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Permit M11-163 - MCCULLUM RESIDENCE
Mc CULLUM RESIDENCE 12816 34 AV S Mi 1 -163 City oikukwila 0 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.: 7359600175 Address: 12816 34 AV S TUKW Project Name: MCCULLUM RESIDENCE Permit Number: M11 -163 Issue Date: 11/14/2011 Permit Expires On: 05/12/2012 Owner: Name: BAC HOME LOANS SERVICING LP Address: 400 NATIONAL WAY , SIMI VALLEY CA 93065 Contact Person: Name: BRENT WALKER Address: 12201 23 ST E , EDGEWOOD WA 95372 Email: INNO VATI V EH VAC @ G MAIL. C O M Contractor: Name: INNOVATIVE THERMAL SOLUTIONS Address: 12201 23 ST E , EDGEWOOD WA 98372 Contractor License No: INNOVTS912B 1 Phone: 253 830 -4550 Phone: 253 830 -4550 Expiration Date: 01/21/2013 DESCRIPTION OF WORK: INSTALL (3) VENTS FOR EXHAUST FANS Value of Mechanical: $350.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: Permit Center Authorized Signature: Fees Collected: $104.25 International Mechanical Code Edition: 2009 Date: 11111-111I I hereby certify that I have read and e ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied 'th, hether specified herein or not. The granting of this permit does not pres e 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. Signature: Date: 1 1 .1 Print Name: -32e,uk- 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 -163 Printed: 11 -14 -2011 • PERMIT CONDITIONS Permit No. M11-163 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: IMC -4/10 M11-163 Printed: 11 -14 -2011 CITY OF TUKAA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Mechanical Permit No. l.V 'Project No. Date.Appli'cationAccepted: . [.1,14 Date Application Expires :.. (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 ht (114 &IAA- Site Address: 41514 3t.ftt' - Av Tenant Name: 1/ar ez.v►-1 King Co Assessor's Tax No.: 7359(O0/75 Suite Number: Floor: New Tenant: ❑ Yes ❑..No . goPERTY OWNEiEt .. Company Name: NO / �* . ✓e /N.e./1[ ( <h-dior' Name: ( t u� ` T litir & Ji Contr Reg NoNo✓T59 I,./-Li l Exp Date: l /_i�� 0 Address: r3 Phone: Fax: AS 3- i;,50 - 4 -153'a City: State: Zip: CONTACT PERSON.— person receiving•all,project . :communication Company Name: NO / �* . ✓e /N.e./1[ ( <h-dior' Name:464444 idalle..,:A1/4._ City: ,- / �o ) State: Zip: f8.37-?-. �'iC �j Address: 1A.74/ Si Z Contr Reg NoNo✓T59 I,./-Li l Exp Date: l /_i�� 0 City:694oc State: A Zip: r3 Phone: Fax: AS 3- i;,50 - 4 -153'a Email: /✓, , ,4. ✓e /'t.u2ce 4► s.1 • GO' MECHANICAL CONTRACTOR INFORM. ATION Company Name: NO / �* . ✓e /N.e./1[ ( <h-dior' Address: 'Apo % g3 si `C City: ,- / �o ) State: Zip: f8.37-?-. �'iC �j Phone: Fax: 1,�3-83o -�s�o Contr Reg NoNo✓T59 I,./-Li l Exp Date: l /_i�� 0 Tukwila Business License No.: rho 0 nt,ci7 2/ Valuation of project (contractor's bid price): $ 35o Describe the scope of work in detail: y N6 (( `3) V€,vd E9 cr, , 5 1 Pa-, S Use: Residential: New ❑ Replacement .� Commercial: New ❑ Replacement ❑ Fuel Type: Electric ❑ Gas ❑ Other: H:\ApplieaimnWon Applications On Line%201 I Applications\Mcchanical Permit Application Revised S-9-I l.docz Revised: August 2011 hh Page 1 of 2 Indicate type of mechanical work being installed and the quantity below: Unit Type Qty Furnace <100k btu Furnace >100k btu Floor furnace Suspended/waWfloor mounted heater Appliance vent 3 Repair or addition to heat/refrig/cooling system 3 Air handling unit <10,000 cfin Unit Type Qty Air handling unit >10,000 cfm Evaporator cooler Ventilation fan connected to single duct Ventilation system Hood and duct 3 Incinerator — domestic Incinerator — comm/industrial Unit Type Qty Fire damper Diffuser Thermostat Wood/gas stove Emergency generator Other mechanical equipment Boiler /Compressor Qty 0-3 hp /100,000 btu 3 -15 hp /500,000 btu 15 -30 hp /1,000,000 btu 30 -50 hp /1,750,000 btu 50+ hp /1,750,000 btu 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 OR AUTHORIZED AGENT: Signature: � Date: //- /O • / Print Name: FQ.g.,u l..0_V..41-S2 Day Telephone: ;53 -$30 • 1-45E -a Mailing Address: /2494/ City H:Wpplicatiomlforms-Applications On Lmd2011 Applicffiio \Mechanical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh ht-) 9 r837.Z State Zip 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 Parcel No.: 7359600175 Address: 12816 34 AV S TUKW Suite No: Applicant: MCCULLUM RESIDENCE RECEIPT Permit Number: M11 -163 Status: PENDING Applied Date: 11/14/2011 Issue Date: Receipt No.: R11 -02475 Payment Amount: $104.25 Initials: JEM Payment Date: 11/14/2011 11:06 AM User ID: 1165 Balance: $0.00 Payee: BRENT WALKER, BUSINESS CARD TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 06618G ACCOUNT ITEM LIST: Description 104.25 Account Code Current Pmts MECHANICAL - RES 000.322.102.00.00 104.25 Total: $104.25 doc: Receiot -06 Printed: 11 -14 -2011 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION Mt(- 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: ! J`k kM Type ns tio(: %l e"; ■ Address: ( c -0..4" .� Date C e ` / nt J 6 f %' _ Special Instructions: Date Wanted: /a.m. 3 - (j —/ L_ P.m- Requester: Phone No. -2-(>3 - z45- /p2.2L Approved per applicable codes. Corrections required prior to approval. COMMENTS: L,2) (rtefTri SAS AAA 0e • P /I4hT (.0 M jDate:, tp- 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.N0. PERMIT NO. CITY OF' TUKWILA BUILDING DIVISION C 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: • e t/J k1& � © I2-C.S Type o M■J ectin Aka 41 AI 17. <9 4-----o,) A N AI--- 9.-X. .1 Sr; A.4 Address: • : i ' , 3( Ka 4 // ' J(.- Date Called: �'�-,,.� Special instructions: 'Lir i7..r1• -.■ lrl.. b Li . t. JT hD - .. _. _-1 ! Date Wanted:, _�� �' L.-- .. • � Requester: Phone No: D.Approved1 er'applicable codes. Corrections required prior to approval. • COMMENTS: . (1) r,, v C" !,\/r1/44e. A-ki-; `r p A r kdc-T. 17. <9 4-----o,) A N AI--- 9.-X. .1 Sr; A.4 ..1-1 t'` l :) / - .i N JuiS . ,•.i rQ k Y ./ ; e e V IAA c. P 5�1 r mac` --t(P i L •air A (V u m . . . . . a +V v 7 ` •A /(-r a f- .2 e • __DE- LJar K® MuS`i . fi 'Lir i7..r1• -.■ lrl.. b Li . t. JT hD - .. _. _-1 A . • Insp cto'r: 1 1 REINSPECTION'FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 SouthcenterrBlvd.. Suite 100. Call to schedule reinspectioh. i A • INSPECTION RECORD ri [[ 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 Al 1C13 Project: /vie (Li r (i s 45 Type of yspectio n J Address: t Z WI,, �} 34 ,orvt Date Called: _"--- Special Instructions: Date Wanted:. a.m. Requester: Phone No: • D Approved per applicable codes. 1•Corrections required prior to approval. COMMENTS: n4•' A'4 Xi/NI v,,ei Of • Inspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be • .paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Peter Friendly Page • 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 INNOVATIVE THERMAL UBI No. 602890758 SOLUTIONS Phone 2538304550 Status Active Address 12201 23Rd St E License No. INNOVTS912B1 Suite /Apt. License Type Construction Contractor City Edgewood Effective Date 1/21/2009 State WA Expiration 1/21/2013 Date Zip 98372 Suspend Date County Pierce Specialty 1 Heating /Vent /Air - Conditioning And Refrig (Hvac /R) Business Type Individual Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date WALKER, BRENT DONALD Owner 01/21/2009 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 RLI INS CO LSM0094114 01/19/2009 Until Cancelled $6,000.00 01/21/2009 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 3 CBIC C11S18407 01/19/2011 01/19/2012 $1,000,000.00 01/17/2011 2 NAVIGATORS INS CO 4610107022 01/19/2010 01/19/2011 $1,000,000.00 01/18/2010 1 RLI INS CO 4610073076 01/19/2009 01/19/2010 $1,000,000.00 01/21/2009 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 https: // fortress .wa.gov /lni/bbip/Print.aspx 11/14/2011