HomeMy WebLinkAboutPermit M11-119 - FOSTER RIDGE - LOT 3FOSTER RIDGE
LOT 3
4601 S 139 ST
EXPIRED
04 -14-12
M11-119
City okukwila
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.TukwilaWA.gov
MECHANICAL PERMIT
Parcel No.: 3229200092
Address: 4601 S 139 ST TUKW
Project Name: FOSTER RIDGE LOT 3
Permit Number:
Issue Date:
Permit Expires On:
M11 -119
10/13/2011
04/10/2012
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Email:
REHABITAT NORTHWEST INC
3601 WEST MARGINAL WAY S , SEATTLE WA 98106
CHAD DETWILLER
3601 WEST MARGINAL WY SW , SEATTLE WA 98106
CHAD @REHABITATNORTHWEST. C OM
Contractor:
Name: GAS PIPING MECHANIC
Address: 14702 MERIDIAN DR SE , LYNNWOOD WA 98087
Contractor License No: GASPIPM957KO
Phone: 425- 829 -5298
Phone: 425 742 -3986
Expiration Date: 05/20/2013
DESCRIPTION OF WORK:
NEW MECHANICAL SYSTEM FOR NEW SINGLE FAMILY RESIDENCE
Value of Mechanical: $8,000.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
Fees Collected: $225.25
International Mechanical Code Edition: 2009
Date:
t,o(v91«
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 pr
construction or the performance of work.
back of this permit.
Signature:
Print Name:
e to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to sign and obtain this mechanical permit and agree to the conditions on the
Date: �d � y,4 /(
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
M11-119 Printed: 10 -13 -2011
110 •
PERMIT CONDITIONS
Permit No. M1 1-1 19
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 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 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: I MC -4l10
M11-119 Printed: 10 -13 -2011
CITY OF TUKW
Community DevelogINEnt Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Mechanical Ar t Vt I
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
King Co Assessor's Tax No.: -3-2g q 6 cO '7
Site Address: 4CQ( 5 /J5" s�
{� n
Tenant Name: rr�5i-e.rn R�� e sf 3
Property Owners Name: /Oh A -1
Mailing Address: 360 / IJ. /47, u& G4 - t C)
(J City
Suite Number:
New Tenant:
Floor:
❑ Yes ❑ .. No
J4 9if /�6
State Zip
CONTACT PERSON — who do we contact when your permit is ready to be issued
Name: :'oti 4af4Ker'
Mailing Address: 3601 4 /- %vJ 4 cr�
E -Mail Address: ehO' & /z'-( 4 4 i ko(4)2s -14. cow
Day Telephone: '6as: $Z'/ —,_1:02 96
Se 4 4)4
City State Zip
Fax Number:
MECHANICAL CONTRACTOR INFORMATION
jb
e
Company Name: /4 /e K � u Pr 144_4 klb.
Mailing Address:
City State Zip
Day Telephone: (;/,-2.6) &9.5 - 3600
Fax Number:
Contractor Registration Number: Expiration Date:
Contact Person: 461.i.
E -Mail Address:
ARCHITECT OF RECORD — All plans must be 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 stamped by engineer of record
Company Name:
,1 EAT �leN/�i,(af
Mailing Address: J 7 3S /6D8 � RveO /t/z
Contact Person::.0 C
!_ %v1.14 44 9T07 Z
E -Mail Address:
H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Mechanical Permit Application.doc
Revised: 7 -2010
bh
City State Zip
Day Telephone: ryas, itY9 _OT Z 7
Fax Number:
Page 1 of 2
Valuation of project (contractor's bid price): $ � 000
Scope of work (please provide detailed information): A_ .
Nee4,-/ed ss��� a 3S -S 5 F SF1_
Use: Residential: New Replacement ❑
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑
Gas
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
1
air handling unit
>10,000 cfrn
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
r-
S
thermostat
(
15-30 hp /1,000,000
btu
suspended/wall/floor
mounted heater
ventilation system
wood/gas stove
f
30 -50 hp /1,750,000
btu
appliance vent
hood and duct
1
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 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 0 UTHORIZED AGENT:
Signature: Date: f3/7:i�6 //
Print Name: aro d eh t/ /'
1 Day /Telephone:6(.2 eS 2 9` -07 9 c�3
Mailing Address: t X3(0o i A). /fit, - , Aa..t. 5 Gv �'4W6 /4- ! 5r /e6
City State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials: 1
H:1ApplicationsTorms- Applications On Line12010 Applications17 -2010 - Mechanical Permit Application.doc
Revised: 7-2010
bh
Page 2 of 2
•
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.TukwilaWA.gov
RECEIPT
Parcel No.: 3229200092 Permit Number: M11 -119
Address: 4601 S 139 ST TUKW Status: PENDING
Suite No: Applied Date: 08/29/2011
Applicant: REHABITAT NORTHWEST Issue Date:
Receipt No.: R11 -01885 Payment Amount: $225.25
Initials: WER Payment Date: 08/29/2011 10:12 AM
User ID: 1655 Balance: $0.00
Payee: REHABITAT NORTHWEST
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 058 225.25
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
MECHANICAL - RES
000.322.102.00.00 225.25
Total: $225.25
doc: Receipt -06 Printed: 08 -29 -2011
INSPECTION RECORD
Retain a copy with permit
'
•
Approved per applicable codes. Corrections required prior to approval.
COMMENTS: .
' 4'' . Allc""-h4c
• u i rr ; t\ ' r c-
S 6 000
+(, j ` S ,)/(— Di\
u r -, (A --'(. .?,
—TA COS
is Yr O al JeAti
i203f
A
7
.
- .1 e kk / (--0
, (0 (- '.
u
t( A- . N/N 0
r 10)17K
Insp clog r:
Date:, '- ( 7,v
ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
. INSPECTION NO. PERMIT NO.
•
'CITY OF TUKWILA BUILDING DIVISION
:,..6300 Southcenter Blvd., #100, Tukwila. WA 98188 a (206) 431 -3670
permit Inspection Request Line (206) 431 -2451
Mir -►iy
•
•
.
•
Proje ;
-7*' iJ
COMMENTS: i ' , 1.t-A, pf 60 A t- D/\ 9 J 41
Typ of Inspection: _
Address:
74 sr
( Pt Ne.. Efil ‘.1 e-- 5. f. -.b ,J! op, r )6 r Li
Date Called:
{.o r-.._ a r k-tn +k) L.e, V: -r 3 ,
/ -
Special Instructions,. (
Nap... Aerj
; .
ny�J4 -
Er 4.A >
•
Date Wanted:
Y ,
.m.
Requester:
r. :) ; C') c. L J t-r'+ \) A r c
n
Phone,�to•
5 2 /6
Approved per applicable codes.
'Corrections required prior to approval.
1 Spector:
xi,..4 A
EI REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
-7*' iJ
COMMENTS: i ' , 1.t-A, pf 60 A t- D/\ 9 J 41
.dr ^-6.(P ,n )84(-1-"W L ;c, '3.000
k4 sk ,._ if ive 9,t° c - c..re e ,c.
6r 6.016 .6JSi ,-a,. Mr -Telc A.(e M
( Pt Ne.. Efil ‘.1 e-- 5. f. -.b ,J! op, r )6 r Li
A Sr po IV. n (ID i 1T A S iZ2' oLIE.
{.o r-.._ a r k-tn +k) L.e, V: -r 3 ,
O (fr.' a
i s - -4 -r.. ,iJdP Uu S * i3.
Y
i ,N;
ACT` err
p, r 6, ‹. 1 1 �.., J sr i a c *( J p
AJ e ib A-14 t tiaF. c b'/
r
e)0 tea► A Vn T - __ /• ; ;s '.4,44 .,:1
S. A Z `
r. :) ; C') c. L J t-r'+ \) A r c
n
1 Spector:
xi,..4 A
EI REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
CHAD DETWILLER
3601 WEST MARGINAL WY SW
SEATTLE WA 98106
RE: Permit No. M11 -119
FOSTER RIDGE LOT 3
4601 S 139 ST TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of
Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform
Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 04/14/2012.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 04/14/2012, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
c -_I
Bill Rambo
Permit Technician
File: Permit File No. M 11 -119
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople Peer Friendly Page
w
General /Specialty Contractor
A business registered as a construction contractor with L&I 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 GAS PIPING MECHANIC UBI No. 602339268
Phone 4257423986 Status Active
Address 14702 Meridan Dr Se License No. GASPIPM957K0
Suite /Apt. License Type Construction Contractor
City Lynnwood Effective Date 5/20/2005
State WA Expiration Date 5/20/2013
Zip 98087 Suspend Date
County Snohomish Specialty 1 General
Business Type Individual Specialty 2 Unused
Parent Company
Business Owner Information
Name
Role
Effective Date
Expiration Date
YEVTUSHENKO, VIKTOR
Owner
05/20/2005
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
1
CBIC
SG1213
05/16/2005
Until Cancelled
$12,000.00
05/20/2005
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
6
CBIC
C11SG1213
05/16/2010
05/16/2012
19.28.041 RCW
ELECTRICAL CITATION
$1,000,000.0004
/11/2011
5
CBIC
C11SG1213
05/16/2009
05/16/2010
$1,000,000.0004
/10/2009
4
CBIC
C11SG1213
05/16/2008
05/16/2009
$1,000,000.0005
/13/2008
3
CBIC
C11SG1213
05/16/2007
05/16/2008
$1,000,000.00
04/19/2007
2
CBIC
C11SG1213
05/16/2006
05/16/2007
$1,000,000.0005 /11/2006
1
CBIC
C11SG1213
05/16/2005
05/16/2006
$500,000.0005/20 /2005
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
EHOLX00271
3/9/2007
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EHOLX00270
3/9/2007
19.28.041 RCW
ELECTRICAL CITATION
Satisfied
5500.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 10/13/2011