HomeMy WebLinkAboutPermit M05-156 - BLUE RESIDENCEBLUE RESIDENCE
16655 53 AV S
M05 -156
Parcel No.: 8858800035
Address: 16655 53 AV S TUKW
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address: ,
Contractor License No:
DESCRIPTION OF WORK:
GAS FURNACE CHANGE OUT
doc: IMC- Permit
City bi 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
BLUE RESIDENCE
16655 53 AV S, TUKWILA WA
FRY VICTORIA W
16655 53RD S, SEATTLE WA
JULIE BLUE
16655 53 AV S, TUKWILA WA
Value of Mechanical: $5,300.00
Type of Fire Protection:
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.... 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
MECHANICAL PERMIT
* *continued on next page **
M05 -156
Permit Number:
Issue Date:
Permit Expires On:
Expiration Date:
Phone:
Phone: 206 755 -4085
Phone:
Steven M. Mullet, Mayor
Steve Lancaster, Director
M05 -156
10/13/2005
04/11/2006
Fees Collected: $184.78
International Mechanical Code Edition: 2003
EQUIPMENT TYPE AND QUANTITY
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: 10 -13 -2005
doc: IMC-Permit
City Tukwila
Department of Con :s :unity Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: ci.tukwila.wa.us
M05 -156
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: M05 -156
Issue Date: 10/13/2005
Permit Expires On: 04/11/2006
Permit. Center Authorized Signature: (l VLF 4g— j j kA A�),A Date: (0( (7I r75
I hereby certify that I have read and x min his 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 constr ction or the performance of work. I am authorized to sign and obtain this mechanic al permit.
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Signature: elti
� Date: l 0 / 3/6 i
Print Name: e /Cf X,0 l ci 4 / , h A,
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: 10 -13 -2005
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 8858800035
Address: 16655 53 AV $ TUKW
Suite No:
Tenant: BLUE RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
PERMIT CONDITIONS
Permit Number: M05 -156
Status: ISSUED
Applied Date: 10/13/2005
Issue Date: 10/13/2005
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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 D 0 .
start of any construction. These documents shall be maintained and made available until final inspection approval is W
granted. z F
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4: Manufacturers installation instructions shall be available on the job site at the time of inspection. �
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5: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired appliances 0 cn.
shall not be located in, or obtain combustion air from, any of the following rooms or spaces: Sleeping rooms, 0 H
bathrooms, toilet rooms, storage closets, surgical rooms. = w
6: Equipment and appliances having an ignition source and located in hazardous locations and public garages, PRIVATE t '- - p
GARAGES, repair garages, automotive motor -fuel dispensing facilities and parking garages shall be elevated such that Z
the source of ignition is not less than 18 inches above the floor surface on which the equipment or appliance rests. U
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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.
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.
doc: Conditions
* *continued on next page **
M05 -156
Printed: 10-13-2005
Signature: (
Print Name:
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.
Th
M05 -156
of law and ordinances
other work or local laws
Date: /d/, ?/
Printed: 10 -13 -2005
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SITE LOCATION
Site Address:
Mailing Address:
Company Name:
Mailing Address:
Company Name:
Mailing Address:
Company Name:
Mailing Address:
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
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Tenant Name: 4 J P l e N j �/�.
Property Owners Name: VIC
Building Permit No.
Mechanical Permit No. MC — 1
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 **
King Co Assessor's Tax No.: 1 .Pew 3C
Suite Number:
New Tenant:
40*
Floor:
®."-- Yes ❑ ..No
CONTACT PERSON
Name: Tate glue ��
Mailing Address: 11,455 Fj3 c Ave �`
E -Mail Address:
Contact Person:
E -Mail Address:
q:Opandts plus0cc changeslpermit application (7-2004)
Revised: 6.8 -05
bh
Page 1
City
State
Day Telephone: --2
State
Fax Number:
GENERAL CONTRACTOR INFORMATION - (Mechanical Contractor information on back page)
State
Zip
City
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 **
State
Zip
Zip
City
Day Telephone:
Fax Number:
ARCHITECT OF RECORD – All plans must be wet stamped by Architect of Record
ENGINEER OF RECORD – All plans must be wet stamped by Engineer of Record
State
Zip
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
1
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
Incinerator - Domestic
Emergency
Generator
Air Handling Unit
<10,000 CFM
Incinerator — Comm/Ind
Other Mechanical
Equipment
MECHANICAL PERMIT INFORMATION — 206 - 431 -3670
MECHANICAL CON CC OR INFORMATION
Company Name: ,/ � IM?
t� 46
Mailing Address:
City State
Contact Person: j /C ti/ae Day Telephone: 3 l .-9. li9�
�_y�
E-Mail Address: Fax Number: ,=-Z .. 7 7 -4 go - 31 ` f
Contractor Registration Number: T(fi Z _ ) g 1 t 14 Expiration Date: . 6/7-6 0
* *An original or notarized copy of current Washington State Contractor License must be presented e time of permit issuance **
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
I HEREBY CERT
PENALTY OF PE
BUILDING 0
Signature:
Print Name:
Mailing Address:
Date Application Accepted:
q:llpermits plus'icc changes\pamh application (7.2004)
Revised: 6-8.05
bh
Indicate type of mechanical work being installed and the quantity below:
Page 4
6 1 05_17r2ezeneze______
Use: Residential: New .... ❑ Replacement .....14'
Commercial: New .... ❑ Replacement .... ❑
Fuel Type: Electric ❑ Gas.... Other:
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 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).
D AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
TE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
Day Telephone:- 33— �—s >- [.„2 2
K State
Date: id/ 37(2‘
Date Application Expires: cH
Staff Initials:
Parcel No.: 8858800035
Address: 16655 53 AV S TUKW
Suite No:
Applicant: BLUE RESIDENCE
Receipt No.: R05 -01515
Initials: 3EM
User ID: 1165
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Payee: AAA HEATING & REFIGERATION, INC
TRANSACTION LIST:
Type Method Description
doc: Receipt
Payment Check 4283
ACCOUNT ITEM LIST:
Description
MECHANICAL - RES
RECEIPT
Permit Number: M05 -156
Status: APPROVED
Applied Date: 10/13/2005
Issue Date:
Payment Amount: 184.78
Payment Date: 10/13/2005 12:22 PM
Balance: $0.00
Amount
184.78
Account Code Current Pmts
000/322.100 184.78
Total: 184.78
8174 .10/13 9716 TOTAL 184.78
Printed: 10 -13 -2005
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Project:
a,c. v Ass.
Type of Inspection:
r- /.v,r) L.,
Address:
/ 6655 52
9tJ S,
Date Called:
Special Instructions:
Date Wanted:
3
- 5-0C.
p.m.
Requester:
Phone No:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes. EJ Corrections required prior to approval.
COMMENTS:
/ Ade - Ap/sedvt°c/
ecto
Receipt No.:
INSPECTION RECORD
Retain a copy with permit
Date 8 —
.00 REINSPECTION EE REQUIRF,D Prior to inspection, fee must be
id at 6300 Southcent r Blvd., Suiffe 100. Call to sechedule reinspection.
'Date:
(206)431 -3670
03 -03 -2006
JULIE BLUE
16655 53 AV S
TUKWILA WA 98188
RE: Permit No. M05 -156
16655 53 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 Inspection Request Line at 206 -431 -2451 to schedule for the next or final inspection.
This inspection is intended to determine. if substantial work has been accomplished since issuance ofthe 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 or more extension of time for
additiona perios not exceeding 90 days each. 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 04/11/2006, 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,
ifer arshall,
Permit Technician
ARAJAIO
xc: Permit File No. M05 -156
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
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License Information
License
AAAHTRI971LW
Licensee Name
AAA HTG REFRIGERATION INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
601882148
Ind. Ins. Account Id
1/1
Business Type
CORPORATION
Address 1
11921 SE 212TH PL
Address 2
City
KENT
County
KING
State
WA
Zip
98031
Phone
2536309224
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
6/16/2003
Expiration Date
6/16/2007
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1/1
CBIC
SF0095
05/23/2003
Until
Cancelled
$12,000.00
06/17/2003
Business Owner Information
Name
Role
Effective Date
Expiration Date
KOWALENKO, VICTOR
PRESIDENT
06/16/2003
KOWALENKO, JAN A
SECRETARY
06/16/2003
i
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Look Up a Contractor, Electrician or Plumber License Detail
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.
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= AAAHTRI971 LW
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10/13/2005