HomeMy WebLinkAboutPermit M09-034 - PARRISH RESIDENCEPARRISH RESIDENCE
4430 S 150 ST
M09 -034
Parcel No.: 0042000072
Address:
Suite No:
4430 S 150 ST TUKW
Tenant:
Name: PARRISH RESIDENCE
Address: 4430 S 150 ST , TUKWILA WA
Cityef Tukwila
Owner:
Name: PARRISH CHARLES +MARIE
Address: 4430 S 150TH ST , TUKWILA WA
Contact Person:
Name: KAREN MASSENGALE
Address: 10910 117 PL NE , KIRKLAND WA
Contractor:
Name: CARDINAL HEATING & A/C INC
Address: 10910 117 PL NE , KIRKLAND WA
Contractor License No: CARDIHA055DB
Value of Mechanical: $4,450.00
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
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
DESCRIPTION OF WORK:
PROVIDE AND INSTALL CARRIER HEAT PUMP 15 SEER, 3 - TON, MODEL 25HPA536H003
EQUIPMENT TYPE AND QUANTITY
0
0
0
0
0
1
0
0
0
0
0
0
0
0
* *continued on next page **
M09 -034
•
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 425 827 -9997
Phone: 425 827 -9997
Expiration Date: 02/08/2011
M09 -034
03/27/2009
09/23/2009
Fees Collected: $184.57
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: 03 -27 -2009
Permit Center Authorized Signature:
Signature:
Print Name:
doc: IMC -10/06
r4r7s 11
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: MO9 -034
Issue Date: 03/27/2009
Permit Expires On: 09/23/2009
Date:
I hereby certify that I have read and • x. ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie • wit , 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.
Date:
y- 07
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.
M09 -034 Printed: 03 -27 -2009
Parcel No.: 0042000072
Address:
Suite No:
Tenant:
4430 S 150 ST TUKW
PARRISH RESIDENCE
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
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
M09 -034
ISSUED
03/27/2009
03/27/2009
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 Thkwila 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 Thkwila
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 -034 Printed: 03 -27 -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 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
-A,-7,, 417-7
Date: ? 07
M09 -034 Printed: 03 -27 -2009
U
(; MECHANICAL PERMIT APPLICATION
/ �
SITE LOCATION—
.:
p King Co Assessor's Tax No.:
Site Address:J� S )5D-1-1, �� �tr o . l��g� Suite Number:
•
Tenant Name:
Property Owners Name:
Mailing Address: J
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.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 **
C PR n
AYVN_ —
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: (),".9 At\ I" (4./AP
Mailing Address:
E -Mail Address: -41re,rleCard ; na-the.a4 ei
MECHANICAL: CONTRACTOR INFORMATION-
Company Name: Q (, & Q,t/yo-J '4--P A �f A C-- 1 . \ q
Mailing Address: 1 0/10 , (,� ? f )) 9 ) `klilt1D i.&)I� / IM - >
City State Zip
Day Telephone: $ 2 ga7— Y 3 1
Fax Number: L(.2 ga - 1
Expiration Date: 2.— g — 1
Contact Person:
s •
E -Mail Address: -metre .9,card , A,12 e
Contractor Registration Number: CAR-D A (
E -Mail Address:
H:\Applications \Forms- Applications On Line\2009 Applications \I -2009 - Mechanical Permit Application.doc
Revised: 1 -2009
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City
Floor:
New Tenant: ❑ Yes ❑ ..No
State
Zip
Day Telephone: 0.5 � -i c 5 c1
k64_ w
City State Zip
Fax Number: T1-533 q i
ARCHITECT OF RECORD - All plans must be wet "stamped by Architect of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
Fax Number:
State
Zip
ENGINEER.OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
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/I,750,000
BTU
Appliance Vent
Hood and Duct
Emergency Generator
50+ HP/I,750,000 BTU
Repair or addition to e uPA p
I
Incinerator— Domestic
Other Mechanical
Equipment
, t /Refrig/Cooling System
Air Handling Unit <I0,000
CFM
incinerator— Comm/Ind
Valuation of Project (contractor's bid price): $ `� ' (7 0 —
}• -
Scope of Work (please provide detailed information): - [kart GQQ d ry. -P Q OJL k� V�51 o� i a,ur, f )
L.e) 5e.r( 31-sr tx.LQ 2- A fo H o0.3
Use: Residential: New )C Replacement ❑
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑ Gas Other:
Indicate type of mechanical work being installed and the quantity below:
PERMIT APPLICATION NOTES -
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 extension of time for additional periods not to exceed 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 OWN OR AUTHORIZED AGENT: q
Signature: ,pA Date: 3-1D, " 1
Print Name: of t r.e,h (I SSP r. -i _______. Day Telephone: t i.-.' c Z2 - 9 7
Mailing Address: I 0910 P W_ 1 1 'P1 q gcs_
Zip
City State
Date Application Expires: m 1 0404)
Date Application Accepted:
H:1Applications \Fortes- Applications On Line\2009 Applications \I -2009 - Mechanical Permit Application.doc
Revised: 1 -2009
bh
Staff Initials:
Page 2 of 2
Parcel No.: 0042000072
Address: 4430 S 150 ST TUKW
Suite No:
Applicant: PARRISH RESIDENCE
Receipt No.:
Initials:
User ID:
doc: Receiot -06
R09 -00494
JEM
1165
Payment Check
ACCOUNT ITEM LIST:
Description
MECHANICAL - RES
City of Tukwila
Payee: CARDINAL HEATING & A/C, INC.
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
24967 184.57
RECEIPT
Account Code Current Pmts
000.322.102.00.0 184.57
Total: $184.57
Permit Number: M09 -034
Status: PENDING
Applied Date: 03/27/2009
Issue Date:
Payment Amount: $184.57
Payment Date: 03/27/2009 03:51 PM
Balance: $0.00
Printed: 03 -27 -2009
Probe
/ � RL5 J Pr's•
Type of I spection:
/—. Air? /
Address:
6/13 S /5d sr
Date Called:
Special Instructions:
Date Wanted:
<„/.,r c - Q�
p.m.
Requester:
Phone No:
4%2a - 1 /5 7 csg 6 S
NSPECTION 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
fgoved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
6 ) - (AroffilieVeylf7;
Inspecto
1
71
A-4AI 444
0 REINSPECTION F REQUIRED. Prior to inspection, fee must be
at 6300 Southcenter vd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
Name
Role
Effective Date
Expiration Date
HASTINGS, MICHAEL
Cancel
Date
01/01/1980
Bond
Amount
RICHARDSON, RORY
6
01/01/1980
9413956
ERICKSON, GARY
Until
Cancelled
01/01/1980
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
6
FEDERATED
MUTUAL
INS CO
9413956
02/16/2009
Until
Cancelled
$12,000.0002/24
/2009
5
CBIC
SC6155
02/08/2002
Until
Cancelled
04/07/2009
$12,000.00
01/28/2002
4
CBIC
SC6155
02/08/200002/08
/2002
$6,000.00
3
STAR INS
CO
SA143261002/08/1998
Until
Can
03/11/2000
$6,000.00
2
T INS
SA143261006/30/199602/08/1998
$6,000.00
1
STAR INS
SAl20940202/08/199502/08/1997
$4,000.00
Untitled Page
•
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.
Business and Licensing Information
Name
Suite /Apt.
CARDINAL HEATING ii UBI No. 601593718
A/C INC
Phone 4258279997 Status ACTIVE
Address 10910 117th Pt NE License No. CARDIHA055DB
License Type CONSTRUCTION
CONTRACTOR
City KIRKLAND Effective Date 3/2/1995
State WA Expiration Date 2/8/2011
Zip 98033 Suspend Date
County KING Previous License CARDIHA072PO
Business Type Corporation Next License
Parent
Company
Associated
License
Specialty 1 GENERAL
Specialty 2 UNUSED
Business Owner Information
Bond Information
https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License= CARDIHA055DB
Page 1 of 2
03/27/2009