HomeMy WebLinkAboutPermit M11-060 - CARPENTER RESIDENCECARPENTER
RESIDENCE
14445 57 AV S
Mi 1 -060
City o*I'ukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
MECHANICAL PERMIT
Parcel No.: 2111300050
Address: 14445 57 AV S TUKW
Project Name: CARPENTER RESIDENCE
Permit Number: M11 -060
Issue Date: '65101111
Permit Expires On:
Owner:
Name: CARPENTER JAMES L
Address: 31211 55TH AVE S , AUBUN WA 98001
Contact Person:
Name: :Wwvi S CIA■LQ .
Address: $11-1k SC AN 4 1 ANA 914141, X14 "l UM
Email:
Contractor:
Name: GRIFFIS HEATINC INC
Address: 402 E MAIN STE 130 , AUBURN WA 98002
Contractor License No: GRIFFH 1002DA
Phone::- ; , 131-
Phone: 253 - 735 -3880
Expiration Date:
DESCRIPTION OF WORK:
REPLACING GAS FURNACE LIKE FOR LIKE.
MODEL TUE 1B060A9361A XXB80 BASIC SINGLE STATE
50K BTU
3 TON
Value of Mechanical: $2,400.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
Permit Center Authorized Signature:
Fees Collected: $177.10
International Mechanical Code Edition: 2009
` M
Date: «l l
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 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 and agree to the conditions on the -
back of this permit.
Date: 6 ? - 11
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 -4/10
M11-060
Printed: 05 -09 -2011
•
PERMIT CONDITIONS
Permit No. M11 -060
1: ** *BUILDING DEPARTMENT CONDITIONS * **
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 arty 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 City of Tukwila
Building Department (206- 431 - 3670).
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: IMC-4/10
M11-060 Printed: 05 -09 -2011
CITY OF TUKWII
Community Develops nt Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci. tkwila. wa. us
Mechanical Pit No. fl L 1 - ()La b
Project No.
(For office use only)
MECHANICAL PERMIT APPLICATION
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
/ YY - 5 7 -k A c e s.
1(.4- IT cs t ` q ) IA
Site Address: / 6 7
A Oe s
Tenant Name:
Property Owners Name:
Mailing Address:
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes .. No
Ja r ear la k +.-e►-
3 / - � a r� / 0 S.
Q�bc�r►1 ) t a
City
State
4 goo /
Zip
CONTACT PERSON - who do we contact when your permit is ready to be issued
Name:
J& hi -e
Mailing Address: 3 / a_ l / -
5.-Tis Au, s_
Day Telephone: g53-93 9-t4
'T /
P u bLC `c- Lt) YO 9 jac,l
City State Zip
E -Mail Address: Fax Number:
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
r("FF.( "k Ale4'�t;tq
L) o a l wt r. (34 / 36 f u b 1.4.r
City
2-
r Fr-,
it) ) OA 9 �� - is k ea%tkc , het
Contractor Registration Number: (' , P F' f1 -166 42A9
State
9 az
Zip
Day Telephone: a 5 3- 7 3 5- D, $ 3 o
Fax Number: ? 6- 3- 7 35" - 9 c/ Y 2
Expiration Date: 6 ?' 1 ' aQ l�
ARCHITECT OF RECORD - All plans must be stamped by architect of record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
ENGINEER OF RECORD - All plans must be stamped by engineer of record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
H: Applications\ Forms- Applications On Line\2010 Applications \7 -2010 - Mechanical Permit Application doc
Revised: 7 -2010
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City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 2
Valuation of project (contractor's bid price): $ . / `>' -? /. a a
Scope of work (please provide detailed information): In\ .c I' I ct. c't ,t'I r , / 1 r 1.,. ti Q c. •
7kr- 1c4.-r►tiac c fc t, iace I
Mt c<tI 1Th 1Q 0L6 A 93C. 10 XF3 g6 3a - c 3 /M.? /e sAle-
o K i3T U G4s • 4.Y wae4,s3 .?T6 d
Use: Residential: New ❑ Replacement
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑ Gas uf Other:
Indicate type of mechanical work being installed and the quantity below:
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Bioler /Compressor
Qty
furnace <100k btu
air handling unit
>10,000 cfm
fire damper
0 -3 hp /1100,000 btu
furnace >100k btu
evaporator cooler
diffuser
3 -15 hp /500,000 btu
floor furnace
ventilation fan connected
to single duct
thermostat
15 -30 lip /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
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 1 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 OR AUTHORIZED AGENT:
Signature: Date: - 9 - l
Print Name:
s C��
Day Telephone: & 5 3 - 4 3 4 - / 9 '7 /
Mailing Address: 3 / .2) / - 5 5 '' 4l u c 3 • V �/ t ti Y` ( 4 P OO
City
State Zip
IDate Application Accepted: SJ " l ✓ cJ
Date Application Expires:
Staff Initials:
H,\Applications\Fortns- Applications On Line\2010 Applications\7 -2010 - Mechanical Permit Application.doc
Revised; 7 -2010
bh
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
Parcel No.: 2111300050
Address: 14445 57 AV S TUKW
Suite No:
Applicant: CARPENTER RESIDENCE
RECEIPT
Permit Number: M11 -060
Status: PENDING
Applied Date: 05/09/2011
Issue Date:
Receipt No.: R11 -00924
Initials: TLS
User ID: 1165
Payment Amount: $177.10
Payment Date: 05/09/2011 11:19 AM
Balance: $0.00
Payee: JAMES & IRIS CARPENTER
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 4922 177.10
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
MECHANICAL - RES
000.322.102.00.00 177.10
Total: $177.10
doc: Receipt -06 Printed: 05 -09 -2011
�'•'•'?°�;�'' = .�'�'�,' ':
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
Permit Inspection Request Line (206) 431 -2451 ■-•
Project:
Type Inspection:
Adds: I
14445 57
Date Called:
Special Instructions:
Date Wanted:
(.7
Requester:
Piton ..3
l 3
—` (1171
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
AA.
(
'rte + ,
Ins actor:
/._.) 1...)
n REINSPE TON FEE REQUIRED. P ' r to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
r
Date: -
S �O
Contractors or Tradespeople Per Friendly Page
•
General /Specialty Contractor
A business registered as a construction contractor with LEI 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 GRIFFIS HEATING INC UBI No. 601318038
Phone 2537353880 Status Active
Address 402 E Main St Ste 130 License No. GRIFFHI088DZ
Suite /Apt. License Type Construction Contractor
City Auburn Effective Date 3/9/1992
State WA Expiration Date 1/5/2013
Zip 98002 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
ther Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
ABLET "055PC
ABLE
TANK
Construction
Contractor
General
Unused
10/3/1995
5/21 /2000
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
GRIFFIS, BRIAN
President
03/09/1992
4/12/2010
BOWMAN, ROBERT
Treasurer
03/09/1992
11/01/2001
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
5
AMERICAN NATIONAL
FIRE INS CO
790286533736
11/18/2001
Until Cancelled
$12,000.00
11/01/2001
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance
Company Name
Policy Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Amount
Received Date
15
TRUCK
INSURANCE CO
035094046
02/12/2006
02/12/2012
$2,000,000.00
01/27/2011
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
PCLE000614
4/12/2010
18.106.020
PLUMBER INFRACTION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 05/09/2011