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HomeMy WebLinkAboutPermit M08-073 - BRANTON RESIDENCEBRANTON RESIDENCE 16303 45 PL S M08 -073 Parcel No.: 9314900110 Address: Suite No: 16303 45 PL S TUKW Tenant: Name: BRANTON RESIDENCE Address: 16303 45 PL S , TUKVVILA WA Contact Person: Name: KARL BOGREN Address: 837 NW 45 ST , SEATTLE WA DESCRIPTION OF WORK: INSTALL GAS FIREPLACE INSERT Value of Mechanical: $3,385.00 Type of Fire Protection: Furnace: <100K BTU >100K BTU Floor Furnace Suspended/Wall/Floor Mounted Heater Appliance Vent Repair or Addition to Heat/Refrig /Cooling System.... Air Handling Unit <10,000 CFM >10,000 CFM Evaporator Cooler Ventilation Fan connected to single duct Ventilation System Hood and Duct Incinerator: Domestic Commercial/Industrial doc: IMC-10/06 Citylkf Tukwila Owner: Name: BRANTON KEN G Address: 16303 45TH PL S , SEATTLE WA Contractor: Name: GAS APPLIANCE SERVICE Address: 4415 LEARY WAY NW , SEATTLE WA Contractor License No: GASAPS *953MR 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 MECHANICAL PERMIT EQUIPMENT TYPE AND QUANTITY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * * continued on next page ** M08 -073 • Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 - 963 -8758 Phone: 206 - 782 -5522 Expiration Date: 07/19/2009 M08 -073 03/11/2008 09/07/2008 Fees Collected: $172.30 International Mechanical Code Edition: 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 1 Water Heater 0 Emergency Generator 0 Other Mechanical Equipment Printed: 03 -11 -2008 Permit Center Authorized Signature: Signature: Print Name: doc: IMC -10/06 S 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 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 perQrmance of work. � am authorized to sign and obtain this mechanical permit. Permit Number: MO8 -073 Issue Date: 03/11/2008 Permit Expires On: 09/07/2008 Date: l \ O S Date:)/ r 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. M08 -073 Printed: 03 -11 -2008 Parcel No.: 9314900110 Address: Suite No: Tenant: doc: Cond -10/06 16303 45 PL S TURW 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 BRANTON RESIDENCE 1: ** *BUILDING DEPARTMENT CONDTfIONS * ** • City of Tukwila PERMIT CONDITIONS * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: M08 -073 ISSUED 03/11/2008 03/11/2008 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: Manufacturers installation instructions shall be available on the job site at the time of inspection. 5: 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. 6: 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. 7: 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. 8: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 9: 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. M08 -073 Printed: 03 -11 -2008 I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and 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 other work construction or the performance of work. Signature: -'''''Ief''' Print Name: • • 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 O _____________ doc: Cond -10/06 M08 -073 Date: 3 )//0 /l/ ordinances governing or local laws regulating Printed: 03 -11 -2008 Name: Company Name: Mailing Address: 3/13 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http :. . ri.ttrkyt ilu.h a.us Building Permit No. Mechanical Permit No. Public Works Permit No. Project No. (For office use only) 1' -073 Plumbing /Gas Permit No. g— 0 ,S 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 /4. 303 4/ -t. /L $ 7`t//ct4' w, 9cP / #/ ^_ King Co Assessor's Tax No.: ?P Site Address: � �D 30 3 4 P Ae SO U 1 Suite Number: Floor: Tenant Name: l 1 1 ` New Tenant: ❑ Yes Ef..No Property Owners Name: K-e N 1 t-T [5 2A I \I TD P Mailing Address: l co UI 30 3 P L soul-14- it IcLw (� in/A gel os City State Zip CONTACT PERSON - who do we contact when your permit is ready to be issued Mailing Address: P 3 `i S gr E -Mail Address: Day Telephone:(o206j 9 �� 9 /O l City State Zip Fax Number: GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) B As Al U c 5 -V I- / 3'7 f I \ t k t 4 I' 51 s .k � e C_ ,3aV �/%�// ' _ City St; A Contact Person: Day Telephone: 7 3 2-� D 60 E -Mail Address: Kn 2-L -e elks APpLI >JG COY \ tStI2 I C . Fax Number: 2- (a [ 0 3 I o 3 Contractor Registration Number: (7 A5kcS ieq 53 /V\ � Expiration Date: / - I /09 ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: Zip Contact Person: E -Mail Address: City Day Telephone: Fax Number: State ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: p:\ Applications \Fonns- Appticatiuns On Line \3 2 006. Permit Application.due Revised: 9- 211116 State Zip Page 1 of 6 .Unit Type: Qty Unit.Type: Qty_; Unit Type: Qty:', `Boiler /Compressor.: ' Qty Furnace <100K BTU 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 Emergency Generator 50+ HP /1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System Incinerator - Domestic Other Mechanical Equipment Air Handling Unit <10,000 CFM Incinerator — Comm /Ind RE'CHAN =TION - . 206 -431 = 3670 -, MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Day Telephone: Fax Number: Contact Person: E -Mail Address: Contractor Registration Number: Expiration Date: Valuation of Mechanical work (contractor's bid price): $ of Work (please provide detailed information): IM -11 Use: Residential: New ....I] Replacement ....ID Commercial: New .... Replacement .... Fuel Type: Electric Gas _ID Other: Indicate type of mechanical work being installed and the quantity below: Q:\ApplicationsWorms- Applications On Line U-2006 - Permit Application. doe Revised: 9 -2006 bh Page 4 of 6 PUBLIC WORKS PErtia RiVIATI©N 206 133'0179; 4 "VIA, ti Scope of Work (please provide detailed information): Water District ❑ ...Tukwila 0... Water District #125 ❑ ...Water Availability Provided Sewer District ❑ ...Tukwila ❑ ... Sewer Use Certificate Septic System: ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Submitted with Application (mark boxes which apply): p ...Civil Plans (Maximum Paper Size — 22" x 34 ") ❑ ...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report ❑ ...Bond ❑ .. Insurance Please: refer to Public -WorksFBulletfil #1 fUlfees,and estimatelsh'eet. • 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 ❑...ValVue ❑ .. Renton ❑ ... Sewer Availability Provided cubic yards cubic yards ❑...Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑ ...Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ ...Permanent Water Meter Size... ❑ ...Temporary Water Meter Size .. ❑ ...Water Only Meter Size ❑ ... Sewer Main Extension Public ❑ ... Water Main Extension Public _ ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) ❑ . ❑ . ❑ . ❑ . Q :lApplications\Forms- Applications On Line13 -2006 - Permit Application.doc Revised: 9 -2006 bh Call before you Dig: 1- 800 - 424 -5555 . Abandon Septic Tank . Curb Cut . Pavement Cut . Looped Fire Line WO # WO # WO # Private Private ❑ .. Highline ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ ...Renton ❑ ...Seattle ❑ ... Traffic Impact Analysis ❑...Hold Harmless — (SAO) ❑ ... Hold Harmless — (ROW) ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑ ...Deduct Water Meter Size FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑ ...Water ❑ ... Sewer ❑ ...Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: City Day Telephone: City State State Zip Zip Page 3 of 6 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. Building and Mechanical Permit 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). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing 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 OWNS OR AUTHORI D AGENT: Signature: Print Name: -E" V D r.)) Mailing Address: 431 Al VU 4 siA Date Application Expires: Date Application Accepted: Q:\Applications\Forms- Applications On Linel3 -2006 - Permit Application.doc Revised: 9 -2006 bh Day Telephone: City Date: 3 2ic /D 7 2b b 2SWb State Zip Staff Initials: Page 6 of 6 i Parcel No.: 9314900110 Address: 16303 45 PL S TUKW Suite No: Applicant: BRANTON RESIDENCE Receipt No.: R08 -00700 Payee: ED OLSON 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 TRANSACTION LIST: Type Method Descriptio Amount Payment Cash 172.30 ACCOUNT ITEM LIST: Description MECHANICAL - RES RECEIPT Account Code Current Pmts 000.322.102.00.0 172.30 Total: $172.30 Permit Number: M08 -073 Status: PENDING Applied Date: 03/11/2008 Issue Date: Payment Amount: $172.30 Initials: WER Payment Date: 03/11/2008 11:20 AM User ID: 1655 Balance: $0.00 9759 03/11 9710 TOTAL 264.30 , k rz( doc: Receipt -06 Printed: 03 -11 -2008 ProjgCt: Type of Ins= i , Address: 1U0 3 3 4S Pc— S Date Called: A co A-f 7 s `` ____. Special Instructions: Date Wanted:' m P• Requester: Phone No: INSPECTION RECORD Retain a copy with permit tM off- - or7 PERMIT NO. 3 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. COMMENTS: , 9 v 1 M C� p � P.* 6 Inspec . Date: 3 0 $58.00 REINSPECTION FEE R QUIRED. Prior o inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: Date: COMMENTS: Type of Inspection: 6As Address: ICO30 3 15 pi____ SDLij Date Called: A J e) ( )4-v.. 21 . i--I `s c /- Aid / C 1... 7-_____5 / Phone No: c „) n c ),. , ., _rte at 6,is ) 4r,c4Ac Proj t: fl Type of Inspection: 6As Address: ICO30 3 15 pi____ SDLij Date Called: Special Instructions: 7 c) L' ( : 1 7 1' I o `S Date Wanted 3' ` )i- oe -- p.t Requester: Phone No: -4* ( INSPECTION NO. INSPECTION RECORD Retain a copy with permit MO? - 0'73 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION tg 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 0 Approved per applicable codes. EJ Corrections required prior to approval. Inspect Date: 3 - OA' :14.A $58.00 REINSPECTION FEE REQUIRED. Prior o inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: Date: e. 07 -29 -2008 KARL BOGREN 837 NW 45 ST SEATTLE WA 98107 RE: Permit No. M08 -073 16303 45 PL 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 of the 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 one or more extensions of time for additional periods 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 09/21/2008 , 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, r Marshall, Permit Technician xc: Permit File No. M08 -073 City of Tukwila Department of Community Development Jim Haggerton, Mayor Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206- 431 -3665 License Information License GASAPS *953MR Licensee Name GAS APPLIANCE SERVICE Licensee Type CONSTRUCTION CONTRACTOR UBI 578052563 Ind. Ins. Account Id VICE PRESIDENT Business Type CORPORATION Address 1 4415 LEARY WAY NW Address 2 City SEATTLE County KING State WA Zip 98107 Phone 2067825522 Status ACTIVE Specialty l GENERAL Specialty 2 UNUSED Effective Date 7/19/2005 Expiration Date 7/19/2009 Suspend Date Separation Date Parent Company OLSON SERVICE GROUP INC Previous License GASAPS *012JA Next License Associated License Business Owner Information Name Role Effective Date Expiration Date OLSON, ROBERT A PRESIDENT 07/19/2005 Bond Amount OLSON, EDWARD J VICE PRESIDENT 07/15/2005 575474C Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date #2 DEVELOPERS SURETY & INDEM CO 575474C 09/28/2007 Until Cancelled $12,000.00 10/01/2007 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 2 https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= GASAPS *953MR 03/13/2008