HomeMy WebLinkAboutPermit M04-124 - DREBAUM RESIDENCEDREBAUM RESIDENCE
16224 47T" AVENUE
SOUTH
M04 -124
Parcel No.: 5379800483
Address: 16224 47 AV S TUKW
Suite No:
Value of Mechanical: $1,000.00
Type of Fire Protection: N/A
doc: NC- Permit
City (• Tukwila
Tenant:
Name: DREBAUM RESIDENCE
Address: 16224 47 AV S, TUKWILA WA
Contact Person:
Name: MARK DREBAUM
Address: 16224 47 AV S, TUKWILA
Contractor:
Name: OWNER AFFIDAVIT IN FILE
Address: 16224 47 AV S, TUKWILA WA
Contractor License No:
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
Owner:
Name: DREBAUM MARK LEONARD
Address: 16224 47TH AVENUE S, TUKWILA WA
Furnace: <100K BTU 1
>100K BTU 0
Floor Furnace 0
Suspended /Wall /Floor Mounted Heater 0
Appliance Vent 1
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 1
Hood and Duct 0
Incinerator: Domestic 0
Commercial /Industrial 0
MECHANICAL PERMIT
DESCRIPTION OF WORK:
RE -ISSUE OF PERMIT TO COMPLETE WORK FROM M03 -129 EXPIRED PERMIT.
EQUIPMENT TYPE AND QUANTITY
* *continued on next page **
M04 -124
Permit Number:
Issue Date:
Permit Expires On:
Expiration Date:
Phone:
Phone: 206 242 -9905
Phone: 206 242 -9905
Steven M. Mullet, Mayor
Steve Lancaster, Director
M04 -124
07/02/2004
12/29/2004
Fees Collected: $30.00
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
Thermostat 0
Wood /Gas Stove 0
Water Heater 0
Emergency Generator 0
Other Mechanical Equipment... 0
0
Printed: 07 -02 -2004
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Permit Center Authorized Signature:
Signature:
doc: IMC- Permit
City i 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
Permit Number:
Date:
Steven M. Mullet, Mayor
Steve Lancaster, Director
M04 -124
Issue Date: 07/02/2004
Permit Expires On: 12/29/2004
Date: 7 -dg
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 , .ermit.
o
Print Name: 1/7,912/e__
'Jl2�Ql tip
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.
M04 -124 Printed: 07 -02 -2004
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 5379800483
Address: 16224 47 AV S TUKW
Suite No:
Tenant: DREBAUM RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
PERMIT CONDITIONS
Permit Number: M04 -124
Status: ISSUED
Applied Date: 07/02/2004
Issue Date: 07/02/2004
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 mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center
(206/431- 3670).
4: 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.
5: 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.
6: 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.
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.
doc: Conditions
* *continued on next page **
M04 -124 Printed: 07 -02 -2004
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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.
of law and ordinances
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: Date:
doc: Conditions
M04 -124
other work or local laws
Printed: 07 -02 -2004
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.: 1023049069 Permit Number: M04-134
Address: 3355 S 120 PL TUKW Status: ISSUED
Suite No: Applied Date: 07/14/2004
Applicant: MICROSOFT CORPORATION Issue Date: 08/24/2004
Receipt No.: R05 -00120 Payment Amount: 58.00
Initials: LAW Payment Date: 02/01/2005 08:49 AM
User ID: 1630 Balance: $0.00
Payee: MCKINSTRY CO
TRANSACTION LIST:
Type Method Description Amount
Payment Check 7327 58.00
MECHANICAL - NONRES
Account Code Current Pmts
000/322.100 58.00
Total: 58.00
9467 02/02 9710 TOTAL 58.00
Printed: 02 -01 -2005
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.: 5379800483 Permit Number: M04-124
Address: 16224 47 AV S TUKW Status: PENDING
Suite No: Applied Date: 07/02/2004
Applicant: DREBAUM RESIDENCE Issue Date:
Receipt No.: R04 -00822 Payment Amount: 70.25
Initials: SKS Payment Date: 07/02/2004 11:49 AM
User ID: 1165 Balance: $0.00
Payee: MARK L. DREBAUM
TRANSACTION LIST:
Type Method Description Amount i
3
Payment Check 1206 70.25
ACCOUNT ITEM LIST:
Description
doc: Receipt
MECHANICAL - RES,
Account Code Current Pmts
000/322.100 70.25
Total: 70.25
2415 -07/06 9710 TOTAL 70.25
Printed: 07 -02 -2004
S �
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. .
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERMIT NO.
(206)431 -3670
Project:
Addre��
Type of Inspection:
Date Calle :
Date Wanted:
�
Spe a Instructions:
Requester:
Phone No:
pproved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
;47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
(Receipt No.:
'Date:
P 'ea: Uv l
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Type of Insp�cti�)
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A r ss:
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D ate Calle
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Special Instructions:
fly G•
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D ate Wanted: c..asn:.
Requester:
Phone Nofr
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INSPECTION RECORD
Retain a copy with permit
T f
INSPECTION NO. PERMIT NO..
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.
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Inspecto Date: //�
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$4 . FEE REQUIRED. Prior to inspection, fee must b
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
(Receipt No.:
Date:
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Type of Inspe
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Date Called:
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S . ectal Instructs • ns:
' ate Wanted: 11, C I I 1 .m.
Requester: LAiettirk?
P one No !
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
Corrections required prior to approval.
COMMENTS:
/ 14,?_2
El ;47.00 REINSPECTION F "REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
(Receipt No.:r
Date:
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El Approved per applicable codes.
{ Receipt No.:
INSPECTION RECORD
Retain a copy with permit
,.„ INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter. Blvd., #100, Tukwila, WA 98188
(Date:
filo*- -do
PER
206)431'73,670
Ad
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pss: if7i hive'
Specia nstructions:.
Type of Inspection:
Date Calle 61/44
Date Wanted: e0.0
Requester: yin
Phone No:
n Corrections required prior to approval.
COMMENTS:
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Insp
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$ . REINSPECTION FEE REQUIRED. P for to'ins _ ection, fee must be
p at 6300 Southcenter Blvd., Suite 100. CaII to sc gdule reinspection.
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Type f Inspectio
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Date Ca e d:•
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Special Instructions:
Requester:
Phone No:
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
COMMENTS:.
i ' No:
„r rv\ .4 r k \b -
I
Date:
pproved per applicable codes. El Corrections required prior to approval.
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PER IJ •./ Sg
(2 1 6)431 -3670
�. 03 -t2c?
Date:
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7 ' ' REINSPECTION FEE R QUIRED. Priorjo inspection, fee must be
al ' at 6300 Southcenter Blvd., Suite 100. C I to schedule reinspection.
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FFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
STATE OF WASHINGTON )
COUNTY OF KING
/ L ./D4E p , states as follows:
1. I have made application for a building permit from the City of Tukwila, Washington.
2. I understand that state law requires that all building construction contractors be registered with the
State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the
Revised Code Washington, a copy of which is printed on the reverse side of this Affidavit. I have
read or am familiar with RCW 18.27.090.
3. I understand that prior to issuance of a building permit for work which is to be done by any
contractor, the City of Tukwila must verify either that the contractor is registered by the State of
Washington, or that one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby
attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I
consider the work authorized under this building permit to be exempt under No. , and
will therefore not be performed by a registered contractor.
I understand that I may by waiving certain rights that I might otherwise have under state law in any decision to
engage an unregistered contractor to perform construction work.
AFFCONT 1/13/00
CITY OF TUKWILA
Permit Center
6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188
Telephone: (206) 431 -3670
ss.
APPLICANT
H -4
Signed and sworn to before me this
2nd day of \T , 20 0 4 1
(zeta, a.
NOTARY PUBLIC in and f� State of Washington,
residing at K /nj County.
Name as commissioned: /4 /iCe A. Deasy
My commission expires: 6-/6-02
18.27.090 Exemptions. This chapter shall not apply to:
1. An authorized representative of the United States
Govemment, the State of Washington, or any
incorporated city, town, county, township, irrigation
district, reclamation district, or other municipal or
political corporation or subdivision of this state;
2. Officers of a court when they are acting within the
scope of their office;
3. Public utilities operating under the regulations of the
utilities and transportation commission in
construction, maintenance, or development work
incidental to their own business;
4. Any construction, repair, or operation incidental to the
discovering or producing of petroleum or gas, or the
drilling, testing, abandoning, or other operation of any
petroleum or gas well or any surface or underground
mine or mineral deposit when performed by an owner
or lessee;
5. The sale or installation of any finished products,
materials, or articles of merchandise which are not
actually fabricated into and do not become a
permanent fixed part of a structure;
6. Any construction, alteration, improvement, or repair
of personal property, except this chapter shall apply
to all mobile /manufactured housing. A
mobile /manufactured home may be installed, set up,
or repaired by the registered or legal owner, by a
contractor licensed under this chapter, or by a
mobile /manufactured home retail dealer or
manufacturer licensed under chapter 46.70 RCW;
7. Any construction, alteration, improvement, or repair
carried on within the limits and boundaries of any site
or reservation under the legal jurisdiction of the
federal government;
8. Any person who only furnished materials, supplies, or
equipment without fabricating them into, or
consuming them in the performance of, the work of
the contractor;
9. Any work or operation on one undertaking or project
by one or more contracts, the aggregate contract
price of which for labor and materials and all other
items is less than $500, such work, or operations
being considered as of a casual, minor, or
inconsequential nature. The exemption prescribed in
this subsection does not apply in any instance
wherein the work or construction is only a part of a
larger or major operation, whether undertaken by the
same or a different contractor, or in which a division
AFFCONT 1/13/00
of the operation is made into contracts of amounts
less than $500 for the purpose of evasion of this
chapter or otherwise. The exemption prescribed in
this subsection does not apply to a person who
advertises or puts out any sign or card or other
device which might indicate to the public that he is a
contractor, or that he is qualified to engage in the
business of contractor;
10. Any construction or operation incidental to the
construction and repair of irrigation and drainage
ditches of regularly constituted irrigation districts or
reclamation districts; or to farming, dairying,
agriculture, viticulture, horticulture, or stock or poultry
raising; or to clearing or other work upon land in rural
districts for fire prevention purposes; except when
any of the above work is performed by a registered
contractor;
11. An owner who contracts for a project with a
registered contractor;
12. Any person working on his own property, whether
occupied by him or not, and any person working on
his residence, whether owned by him or not but this
exemption shall not apply to any person otherwise
covered by this chapter who constructs an
improvement on his own property with the intention
and for the purpose of selling the improved property;
13. Owners of commercial properties who use their own
employees to do maintenance, repair, and alteration
work in or upon their own properties;
14. A licensed architect or civil or professional engineer
acting solely in his professional capacity, an
electrician licensed under the laws of the state of
Washington, or a plumber licensed under the laws of
the state of Washington while operating within the
boundaries of such political subdivision. The
exemption proyided+in thissubsection is applicable
only when tha'ijcensee is o (erating within the scope
of his licensee;
15. Any person, who endagel in the activities herein
regulated as -on\emplolbe of a . re'9istered contractor
with wages as"his•41e comp'eri ation;
.r ''l 'Alit; ce
16. Contractors on highway projects who have been
prequalified as required by chapter 13 of the Laws of
1961, RCW 47.28.070 with the department of
transportation to perform highway construction,
reconstruction, or maintenance work.