HomeMy WebLinkAboutPermit M09-002 - PACIFIC COURT APARTMENTSPACIFIC COURT
APARTMENTS
4028 S 146 ST
M09 -002
Parcel No.: 0040000250
Address:
Suite No:
4028 S 146 ST TUKW
Tenant:
Name: PACIFIC COURT APARTMENTS
Address: 4028 S 146 ST , TUKWILA WA
Owner:
Name: MOHAJER HOSSEIN SABOUR
Address: 12645 NE 140TH ST , KIRKLAND WA
Contact Person:
Name: SHAY SABOUR
Address: 12645 NE 140 ST , KIRKLAND WA
Contractor:
Name: EXCLUSIVE HOMES INC
Address: 12645 NE 140 ST , KIRKLAND WA
Contractor License No: EXCLUHI951CC
DESCRIPTION OF WORK:
VENT OUT A MICROWAVE VENT '
Value of Mechanical: $100.00
Type of Fire Protection:
Furnace: <100K BTU 0
>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 0
Hood and Duct 0
Incinerator: Domestic 0
Commercial/Industrial 0
doc: IMC -10/06
btyf 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
MECHANICAL PERMIT
EOUIPMENT TYPE AND QUANTITY
* * continued on next page **
M09 -002
Permit Number: M09 -002
Issue Date: 01/06/2009
Permit Expires On: 07/05/2009
Expiration Date:
Phone:
Phone: 425 - 829 -7428
Phone: 425 829 -7429
Fees Collected: $90.00
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 0
Water Heater 0
Emergency Generator 0
Other Mechanical Equipment
Printed: 01 -06 -2009
Permit Center Authorized Signature:
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 o
construction o
Signature:
Print Name:
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
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: M09 -002
Issue Date: 01/06/2009
Permit Expires On: 07/05/2009
Date:
14-6 -Oct
it does not presume to gibe thority to violate or cancel the provisions of any other state or local laws regulating
performance of work. I am authorize to sign and obtain this mechanical permit.
Date: /— 7 '
M09 -002 Printed: 01 -06 -2009
Parcel No.: 0040000250
Address:
Suite No:
Tenant:
4028 S 146 ST TUI{W
1: ** *BUILDING DEPARTMENT CONDITIONS * **
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
PACIFIC COURT APARTMENTS
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
M09 -002
ISSUED
01/06/2009
01/06/2009
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 **
M09 -002 Printed: 01 -06 -2009
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 pejmit.does not presume_ta.give authority to violate or cancel the provision of any other work or local laws regulating
construction or t performance of work.
Signature: - ---___ Date:
Print Name: 7i,-sf c„� ✓ c �.v- /�'oG. /�_�
doc: Cond -10/06
M09 -002 Printed: 01 -06 -2009
Site Address: qo S-o" yc IL 17 -
Tenant �,
__
Mailing Address: d2 e
Property Owners Name: 1;
,/
o ._, .. ✓y.. � P
Name: cS/Gy ,571 vf2
Mailing Address: / L S j (� 0 )2, f I -
2
E -Mail Address: S VGS kt.t ( C-c7.^,,.ca✓ C
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number: tc r i t t 14) j (C f -
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.cLtukwila.wa.us
Q:Wpplications\Forms- Applications On Line \3-2006 - Mechanical Permit Application.doc
Revised: 4 -2006
bh
5
-S7
/24 g
C � 1
Mechanical, Permit No.
p roject No
MECHANICAL PERMIT APPLICATION
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 **
Suite Number:
New Tenant:
City
State
King Co Assessor's Tax No.: W L i 000 d,9;
Floor:
❑ ... Yes
❑ ..No
Zip
Day Telephone: _ - :?- `2 � T � - 57
State Zip
City
Fax Number: / -'f l S3 (?
wA c go3y
State Zip
City
Day Telephone: t4) j � .9 ! ('� 5i
Fax Number: j:. j 1 - 1 5 I/
Expiration Date: 6 -- 2 _
city
Day Telephone:
Fax Number:
City
Day Telephone:
Fax Number:
State
State
Zip
Zip
Page 1 of 2
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
t
Hood and Duct
Water Heater
50+ HP /1,750,000 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
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
r o t.j1
Use: Residential: New .... ❑ Replacement .... ❑
Commercial: New .... ❑ Replacement .... ❑
Fuel Type: Electric ❑ Gas
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 CE IFY T. -lIHAVE READ AND E INED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENAL • F PERJU ' BY THE LAWS OF THE STATE WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
Signa
Print Name:
Mailing Address:
Date Application Accepted:
BUIL I ING OWNER I UTHORIZED AGENT:
Date Application Expires:
Q:\Applications\Forms- Applications On Line U-2006 - Mechanical Pennit Application.doc
Revised: 4 -2006
bh
Other:
Date: L.
Day Telephone: At-b5 3 Zf- 1 ?-T
City
State
Staff Initials:
Zip
Page 2 of 2
i
Payee: HOSSEIN SABOUR
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 5971 90.00
ACCOUNT ITEM LIST:
Description
MECHANICAL - RES
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
RECEIPT
Parcel No.: 0040000250 Permit Number: M09 -002
Address: 4028 S 146 ST TUKW Status: PENDING
Suite No: Applied Date: 01/06/2009
Applicant: PACIFIC COURT APARTMENTS Issue Date:
Receipt No.: R09 -00012 Payment Amount: $90.00
Initials: WER Payment Date: 01/06/2009 11:10 AM
User ID: 1655 Balance: $0.00
Account Code Current Pmts
000.322.102.00.0 90.00
Total: $90.00
1163 01/06 9707 TOTAL 9000
doc: Receiot -06 Printed: 01 -06 -2009
Prod :
Type of Inspectign:
Addre
Date Called:
Special Instructions:
f
Date Wanted:
m.
Requester:
Phone No:
2 /2--
9
7 4 /0 . 2
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION v
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
I,
( � <)s� �J
C„e) (5,
Inspettor:
Date:
El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Insurance
Company
Name
' Policy
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
4
NATIONAL
FIRE It
MARINE
INS CO
72LPS007836
02/01/2008
02/01/2009
$1,000,000.00
01/31/2008
3
NATIONAL
FIRE &t
MARINE
INS CO
72LPS
003849
02/01/2007
02/01/2008
$1,000,000.00
01/30/2007
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
AMERICAN
STATES INS
CO
6324515
12/27/2004
Until
Cancelled
$12,000.00
02/03/2005
Name
Role
Effective Date
Expiration Date
MOHAJER, HOSSEIN S
PRESIDENT
02/03/2005
Untitled Page
General /Specialty Contractor
A business registered;as a construction contractor with L£tI 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.
ti
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
EXCLUSIVE HOMES
INC
4258297429
12645 NE 140TH ST
KIRKLAND
WA
98034
KING
CORPORATION
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous License
Next License
Associated
License
Specialty 1
Specialty 2
601919766
ACTIVE
EXCLUHI951 CC
CONSTRUCTION
CONTRACTOR
2/3/2005
2/3/2009
GENERAL
UNUSED
Business Owner Information
Bond Information
Insurance Information
•
https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License= EXCLUHI951 CC
Page 1 of 2
01/06/2009