HomeMy WebLinkAboutPermit M05-084 - BROWN RESIDENCEBROWN RESIDENCE
12019 46 AV S
EXPIRED
M05 -084
Parcel No.: 3347401265
Address: 12019 46 AV S TUKW
Suite No:
City al Tukwila
Tenant:
Name: BROWN RESIDENCE
Address: 12019 46 AV S, TUKWILA WA
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206 - 431 -3665
Web site: ci.tulnvila.wa.us
Owner:
Name: HARRISON -BROWN SANDRA
Address: 12019 46TH AVE S, TUKWILA WA
Contact Person:
Name: TODD EVANS
Address: 7649 S 180, KENT, WA
Contractor:
Name: PERFORMANCE HEATING
Address: 7649 S 180 ST, KENT WA
Contractor License No: PERFOHA15ORT
DESCRIPTION OF WORK:
ADDING AIR CONDITION UNIT TO EXISTING GAS FURNACE.
Value of Mechanical: $4,000.00
Type of Fire Protection: N/A
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
doc: IMO- Permit
MECHANICAL PERMIT
* *continued on next page **
M05 -084
Permit Number:
Issue Date:
Permit Expires On:
EQUIPMENT TYPE AND QUANTITY
Phone:
Phone: 425 251 -0356
Phone: 425 251 -0356
Expiration Date: 04/29/2007
Steven M. Mullet, Mayor
Steve Lancaster, Director
M05 -084
05/31/2005
11/27/2005
Fees Collected: $167.25
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 0
Wood /Gas Stove 0
Water Heater 0
Emergency Generator 0
Other Mechanical Equipment
Printed: 05 -31 -2005
Permit Center Authorized Signature:
Signature:
Print Name:
doc: IMC- Permit
City Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: ci.tulnvila.wa.us
M05 -084
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: M05 -084
Issue Date: 05/31/2005
Permit Expires On: 11/27/2005
Date: ..�'3
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 construction or the performance of work. I am authorized to sign and obtain this mechanical permit.
Date: 5 /aS
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.
Printed: 05 -31 -2005
1
doe: Conditions
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 3347401265
Address: 12019 46 AV S TUKW
Suite No:
Tenant: BROWN RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
PERMIT CONDITIONS
Permit Number: M05 -084
Status: ISSUED
Applied Date: 05/31/2005
Issue Date: 05/31/2005
8: 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).
9: 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).
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.
* *continued on next page **
M05 -084
Printed: 05 -31 -2005
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2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the 2
Building Official.
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3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to = a
start of any construction. These documents shall be maintained and made available until final inspection approval is t— _
granted. ' z 1.-
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4: Manufacturers installation instructions shall be available on the job site at the time of inspection. W
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5: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired appliances 0 co
shall not be located in, or obtain combustion air from, any of the following rooms or spaces: Sleeping rooms, o '—
bathrooms, toilet rooms, storage closets, surgical rooms. = v
6: Equipment and appliances having an ignition source and located in hazardous locations and public garages, PRIVATE u_ O
GARAGES, repair garages, automotive motor -fuel dispensing facilities and parking garages shall be elevated such that iii Z co
the source of ignition is not less than 18 inches above the floor surface on which the equipment or appliance rests. H
H
7: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall z
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.
Signature:
doc: Conditions
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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.
Print Name: - vad i fl e: 7 r h
M05 -084
Date:
of law and ordinances
other work or local laws
/os
Printed: 05 -31 -2005
King Co Assessor's Tax No.: 3 3 CI 7 D 1-2 65'
Site Address: l t,0r / J Q ‘ /7 ve Suite Number: Floor:
Tenant Name:
Property Owners Name: Su H iN GL
Mailing Address: / D. 6 / 9
p ev ! / 4el l ro I-44P et f 1P7
Mailing Address: 7 6 'F 7 $ . /a 7'4
Contact Person: I a id) .E(,-a,--> S
E - Mail Address:
Contractor Registration Number: PEA ro -14 /S
Company Name:
CITY OFTUKWILA
Community Development partment
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
%permits plus\icc changes \permit application (7.2004)
Building Pent To.
Mechanical Permit No. /
Public Works Permit No.
Project No.
(For office use only)
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 **
tTvais
q67' ,L�•
Page I
S — (e.1 A 4. 7
City
lt
City
Day Telephone:
Fax Number:
New Tenant: ❑ .... Yes ❑ ..No
State
Name: Day Telephone:
Mailing Address:
City
E -Mail Address: Fax Number:
State
GENERAL CONTRACTOR INFO RMATION - (Mechanical Contractor information on back page)
State Zip
— 2S / —o.56
« S' -- - oa do
Expiration Date: ./? 9 /rte - 7
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of rmit issuance **
ARCHITECT OF. RECORD All. plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
City State Zip
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
Zip
4. •
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/ oolin. ,
System C
,�
Incinerator - Domestic
Emergency
Generator
Air Handling Unit
<10,000 CFM
Incinerator— Comm/Ind
Other Mechanical
Equipment
MECHANICAL PERMIT INFO"'4ATION -- 206 - 431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name: C /' 1a v 'It A in C 4 //ea 7 i P7 9'/ v"
Mailing Address: 7 6 I P S. /P > '`- 11 7
Contact Person: T o a( Pt i vh G75
E -Mail Address: Fax Number: 4.), S' ` ..S I ~ '2 2 Po
Contractor Registration Number: p iR F O /�� .4 j S t ,,2 7 Expiration Date: 9'�.Z 9/&7
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
Valuation of Project (contractor's bid price): $ 12c7 0
Scope of Work (please provide detailed information): Aid /¢, 7G ?X /5 i j 3G S vy r[ ,
Commercial:
New .... ❑ Replacement
New .... ❑ Replacement
L7
❑
City //,, State Zip
Day Telephone:
Fuel Type: Electric ❑ 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 OWNER OR AUTHORIZED AG NT: �^
Print Name: ,'Ge �U1/2
Mailing Address:
\permits plus\ice changes\permit application (7-2004)
'76 9 5, /,s747/.
Page 4
ei-7
City
Day Telephone:
Date: 5 / / / /
5 " &$ /-0994
, 3z
State Zip
I Date Application Accepted:
Date Application Expires:
Staff Initials:
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w{ i' L< Y. u�ii !.''r�.'.C3U`.:s�i,/i;�iJ:'K iv�`' ui:: i`... f LiwYi...` : t: i.. n. iit+S �n2.t,.4 i, Y{. 6ti, f::: tvFi :C.lktw.v�:.:.iva�..�a.ta,i..
TRANSACTION LIST:
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Z
RECEIPT l
Parcel No.: 3347401265 Permit Number: M05 -084 a '
Address: 12019 46 AV S TUKW Status: PENDING V
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Suite No: Applied Date: 05/31/2005 0 w:
Applicant: BROWN RESIDENCE Issue Date:
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,
Receipt No.: R05 -00801 Payment Amount: 167.25 5
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Initials: SKS Payment Date: 05/31/2005 02:36 PM w
User ID: 1165 Balance: $0.00 ! z
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Payee: PERFORMANCE HEATING & AIR CONDITIONING 3 a.
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Type Method Description Amount 1-,
Payment Check 20156 167.25 tiJ N ;
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MECHANICAL - RES
Account Code Current Pmts
000/322.100 167.25
Total: 167.25
1663 05/31 9716 TOTAL. 167.2'5
Printed: 05 -31 -2005
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10 -03 -2005
TODD EVANS
7649 S 180
KENT, WA 98032
RE: Permit No. M05 -084
12019 46 AV S TUKW
Dear Permit Holder:
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 allow the Building Official to approve a one -time extension up to 180 days.
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 11/27/2005, 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,
nnifer Marshall,
Permit Technician
xc: Permit File No. M05 -084
City of Tukwila Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
F625-052-600 (8/97)
State of Washington
County of King
Dated:
— 4 — 5
Printed Name
DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
• REGI .# :EXP
CCO1 e:PERFOHAI5ORT.04/29/2.007—
EFFECTIVE DATE 12/30/1985
PERFORMANCE HEATING & A/C INC
7649 S 180TH
KENT WA 98032
1 certify that this is a true and correct copy of a document in the
possession of Performance Heating & Air Conditioning, Inc. as of
this date.
L5k
(Signature)
My appointment expires: I -
Residing at: Bonney Lake, WA 98390