HomeMy WebLinkAboutPermit M10-027 - HOWARD RESIDENCEHOWARD RESIDENCE
13925 56 PL S
M10 -027
Parcel No.: 0002800025
Address:
Suite No:
City/1k Tukwila
•
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
Permit Number: M10 -027
13925 56 PL S TUKW Issue Date:
Permit Expires On:
03/26/2010
09/22/2010
Tenant:
Name:
Address:
HOWARD RESIDENCE
13925 56 PL S , TUKWILA WA
Owner:
Name: HOWARD JERRY +CATHIE M
Address: 12307 SE 47TH ST , BELLEVUE WA
Contact Person:
Name: JERRY HOWARD
Address: 12307 SE 47 ST , BELLEVUE WA
Contractor:
Name: OWNER AFFIDAVIT - JERRY HOWARD
Address:
Contractor License No:
Phone:
Phone: 425 643 -5300
Phone:
Expiration Date:
DESCRIPTION OF WORK:
INSTALL VENT FOR RANGE HOOD
Value of Mechanical: $200.00
Type of Fire Protection:
Fees Collected: $93.00
International Mechanical Code Edition: 2006
EQUIPMENT TYPE AND OUANTITY
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
0
0
0
0
0
0
0
0
0
0
0
1
0
0
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 Equipment0
* *continued on next page **
doc: IMC -10/06
M10-027
Printed: 03 -26 -2010
le
City of Tukwila
•
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
Permit Number: M10 -027
Issue Date: 03/26/2010
Permit Expires On: 09/22/2010
Permit Center Authorized Signature: Date:
I hereby certify that I have read and : x. ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie • with, hether specified herein or not.
The granting of this permit does not pre
construction or the performance of wo
ancel the provisions of any other state or local laws regulating
this mechanical permit.
Date:
/24c)
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 -10/06
M10-027 Printed: 03 -26 -2010
Parcel No.: 0002800025
Address:
Suite No:
Tenant:
•
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
13925 56 PL S TUKW
HOWARD RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
M10 -027
ISSUED
02/26/2010
03/26/2010
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 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.
* *continued on next page **
doc: Cond -10/06
M10 -027 Printed: 03 -26 -2010
•
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 w
Signature:
Print Name:
ik'Lene-1/
Date: 3/-267-
ordinances governing
or local laws regulating
doc: Cond -10/06 M10 -027
Printed: 03 -26 -2010
WOW
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Mechanical Permit No.
Project No.
1,0 - 21
(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 Address: 13°! as S P( S
Tenant Name: 1/TAT—T.\ k)T'
Property Owners Name: �i°_tZR� -' - CYst`q-4, -rt. /40(.(-41(?43
Mailing Address: J 3!`)% S k = -('7
King Co Assessor's Tax No.: Oc- c>a ppd aS
Suite Number: Floor:
New Tenant: ❑ Yes ❑..No
ST- 6 E/ _L Vt - E w/� 9� Z
City
State Zip
CONTACT PERSON Who do we contact when your permit is ready to be issued
Name: afu -t;
Mailing Address:
Day Telephone: 114 Ut4 ' G9,00
E -Mail Address: J -/'F>/ k J o ti n L S ol% Cvr"i
City State Zip
Fax Number: ?O — c-3 5 — c
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number:
City
Day Telephone:
Fax Number:
Expiration Date:
State
Zip
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
Fax Number:
E -Mail Address:
State
Zip
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
H \Applications \Forms - Applications On Line\2009 Applications \1-2009 - Mechanical Permit Application.doc
Revised: 1 -2009
bh
Page 1 of 2
Valuation of Project (contractor's bid price): $ CO
Scope of Work (please provide detailed information): TO 5 14 L L
HooO Vyltc t
L- tiT t =c�2 0-14AJ 6 E
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: yp
•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
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 PERJUR =Y THE LA S OF THE TATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING 0 'ER OR Al
Signature: /v
Print Name:
Mailing Address:
ZED A T:
c22`-( 1-4DL 2�
Date: a/oZ. s�l�
Day Telephone: LP-5 — — S 3 O D
-7 5 T_ 4 -=v` _ �v
City
State
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
HAApplications\Forms- Applications On Line\2009 Applications11-2009 - Mechanical Permit Application.doc
Revised 1 -2009
bh
Page 2 of 2
C.§ 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
SET RECEIPT
RECEIPT NO: R10 -00342
Initials: JEM
Payment Date: 02/26/2010
User ID: 1165 Total Payment: 904.18
Payee: JERRY HOWARD
SET ID: S000001351 SET NAME: Tmp set/Initialized Activities
SET TRANSACTIONS:
Set Member
D10 -056
M10 -027
TOTAL:
Amount
811.18
93.00
811.18
TRANSACTION LIST:
Type Method Description Amount
Payment Check 2384 904.18
TOTAL: 904.18
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
BUILDING - RES
MECHANICAL - RES
PLAN CHECK - RES
STATE BUILDING SURCHARGE
000.322.100
000.322.102.00.0
000.345.830
640.237.114
488.90
93.00
317.78
4.50
TOTAL: 904.18
PAYMENT
RECEIVED
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
(206)431 -360
Project: D QQ
11J i4.0 � �e S. Se-4 [�
Typg o Inspecti
i A
e ,
✓fi e
Address:
I397 5 s6—,L .s.
Date Called:
Special Instructions:
Date Wanted: a.m.
S— 1%— /0 pm
Requester:
Phone j: ` —4 O Z - Cir44
proved per applicable codes. Corrections required prior to approval.
COMMENTS:
or:
Date 1 7_'
El 6'.00 REINSPECTION EE REQUIRED. Prior to inspection, fee must be
d at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Rec ipt No.:
Date:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
Poo-027
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Pro ect: m
pp
Type of Inspectio�n / _ ..x1
Address:
13 q 2S
Y).
54 /91-‹.
Date Called:
Special Instructions:
Date Wanted: ta.m`
5 -I 7 --`IV p�
Requester:
Phone ?AO 6 4 I -'v4'L
VApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
ector / Date: 7-VD
.44407 :60.0 REINSPECTIO FEE REQUIRED. Prior to inspection, fee must be
.t 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
1
CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431 -367o FAX (206) 431 -3665
E -mail: tukplan0ci.tukwila.wa.us
•
Permit Center /Building Division
206 431 -3670
Public Works Department
206 433 -0179
Planning Division
206 431 -3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
STATE OF WASHINGTON)
) ss.
COUNTY OF KING )
[please print name]
, states as follows:
PERMIT NO:
pto-tni4\
Mtu -0'24
1. I have made application for a permit from the City of Tukwila, Washington.
2. I understand that state law requires that all building construction contractors be registered with the
State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the
Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have
read or am familiar with RCW 18.27.090.
3. I understand that prior to issuance of a permit for work which is to be done by any contractor, the
City of Tukwila must verify either that the contractor is registered by the State of Washington, or that
one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I
hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090,
I consider the work authorized under this permit to be exempt under number jds , and will therefore
not be performed by a registered contractor.
5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to
persons making electrical installations on their own property or to regularly employed employees
working on the premises of their employer. The proposed electrical work is not for the construction
of a new building for rent, sale or lease.
I understand that I may be waiving certain rights that I might otherwise have under state in any decision
to engage an unregistered contractor to perform con
Signed sworn to before me this
k�
lf� day of L j,(',)�1 , 2010
NOTARY PUBLI for the State of Washington
rI4 ,Co ty
Residing at
Name as
My commission expires:
(J -- c30J
18.27.090 Exemptions. The region provisions of this
1. An authorized representative of the United States
government, the state of Washington, or any incorporated
city, town, county, township, irrigation district, reclamation
district, or other municipal or political corporation or
subdivision of this state;
2. Officers of a court when they are acting within the scope
of their office;
3. Public utilities operating under the regulations of the
utilities and transportation commission in construction,
maintenance, or development work incidental to their own
business;
4. Any construction, repair, or operation incidental to the
discovering or producing of petroleum or gas, or the
drilling, testing, abandoning, or other operation of any
petroleum or gas well or any surface or underground mine
or mineral deposit when performed by an owner or lessee;
5. The sale of any finished products, materials, or articles of
merchandise that are not fabricated into and do not become
a part of a structure under the common law of fixtures;
6. Any construction, alteration, improvement, or repair of
personal property performed by the registered or legal
owner, or by a mobile /manufactured home retail dealer or
manufacturer licensed under chapter 46.70 RCW who shall
warranty service and repairs under chapter 46.70 RCW;
7. Any construction, alteration, improvement, or repair
carried on within the limits and boundaries of any site or
reservation under the legal jurisdiction of the federal
government;
8. Any person who only furnished materials, supplies, or
equipment without fabricating them into, or consuming
them in the performance of, the work of the contractor;
9. Any work or operation on one undertaking or project by
one or more contracts, the aggregate contract price of
which for labor and materials and all other items is less
than five hundred dollars, such work or operations being
considered as of a casual, minor, or inconsequential nature.
The exemption prescribed in this subsection does not apply
in any instance wherein the work or construction is only a
part of a larger or major operation, whether undertaken by
the same or a different contractor, or in which a division of
the operation is made into contracts of amounts less than
five hundred dollars for the purpose of evasion of this
chapter or otherwise. The exemption prescribed in this
subsection does not apply to a person who advertises or
puts out any sign or card or other device which might
indicate to the public that he or she is a contractor, or that
he or she is qualified to engage in the business of
contractor;
10. Any construction or operation incidental to the
construction and repair of irrigation and drainage ditches
of regularly constituted irrigation districts or reclamation
districts; or to farming, dairying, agriculture, viticulture,
horticulture, or stock or poultry raising; or to clearing or
other work upon land in rural districts for fire prevention
purposes; except when any of the above work is performed
chapter do not apply to
by a registered contractor;
11. An owner* who contracts for a project with a registered
contractor, except that this exemption shall not deprive the
owner of the protections of this chapter against registered
and unregistered contractors. The exemption prescribed in
this subsection does not apply to a person who performs
the activities of a contractor for the purpose of leasing or
selling improved property he or she has owned for less than
twelve months;
12.* Any person working on his or her own property,
whether occupied by him or her or not, and any person
working on his or her personal residence, whether owned
by him or her or not but this exemption shall not apply to
any person who performs the activities of a contractor on
his or her own property for the purpose of selling,
demolishing, or leasing the property;
13. An owner* who performs maintenance, repair, and
alteration work in or upon his or her own properties, or
who uses his or her own employees to do such work;
14. A licensed architect or civil or professional engineer
acting solely in his or her professional capacity, an
electrician certified under the laws of the state of
Washington, or a plumber certified under the laws of the
state of Washington or licensed by a political subdivision of
the state of Washington while operating within the
boundaries of such political subdivision. The exemption
provided in this subsection is applicable only when the
person certified is operating within the scope of his or her
certification;
15. Any person who engages in the activities herein
regulated as an employee of a registered contractor with
wages as his or her sole compensation or as an employee
with wages as his or her sole compensation;
16. Contractors on highway projects who have been
prequalified as required by RCW 47.28.070, with the
department of transportation to perform highway
construction, reconstruction, or maintenance work;
17. A mobile /manufactured home dealer or manufacturer
who subcontracts the installation, set -up, or repair work to
actively registered contractors. This exemption only applies
to the installation, set -up, or repair of the
mobile /manufactured homes that were manufactured or
sold by the mobile /manufactured home dealer or
manufacturer;
18. An entity who holds a valid electrical contractor's
license under chapter 19.28 RCW that employs a certified
journeyman electrician, a certified residential specialty
electrician, or an electrical trainee meeting the
requirements of chapter 19.28 RCW to perform plumbing
work that is incidentally, directly, and immediately
appropriate to the like -in -kind replacement of a household
appliance or other small household utilization equipment
that requires limited electric power and-limited waste
and /or water connections. An electrical trainee must be
supervised by a certified electrician while performing
plumbing work.
• Per Washington State Department of Labor and Industries, lessee has been
interpreted to be equivalent to owner for the purpose of these exemptions.