HomeMy WebLinkAboutPermit M06-123 - BURROUGHS RESIDENCEBURROUGHS RESIDENCE
1168544AVS
M06 -123
Parcel No.: 3347400570
Address: 11685 44 AV S TUKW
Suite No:
City of Tukwila
Tenant:
Name: BURROUGHS RESIDENCE
Address: 11685 44 AV 5, TUKWILA WA
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: HOFFMAN DARRELL & GAYLE
Address: 11685 44TH AVE 5, SEATTLE WA
Contact Person:
Name: MIKE ERICKSEN
Address: 725 INDUSTRY DR, TUKWILA WA
Contractor:
Name: ACE HEATING INC
Address: PO BOX 68847, SEATTLE, WA
Contractor License No: ACEHEI *014RC
DESCRIPTION OF WORK:
INSTALL FURNACE - CHANGE OUT.
Value of Mechanical: $8,300.00
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
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
EQUIPMENT TYPE AND QUANTITY
* *continued on next page **
doc: IMC- Permit M06 -123
v
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 - 244 -4328
Phone: 206 -244 -4328
Expiration Date:01 /08/2007
Steven M. Mullet, Mayor
Steve Lancaster, Director
M06 -123
06/13/2006
12/10/2006
Fees Collected: $212.44
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: 06 -13 -2006
Permit Center Authorized Signature: 'vt Wisp
Signature. 'Ti Date: "
Print Name: rnior - rch4.._
dot: NC- Permit
City or 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
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: 1406 -123
Issue Date: 06/13/2006
Permit Expires On: 12/10/2006
Date: 6 !/ 6
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 permit.
4.4 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.
M06 -123 Printed: 06 -13 -2006
Parcel No.: 3347400570
Address: 11685 44 AV S TUKW
Suite No:
Tenant: BURROUGHS RESIDENCE
City die Tukwila
1: ** *BUILDING DEPARTMENT CONDITIONS * **
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 CONDITIONS
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: M06 -123
Status: ISSUED
Applied Date: 06/13/2006
Issue Date: 06/13/2006
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: Manufacturers installation instructions shall be available on the job site at the time of inspection.
6: 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.
7: 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.
8: 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.
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 **
M06 -123 Printed: 06 -13 -2006
Signature.
Print Name: h1iiC AO
doc: Conditions
City cibriTukwila
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
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.
M06 -123
Steven M. Mullet, Mayor
Steve Lancaster, Director
of law and ordinances
other work or local laws
Date:/3 T-. ea 6
Printed: 06 -13 -2006
Site Address: / /6kf 4 /1 /4 4'v r S
Tenant Name:h9dbr RLt zg /S9
Property Owners Name: Some t
Mailing Address //A fib' IN " eivr S
Name: m,4 Ci r /�scZ
Mailing Address:'72S I . Ja >�i.r d r
E -Mail Address:
Company Name: gee hre. tp {
glee
Mailing Address:774 /r s itvr J r
Contact Person:M/ k L vir AC c.
E -Mail Address:
Contractor Registration Number: OX -o /
Contact Person:
E-Mail Address:
Contact Person:
E -Mail Address:
CITY OF TUKWILA
Community Deve%pmed pJepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
QMpplicationt\Famn -Appli Wimu On LinA3 -2006- Mechanical Permit Appliution.doc
Revised: 41006
ha
MECHANICAL PERMIT APPLICATION
- Mechanical,mtt No
Project No.
(For ollice rise onnl
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.3,3 4 /7t- /DO,6
City
T/�rr /a
Suite Number:
Floor:
New Tenant: ❑ .... Yes 0..No
W 9677R
State
CONTACT PERSON =1vho da we ao>atact when your permit is ready 4o be lssoed
Day Telephone:006 Z 5/r/ y326"
Pie P
City State Zip
Fax Number206 e 7,g — %a y/
by SPifre
City
Zip
State Zip
Day Telephonejp4 79 a/32s'
Fax Number:20 G .S7, 52 /
Expiration Date: l2hi/v
ARCHITECT OF RECORD All plans most be wet stamped by - AS*1 eet of Rectird
Company Name:
Mailing Address:
State
City
Day Telephone:
Fax Number:
Zip
"ENGINEER OF RECORD - All plans mast be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 2
Unit -Type,
Qty
Unit Type: -
Qty
Unit Type;
- Qty,
$oiler /Compressor:.
Qty
Purnace <100
Air Hand ling 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
I
15 -30 HP /1,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
Wood/Gas Stove
30 -50 HP /I,750,000 BTU
Appliance Vent
Hood and Duct
Water Heater
50+ HP /1,750,000 BTU
Repair or Addition to
Heat/Refrig/Cooling
System
____J
Incinerator - bomestic
Emergency
Generator
Air Handling Unit
<10,000 CFM
Incinerator - Comm/Ind
Other Mechanical
Equipment
Valuation of Project (contractor's bid price): $ e; 300
Scope of Work (please provide detailed information): /rr S it, /1 ` PO% { egos ree -, L d4 C' F We./
q, L -1.1*rn+ao „44
Use: Residential: New -.0 Replacement
New .... ❑ Replacement .... ❑
Fuel Type: Electric ❑ Gas... Other:
Indicate type of mechanical work being installed and the quantity below:
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 OWNER OR AUTHORIZED AGENT:
Signature.
Print Name�yli 4 ucre /Se -,
Mailing Address: 72 r /pi . , ><,/ d r
Date Application Expires:
r- 01
Date Application Accepted:
Q:Uppliadonao moAppliutinm On Lio.3- 2006 - MechNlfal Permit Application doc
Revised: 4-2006
bh
Date:/ "3 , 1rric el
Day Telephone: .244 2W 4
" /ft- k-Il- 5Ltflt
City State Zip
Staff In
Page 2 of 2
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 3347400570 Permit Number: M06-123
Address: 11685 44 AV S TUKW Status: APPROVED
Suite No: Applied Date: 06/13/2006
Applicant: BURROUGHS RESIDENCE Issue Date:
Receipt No.: R06 -00858 Payment Amount: 212.44
Initials: BLH Payment Date: 06/13/2006 01:26 PM
User ID: ADMIN Balance: $0.00
Payee: ACE HEATING INC
TRANSACTION LIST:
Type Method Description Amount
Payment Check 20631 212.44
ACCOUNT ITEM LIST:
Description
MECHANICAL - RES
RECEIPT
Account Code Current Pmts
000/322.100 212.44
Total: 212.44
6388 06/13 9716 TOTAL 300.44
doc: Receipt Printed: 06 -13 -2006
1�
Project:
/Inn .
Type of Inspection:
/075 , � ' S- ., , 4 4i.<
Date Called:
Addr ss:
//lu5 -- _ yy
Special Instructions:
•
Date Wanted:
/y
7 cta P.m.
Requester:
Phone No:
2c 2 -94, -- / 3a R
/I Approved per applicable codes.
COMMENTS:
INSPECTION RECORD
Retain a copy with permit
INSPEC
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
6e-L/7
IDate 5
Corrections required prior to approval.
$58.00 REINSPECTION FEt REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
Pr sect:
/7o r ro? /h5 Re's
Type _of
- - •✓
Address:
in, es ry Abe s
Date Calle
Special Instructions:
!
/fie Qom
— C
� a�
Date Wanted:
4 - 27-5
a.m.
P•my
Requester:
No
1
13/4 93Zu
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
PER
06)431-3 7
COMMENTS:
l/tUliS/ At-i»/ redo* 4 c 3/4
4 •>/ lave n
, -e / .i4fA /0
L 4 !d / r/� C : / / � t rn/-- /pa i2
rf— r / r/- 'w'<.P
Corrections required prior to approval.
n $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
'Date:
License Information
1
License
ACEHEI`014RC
I Licensee Name
ACE HEATING INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
601994450 Verify Workers Comp Premium
Status
Ind. Ins. Account
Id
Business Type
CORPORATION
Address 1
725 INDUSTRY DR
Address 2
City
TUKWILA
County
KING
State
WA
Zip
98188
Phone
2062444328
I Status
ACTIVE
I Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
12/3/1999
Expiration Date
1/8/2007
Suspend Date
Separation Date
Parent Company
Previous License
IIAYESH`101OE
r
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https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License= ACEHEI *014RC 06/13/2006