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HomeMy WebLinkAboutPermit M08-078 - CAMPBELL & TAYLOR ADDITIONCAMPBELL & TAYLOR ADDITION 4417 S 136 ST M08-0 78 Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: OWNER AFFIDAVIT - PETER TAYLOR Address: 4417 S 136 ST , TUKWILA WA Contractor License No: Value of Mechanical: $2,000.00 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 7347600075 4417 S 136 ST TUICW CitAf 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 CAMPBELL & TAYLOR ADDITION 4417 S 136 ST , TUKVVILA WA CAMPBELL LESLIE W TAYLOR PETER , 4417 S 136TH PETER TAYLOR 4417 S 136 ST , TUKWILA WA MECHANICAL PERMIT DESCRIPTION OF WORK: RENEWAL OF PERMIT M06 -150: MECHANICAL FOR 913 SF 2 -STORY ADDITION EQUIPMENT TYPE AND QUANTITY 0 0 0 5 0 0 0 0 0 3 0 0 0 0 * * continued on next page ** M08 -078 Permit Number: Issue Date: Permit Expires On: Expiration Date: Phone: Phone: 206 937 -2155 Phone: 206 - 973 -2155 M08 -078 03/26/2008 09/22/2008 Fees Collected: $193.88 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 5 Wood/Gas Stove 0 Water Heater 0 Emergency Generator 0 Other Mechanical Equipment 0 Printed: 03 -26 -2008 Permit Center Authorized Signature: • 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 Permit Number: M08 -078 Issue Date: 03/26/2008 Permit Expires On: 09/22/2008 Date:' ( U 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 t e performance of work�thorized to sign and obtain this mechanical permit. Signature: Date: Print Name: /"e 7e w 0- 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. doc: IMC -10/06 - 7 — 4 3 -2 6 Z005 M08 -078 Printed: 03 -26 -2008 1: ** *BUILDING DEPARTMENT CONDITIONS * ** City of Tukwila Parcel No.: 7347600075 Address: 4417 S 136 ST TUKW Suite No: Tenant: CAMPBELL & TAYLOR ADDITION 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 PERMIT CONDITIONS Permit Number: M08 - 078 Status: ISSUED Applied Date: 03/13/2008 Issue Date: 03/26/2008 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 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: 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: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431 - 3670). 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: Cond - 10/06 * * continued on next page ** M08 -078 Printed: 03 -26 -2008 • 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 these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating construction or the performance of work. Signature: Print Name: doc: Cond -10/06 Pe '6 k YJ, 7Wt Date: r/ -2K M08 -078 Printed: 03 -26 -2008 CITY OF TUKWIr" Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.citukwila.wa.us 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** S T CA Site Address: it / /7 5, / 3 C Yet Tenant Name: Property Owners Name: L ES Li E C ton Mailing Address: ' 7 " 7 / 7 5. 13.' /27E l{ 7t','ior Mailing Address: 'Pt /7 S /3, TM S r Name: E -Mail Address: Company Name: Mailing Address: Contact Person: E -Mail Address: Contractor Registration Number: Building Fen�_� N King Co Assessor's Tax No.: 7.? 00 75 01-20P Suite Number: Floor: New Tenant: JJ .... Yes ..No hell , 7 R -TA y 4Q k i'v" A 4 W 4 9" City State Zip Day Telephone: X 01 7j7 Z/55 l v ' vv; / e qg /d (9 City S tate Zip Fax Number: City Day Telephone: Fax Number: State Zip Expiration Date: Company Name: 'erg Mailing Address: / 7/0 3 7 ►/E Sii5,4 7 E W A Fffi2 City Sta Zi Contact Person: /II / / / VE «.,5 0,/ E -Mail Address: t: . P Day Telephone: ,2 6 7 DO Fax Number: 2 -° 4 7Z 6 /00f Company Name: Mailing Address: Contact Person: E -Mail Address: Q:\Applications'Forms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh City Day Telephone: Fax Number: State Zip Page 1 of 6 BUILDING PERMIT INFORMATION — 206 - 431 -3670 Valuation of Project (contractor's bid prn,e): $ /0o, oeor, (2 Existing Building Valuation: $ / / ono . 00 Scope of Work (please provide detailed information): A E /?') UV-e / 5 % a Wi 1lt'r e f4 /, o i T' 4' 4 4'1 or Ex; 5T, /,5TQfir WO. FAME .5iMiLE FAM/ ! des r1 )DE4'cc &�NM Ew z 5ToRy w0 F AA41 , "TIOrV 6Vim/ CRAWL 5'PAc E AT 'R OF 4/iy Peo C„ ' /ON's WE - our ) / ` t= /i /y7c» ( 6 46 4 C \ P EMVI carAA Will there be new rack storage? ❑.... Yes [�7�No If yes, a separate permit and plan submittal will be required. :oxide All Building Areas in Sp are Footage B e' o xist is' V1 Zito, Floor Flom lob A tie ag e r bed 9756 U7 Remodel Additioi. Ex(stint trttc l 7 Ta=pe of Occupancy per IBC PLANNING DIVISION: qq Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) Z3 *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of 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: ,, I:3 Sprinklers ❑ Automatic Fire Alarm El None X Other (specify)5f►'j®! ' ,� g/ f(,y. Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes No If `yes', attach list of materials and storage locations on a separate 8 -1/2 "x 11 " paper including quantities and Material Safe ata Sheets. 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. Q:\Appliations\Forms- Applications On Line3 -2006 - Permit Application.doc Revised: 9 -2006 bh Page 2 of 6 0 PUBLIC WORKS PERMIT ORMATION -10643370179 Scope of Work (please provide detailed information): /l /y1 ovt / 5 T iQy r WO, P ADM T AAam RP44 $ iQ ' i4/0 " RA/YJ 5 i iVCi. F FA. L R s 79 E/Icx 8oi LO /'Bi reify v1/D F/i'Ml AIJLJri Wew CvAR CRA -W/. s Police AT l 4.i? OP 4415i: /7 E PAN,O 15 f W , , t'c r44Lo,v6 IFS P'.. ,s't9 v T'Ji ,o OF /401P02/ Call before you Dig: 1- 800 - 424 -5555 Sewer District ❑ ...Tukwila ❑ ...Sewer Use Certificate Please refer to. Public Works= Bulletin " #1: for fees and sheet. Water District ❑ ...Tukwila[... Water District # 125 ❑ ...Water Availability Provided 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. Sujtttitted 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 /P Q ![�ValVue ❑ .. Renton ❑...Seattle ❑ ... 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 11 11 ❑• .. Abandon Septic Tank .. Curb Cut . Pavement Cut ❑ .. Looped Fire Line Q:'Applications\Forms- Applications On Linell -2006 - Permit Application.doc Revised: 9 -2006 bh 11 WO # WO ti WO # Private Private ❑ .. Highline ❑ .. Geotechnical Report ❑ .. Maintenance Agreement(s) ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential. Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ ...Renton ❑...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 ❑ ...Water ❑ ...Sewer Monthly Service Billing to: Name: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: Number of Public Fire Hydrant(s) ❑ ...Sewage Treatment / Day Telephone: City State Zip Day Telephone: City State Zip Page 3 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 3 Thermostat 15 -30 HP /1,000,000 BTU Suspended Floor Mounted Heater eater 3 -- 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 MECHANICAL PERMIT INFORMATION - 206 - 431 -3670 MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Mechanical work (contractor's bid price): $ Z, A/ Scope of Work (please provide detailed information): Use: Residential: New .... Replacement .... ❑ Commercial: New .... Replacement .... ❑ Fuel Type: Electric Gas ....0 Other: Indicate type of mechanical work being installed and the quantity below: Q:\ Applications \Forms- Applications On Line \3-2006 - Permit Application.doc Revised: 9 -2006 bh Page 4 of 6 FixtureType: ; '• :. Qty :'Fixture: .Qty FixtureType : : Qty. F.ixtiire .Type:'" Bathtub or combination bath/shower fountain or water cooler (per head) Wash fountain Gas piping outlets .Qty'. Bidet / Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic Floor drain Sinks Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory Closet Building sewer or trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent Additional medical gas inlets /outlets — six or more Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors Repair or alteration of water piping and /or water treating equipment Repair or alteration of drainage or vent piping Medical gas piping system serving one to five inlets /outlets for specific gas PLUMBING AND GAS -PIP PERMIT INFORIVIATION — 206 -4 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: E -Mail Address: Contractor Registration Number: Valuation of Plumbing work (contractor's bid price): $ , t ) ' 000 Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Q:'ApplicationsWorns- Applications On Line U-2006 - Permit Application.doc Revised: 9 -2006 bh City State Zip Day Telephone: Fax Number: Expiration Date: ; Building Use (per Intl Building Code): Occupancy (per Intl Building Code): Utility Purveyor: Water: Q/`5 y'/q /CF 441 /5 Sewer: \M V('y Page 5 of 6 PERMIT APPLICATION NOT — Applicable to all permits in this a 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 AUT A ORIZED GENT: Signature: /t..r e� 0 . ;4-kket Mailing Address: / 7 5. /3 C >t S T Print Name: Date Application Expires: cetN Date Application Accepted: Q:\Applications\Ponns- Applications On Line\3 -2006 - Permit Application. doe Revised: 9 -2006 bh Date: Z - 43 2\ ® Day Telephone: Z0 6 73 ' ,Z / City State Zip Staff Initials: Page 6 of 6 RECEIPT NO: R08 -00744 Initials: JEM Payment Date: 03/13/2008 User ID: 1165 Payee: PETER D TAYLOR SET ID: S000000979 SET NAME: Tmp set/Initialized Activities SET TRANSACTIONS: Set Member Amount 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 D08 -134 582.25 MO8 77.55 PG08 2 0 9 64.00 TOTAL: 723.80 TRANSACTION LIST: Type Method Description Amount Payment Check 2348 723.80 TOTAL: 723.80 ACCOUNT ITEM LIST: Description SET RECEIPT Total Payment: 723.80 Account Code Current Pmts BUILDING - RES 000/322.100 577.75 MAPS /PUBLIC /MAILING 000/341.500 77.55 PLUMBING - RES 000.322.103.00.0 64.00 STATE BUILDING SURCHARGE 000/386.904 4.50 TOTAL: 723.80 Ti ;T-... Project: f „ , - ` j I C _ Type of Inspection: - f •. A ( $1 5; Date Called: Special Instructions: . Date Wanted:gr\ z. \ a.m. 4� a p.m. Requester: Phone No: INSPECTION RECORD � ° c. Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 COMMENTS: Approved per applicable codes. LJ Corrections required prior to approval. Inspector: Date: 4 \ Lii\ $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: • CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -367o FAX (206) 431-3665 E -mail: tukplanAci.tukwila.wa.us STATE OF WASHINGTON) ) ss. COUNTY OF KING P - 0 4 eP , " , states as follows: please print] 7 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION Permit Center /Building Division 206 431 -3670 Public Works Department 206 433 - 0179 Planning Division 206 431 -3670 PERMIT NO: 20i 1794 t N O - oil ail 1. I have made application for a 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 of 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 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 permit to be exempt under No. , and will therefore not be performed by a registered contractor. 5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to persons making electrical installations on their own property or to regularly employed employees working on the premises of their employer. The proposed electrical work is not for the construction of a new building for rent, sale or lease. I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractor to perform onstruction work. Owner /Owner's Agent Signed and sworn to before me this .�lllday of , . �R . NOTARY PUBLIC in and for s e State of Washington Residing at K---( "✓ , County Name as commissioned: S Lf i/1 d Ock-- My commission expires: