HomeMy WebLinkAboutPermit M09-072 - FRAZER RESIDENCEFRAZER RESIDENCE
4234 S 150 ST
M09 -072
Parcel No.: 0042000098
Address:
Suite No:
4234 S 150 ST TUKW
Tenant:
Name: FRAZER RESIDENCE
Address: 4234 S 150 ST , TUKWILA WA
Owner:
Name: FRAZER RICARDO R
Address: 4234 S 150TH ST , TUKWILA WA
Contact Person:
Name: SCOTT SLOAN
Address: 19012 29 AVE , TACOMA WA
Contractor:
Name: CREATIVE HEATING INC
Address: 19012 29 AVE , TACOMA WA
Contractor License No: CREATHI066PC
DESCRIPTION OF WORK:
ADD A/C TO EXISTING SYSTEM 4 TON
Value of Mechanical: $4,225.00
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
CitySf 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 OUANTITY
0
0
0
0
0
1
0
0
0
0
0
0
0
0
* *continued on next page **
M09 -072
Permit Number: M09 -072
Issue Date: 06/16/2009
Permit Expires On: 12/13/2009
Expiration Date:
Phone:
Phone: 253 - 846 -8646
Phone:
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: 06 -16 -2009
Permit Center Authorized Signature:
Print Name:
doc: IMC -10/06
O
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 -072
Issue Date: 06/16/2009
Permit Expires On: 12/13/2009
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 esume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performan work. I a thorized to sign and obtain this mechanical permit.
Signature: Date:
carr ve&+
Date: l0 1p -D q
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 -072 Printed: 06 -16 -2009
Parcel No.: 0042000098
Address: 4234 S 150 ST TUKW
Suite No:
Tenant: FRAZER RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
0
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: M09 -072
Status: ISSUED
Applied Date: 06/16/2009
Issue Date: 06/16/2009
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 -072 Printed: 06 -16 -2009
S
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.
Signature: Date: 6 -r o
doc: Cond -10/06 M09 -072
ordinances governing
or local laws regulating
Printed: 06 -16 -2009
SITE LOCATION
,� I �{ King Co Assessor's Tax No.: O d y Z ° ° 0 °Y'8- o 7
Site Address: `7' Z 3 y Sb / .� ". 5 Suite Number: Floor:
Tenant Name:
Property Owners Name: f 0 I ✓4.2eV
2 ? L/ s /5 aft, f7 II q
Mailing Address:
Name:
Mailing Address:
Company Name:
Mailing Address:
Company Name:
Mailing Address:
Company Name:
Mailing Address:
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 revie\y.
Applications will not be accepted through the mail or by fax.
* *Please Print **
CONTACT PERSON Who do we contact when your permit is ready to be issued
,C(.A m 3704. h C / +' ( ec1af Day Telephone: f 3 8 5 / ‘. 845'4(
o / Z- Z-etr cx E Z w w
E -Mail Address:
MECHANICAL CONTRACTOR INFORMATION
C icA- 4(Z. ( .1
( 901t ?Alt,
Sc-.i4
Contact Person:
E -Mail Address:
Contractor Registration Number: C f `e to 1 °C6 PC
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
City
Contact Person: Day Telephone:
Fax Number:
E -Mail Address:
ENGINEER OF RECORD All plans must be wet stamped by Engineer of Record
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
H:\Applications\Forms- Applications On Line \2009 Applications \I -2009 - Mechanical Permit Application.doc
Revised: 1 -2009
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MECHANICAL PERMIT APPLICATION
Mechanical Permit No. � � O � 0 7)- .
Project No.
(!'V/ VfftLG M S C V',v
City
City
New Tenant: ❑ Yes (.. No
tAJ A
State
State
Fax Number: Z C 7 ec(g. Raft)
T ic wf ?e I
City State Zip
Day Telephone: 2 s 3 e Y6 -8 6 '/b
Fax Number: Z S ?- 8 y6 - 810
Expiration Date:
State
State
Zip
Zip
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
Hood and Duct
Emergency Generator
50+ HP /1,750,000 BTU
Repair or addition to
Heat/Refrig /Cooling System
Incinerator – Domestic
Other Mechanical
Equipment
/
1/41M/Ac
Air Handling Unit <10,000
CFM
Incinerator – Comm/Ind
Valuation of Project (contractor's bid price): $ 9Z Zf. O c�
Scope of Work (please provide detailed information): Add 4 C.
Use: Residential: New
Commercial: New
Fuel Type: Electric ❑
Er 'Wow. Replacement
Replacement
Indicate type of mechanical work being installed and the quantity below:
Print Name: S U S (a o"
Mailing Address: / 90 (`Z Z-a • f r-6- L
I Date Application Accepted:
H:\Applications\Forms- Applications On Line\2009 Applications \I -2009 - Mechanical Permit Application.doc
Revised: 1 -2009
bh
"TO e Xt �� Cy. rte-,
f co.( CwpvptaZ( frc�q
Gas tg Other: i4 C Q Q O A ' S'k• YN�
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 OWNER THO j D AGENT:: /t 1
Signature: �� / Ci/' 7t(k lie Gm -✓l C
City
Date: 6 • / d • 0 9
Day Telephone: 2 S 3 - e Yb - 86 y-6
LA-/ CA- g la C i yi
State Zip
Date Application Expires:
Staff Initials:
Page 2 of 2
Parcel No.: 0042000098 Permit Number: M09 -072
Address: 4234 S 150 ST TUISW Status: PENDING
Suite No: Applied Date: 06/16/2009
Applicant: FRAZER RESIDENCE Issue Date:
Receipt No.: R09 -00893
Initials:
User ID:
Payee:
WER
1655
ACCOUNT ITEM LIST:
Description
CREATIVE HEATING
0
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
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC -
Authorization No. 057845
MECHANICAL - RES
RECEIPT
184.57
Account Code Current Pmts
000.322.102.00.0 184.57
Total: $184.57
Payment Amount: $184.57
Payment Date: 06/16/2009 09:41 AM
Balance: $0.00
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 06 -16 -2009
Pro,I,gct:
r tIZI k RCS ..
�
Type of Inspection:
a
i 17 /
prior to approval
Address:
1 7 / 2 _ 3 4 /
/ - > 4 S - 7 . - i
Date Called:
li AV, 4– .,.J — 4,, /01/-eZ
Special Instructions:
Date
6 —/ 7 - 0 C
0
Requester:
Phone No:
a 3- 84' -86'
.
Approved
per applicable codes. Corrections required
prior to approval
COMMENTS: •
li AV, 4– .,.J — 4,, /01/-eZ
r;
.
) 42..0f 4;1. 0 1
/
e .
,/
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 4(306)431 -3670
i1' -07Z
PERMIT NO.
Date:
7-- a,
r gg
$60.00 REINSPE1r ON P REQUIRED. Prior to inspection, fee must be
paid at 6300 South enter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
7
a
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
2
CBIC
638320
09/30/2001
Until
Cancelled
01/01/1980
01/01/1980
$12,000.00
07/24/2001
1
CBIC
638320
09/30/1994
09/30/2001
$6,000.00
/21/2004
Name
Role
Effective Date
Expiration Date
SLOAN, CHRISTINE
Cancel
Date
01/01/1980
Amount
BLADO, JOHN
AGENT
01/01/1980
79035083027
EDDY, CHRISTINE
/2009
01/01/1980
01/01/1980
Insurance
Company
Name
Policy
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
7
TRUCK
INSURANCE
EXCHANGE
79035083027
09/30/200509/30
/2009
$1,000,000.0008
/08/2008
6
TRUCK INS
EXCHANGE
35083027
09/30/200409/30
/2005
$1,000,000.0009
/21/2004
5
AMERICAN
STATES INS
01CG4261541009/30/2003
Until
$1,000,000.0009
/26/2003
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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
CREATIVE HEATING
INC
2538468646
19012 29TH AVE E
TACOMA
WA
98445
PIERCE
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration
Date
Suspend Date
Specialty 1
Specialty 2
601575175
ACTIVE
CREATH1066PC
CONSTRUCTION
CONTRACTOR
10/3/1994
9/30/2009
GENERAL
UNUSED
Business Owner Information
Bond Information
Insurance Information
4
Page 1 of 2
https://fortress.wa.gov/lni/bbip/Detail.aspx
06/16/2009