HomeMy WebLinkAboutPermit M09-067 - RUSSO RESIDENCERUSSO
5701 PAMELA DR S
SIDENCE
Parcel No.: 7344000120
Address:
Suite No:
Tenant:
Name:
Address:
5701 PAMELA DR S TUKW
Owner:
Name: SALLIA LISA L
Address: 5701 S PAMELA DR , SEATTLE WA
Contact Person:
Name: ERIC NELSON
Address: 153 SW 154 ST , BURIEN WA
Contractor:
Name: BURIEN NATURAL GAS SERVICE INC
Address: 153 SW 154 ST , BURIEN WA
Contractor License No: BURIENG027OD
DESCRIPTION OF WORK:
INSTALL (1) MITSUBISHI SINGLE PANEL MINI -SPLIT
Value of Mechanical: $4,000.00
Type of Fire Protection:
Citybf Tukwila
RUSSO RESIDENCE
5701 PAMELA DR S , TUKWILA WA
Furnace: <100K BTU 0
>100K BTU 0
Floor Furnace 0
Suspended/Wall/Floor Mounted Heater 0
Appliance Vent 0
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
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
* *continued on next page **
M09 -067
Permit Number: M09 -067
Issue Date: 06/11/2009
Permit Expires On: 12/08/2009
Phone:
Phone: 206 248 -2196
Phone:
Expiration Date: 08/19/2009
Fees Collected: $175.39
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: 06 -11 -2009
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
Signature.
Print Name:
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
xa
wit
ned 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 presume to give authority to violate or cancel the provisions of any other state or local laws regulating
constructio the performance of work. I am authorized to sign and obtain this mechanical permit.
a/a Date: 61/ M
Em m C 0 Ali`
S t/V
Permit Number: M09 -067
Issue Date: 06/11/2009
Permit Expires On: 12/08/2009
Date: wititori
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 -067 Printed: 06 -11 -2009
t A
Parcel No.: 7344000120
Address:
Suite No:
Tenant:
5701 PAMELA DR S TUKW
RUSSO RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
ND
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 -067
ISSUED
06/11/2009
06/11/2009
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 -067 Printed: 06 -11 -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
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
construction or the performance of work.
doc: Cond -10/06 M09 -067
Date:
of law and ordinances governing
other work or local laws regulating
Printed: 06 -11 -2009
CITY OF TUKMAR
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Mechanical Permit No.
MECHANICAL PERMIT APPLICATION
Project No.
(For office use only)
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
King Co Assessor's Tax No.: - 73 '1 0U a G
Site Address: 6 1 1 <R. 01_49.1 cc 1. Jt Suite Number: Floor:
Tenant Name: R New Tenant: ❑ Yes o
Property Owners Name: R ('t'S� cf / 1.t S 4.
Mailing Address: S) 0 ( t ci- vn.,¢,(e.t V ) r
Name:
E -Mail Address:
Company Name: IS L' vS
Mailing Address: I S 3 S, t ( ( 1-4 V
Contact Person: E J' • C ^ / v Ste'
E -Mail Address: hi\ q S .1& XM S h I Coe
Contractor Registration Number: b(,4-0. IT) CD
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
H:\Applications\ Forms - Applications On Line \2009 Applications \ 1-2009 - Mechanical Penult Applicatioadoc
Revised: 1 -2009
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Twk Ict
City
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
State
State
State
State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Day Telephone:
Mailing Address:
City
Zip
Fax Number:
MECHANICAL CONTRACTOR INFORMATION
City State Zip
Telephone: 0 it"
Fax Number: ( 9..0 c 6 a v �' a� I C
Expiration Date: ! ' 30 j
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
Zip
ENGINEER OF RECORD - AU plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
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
Hood and Duct
Emergency Generator
50+ HP /1,750,000 BTU
Repair or addition to
Heat/Refrig/Cooling System
Incinerator — Domestic
Other Mechanical
Equipment
I
t
( T L fY
Air Handling Unit <10,000
CFM
Incinerator — Comm/Ind
I1.kA.5'lli f
Valuation of Project (contractor's bid price): $ ._P 5 1 0 L l
Scope of Work
lease provide detailed information):
I �.TSwh�5 : S 4�
Use: Residential: New LrJ Replacement ❑
Commercial: New ❑ Replacement ❑
Fuel Type: Electric er Gas ❑
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 O JER OR AUTHORIZED AGENT:
Signature:
P
Print Name: � t C J . � .1( S �S^
Mailing Address: 1 51 Sit/). S
Date Application Accepted:
Atitt[0
H: Vtppli cati ons\Fomu- Appticatiom On l.ine\2009 Applications \ 1-2009 - Mechanical Pemtit Applicatioadoc
Revised: 1 -2009
bh
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Other:
Date: T
,klay Telephone: 00/i -
15 W4 7 r /C. Cv
Staff Initials:
City State Zip
Date Application Expires:
2 of 2
Receipt No.:
Initials:
User ID:
doc: Receiot - 06
R09 -00873
JEM
1165
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
Payment Check 1868 175.39
Authorization No.
Parcel No.: 7344000120 Permit Number: M09 -067
Address: 5701 PAMELA DR S TUKW Status: PENDING
Suite No: Applied Date: 06/11/2009
Applicant: RUSSO RESIDENCE Issue Date:
Payee: BURIEN NATURAL GAS SERVICE, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
RECEIPT
Account Code Current Pmts
000.322.102.00.0 175.39
Total: $175.39
•
Payment Amount: $175.39
Payment Date: 06/11/2009 11:37 AM
Balance: $0.00
PAYMENT
RECEIVED
Printed: 06 -11 -2009
Proje
/ � �j 0 i7.GI �-. c�
T e of I
YP P ectio
'.t .. AA ,
Address:
PA.
Date Called:
Special Instructions:
7
Date Wanted:
I / Q
t o - P ` o t
P
Requester:
Phone 0. . (.
24 Z 'WS a
INSPECTION NO.
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
AV 1 - (07
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION P
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
9 Corrections required prior to approval.
COMMENTS:
k,7C 2/ ,(
I
Inspitor:
/4 4,
Date: A
n $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:
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
4
COLONIAL
AM CAS It
SURETY
OF MD
LPM4060818
12/09/2001
Can
C an c
01/01/1980
ARCHIVED
$6,000.00
12/07/2001
3
FAR WEST
INS CO
411003828
08/19/2001
12/09/2001
$6,000.0008/07/2001
2
FAR WEST
INS CO
411003828
08/19/2000
08/19/2001
$4,000.00
11/21 /2000
Name
Role
Effective Date
Expiration Date
NELSON, ERIC J
Effective
Date
01/01/1980
Status
WEIGEL, JOHN
FLOORS
FLOORS INC
01/01/1980
GENERAL
NELSON, KIMBERLY A
12/28/1995
01/01/1980
ARCHIVED
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
ARMORFI053R8
FLOORS
FLOORS INC
CONSTRUCTION
CONTRACTOR
GENERAL
UNUSED
12/28/1995
12/18/1997
ARCHIVED
Untitled Page
o
•
General /Specialty Contractor
A business registered as a construction contractor with L8I 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
Phone
Address
BURIEN NATURAL GAS
SERVICE INC
2532482196
153 SW 154 ST
Status ACTIVE
License No. BURIENG027OD
Suite /Apt. License Type CONSTRUCTION
CONTRACTOR
City BURIEN Effective Date 9/4/1998
State WA
Zip 98166
County KING
Business Type Corporation
Parent
Company
UBI No. 601892471
Expiration
Date
Suspend Date
8/19/2009
Specialty 1 HTG /VENT /AIR
CONDITIONING
Specialty 2 UNUSED
Other Associated Licenses
Business Owner Information
Bond Information
Page 1 of 2
https: // fortress .wa.gov /lni/bbip/Detail.aspx 06/11/2009