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Home My WebLink AboutPermit M05-183 - PARK RESIDENCEParcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: 7796400070 16449 53 PL S TUKW DESCRIPTION OF WORK: REPLACE GAS WATER HEATER 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.tukwila.wa.us PARK RESIDENCE 16449 53 PL S, TUKWILA WA PARK SANG W +SANDRA A M 16449 53RD PL 5, TUKWILA WA Contact Person: Name: SANG PARK Address: 16449 53 PL S, TUKWILA WA Contractor: Name: ACTION WATER HEATERS ONLY INC Address: 12704 NE 124 ST #43, KIRKLAND WA Contractor License No: ACTIOWHO55DP Value of Mechanical: $771.72 Type of Fire Protection: 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 MECHANICAL PERMIT Fees Collected: $127.34 International Mechanical Code Edition: 2003 EQUIPMENT TYPE AND QUANTITY * *continued on next page ** M05 -183 Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 901 -1641 Phone: 425 820 -8848 Expiration Date: 11/17/2007 Steven M. Mullet, Mayor Steve Lancaster, Director M05 -183 11/23/2005 05/22/2006 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... 0 Printed: 11 -23 -2005 Permit Center Authorized Signature: doc: IMC- Permit City GA Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206- 431 -3665 Web site: ci.tukvila.wa.us M05 -183 Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: M05-183 Issue Date: 11/23/2005 Permit Expires On: 05/22/2006 m— an,e- Date: IZ I hereby certify that I have read and mined 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 constr ction or the performance of work. I am authorized to sign and obtain this mechanical permit. Signature: �� i�_�L. � - Date: l// 3/61 Print Name: /z. ( c ' 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: 11 -23 -2005 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 7796400070 Address: 16449 53 PL S TUKW Suite No: Tenant: PARK RESIDENCE 1: ** *BUILDING DEPARTMENT CONDITIONS * ** PERMIT CONDITIONS Permit Number: M05 -183 Status: ISSUED Applied Date: 11/23/2005 Issue Date: 11/23/2005 z UO N o CO co IL O 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the 2 Building Official. u_¢ 3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to u..2 d • s of any construction. These documents shall be maintained and made available until final inspection approval is w granted. ' z I i— O z i- 4: Manufacturers installation instructions shall be available on the job site at the time of inspection. al D o 5: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired appliances 8 w 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. w • w i--V 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 iii z . the source of ignition is not less than 18 inches above the floor surface on which the equipment or appliance rests. U = ` O ~ 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 -183 Printed: 11 -23 -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. Signature: Print Name: doc: Conditions City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431-3670 iZeAr/A)601 M05-183 of law and ordinances other work or local laws Date: Printed: 11-23-2005 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Tenant Name: Sit9'?J(J– pt['. t s ue, Building Permit No. c1 Mechanical Permit No. M he 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: /44 53 6, Property Owners Name: < Qty Mailing Address: / ( 3 3 r Z d 'f�l -S • 1j(41t1lL#fr City Name: S,� ✓�j— �lfti,�- Mailing Address: / 94'9 - S King Co Assessor's Tax No.: 7-75 (o/ Cr?) C ?-1) Suite Number: Floor: New Tenant: ❑ Yes ❑..No City State CONTACT PERSON Day Telephone: 2-06 5O/ / State Zip Zip E -Mail Address: Fax Number: GENERAL CONTRACTOR INFORMATION - (Mechanical Contractor information on back page) Company Name: 4'C_/ 71»1 Wat e 1 otiai f Mailing Address: ( 2 7 U AJ 7 2._ v a_ t! # 443, Contact Person: Rech) E -Mail Address: State Zip � Day Telephone: 4fL l- — �� c,c/ Fax Number: City Contractor Registration Number: 1 1 l Ill)HC) P Expiration Date: ) * *An original or notarized copy of current Washington State Contractor License must be presented at ( time of permit issuance ** ARCHITECT OF RECORD- All plans must be wet stamped by Architect of Record Company Name: Mailing Address: Zip Contact Person: E -Mail Address: Company Name: Mailing Address: q: \\permits pluNa ebange,ipmedt application (7.2000 Revised: 6.8.05 bb Page 1 City Day Telephone: Fax Number: City State ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: BUILDING PERMIT INFOI .'ATION - 206 -431 -3670 . Valuation of Project (contractor's bid price): $ 77 /, 7 Scope of Work (please provide detailed information): Cam. Ater Leied.er 0cj-P.<.—% Will there be new rack storage? ❑..Yes ❑...No If "yes ", see Handout No. for requirements. Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single- family building footprint (area of the foundation of all structures, plus any decks over (8 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: 0.. Sprinklers 0.. Automatic Fire Alarm ❑..None ❑ ..Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0.. Yes 0.. 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. q: \\permit pht\ide dbscietpermit application (7 -2004) Revised: 6.8-05 bh Page 2 Existing Building Valuation: $ 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 INFOI .'ATION - 206 -431 -3670 . Valuation of Project (contractor's bid price): $ 77 /, 7 Scope of Work (please provide detailed information): Cam. Ater Leied.er 0cj-P.<.—% Will there be new rack storage? ❑..Yes ❑...No If "yes ", see Handout No. for requirements. Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single- family building footprint (area of the foundation of all structures, plus any decks over (8 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: 0.. Sprinklers 0.. Automatic Fire Alarm ❑..None ❑ ..Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0.. Yes 0.. 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. q: \\permit pht\ide dbscietpermit application (7 -2004) Revised: 6.8-05 bh Page 2 Existing Building Valuation: $ PUBLIC WORKS PERMIT INFORMATION — 206 -433 -0179 Scope of Work (please provide detailed information): Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ ...Tukwila ❑...Water District #125 ❑ ...Water Availability Provided Sewer District ❑ ...Tukwila ❑... ValVue ❑ .. Renton ❑ .. Seattle ❑...Sewer Use Certificate ❑...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) ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) 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 ❑ ...Total Fill ❑ ...Sanitary Side Sewer ❑ • ❑ ...Cap or Remove Utilities ❑ • ❑ ...Frontage Improvements ❑ • ❑ ...Traffic Control [] • ❑ ...Backflow Prevention - Fire Protection ❑...Permanent Water Meter Size... ❑ ...Temporary Water Meter Size ❑ ...Water Only Meter Size Q1iparmita plusilcc chaa.ssi permit opplicatioa (1-2004) Rrrvised: 64-05 bh cubic yards cubic yards Irrigation Domestic Water ❑ ...Sewer Main Extension Public ❑ ,..Water Main Extension Public Call before you Dig: 1- 800 -424 -5555 . Abandon Septic Tank . Curb Cut . Pavement Cut . Looped Fire Line „ WO# WO# WO# Private Private _ Page 3 ❑ .. Highline ❑ .. Geotechnical Report ❑...Traffic Impact Analysis ❑ .. 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 ❑ .. Renton ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑ ...Deduct Water Meter Size FINANCE INFORMATION Fire Line Size at Property Line ❑...Water ❑...Sewer Monthly Service Billing to: Name: Mailing Address: Number of Public Fire Hydrant(s) ❑...Sewage Treatment Day Telephone: City State Zip Water Meter Refund/Billing: Name: Mailing Address: Day Telephone: City State Zip Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: 0 -3 IIP /100,000 BTU Qty Furnace<I(>OK BTU Air Iandling Unit >10,000 CFM Fire Damper Furnace >I00K BTU Evaporator Cooler Diffuser 3 -I5 IIP /500.000 BTU Floor Furnace Ventilation Fan Connected to Single Duct Thermostat I5 -30 11P/1.000.000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System Wood /Gas Stove 30-50 IIP /1.750.000 BTU Appliance Vent Ilood and Duct Water I!cater /' i / 50= IIP /1.750.00() 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 CONTRACTOR INFORMATION Company Name: Mailing Addre ACTION WATER HEATER ONLY INC LATER Contact Person: 12704 NE 124th ST # 43 Day Telephone: 4 25 - e -, A W, E -Mail Address: KIRKLAND, WA. 98034 Fax Number: 4-25 ' r 7$9 Contractor Registration Number: AC-7 00 5S D ? Expiration Date: /— / 7 7 * *An original or notarized copy of current Wash' gton State Contractor License must be presented at the time of permit issuance ** Valuation of Project (contractor's bid price): $ 7_ / ..7.2....._ Scope (please provide detailed information): Residenti.. New .... Commercial: New .... ❑ Fuel Type: Electric.....❑ Gas... Indicate type of mechanical work being installed and the quantity below: City Statc Zip Replacement ... acement .... ❑ 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). 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 O N OR AUTHORIZED T: Signature: .1,!lLfQ Print Name. ��/ 2- 7 66 Day Telephone: V r2' r9: Mailing Address: / 2 7 O / ,M/ /2 57- 175 cel/� /i ( 4(4-- 9 iJ3 �`" City State Zip Date Application Expires: cI240(49 Date Application Accepted: q Npenoiu plwtix dm/es`permit application (7.2004) Revised 6403 bh 11.9710c Page 4 D a t e: (/ 3,0_5 Staff Initials: i Parcel No.: 7796400070 Address: 16449 53 PL S TUKW Suite No: Applicant: PARK RESIDENCE Payee: ACTION WATER HEATERS ONLY INC. ACCOUNT ITEM LIST: Description doe: Receipt City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Payment Check 33774 MECHANICAL - RES RECEIPT TRANSACTION LIST: Type Method Description Amount Account Code Current Pmts 000/322.100 127.34 Permit Number: M05 -183 Status: PENDING Applied Date: 11/23/2005 Issue Date: Receipt No.: R05 -01707 Payment Amount: 127.34 Initials: 3EM Payment Date: 11/23/2005 01:37 PM User ID: 1165 Balance: $0.00 127.34 Total: 127.34 ?637 11/23 9716 TOTAL 127.34 Printed: 11 -23 -2005 Project: , Type of Inspecti • n: Address' C� 111--5 /1, Date Called: Special Instructions: at Wanted: ) 3 A. a a.m. Requester Phone No: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 COMMENTS: nspector: INSPECTION RECORD Retain a copy with permit Dat Approved per applicable codes. El Corrections required prior to approval. El $58.0b''ftEINSPECTION EE REQUIRED. Pridr to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. 'Receipt No.: 'Date: Pr y ct: / d4 K / Type of Insp ction: A 4ess6" 53iv( L. s Date Cal 51: !'Y/s��5- Special Instructions: Date Wanted: a l 2 / / & / o S 4 ' 1 ; " Requester: r Sa4/14, Phone No: r" C� / OCR— / /- /( / Appr6v d per applicable codes. 7. INSPECTION RECORD Retaina copy with permit INSPECTION NO. PER CITY OF TUKWILA BUILbING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 COMMENTS: P�- r..it7� / U�-f�,� -/ r, � 1/41 ‹.1.; f f-h Imo ,Zr -4•24-• 1> • Corrections required prior to approval. $58.00 REINSPECTION FEE EQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: License Information License ACTIOWHO55DP Licensee Name ACTION WATER HEATERS ONLY INC Licensee Type CONSTRUCTION CONTRACTOR UBI 601609114 Ind. Ins. Account Id #5 Business Type CORPORATION Address 1 12704 NE 124TH ST #43 Address 2 City KIRKLAND County KING State WA Zip 98034 Phone 4258208848 Status ACTIVE Specialty I PLUMBING Specialty 2 TANKS/TANK RENOVATION Effective Date 3/17/1995 Expiration Date 1/17/2007 Suspend Date Separation Date Parent Company Previous License Next License Associated License Business Owner Information Name Role Effective Date Expiration Date MEDLAND, BRETT P Cancel Date 01/01/1980 Bond Amount Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date #5 COLONIAL AM CAS & SURETY OF MD LPM4042735 12/31/2001 Until Cancelled $6,000.00 01/17/2002 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. Page 1 of 3 https: // fortress .wa.gov /lni/bbip /printer. aspx ?License= ACTIOWHO55DP 11/23/2005