HomeMy WebLinkAboutPermit M10-098 - MULHOLLAND RESIDENCEMULHOLLAND
RESIDENCE
1373144AVS
EXPIRED
01 -22 -11
M10 -098
City ofkukwila •
Department of Community Development
6300 Southcenter Boulevard, Suite #l00
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.: 1523049260
Address: 13731 44 AV S TUKW
Project Name: MULHOLLAND RESIDENCE
Permit Number: M10 -098
Issue Date: 07/26/2010
Permit Expires On: 01/22/2011
Owner:
Name: MULHOLLAND BRET S +SUNNY S
Address: 13731 44TH AVE S , TUKWILA WA 98168
Contact Person:
Name: NAIDA KHAN
Address: 1345 GULF ROAD , POINT ROBERTS WA 98281
Email: NAIDA@NWPERMIT.COM
Contractor:
Name: FIRESIDE OF WASHINGTON INC
Address: 7818 S 212 STE 109 , KENT WA 98032
Contractor License No: FIRESWI943OH
Phone: 360 945 -2787
Phone: 425 251 -9447
Expiration Date: 09/08/2010
DESCRIPTION OF WORK:
INSTALL 80K BTU GAS FURNACE
Value of Mechanical: $4,200.00
Type of Fire Protection:
Permit Center Authorized Signature:
I hereby certify that I have read and xarr
governing this work will be complie wit]
Fees Collected: $195.90
International Mechanical Code Edition: 2009
\.(A14 Date: 0112-(/ i t°
fined this permit and know the same to be true and correct. All provisions of law and ordinances
t, 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.
Signature:
Date: o7
Print Name: rD�
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
M10 -098 Printed: 07 -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
Parcel No.: 1523049260
Address:
Suite No:
Tenant:
13731 44 AV S TUKW
MULHOLLAND RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
M10 -098
ISSUED
07/26/2010
07/26/2010
1: ** *BUILDING DEPARTMENT CONDmONS * **
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.
* *continued on next page **
doc: Cond -10/06
M10 -098 Printed: 07 -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 work.
Signature:
Print Name:
to / -_T 1^id%
Date:
ordinances governing
or local laws regulating
doc: Cond -10/06 M10 -098
Printed: 07 -26 -2010
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Building Permit No.
Mechanical Permit No.
Plumbing /Gas Permit No.
Public Works Permit No.
Project No.
(For office use only)
Mho -oil)
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
Site Address: 13731 44TH AVE S
Tenant Name:
Property Owners Name: BRETT MULHOLLAND
Mailing Address: 13731 44TH AVE S
King Co Assessor's Tax No.: 1523049260
Suite Number: Floor:
New Tenant: ❑ Yes ❑..No
TUKWILA WA 98168
State Zip
City
CONTACT PERSON — who do we contact when your permit
is ready to be issued
Name: Naida Khan /Northwest Permit Inc
Mailing Address: 1345 Gulf Road
E -Mail Address: naida @nwpermit.com
Day Telephone:
Point Roberts
360- 945 -2787
WA 98281
City State
Fax Number: 360- 945 -2091
Zip
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number:
City
Day Telephone:
Fax Number:
Expiration Date:
State
Zip
1 ARCHITECT OF RECORD — All plans must be wet 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 wet stamped by Engineer of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Q \Applications \Fnnns- Applications On Line\ -2006 - Permit Applicatioadoc
Revised 9 -2006
bh
City State Zip
Day Telephone:
Fax Number:
Page 1 of 6
• •
MECHANICAL PERMIT INFORMATION — 206 - 431 -3670
MECHANICAL CONTRACTOR INFORMATION
FIRESIDE OF WASHINGTON
Company Name:
Mailing Address:
7818 S 212th St, Suite 109
KENT
WA 98032
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: FIRESWI943OH Expiration Date: 09/08/2010
State
425 - 251 -9447
Zip
Valuation of Mechanical work (contractor's bid price): $ 4200.00
Scope of Work (please provide detailed information): INSTALL 80K BTU GAS FURNACE
Use: Residential: New .... ❑ Replacement .... [�
Commercial: New .... ❑ Replacement .... ❑
Fuel Type: Electric El Gas ....V Other:
hanical work being installed and the quantity below:
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
Q.`Apphcations\Fonns -Appl ¢ ations On Line\3 -2006 - Permit Apphcation.doc
Revised. 9 -2006
hh
Page 4 of 6
PERMIT APPLICATION NOTES — Applicable to all permits in this application
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.
Building and Mechanical Permit
The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be
requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
Plumbing Permit
The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested
in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing 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 O NERR OR AU I RIZED AGENT:
Signature:li" ` °K. �x� %6'bf/ •�G/
Print Name: Naida Khan /Northwest Permit Inc.
Mailing Address: 1345 Gulf Rd
Date:
Day Telephone: 36 1 -94 -2787
Point Roberts WA 98281
City
State
Zip
Date Application Accepted:
o1iietito
Date Application Expires:
Staff Initials:
Q \Apphcations\Forms- Appltcattons On Line3-2006 - Permit Application doc
Revised: 9 -2006
bh
Page 6 of 6
CiP 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
Copy Reprinted on 07 -26 -2010 at 12:11:11 07/26/2010
RECEIPT NO: R10 -01403
Initials: JEM
Payment Date: 07/26/2010
User ID: 1165 Total Payment: 143.85
Payee: NORTHWEST PERMIT INC
SET ID: S000001397 SET NAME: Temporary Set
SET TRANSACTIONS:
Set Member
M10 -098
PG10 -090
TOTAL:
Amount
33.60
110.25
33.60
TRANSACTION LIST:
Type Method Description Amount
Payment Check 7988 143.85
TOTAL: 143.85
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
GAS - NONRES
MECHANICAL - NONRES
PLUMBING - NONRES
000.322.103.00.0
000.322.102.00.0
000.322.103.00.0
63.00
33.60
47.25
TOTAL: 143.85
PAYMENT
RFCFIVED
Jim Haggerton, Mayor
Departme, t of Community l'D evelo # / ; ent Jack Pace, Director
12 -01 -2010
NAIDA KHAN
1345 GULF ROAD
POINT ROBERTS WA 98281
RE: Permit No. M10 -098
13731 44 AV S 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 01/22/2011.
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 01/22/2011, 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,
'V„L
Bill Rambo
Permit Technician
File: Permit File No. M10 -098
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople Pifer Friendly Page
•
General /Specialty Contractor
A business registered as a construction contractor with L &1 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 FIRESIDE OF WASHINGTON INC UBI No. 602633204
Phone 4252519447
Address 7818 S 212Th St Ste 109 License No. FIRESWI9430H
Status
Active
Suite /Apt.
City Kent
State WA
Zip 98032
County King
Business Type Corporation
Parent Company
License Type Construction Contractor
Effective Date 9/8/2006
Expiration Date 9/8/2010
Suspend Date
Specialty 1 General
Specialty 2 Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
FIRESHH953P5
FIRESIDE HEARTH
& HOME INC
Construction
Contractor
General
Unused
11/1/2005
11/8/2011
Suspended
Business Owner Information
Name
Role
Effective Date
Expiration Date
WATERSTRAAT, JOHN
President
09/08/2006
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
DEVELOPERS SURETY
& INDEM CO
743542C
09/05/2006
Until Cancelled
$12,000.00
09/08/2006
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
4
WEST
AMERICAN INS
CO
BKW1054340633
12/31/2009
12/31/2010
$1,000,000.0006
/08/2010
3
MA CAS
PPS002379172
06/01/2009
06/01/2010
$1,000,000.0005
/29/2009
2
INS MARYLAND CAS
PPS02379172
06/01/2007
06/01/2009
$1,000,000.00
05/28/2008
1
MA CAS
PPS00189219101
09/05/2006
09/05/2007
$2,000,000.00
09/08/2006
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
07/26/2010