HomeMy WebLinkAboutPermit M09-137 - MIX RESIDENCEMIX RESIDENCE
14426 57 AV S
M09 -137
Parcel No.: 3365900570
Address:
Suite No:
14426 57 AV S TURIN'
Tenant:
Name: MIX RESIDENCE
Address: 14426 57 AV S , TUKWILA WA
Cityef Tukwila
Contact Person:
Name: KERRY BURK
Address: 126 SW 148 #C100-125 , BURIEN WA
Value of Mechanical: $7,700.00
Type of Fire Protection:
Furnace: <100K BTU 1
>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
Owner:
Name: MIX CORY +ELIZABETH +LANNY +KA
Address: 14426 57TH AVE S , TUKWILA WA
Contractor:
Name: ABUNDANT HEATING & A/C INC
Address: 126 SW 148 ST #C100-125 , BURIEN WA
Contractor License No: ABUNDHA022CK
MECHANICAL PERMIT
DESCRIPTION OF WORK:
INSTALL NEW GAS FURNACE - RELOCATE FURNACE TO MECH ROOM
EQUIPMENT TYPE AND QUANTITY
* *continued on next page **
M09 -137
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 244 -3393
Phone:
Expiration Date: 09/16/2010
M09 -137
10/21/2009
04/19/2010
Fees Collected: $213.61
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 0
Printed: 10 -21 -2009
Permit Center Authorized 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
•
Permit Number: M09 -137
Issue Date: 10/21/2009
Permit Expires On: 04/19/2010
Date:
I hereby certify that I have read and ex- Cat d this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied , hether 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 p rformance of ork. I am authorized to sign and obtain this mechanical permit.
Signature: ' t.�l� Date: 16 A4107
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 -137 Printed: 10 -21 -2009
Parcel No.: 3365900570
Address: 14426 57 AV S TUKW
Suite No:
Tenant: MIX RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
r
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 -137
Status: ISSUED
Applied Date: 10/21/2009
Issue Date: 10/21/2009
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 -137 Printed: 10 -21 -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.
Signature:
Print Name:
doc: Cond -10/06 M09 -137
Date: 1Q1Z116
ordinances governing
or local laws regulating
Printed: 10 -21 -2009
Site Address:
Tenant Name: ��oo
Property Owners Name: ( Mr?
Mailing Address: �o,ur•d_
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
MECHANICAL PERMIT APPLICATION
Mechanical Permit No.
01 -121
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
1
E -Mail Address:
King Co Assessor's Tax No.: (/1(2 ^ -10
Suite Number:
New Tenant:
r
City
.CONTACT PERSON —Who do we contact"when your permit; is `ready to be issued'.
Day Telephone: '341 3' 1 s
City
Fax Number:
MECHANICAL CONTRACTOR INFORMATION
Company Name: P-\ .6.O.+v"► 11 t--Au/ ti&:
Mailing Address: �, l r ir—t■
A ._.
Contact Person: ..tev t A.s.rie—
E -Mail Address:
Contractor Registration Number: ( tiA f 22L-.V-.
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
H:\ Applications \Forms - Applications On Line \2009 Applications \I -2009 - Mechanical Permit Apptication.doc
Revised: 1.2009
bh
•
Expiration Date:
Floor:
❑ Yes El ..No
Krit
State
State
City State Zip
Day Telephone: (*o
Fax Number:
2�
•ARCHITECT OF RECORD ,- All p must be wet stamped by Architect of
Company Name:
Mailing Address:
State
rc
Zip
Zip
Zip
City
Day Telephone:
Fax Number:
ENGINEER OF RECORD — AII pians.must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
Zip
State
City
Day Telephone:
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 /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
Air Handling Unit <10,000
CFM
Incinerator — Comm/Ind
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
pr-.L n
• •
Use: Residential: New ❑ Replacement 13 3
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑ Gas Other:
Indicate 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 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 OWNE ' • ' AUTHO . j D ; ENT:
Signature:
Print Name:
Mailing Address: (Zi. 4tri Cten • i2.�
Date: [0 J 2 - 1 J 0 '
Day Telephone: _J- L 1(o E7
h
Cit State Zip
I Date Application Accepted:
Go
Date Application Expires:
Staff Initials:
H. 1Applications\ Applications On Line12009 Applications\1 -2009 - Mechanical Permit Application. doc
Revised, 1.2009
bh
�f
gg e2of2
of Tukwila.
RECEIPT NO: R09 -01643
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
Copy Reprinted on 10 -21 -2009 at 11:35:41 10/21/2009
Payment Date: 10/21/2009
User ID: 1165 Total Payment: 318.61
Initials: JEM
Payee: KERRY P BURK
SET ID: S000001315 SET NAME: ABUNDANT
SET TRANSACTIONS:
Set Member
M09 -137
PG09 -125
TOTAL:
ACCOUNT ITEM LIST:
Description
Amount
213.61
105.00
105.00
SET RECEIPT
S
TRANSACTION LIST:
Type Method Description Amount
Payment Credit C VISA - - - 318.61
TOTAL: 318.61
Account Code Current Pmts
GAS - RES 000.322.103.00.0
MECHANICAL - RES 000.322.102.00.0
105.00
213.61
TOTAL: 318.61
Projecw )C /2 Q �
Type / ection:
. 4 6 Z , 5
Date Called:
Special Instructions:
Date Wanted:
m.
fj uester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
) 41- /37
PERMI
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
t ...
Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
O A'aiih-
4%7 /"-- grA-7,/,,07 ;414-
In pector:
❑ $58.0? "EINSPECTION FEE �REQUIRE Ii. Prior to inspection, fee must be
paid • (6300 Southcenter B vd., Suite 100. Call the schedule reinspection.
Receipt No.:
a
Date:
Proj N
r �a S
Type of Inspecti n:
P e� � 7- ► �)
d
A /es; / 6
Date Called:
Special Instructions:
Date Want ti:
l /� / /ip
Requester:
Phone No:
--(
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
CO M M ENTS:
Date:
t
L /
REINSPE TION E REQU RED. Prior to inspection, fee must be
6300 Southcenter Blvd., 5ite 100. Call to schedule reinspection.
Receipt No.:
'Date:
Approved per applicable codes. U Corrections required prior to approval.
a.
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
5
COLONIAL
AM CAS a
SURETY OF
MARYLAND
LPM4075137
02/09/2008
Until
Cancelled
$6,000.00
02/01/2008
4
NATIONWIDE
MUTUAL INS
CO
7900312926
02/09/2007
02/09/2007
06/20/2008
$6,000.00
05/19/2008
3
MERCHANTS
BONDING CO
(MUTUAL)
WAl2492
02/09/2005
02/09/2007
$6,000.0012/08/2004
2
CUMBERLAND
CAS a
SURETY CO
MB008000664
02/09/2002
02/09/2005
$6,000.00
02/01/2002
Name
Role
Effective Date
Expiration Date
BURK, KERRY P
01/01/1980
BURK, MONICA C
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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
ABUNDANT HEATING a A/C
INC
2062443394
126 SW 148TH ST #C100-
125
BURIEN
WA
98166
KING
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration
Date
Suspend Date
Specialty 1
Specialty 2
601848381
ACTIVE
ABUNDHA022CK
CONSTRUCTION
CONTRACTOR
2/12/1998
9/16/2010
INSULATION AND
ACOUSTICAL
UNUSED
Business Owner Information
•
0
Bond Information
https: // fortress .wa.gov /lni/bbip/Detail.aspx
Page 1 of 2
10/21/2009