HomeMy WebLinkAboutPermit M05-123 - QUACH RESIDENCEQUACH RESIDENCE
12255 46 AV S
M05-123
Parcel No.: 0179000805
Address: 12255 46 AV S TUKW
Suite No:
City (o Tukwila
Tenant:
Name: QUACH RESIDENCE
Address: 12255 46 AV S, TUKWILA WA
Owner:
Name: ARBEN MARKU
Address: 12253 46 AV S, TUKWILA WA
Contact Person:
Name: CLAYTON BROWN
Address: 1260 S 140 ST, BURIEN WA
Contractor:
Name: A -1 PLUMBING, HEATING, AC INC
Address: 1260 S 140TH ST, BURIEN, WA
Contractor License No: A1PLUPH967NW
Value of Mechanical: $5,300.00
Type of Fire Protection: NONE
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 1
>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: IMC- Permit
MECHANICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
DESCRIPTION OF WORK:
INSTALL 15 WARM AIR AND 2 COLD AIR AND ALL RELATED DUCT WORK FOR NEW SINGLE
FAMILY RESIDENCE.
EQUIPMENT TYPE AND QUANTITY
* *continued on next page **
M05 -123
Phone:
Phone: 206 - 277 -9749
Phone: (206)277 -9749
Expiration Date:08 /16/2006
Steven M. Mullet, Mayor
Steve Lancaster, Director
M05 -123
09/01/2005
02/28/2006
Fees Collected: $223.48
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 0
Printed: 09 -01 -2005
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Permit Center Authorized Signature:
Signature:
Print Name:
doc: IMC- Permit
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
•
ai,4LtiTb ig gO e 2 ,J
M05 -123
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: M05 -123
Issue Date: 09/01/2005
Permit Expires On: 02/28/2006
Date: ' � l /
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 t is permit does not presume to give authority to violate or cancel the provisions of any other state or local laws
regulating co : ri ction • the performanc-` f work. I am authorized to sign and obtain this mechanical permit.
Date:
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: 09 -01 -2005
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Parcel No.: 0179000805
Address: 12255 46 AV S TUKW
Suite No:
Tenant: QUACH RESIDENCE
Th
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
1: ** *BUILDING DEPARTMENT CONDITIONS * **
PERMIT CONDITIONS
Permit Number: M05 -123
Status: ISSUED
Applied Date: 08/15/2005
Issue Date: 09/01/2005
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: Insulating materials, where exposed as installed in buildings of any type of construction, shall have a flame spread
index of not more than 25 and a smoke development index of not more than 450. Where facings are installed in concealed
spaces in buildings of Type III, IV, or V construction, the flame spread and smoke - developed limitations do not apply
to facings, that are installed behind and in substantial contact with the unexposed surface of the ceiling, wall or
floor finish.
5: 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.
6: Manufacturers installation instructions shall be available on the job site at the time of inspection.
7: 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.
8: 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.
9: 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.
10: 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.
11: 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).
12: 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).
13: 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
doc: Conditions
M05 -123 Printed: 09 -01 -2005
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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 -123 Printed: 09 -01 -2005
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 -123
of law and ordinances
other work or local laws
Date: 9
Printed: 09 -01 -2005
;1:•
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Site Address:
CITY OF TUKWILA
Community Development Di Th tment
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
i as cc' 46 71t //ve .5
Tenant Name: (V ✓t)
Property Owners Name: 4 UQ A J ( t;.t
Mailing Address: 1 'al, s ci 47-14 4 U ta 5
Name: �� TcJ L _ ACS i l,�C.J
Mailing Address: a eo G S / ' a rci.
Company Name: /4--1 Pe 0,44 e;_,u
Mailing Address:
%pcnnits plusUce chanyatpermit application (7.2004)
Building Permit
Mechanical Permit No.
Public Works Permit No.
Project No. 42MEL. F DI
1
(For office use only)
05 -12
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 **
/ ran S 14/0
Page 1
King Co Assessor's Tax No.: 0/ ' 6)
Suite Number: Floor:
New Tenant: K... Yes ❑ ..No
City
State
Zip
' CONTAC:T. PERSON
Day Telephone: (26 a 77-- 97
I 00; tAL✓ (ket 9 F
City State Zip
E -Mail Address: Fax Number:
GENERAL CONTRACTOR INFORMATION - (Mechanical Contractorr information on back page)
4> C),t
City 1 Slate
Contact Person: Day Telephone:
E -Mail Address: 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,R A11 plans must:be.wet stamped :by :Architect of.Record.
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
ENGINEER OF,RECORD - All plans. must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
Stale
Zip
Zip
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Unit Type:
Qty'
Unit Type:
Qty .
Unit Type:
Qty
Boiler /Compressor:
0 -3 HP /100,000 BTU
Qty
Furnace <100K BTU
Air Handling Unit >10,000
CFM
Fire Damper
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
Incinerator - Domestic
Emergency
Generator
Air Handling Unit
<10,000 CFM
Incinerator — Command
Other Mechanical
Equipment
q4A1 MECHANICAL PERMIT INFO ^ IATION — 206 - 431 -3670 r""1
MECHANICAL CONTRACTOR INFORMATION
Company Name: J¢ —/ fL .i .8i i .v c, Mtccr A./t /4�
Mailing Address: /9616 r i /� .1 r s }� 1 r'' C. al (6
City State Zip
Contact Person: C1,4 ti is l ei, t) Day Telephone: roc 77-- (�ice?
E -Mail Address: Fax Number:
Contractor Registration Number: 4/ pi c),0 I- q 6 l �y Al tv Expiration Date: / 6 8
* *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): $ 6-30 /
Scope of Work (please provide detailed information): .1/V rCf ( < / S^ Lt,l''r 2C l � -..
0,,„,),( ,. ig /s 4<( ,J10te-i10C(0007 /C
Use: Residential: New ..../'l Replacement ❑
Commercial: New .... ❑ Replacement ❑
Fuel Type: Electric ❑ Gas ...JD 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 • OR l UTHORIZE s A • : T:
Signature: I.. , L�
//�� �� / J t, C J�
Print Name: L�l. g
[ T ),ILI 2-- oo (-1- Day Telephone: a�� 277— r`? T
Mailing Address: S /4 / c � / �C 5 !.) ) e, i°'.cJ w C- /6?
City ate Zip
Date Application Accepted:
\permits ptus\kc changes\permit application (7.2004)
Date Application Expires:
Page 4
Date: "
Initials:
1
'.i.:.: ;:.N,Avcn 'i434 t.'.>':`. s. 4.. axt:. utti��ef: �E.;` iu:. n.::. Lrm: n: i:+ a' tJ:: bt• s. 1�7. i,: d�+;.." _fS.+'<'�:F.s..::+�.— :.'u.t,... ,..... w..: d.: t;.. t, v... ..w- .,..>....:,... «.L— .....,...
Payee: JUAN T NGO
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.: 0179000805 Permit Number: M05 -123
Address: 12255 46 AV S TUKW Status: APPROVED
Suite No: Applied Date: 08/15/2005
Applicant: QUACH RESIDENCE Issue Date:
Receipt No.: R05 -01299 Payment Amount: 184.78
Initials: LAW Payment Date: 09/01/2005 01:41 PM
User ID: 1630 Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 2250
MECHANICAL - RES
184.78
Account Code Current Pmts
000/322.100 184.78
Total: 184.78
6732 09/02 9710 TOTAL. 184.78
Printed: 09 -01 -2005
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Permit Number: M05 -123 o.
Status: PENDING N 0.
Applied Date: 08/15/2005 w W!
Issue Date: —I ,
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Receipt No.: R05 -01203 Payment Amount: 38.70 u. a
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Initials: BLH Payment Date: 08/15/2005 08:52 AM ! W
User ID: ADMIN Balance: $184.78 i t z
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Payee: JUAN NGO AND JULIE QUACH c.) 0
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38.70 ; W N'
Parcel No.: 0179000805
Address: 12255 46 AV S TUKW
Suite No:
Applicant: QUACH RESIDENCE
TRANSACTION LIST:
Type Method Description
Payment Check 2242
ACCOUNT ITEM LIST:
Description
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PLAN CHECK - RES
RECEIPT
Account Code Current Pmts
000/345.830
Amount
38.70
Total: 38.70
6162 08/16 9716 TOTAL 38.70
doc: Receipt Printed: 08 -15 -2005
Proja ` - i /
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Type of Inspectio r •
ss:
cc.— ` re v,�..
D ate Called:
Ia(a
Special Instructions:
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Date Wanted: a,jn
Reque ster: 1,c,/;.,
P hone No
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spect
1 Recei ' pt No.:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
P r n 4 ( ] ( 4 _
? It -- c0 Fi ivv4 L
Date:
An/"09 I iv■ic. 1 2 )2-tf3
$5 .00 REINSPECTION F REQUIRED. Prior /o inspection, fee must be
p9d at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
•
'Date:
(206)431 -3670
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Date Ca. 94
Special Instructions:
Date Wanted:
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Requester:
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Phone , _ 027.71
' -•!!:•• _ •
INSPECTION N
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 981 88 .
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
41 05 - 3
PER
206)431 -3670
El Corrections required prior to approval.
COMMENTS:
e'is 0c0 • (
---/
8.00 REINSPECTION EE REQUIRED. Prior o inspection, fee must be
aid at 6300 Southcent Blvd., Suite 100. all to sechedule reinspection.
'Receipt No.:
'Date:
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Type of Inption:
.. in
Ad1rns: 55 14(.)
Date Called:
Special Instructions:
Date Wanted:
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Requester: r t i
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El Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISIO
6300 Southcenter Blvd., #100, Tukwila, WA 98188
IT2
Corrections required prior to approval.
$58. EINSPECTIO FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
( 06)431-3670
COMMENTS:
( I A ez294,-,
r eceipt No.:
Date:
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Phpne No:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISIO
6300 Soutlygnter Blvd. , #100, Tukwila, WA 98188
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
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(216)431-3670
Corrections required prior to approval.
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$58.00 REINSPECTION E REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcent Blvd., Suite 100. Call to sechedule reinspection.
'Receipt No.:
'Date:
COMMENTS:
Type of Insp ction:
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INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
El Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
rno 1c3
(206)431 -3670
Corrections required prior to approval.
'Inspector:
1 62,.__t IDate os- --
ri $58.00 kEINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
'Receipt No.:
'Date:
Project Name:
Site Address: • / 2 2 cc q 6
.
2.
3.
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
FILE COPY
Permit Center /Building Division:
206- 431 -3670
Public Works Department:
206 - 433 -0179
Planning Division:
206- 431 -3670
RESIDENTIAL HEATING AND VENTILATION COMPLIANCE FORM
(Complete Sections I and II for Group R Occupancies 4 Stories or Less)
House Square Footage (heated space):
Effective: 7/1/02
tepplicalionslheatinp and ventilation syatem —form h6 (7.2002)
Heating System Installed, (check system type below):
❑ Electric Resistance
❑ Electric (forced air)
CA Other Fuels (gas, heat pump)
MECHANICAL PERMIT APPLICATION NO.: / ' `O5 JZ'
BUILDING PERMIT APPLICATION NO.: DO4
I. WASHINGTON STATE ENERGY CODE HEATING DESIGN METHOD (select A, B or C belle
REVIEWED FOR
CODE COMPLIANCE
w):
ADOOftlIMID
AUG 31 2005
A. ❑ System Analysis — W.S.E.C. Chapter 4 (submit documentation) ;/
B. ❑ Component Performance Approach — W.S.E.C. Chapter 5 (submit documentatio i) - City Of Tukwila
C. ❑. Prescriptive Option — W.S.E.C. Chapter 6 (for prescriptive, complete the followingTa ii MINT) D l /FSTON
3/
X 20 BTU /h
MO, Maximum BTU of Heating System Output
II. WASHINGTON STATE VENTILATION AND INDOOR AIR QUALITY CODE (select A or B below):
RECEI
CITY OF TU
AUG 1 5 2005
PERMIT CENTER
A. ❑ Ventilation by Performance or Design Method - W.S.V.I.A.Q. Section 302 (submit documentation).
B. ❑ Prescriptive Ventilation Options - W.S.V.I.A.Q. Section 303 (select one of the following):
1. ❑ Ventilation using Exhaust Fans (Section 303.4.1.)
❑ Exception for outdoor air inlets — Forced air heating system w /interior doors undercut Y2"
2. " Ventilation integrated with Forced Air System (Section 303.4.2.)
3. ❑ Ventilation using Supply Fan (Section 303.4.3.)
4. ❑ Ventilation using Heat Recovery System (Section 303.4.4.)
❑ Prescriptive Minimum /Maximum Outdoor Air Calculation specified in Table 3 -2 (see reverse side of form).
1. House Square Footage: 0
2. House Number of Bedrooms: 1 7
3. Required Outdoor Air Table 3 -2: Minimum - cfm
Maximum - cfm
August 18, 2005
• Clayton Brown
1260 S 140' Street
Burien, WA 98168
City of Tukwila
Department of Community Development Steve Lancaster, Director
RE: Letter of Incomplete Application # I
Development Permit Application M05 -123
Quach Residence — 12255 46' Avenue S
Dear Mr. Brown:
This letter is to inform you that your application received at the City of Tukwila Permit Center on August158, 2005,
is determined to be incomplete. Before your application can continue the plan review process the following items
need to be addressed:
Building Department: Allen Johannessen, at 206 - 433 -7163, if you have questions concerning the
following:
1. Provide a site plan.
2. Provide mechanical equipment information.
3. Provide a floor plan showing location of mechanical equipment.
Please address the above comments in an itemized format with applicable revised plans, specifications, and /or other
documentation. The City requires that two (2) complete sets of revised plans, specifications and/or other
documentation be resubmitted with the appropriate revision block.
In order to better expedite your resubmittal a `Revision Submittal Sheet' must accompany every resubmittal. I have
enclosed one for your convenience. Revisions must be made in person and will not be accepted through the mail
or by a messenger service.
If you have any questions, please contact me at the Permit Center at (206) 433 -7165.
Brenda Holt,
Permit Coordinator
bh
Enclosures
File: Permit File No. M05 -123
p:1\13renda\MO5 -123 — incomplete Itr # 1.doc
Steven M. Mullet, Mayor
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206 - 431 -3665
ACTIVITY NUMBER: M05 -123 DATE: 8 -26 -05
PROJECT NAME: QUACH RESIDENCE
SITE ADDRESS: 12255 46 AV S
Original Plan Submittal X Response to Incomplete Letter #
Response to Correction Letter #
Revision # After Permit Issued
DEPARTMENTS:
Buil ing D vision
to‘
Complete
TUES /THURS RgUTING:
Please Route
PERMIT COORD COPY
PLAN REVIEW/ ROUTING SLIP
Structural Review Required
APPROVALS OR CORRECTIONS:
Documents/routing slip.doc
2 -28 -02
Fire Prevention ❑ Planning Division
Public Works ❑ Structural ❑ Permit Coordinator fill
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 8-30-0
Incomplete ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
No further Review Required
Not Applicable ❑
REVIEWER'S INITIALS: DATE:
DUE DATE: 9- 27-0
Approved ❑ Approved with Conditions Not Approved (attach comments) ❑
Notation:
REVIEWER'S INITIALS: DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments Issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
HERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M05 -123 DATE: 8 -15 -05
PROJECT NAME: QUACH RESIDENCE
SITE ADDRESS: 12255 46 AV S
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # After Permit Issued
DEPARTMENT :
ld g
Bui ivlsion Fire Prevention ❑
Public Works ❑ Structural ❑ Permit Coordinator 111
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete ❑
Incomplete
Comments:
Permit Center Use Only �i
INCOMPLETE LETTER MAILED: U� I 41-05 LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg 16 Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS ROUTING:
Please Route ❑ Structural Review Required
APPROVALS OR CORRECTIONS:
Documents/routing sllp.doc
2.28 -02
Planning Division
No further Review Required
DUE DATE: 8-16-05
Not Applicable ❑
REVIEWER'S INITIALS: DATE:
DUE DATE: 9-13-05
Approved ❑ Approved with Conditions ❑ Not Approved (attach comments) ❑
Notation:
REVIEWER'S INITIALS: DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
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Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, etc.
Date:
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
Response to Incomplete Letter # I
❑ Response to Correction Letter #
Plan Check/Permit Number:
❑ Revision # after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
Steven M. Mullet, Mayor
Steve Lancaster, Director
Project Name: ( )4_ A)C k--1
Project Address: / 2 cc 4, (--- / 1 0f?
Contact Person: O(,4 ( 1134), (,) ,tJ Phone Number: ; 77 7 7 7'
Summar of Revision:
5 t-1 20 ail; p/, FO /ll /a 0_
RECEIVED
C1TY OF 1 UKWILA
AU tj 2 6 200
PERMIT CENTER
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by:
Entered in Permits Plus on OOO S
\applications\forn s- applications on line\revision submittal
Created: 8 -13 -2004
Revised:
1
License Information
1
License
Al PLUPH967NW
Licensee Name
A-1 PLUMBING, HEATING, AC INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
602420659 Verify Workers Comp Premium
Status
Ind. Ins. Account
Id
0
Business Type
CORPORATION
Address 1
1260 S 140TH ST
Address 2
City
BURIEN
County
KING
State
WA
Zip
98168
Phone
•
2062779749
Status
ACTIVE
Specialty 1
AIR CONDITIONING
Specialty 2
PLUMBING
Effective Date
8/16/2004
Expiration Date
8/16/2006
Suspend Date
Separation Date
Parent Company
Previous License
Next License
QACONC*95601i
Associated
License
Look Up a Contractor, Electric' n or Plumber License Detail
• Wa_silington State Dcpartnient
Laboir and Industries
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• lBusiness Owner Information
Topic Index I Contact Info
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I Find a Law or Rule Get a Form or Publication .
General/Specialty Contractor
A business registered as a construction contractor with LEt1 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.
Page 1 of 2
https://fortress.wa.gov/lni/bbip/Detail.aspx?License=A1PLUPH967NW 09/01/2005
Type
Payer
Detail
Trans. Id
Amount
Endorse
Check
Validate
Doc.
Chec
A -1 PLUMBING ,
HEATING ,
AC ,INC
1031
101017623
$51.90
Print
RePrin
.Payment Receipt
CONSTRUCTION
CONTRACTOR
Receipt of Payment
Receipt Date: 09/01/2005
Valid Until: 10/01/2005
Receipt #: 172398
Receipt Total: $51.90
Keep this page as your proof of payment.
This is your receipt for the reinstatement fee for your general /specialty
contractor license. This fee is non - refundable.
License Number: A1PLUPH967NW
License Name: A -1 PLUMBING, HEATING, AC INC
Address: 1260 S 140TH ST
City, State: BURIEN, WA
Zip Code: 98168
Country: UNITED STATES
Page 1 of 1
Status: ACTIVE
UBI: 602 420 659
Structure: CORPORATION
Specialty: AA AIR CONDITIONING
AD PLUMBING
Finished
httn : / /auickcards.anns.lni.wa.eov/ Payment /PavReceint.as0 ?G= {92A0AB2B -11 B4- 4957 -95... 9/1/2005
•
07/25/2005
STATE OT WASHINGTON
DEPARTMENT OF LABOR AND INDUS' ' 5 ^ : 18:10 PH
Li: Td:AI °L
PO BOX 44450 IJF'H�67Md
OLYMPIA WA 98504 -4450 nns Td:101017623
REGISTRATII k AIPLUPH9G7NW
UBI: 602 - 420 -659
A -1 PLUMBING, HEATING, AC INC
1260 S 140TH ST
BURIEN WA 98168
1. A reinstatement notice from you,- bonding company
OR
2. Your new. original Contractor's Surety Bond, showing ri
new bond number if you have changed bonding companies.
Your bond company. ACCREDITED SURETY & CAS CO - has notified us
that your Contractor's Surety Bond Si 10025961 wi11 be
canceled on 08/20/05. Your contractor's registration will be
automatically suspended on this date.
If you still need a contractor's registration with L &IN send us
one of the following:
OR
3. A completed and notarized * *Assignment of Account /Time
Deposit'* form. This allows you to set aside cash in an
account to be used as a bond. For the form. call us or
get it on line: www.lni.wa.gov /scs /contractors /conforms.
When we need it
We must receive your. documents no later than 08/20;/05 or
your registration will be suspended and you will be
charged a *51.90 re4nstatement fee.
Mail your documents to the address above or hand - deliver to the
L &I office nearest you. If you have any questions. call
360 -902- 5226/1 - 800 -647 -0982
or go to www.lni.wa.gov /scs /contractors.'
Sincerely.
Contractors Registration Section
(360) 902 -5226
(LETO1)
Dept. of Labor & Industries
SEP — 1 2005
Tukwila
Obligee:
Department of Labor and Industries
P. O. Box 44450
Olympia, WA 985044460
Date: August 9, 2005
A -1 Plumbing, Heating, Heating, AC Inc
1260 S 140th St
Burien, WA 98168-
Notice of Reinstatement
Shahesta Philips
License Number
Policy Number: 10025961
Insurance Company: Accredited Surety and Casualty Company, Inc.
Bond Type: Washington Contractors License Bond
Name Of Insured
Address as given
in the policy
This is to notify you that the Cancellation notice sent to you by the company is hereby rescinded
with no lapse in coverage.
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