initials: BLH Payment Date: 03/28/2005 12:56 PM User ID: ADMIN Balance: $0.00 TRANSACTION LIST: Type Method Description Amount Payment Cash 167.25 Account Code Current Pmts 000/322.100 167.25 Total: 167.25 1475 03/28 9710 TOTAL 167.25 Printed: 03 -28 -2005 Model Number Nominal Height Width Depth Tonnage (In.) (In.) (In.) 2A7A1018A1000A 1.5 26 20 19 2A7A1024A1000A 2.0 26 20 19 2A7A1030A1000A 2.5 26 29 26 2A7A1036A1000A 3.0 26 29 26 2A7A1042A1000A 3.5 29 29 26 2A7A1048A1000A 4.0 29 29 26 2A7A0160A1000A 5.0 37 33 30 2A7A0060A1000A 5.0 33 33 30 Model Number Nominal Height Width Depth Tonnage (In.) (In.) (In.) 4A7A2018A1000A 1.5 33 33 30 4A7A2024A1000A 2.0 33 33 30 4A7A2030A1000A 2.5 33 33 30 4A7A2036A1000A 3.0 33 33 30 4A7A2042A1000A 3.5 37 33 30 4A7A2048A1000A 4.0 41 33 30 4A7A2060A1000A 5.0 33 37 34 Model Number Nominal Height Width Depth Tonnage (In.) (In.) (In.) 4A7A4018A1000A 1.5 33 33 30 4A7A4024A1000A 2.0 33 33 30 4A7A4030A1000A 2.5 33 33 30 4A7A4036A1000A 3.0 37 33 30 4A7A4042A1000A 3.5 37 37 34 4A7A4048A1000A 4.0 41 37 34 4A7A4060A1000A 5.0 41 37 34 Model Number Nominal Height Width Depth Tonnage (In.) (In.) (In.) 2A7A2018A1000A 1.5 26 29 26 2A7A2024A1000A 2.0 29 29 26 2A7A2030A1000A 2.5 29 29 26 2A7A2036A1000A 3.0 33 29 26 2A7A2042A1000A 3.5 33 33 30 2A7A2048A1000A 4.0 37 33 30 2A7A2060A1000A 5.0 37 33 30 Model Number Nominal Height Width Depth Tonnage (In.) (In.) (In.) 2A7A4018A1000A 1.5 33 33 30 2A7A4024A1000A 2.0 33 33 30 2A7A4030A1000A 2.5 33 33 30 2A7A4036A1000A 3.0 37 33 30 2A7A4042A1000A 3.5 37 37 34 2A7A4048A1000A 4.0 41 37 34 2A7A4060A1000A 5.0 41 37 34 Model Nominal Height Width Depth Number Tonnage (In.) (In.) (In.) 2A7A8030A1000AA 2.5 41 37 34 2A7A8036A1000AA 3.0 41 37 34 2A7A8048A1000AA 4.0 41 37 34 2A7A8060A1000AA 5.0 41 37 34 • A Proud Heritage. Allegiance® 11 Air Conditioners (R -22) Allegiance® 12 Air Conditioners (R -22) Allegiance® 12 Air Conditioners (R -410A) Certified by the Air Conditioning and Refrigeration Institute Standard 210. Rated in accordance with A.R.I. Standard 270. www.americanstandardair.com Listed by Underwriters Laboratory. Allegiance® 14 Air Conditioners (R -22) Allegiance® 14 Air Conditioners (R -410A) Allegiance® 18 Air Conditioners (R -22A) Money fern All You're Saving The product meals Energy Star requrements when epprgnle cab are used. 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No. 10- 1112 -04 02003 American Standard Inc. B. 5/03 AI1egiance 11, 12, 14 & 18 Air Conditioners 08 -03 -2005 BILL THURMAN PO BOX 5377 SPANAWAY WA 98387 RE: Permit No. MO5 -O43 . 4216 S 116 ST TUKW Dear Permit Holder: City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code and /or the International Mechanical Code, every permit issued by the Building Division under the provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced. within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or . abandoned at any time after the work is commenced for a period of 180 days. Based on the above, you are hereby advised to: Call the City of Tukwila Permit Center at 206 -431 -3670 to arrange for the next or final inspection. This inspection is intended to determine if substantial.work has been accomplished since issuance of the permit.or last inspection; or if the project should be considered abandoned. If such determination is made; the Building Code does allowthe:Building Official to approve a one - time extension up.to:180 days.: I Extension requests must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from being taken. In the event you do not call for the above inspection and receive an extension prior to 09/24/2005, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Brenda Holt, Permit Coordinator der xc: Permit File No. M05 -043 Bob Benedicto, Building Official 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 z w !. J 0 0 O '• N 0 W = J CO W W O, g J: LL a: W h. z O ' O' 0 O N 0 I— W uJ . H r– LL • W Z . O z License THURMHA998BU Licensee Name THURMAN'S HEATING Et AIR LLC Licensee Type CONSTRUCTION CONTRACTOR UBI 602073211 Verify Workers Comp Premium Status Ind. Ins. Account Id 92265301 . Business Type LIMITED LIABILITY COMPANY . Address 1 PO BOX 5377 Address 2 City SPANAWAY County PIERCE State WA Zip 98387 Phone 2538750094 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 1/31/2001 Expiration Date 2/3/2006 Suspend Date Separation Date Parent Company Previous License THURMHA008CH Next License Associated License Look Up a Contractor, Electric-4n or Plumber License Detail • ViasItinglcin.Statc.Dcpartniciit of Labor Industriet': Search General/Specialty Contractor I A business registered as a construction contractor with Lai to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment lof account and carry general liability insurance. I License Information I Business Owner Information Topic Index I Contact Info Find a Law or Rule , Get a Form or Publication https://fortress.wa.gov/lni/bbip/Detail.aspx?License=THURMHA998BU Page 1 of 3 Home it Safety ti Claims Et Insurance ; Workplace Rights Trades a Licensing ;,.. Look Up a Contractor, Electrician or Plumber 03/28/2005 Aszeram=======g111112 1.