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Home My WebLink AboutPermit M09-056 - BARLOW RESIDENCEBARLOW RESIDENCE 13715 MACADAM RD S M09 -056 Parcel No.: 7347600407 Address: Suite No: DESCRIPTION OF WORK: INSTEALL NEW HEAT PUMP AND GAS FURNACE Value of Mechanical: $12,073.00 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 CityNF 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 13715 MACADAM RD S TUKW Tenant: Name: BARLOW RESIDENCE Address: 13715 MACADAM RD S , TUKWILA WA Owner: Name: BARLOW DOUGLAS W +JACKSTADT, Address: 13715 MACADAM RD S , SEATTLE WA Contact Person: Name: JENNY HOUSE Address: 5201 CAPITOL BL #201 , TUMWATER WA Contractor: Name: NORTHWEST REFRIGERATION Address: 5201 CAPITOL BL STE 201 , TUMWATER WA Contractor License No: NORTHRI0000J MECHANICAL PERMIT EOUIPMENT TYPE AND OUANTITY 1 0 0 0 0 0 0 0 0 0 0 0 0 0 * *continued on next page ** M09 -056 Permit Number: Issue Date: Permit Expires On: Phone: Phone: 360 357 -9973 Phone: 360 357 -9973 Expiration Date: 03/01/2010 M09 -056 05/27/2009 11/23/2009 Fees Collected: $262.01 International Mechanical Code Edition: 2006 Boiler Compressor: 0 -3 HP /100,000 BTU 1 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: 05 -27 -2009 S City of Tukwila Permit Center Authorized Signature: CV—) I hereby certify that I have read and governing this work will be complied Print Name: 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 -056 Issue Date: 05/27/2009 Permit Expires On: 11/23/2009 Date: 0 1. -1 ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. The granting of this permit does not pres it e 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. Signature: Date: S /a-1/Q Robe /4 -So►frd 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 M09 -056 Printed: 05 -27 -2009 Parcel No.: 7347600407 Address: Suite No: Tenant: 13715 MACADAM RD S TUKW BARLOW 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 -056 ISSUED 05/27/2009 05/27/2009 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 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 -056 Printed: 05 -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 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. Print Name: PC)" Sc 1/0 Signature: doc: Cond -10/06 M09 -056 Date: J /d 7/0 7 ordinances governing or local laws regulating Printed: 05 -27 -2009 Contact Person: E -Mail Address: CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 hrtp ; /. it- . ci. tukit'ilu. wa.us Building Permit No. Mechanical Permit No. Plumbing /Gas Permit No. Public Works Permit N Project No. (For office use only) M o" 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 Site Address: 13, 15 es_Ab &m T Tenant Name: Property Owners Name: hVC1� $Ar \tLlkj Mailing Address: N 5 H: Applications Forms-Applications On Line 2 Applications 1 -1000 - Permit Application doe Revised: I -21100 bh King Co Assessor's Tax No.: 13 't 1 600 L{ 01 Suite Number: Floor: New Tenant: ❑ Yes ❑ ..No City VNQ 98 ta- State Zip CONTACT PERSON - who do we contact when your permit is ready to be issued Name: V e.hh �6\ �� Day Telephone: 36e. 351_ 91--) 3 Mailing Address:nat, ‘ C� q� -- - b\ %∎1d, 4- t \ V-Tm1.N0_ W■ ( p eSU ` City State Zip E -Mail Address: \ V.�°. \C 1.4Nt\'c\g, 4.9\,.Cpr Fax Number: (oil- 1 S -- 1) 3 ) GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: ►v Qv- Vt-\W c G.k. Mailing Address:' C(' 6 \ re:)\. .1. ZiNL �u ec\l,l(Aer Qiil 4 ,8 City State Zip Contact Person �huSG Day Telephone: ;bp - 357- 91 3 E -Mail Address. \ Mlice to mhi*,,,TNe 0gvca`, Cur Fax Number: Z6 .154 7 37 Contractor Registration Number: .j do (ZS w CZ Expiration Date: 3- I'd ARCHITECT OF RECORD — All plans must be wet stamped by Architect of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip ENGINEER OF RECORD — All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City Day Telephone: Fax Number: Page I of 6 State Zip Unit Type: Q ty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Furnace <I00K BTU ( Air Handling Unit >10,000 CFM Fire Damper 0 -3 HP /100,000 BTU ' Furnace >IOOK BTU 1 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/Refri g/Cool ing System Incinerator - Domestic Other Mechanical Equipment Air Handling Unit <10.000 CFM Incinerator — Comm /Ind Contact Person: MECHANICAL PERMIT INFORMATION — 206 - 431 - 3670 MECHANICAL CONTRACTOR INFORM ION Company Name: k\.) \V ` "\r\ 2.5 e, 'C'\ e t�� g s �.� >� C' o\ �\ q g p� Mailing Address: , �1[�. �`�h� ��c�cc �� ! OT6l City State Zip • ' 2 Day Telephone3(43. 913 E -Mail Address: . • ► _ 0.1 c . a - -Y''''. Fax Number: 31 , S ) Contractor Registration Number: ��Z k1 Cu � ( (S Expiration Date: 31 l Valuation of Mechanical work (contractor's bid price): $ (Y)S.'' Scope of Work (please provide detailed information):. ■Sc K\40 \A2..01E r Cr CU) C uc tom« Use: Residential: New .... ❑ Replacement .... Commercial: New .... ❑ Replacement .... ❑ Fuel Type: Electric I F Gas.... Other: Indicate type of mechanical work being installed and the quantity below: H: Applications Forms-Applications On Line 2009 Applications 1 -2009 - Permit Applicauon.doc Revised: I -2)1119 bIt Page 4 of 6 PERMIT APPLICATION NOTES — Applicable to all permits in this application 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 ONVt ER OR AUAGENT: Signature: Print Name: 1ti O 6-er4 W V 0/ n Day Telephone: G "3,1-9 9 7 3 Mailing Address: S.1 d I t! ' a 62 11.„/ *) J `f'rY✓vtwcSep X1.4 98 'so/ City State Zip I Date Application Accepted: H Applications Forms - Applications On Line 2009 Applications 1 -2009 Permit Application.doc Res Ised 1.2009 bh Date: — 3J 0 1-) /0 � Date Application Expires: Staff Initials: Page 6 of 6 RECEIPT NO: R09 -00782 Initials: JEM Payee: VAUGHN MECHANICAL, INC. SET TRANSACTIONS: Set Member EL09 -0333 M09 -056 TOTAL: ACCOUNT ITEM LIST: Description ELECTRICAL PERMIT - RES MECHANICAL - RES Cit, 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 SET RECEIPT Copy Reprinted on 05 -27 -2009 at 12:44:50 05/27/2009 Amount 57.00 262.01 57.00 • Payment Date: 05/27/2009 User ID: 1165 Total Payment: 319.01 SET ID: S000001211 SET NAME: NW REFRIGERATION TRANSACTION LIST: Type Method Description Amount Payment Check 24150 319.01 TOTAL: 319.01 Account Code Current Pmts 000.322.101.00.0 57.00 000.322.102.00.0 262.01 TOTAL: 319.01 T ECERIED Pro ct: P J '5. APA <1, 8 AS (v (Ai 12 Type of Inspection: 4 r, /l -'1 Me c A( v Address ,— T Date Called: Special Instructions: Q �j + _ 0 3 3 1 0( Date Wanted: , S-' c . r Requester: Phone No: -3-5 6 11'73 0 INSPECTION RECORD Retain a copy with permit INSPE ON NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 i. 1' My -as, PERMIT NO. 1 (206)431 -3670 Approved per applicable codes. El Corrections required prior to approval. COMMENTS: El $60. l ' • INSPECTION E REQUI • ED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 5 COLONIAL AM CAS SURETY OF MD LPM406716609/07/2004 OTHER (SPECIFY) Can 8/20/2000 ARCHIVED $12,000.00 09/13/2004 4 MID CENTURY INS CO 697000872 09/07/2001 Until Cancelled 09/07/2004 VAUGHR "131 N1 $12,000.0002/27 /2002 3 MID - CENTURY INS CO 697000872 09/07/200009/07 /2001 $6,000.00 2 CBIC 639200 08/20/1996 Until Cancelled 08/20/2000 $6,000.00 1 CBIC 639200 03/02/199508/20 /1995 $6,000.00 License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status NORTHR *033BM NORTHWEST REFRIGERATION CONSTRUCTION CONTRACTOR AIR CONDITIONING OTHER (SPECIFY) 1/14/1997 8/20/2000 ARCHIVED NORTHR *13605 NORTHWEST REFRIGERATION CONSTRUCTION CONTRACTOR AIR CONDITIONING COMMERCIAL/ INDUSTRIAL/REFRIG 9/10/19878/20/1996 ARCHIVED VAUGHR "131 N1 VAUGHN'S REFRIGERATION CONSTRUCTION CONTRACTOR AIR CONDITIONING COMMERCIAL/ INDUSTRIAL/REFRIG 8/21/1987 8/20/1988 ARCHIVED Name Company Policy Effective Expiration Cancel Impaired Received Insurance Name Number Date Date Date Date Amount Date Name Role Effective Date Expiration Date MURPHIE, VAUGHN PRESIDENT 01/01/1980 Untitled Page General /Specialty Contractor A business registered as a construction contractor with Lai 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 NORTHWEST REFRIGERATION INC Phone 3603579973 Address 5201 CAPITOL BLVD STE 201 Suite /Apt. City State Zip County Business Type Parent Company TUMWATER WA 985010201 THURSTON Corporation UBI No. 601437459 Status ACTIVE License No. NORTHRI0000J License Type CONSTRUCTION CONTRACTOR Effective Date 9/11/2000 Expiration Date Suspend Date Specialty 1 GENERAL Specialty 2 UNUSED 3/1/2010 Other Associated Licenses Business Owner Information Bond Information Insurance Information • Page 1 of 2 https: // fortress .wa.gov /lni/bbip/Detail.aspx 05/27/2009