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Home My WebLink AboutPermit M05-117 - VICK RESIDENCEVICK RESIDENCE 3432 S 141 ST M05 -117 1 Parcel No.: 9412600040 Address: 3432 S 141 ST TUKW Suite No: City a: Tukwila Tenant: Name: VICK RESIDENCE Address: 3432 S 141 ST, TUKWILA WA Owner: Name: VICK ROBERT D +LYNN M Address: 3432 S 141ST ST, SEATTLE WA Contact Person: Name: CANDACE GALLAGHER Address: 2800 THORNDYKE, SEATTLE WA Contractor: Name: WASHINGTON ENERGY SERVICES CO Address: 2800 THORNDYKE AVE W, SEATTLE, WA Contractor License No: WASHIES9710B DESCRIPTION OF WORK: GAS TO GAS WATER HEATER CHANGE OUT. Value of Mechanical: $750.00 Type of Fire Protection: NONE 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.... 0 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: IMC- Permit 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 MECHANICAL PERMIT Permit Number: Issue Date: Permit Expires On: Fees Collected: $127.34 International Mechanical Code Edition: 2003 EQUIPMENT TYPE AND QUANTITY * *continued on next page ** Phone: Phone: 206 - 282 -4700 Phone: 206 282 -4200 Expiration Date :09 /02/2005 Steven M. Mullet, Mayor Steve Lancaster, Director M05 -117 08/09/2005 02/05/2006 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 1 Emergency Generator 0 Other Mechanical Equipment M05 -117 Printed: 08 -09 -2005 Permit Center Authorized Signature: 41/44 Print Name: doc: IMC- Permit City o: Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: ci.tuk wila.wa.us C L vi o /I Q U (J M05 -117 Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: M05 -117 Issue Date: 08/09/2005 Permit Expires On: 02/05/2006 Date: 0-4.-e 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 th performance of work. I am authorized to sign and obtain this mechanical ermit. Signature: 4 / � V'i !/ I Oi/1/1 Date: q/0 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: 08 -09 -2005 �U. U0 0 u. vO w W 0 to d ; !— 0 U ;0 to 0 I— w W : f — : 0 .. Z ; 0~ Z . City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 9412600040 Address: 3432 S 141 ST TUKW Suite No: Tenant: VICK RESIDENCE 1: ** *BUILDING DEPARTMENT CONDITIONS * ** PERMIT CONDITIONS Permit Number: M05 -117 Status: ISSUED Applied Date: 08/09/2005 Issue Date: 08/09/2005 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: All construction shall be done in conformance with the approved plans and the requirements of the International Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code. 5: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the International Building Code and the Washington State Ventilation and Indoor Air Quality Code. 6: 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. 7: 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. 8: 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. 9: 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). 10: 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). 11: 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 -117 Printed: 08 -09 -2005 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 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. Signature: Print Name: doc: Conditions kAdq, UyL� L- frl oil TWcrui M05 -117 Date: di S Printed: 08 -09 -2005 CITY OF TUKWILA :'1 Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Building Permit �vo. Mechanical Permit No. MoS /17 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 ** SITE LOCATION Site Address: Tenant Name: .Set/14—A-- Property Owners Name: RCS 3 Z- s / W if Mailing Address: CONTACT PERSON Name: a/¢ Mailing Address: Company Name: Mailing Address: \permits plus\icc changes\permit application (7.2004) D d o 2639' 1 -J E -Mail Address: GENERAL CONTRACTOR INFORMATION - (Mechanical Contractor information on back page) Company Name: Mailing Address: Contact Person: E -Mail Address: Contact Person: E -Mail Address: Page 1 King Co Assessor's Tax No.: 7 %l <060Or iv Suite Number: Floor: New Tenant: ❑ .... Yes ❑ ..No City State Day Telephone: J7 70 3 42 City State Fax Number: State Zip Zip Zip City Day Telephone: Fax Number: Contractor Registration Number: Expiration Date: * *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance ** ARCHITECT OF RECORD All plans must . be wet stamped by Architect of Record Company Name: Mailing Address: State State Zip City Contact Person: Day Telephone: E -Mail Address: Fax Number: ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Zip City Day Telephone: Fax Number: BUILDING PERMIT INFORMA LION - 206- 431 -3670 Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ Scope of Work (please provide detailed information): Will there be new rack storage? ❑ .. Yes ❑ .. No If "yes ", see Handout No. for requirements. Provide MI Building Areas in Square Footage Below 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 for 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 El _Automatic Fire Alarm ❑ ..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 indicating quantities and Material Safety Data Sheets. \permits plus\icc changeslpennit application (7-2004) Page 2 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1" Floor 2 Floor 3` Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck BUILDING PERMIT INFORMA LION - 206- 431 -3670 Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ Scope of Work (please provide detailed information): Will there be new rack storage? ❑ .. Yes ❑ .. No If "yes ", see Handout No. for requirements. Provide MI Building Areas in Square Footage Below 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 for 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 El _Automatic Fire Alarm ❑ ..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 indicating quantities and Material Safety Data Sheets. \permits plus\icc changeslpennit application (7-2004) Page 2 7. PUBLIC WORKS PERMIT INFOATION - 206 - 433 -0179 Scope of Work (please provide detailed information): Water District ❑ ...Tukwila Cl... Water District #125 ❑ ...Water Availability Provided 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 ❑ ...Total Cut cubic yards ❑...Total Fill cubic yards ❑...Sanitary Side Sewer ❑...Cap or Remove Utilities ❑ ...Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑...Permanent Water Meter Size... ❑ ...Temporary Water Meter Size .. ❑ ...Water Only Meter Size ❑ ...Sewer Main Extension Public ❑ ...Water Main Extension Public _ %pmnits plusticc changestpermit application (7.2004) „ „ Call before you Dig: 1- 800 - 424 -5555 Please refer to Public Works Bulletin #1 for fees and estimate sheet. ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line „ If WO# WO# WO# Private Private ❑ .. Highline Sewer District ❑...Tukwila ❑ ... Va1Vue ❑ .. Renton ❑ ...Seattle ❑ ...Sewer Use Certificate 0... Sewer Availability Provided ❑ .. Approved Septic Plans Provided ❑ ...Septic System - For onsite septic system, provide 2 copies of a current septic design approval 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) ❑ .. Geotechnical Report ❑...Traffic Impact Analysis ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) ❑...Hold Harmless ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage FINANCE INFORMATION Fire Line Size at Property Line ❑...Water ❑...Sewer Monthly Service Billing to: Name: Mailing Address: Water Meter Refund /Billing: Name: Mailing Address: Number of Public Fire Hydrant(s) ❑ ...Sewage Treatment Day Telephone: City State Zip Day Telephone: City State Zip Page 3 ❑ ...Renton ❑ ...Deduct Water Meter Size ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding 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 Fumace>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 Incinerator - Domestic Emergency Generator Air Handling Unit <10,000 CFM Incinerator— Comm/Ind Other Mechanical Equipment MECHANICAL PERMIT INF(,.SIATION — 206 -431 -3670 MECHANICAL CONTRACTOR INFORMATI Company Name: Wcoli 1 ` _ _ I ca/ Mailing Address: � 0 OYYte -1 IC- O, _ &j`t- Wi J77 /�,� eJ City State Zip C' Contact Person: - eel /C.2- Q_iT Day Telephone: 2 -C`.X2 Z 6 2 Y E -Mail Address: Fax Number: � Contractor Registration Number:W/915H (S q S ) (Og Expiration Date: v„, j * *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance ** ng Valuation of Project (contractor's bid price): $ ! I Scope of Work (please provide detailed information): e7,4 -f 7 G.t 1 --7421 G= , elle?' !,S e Use: Residential: New .... Replacement Commercial: New .... ❑ Replacement Fuel Type: Electric ❑ Gas ....D 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 OWN OR AUT I ZED GENT: Signature: !�L Print Name: Li 4. al- Th21 KLGd-- Day Telephone: Zsr 77e 3 C Mailing Address: PO 7 ' c ' 3 ci 1-L -- LC/ i.c.J City Date Application Accepted: 8 — - -v,s' Date Application Expires: S Inttials: i \permits ptusUcc changes \permit application (7.2004) Page 4 Date: �q/ .6 State Zip City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 9412600040 Permit Number: MO5-117 Address: 3432 S 141 ST TUKW Status: APPROVED Suite No: Applied Date: 08/09/2005 Applicant: VICK RESIDENCE Issue Date: Receipt No.: R05 -01175 Payee: WASHINGTON ENERGY SERVICES doc: Receipt Payment Amount: 127.34 Initials: BLH Payment Date: 08/09/2005 12:43 PM User ID: ADMIN Balance: $0.00 TRANSACTION LIST: Type Method Description Amount Payment Check 4959 127.34 ACCOUNT ITEM LIST: Description MECHANICAL - RES Account Code Current Pmts 000/322.100 127.34 Total: 127.34 5960 08/09 9716 TOTAL 207.04 Printed: 08 -09 -2005 Pr a t/-(t Type of Insp o n: Add e t 5 1 Li Date Called: 65 Sp dial Instructions: Date Wanted/ V/05 nZ. . p.m. Regret:74;a + d r , I )X (.1 , 3 — (-,e. CO COMMENTS: Ins Re II1' No.: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Sou>hcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. Dat 'Date: .00 REINSPECTION FEE RE + UIRED. Prior o inspection, fee must be at 6300 Southcenter Blvd. Suite 100. all to sechedule reinspection. P ojeEt AL• OALIA Typ .f Inspection: ‘ , a iii A ...ress: i 132 Date Cal ed: f Ay a) PG Specia Instructions: Date Wanted: 0 , (809 .1n1- ..! g P.m. R e. ester: r 6r Ph. n 2ilte) Retain a copy with permit f1ip9 it RMIT se CITY OF TUKWILA BUILDING DIVISION PE INSPECTION NO. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670 ) proved per applicable codes. COMMENTS: INSPECTION RECORD A/14,A.J} /14 REINSPECT! N FEE R UIRED. t 6300 Southcenter Blvd., ulte 1 Corrections required prior to approval. l/ Date' / ff P r to Inspection, f must be „Call to sechedule reinspection. 'Date: File: M05 -0117 35mm drawing License Information License WASHIES97IOB Licensee Name WASHINGTON ENERGY SERVICES CO Licensee Type CONSTRUCTION CONTRACTOR UBI 602320560 Ind. Ins. Account Id SECRETARY Business Type CORPORATION Address 1 2800 THORNDYKE AVE W Address 2 City SEATTLE County KING State WA Zip 98199 Phone 2062824700 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 9/2/2003 Expiration Date 9/2/2007 Suspend Date Separation Date Parent Company Previous License Next License Associated License Business Owner Information Name Role Effective Date Expiration Date OLSON, CRAIG PRESIDENT 09/02/2003 HEAGLE, RANDY SECRETARY 09/02/2003 CHRISTIANSON, STEVE TREASURER 09/02/2003 OLSON, VERN VICE PRESIDENT 09/02/2003 Look Up a Contractor, Electrici tt or Plumber License Detail -, Page 1 of 2 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 I Bond I https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= WASHIES97I OB 08/09/2005 F625- 052.000 (8/97) DEPARTMENT OF LABOR AND INDUSTRIES REGISTERED AS PROVIDED BY LAW AS CONST • CONS' GENERAL , f . .. •t . CON A' 4 ' ' ti l + i > rv •.?r H. h, 4 n,. i w r'i'?C G` ; GIS 4jt; E D 4 ;. S9.71O$3A '9•� 0;2'/:2 HIE 05; EFFECTIVE` DAT ' "' " "� ` WASHINGTON- " ENERGY , SERVICES 'CO 2800•THORNDYKE AVE W SEATTLE WA 98199 State of Washington County of Snohomish I certify that this is a true and correct copy of said document as of this date Date: 9 M /DS Title My Appointment Expires on ADZ92C.23 EVD Detach And Display Certificate File: M05 -0117 35mm Drawing #1 r BY FILE COPY Permit Nos �06 4. City of Ttikw la . • BUILDING DIVISION • • SEPARATE PERMIT REQUIRED FOR: 0 Mechanical Electrical [!' Plumbing gi Gas Pip'ng City Of Tukwi:a BUILDING DIVISION • i - I - Plan review approval is subject to errors an. ; , " .. Approval of construction documents does not 4 d • � the violation of any adopted code or ordinance. • .. ,, of approved Field Copes conditions is a = c .' - • i • • • t , .. • : ; • i . - - - •1 •• - - t 1 • • RE •b• SION Pin Mgt • _- ..5. • • • • • 1 1 t • • • • • • • • • r �f angeg sha be ntade to the scope ear rec. tl tuith1 ut prior approval of � l�aar6la ' uiiding Division. NOTE: Revisions will require a new plan submittal and may indude additional plan review fees. • • onswoolasto . • New • 2 • • • • • • • • 5 • • . : i . ; ... • • 1i1l 1111 1 , 1 ,� iii ill ! I I 111 il iii IIi -IIi iii_i il1 i1i �j � - i 1I1 ill iii ji iii 5 I iii iii iii iiI Inch 1/16 1 � 2I . I I ( 3 I i ._._ I I I I I I. 4I I r i1 0 u t n ...... ._.z_ +...a.s. • %hdQe7 . R432. t4: /ivy*? : • 98/6$ • • 1 . • 1 - a. 1 • • i . • . i Z • : • . ; 2 • :i - • • i . _... �_ to • . : . . m 0 REVIEWED FOR CODE COMPLIANCE Aprozpromn AUG - 9 2005 City Of Tukwila BUIL,DING DIVISION iFtEctiveri OFrrnw,L AUG - 9 2005 PERMIT CENT Mop -/r7