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HomeMy WebLinkAboutPermit M10-104 - SINGH RESIDENCESINGH RESIDENCE 5140 S 172 LN EXPIRED 02 -OS -11 M10 -104 City oftukwila 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.: 8125200234 Address: 5140 S 172 LN TUKW Project Name: SINGH RESIDENCE Permit Number: M10 -104 Issue Date: 08/02/2010 Permit Expires On: 01/29/2011 Owner: Name: DRAKE SYLVIA M Address: 21619 4TH AVE S , NORMANDY PARK WA 98198 Contact Person: Name: HARRY SINGH Address: 21625 4 AV S , NORMANDY PARK WA 98198 Email: Contractor: Name: H S GENERAL CONSTRUCTION INC Address: 21619 4TH AVE S , NORMANDY PARK 98198 Contractor License No: HSGENSG953LB Phone: 206 - 261 -7657 Phone: (206)261 -7657 Expiration Date: 06/02/2011 DESCRIPTION OF WORK: REISSUE OF EXPIRED PERMIT M08 -229. SUBJECT TO ONLY 2 INSPECTIONS REMAINING FOR COMPLETION. MORE INSPECTIONS WILL REQUIRE REINSPECTION FEES. PER RSB Value of Mechanical: $0.00 Type of Fire Protection: UNKNOWN Permit Center Authorized Signature: Fees Collected: $33.60 International Mechanical Code Edition: 2009 Date: 9-01-(0 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. Signature: Print Name: Date: W2/0 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 -104 Printed: 08 -02 -2010 • • �J�� ALA wqs City of Tukwila Department o f 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.: 8125200234 Address: 5140 S 172 LN TUKW Suite No: Tenant: SINGH RESIDENCE PERMIT CONDITIONS Permit Number: M10 -104 Status: ISSUED Applied Date: 08/02/2010 Issue Date: 08/02/2010 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 mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431- 3670). 4: 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. 5: Manufacturers installation instructions shall be available on the job site at the time of inspection. 6: 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. 7: 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. 8: 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. 9: 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). 10: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431 - 3670). 11: 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 -104 Printed: 08 -02 -2010 • • Nti ALA iv q City of Tukwila �yti 1.90a 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 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 provision of any other work or local laws regulating construction or the performance of work. Signature: Print Name: Date: doc: Cond -10/06 M10 -104 Printed: 08 -02 -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 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: 5/ lib it) / 7 Tenant Name: Property Owners Name: King Co Assessor's Tax No.: 8 I o — 02_32-f Suite Number: New Tenant: Floor: ❑ Yes ❑ .. No Mailing Address: 2/6 Zs- OA-ye- e<-4 wda'/i'G/ki W f �i -' — City State Zip CONTACT PERSON who do we con Name: W1 Lf c % A .1"/ Day Telephone: a)67 2 %76 .-7 Mailing Address: /6 2 ‘/,4 U �' - � "�i `y' P'( 7FI 9 " / State Zip E -Mail Address: /47.. 0P%a' :.>f A/�j �I ( i & 4 ,1r7 •ti' Number: Z " '/Z — Z '© GENERAL CONTR (Contractor Information for Company Name: Mailing Address: 7/ / 7 AV 2F tie ), `147 f i nr Af ,�,� City // State Zip Contact Person: ,Vs /' , y / /v j f-r Day Telephone: 6. lag (—Z5'45 i `5 E -Mail Address: r/ 2e) q 664,61 5 4-113fax Number: 4/7. 7'i'?) c Contractor Registration Number: /1S-'6E- A.:5f7 95132.-I? Expiration Date: 6 /Z1 ZA ARCHITECT OF RECD} plans-.must ' be wet stamped by Ar Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: FaxNumber: ENGINEER OF mi t,be wet5stamped Company Name: 1tc%' 'L give -VAu bki Mailing Address: Contact Person: �!'► IJL /Y! E -Mail Address: H:\Applications\Forms- Applications On Line\2009 Applications U-2009 - Permit Application.doc Revised: 1 -2009 bh 0 City Day Telephone: Le' S . 7L / �& Fax Number: State Zip Page 1 of 6 BUILDING PERMIT ;INFORIV LION - 206 -431 -3670 Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ n Scope of Work (please provide detailed information): I. SQ P 4� -42,110, hr ?ev p �O t7 ` Q.)-0 Will there be new rack storage? ❑ Yes ❑.. No If yes, a separate permit and plan submittal will be required. Provide All Building Arens in Square Fbotnge:Below lat Floor Existing Addition, to Existing Structure ?. Type of Construction per IBC , Type, of Occupancy per IBC /: / 24 Floor 3rd Floor Floors!. Basement Accessory Structure." Attached_C3arage Detached Garage Attached, Carport Detached Carport . Covered Deck "' Uncovered. Deck PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION /HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No If `yes', attach list of materials and storage locations on a separate 8 -1/2" x 11 " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:\Applications\Forms- Applications On Line\2009 Applications \I -2009 - Permit Application.doc Revised: 1 -2009 bh Page 2 of 6 MECHANICAL PERMIT INFO 'IATION= 206 =4S1i 36 MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Mechanical work (contractor's bid price): $ Scope of Work (please provide detailed information): re I S3 441. e ��YX . rwi H- 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 Ty pe: 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 H: Applicattons\Forms- Applications On Ltne\2009 Applications \I -2009 - Permit Apphcation.doc Revised: 1 -2009 bh Page 4 of 6 PUBLIC WORKS PERMIT INFORMATION - 206- 433 -0179 Scope of Work (please provide detailed information): Call before you Dig: 1- 800 - 424 -5555 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ ...Tukwila ❑ ...Water District #125 ❑ ...Water Availability Provided Sewer District ❑ ...Tukwila ❑ ...Sewer Use Certificate Septic System: ❑ On -site Septic System — For on -site - ptic system, provide 2 copies of a current septi esign approved by King County Health Department. Submitted with A . • lication mark boxes ich a s h 1 ❑ ...Civil Plans (Maximum Paper Size — 2 x 34 ") ❑...Technical Information Report (Storm Drar _e) ❑ .. Geot-. "nical Report ❑...Traffic Impact Analysis ❑ ...Bond ❑ .. Insurance ■ e,. asement(s) ❑ .. Ma'. enance Agreement(s) ❑ ... Hold Harmless — (SAO) ❑ ...Hold Harmless — (ROW) ❑ .. Highline ❑ ...Valley View ❑ .. Renton ❑ ... Sewer Availability Provided ❑ .. Renton .. Seattle Proposed Activities (mark boxes that apply): ❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑ ...Right -of -way Use - No Disturbance ❑ ...Construction/Excavation/Fill - Right -of -way ❑ Non Right -of -way ❑ ❑ ...Total Cut ❑ ...Total Fill cubic yards cubic yards .. Right -of -way Use - Profit for less than 72 hours .. Right -of -way Use — Potential Disturbance .. Work in Flood Zone .. Storm Drainage ❑ ...Sanitary Side Sewer ❑ .. Ab don Septic T ❑ .. Grease Interceptor ❑ ...Cap or Remove Utilities ❑ .. C "b Cut ❑ .. Channelization ❑ ...Frontage Improvements ❑ vement Cut ❑ .. Trench Excavation ❑ ...Traffic Control ❑ •:Looped Fire Line ❑ .. Utility Undergrounding ❑ ...Backflow Prevention - Fire Protection " Irrigation Domestic Water ❑ ...Permanent Water Meter Size... ❑ ...Temporary Water Meter Size .. ❑...Water Only Meter Size ❑ ...Sewer Main Extension ❑ ...Water Main Extension FINANCE INFORMATION Fire Line Size at Property Li ❑ ... Water ■ ...Sewer Monthly Service Billing to: Name: blic ublic WO # WO # WO # ❑ Private ❑ ❑ Private ❑ uct Water Meter Size Number of Public Fire Hydrant(s) ❑ ...Sewage Treatment Day Telephone: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: City State Zip Day Telephone: City state Zip H:'Applications\Forms- Applications On Line\2009 Applications \I -2009 - Permit Applieation.doc Revised: ] -2009 bh Page 3 of 6 PERMIT APPLICATION NOTES — Applicable to all permits in4hls'al "cation 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 OWNER'OR AUTHORIZED AGENT: Signature: Print Name: Mailing Address: Date: 7/ 2?,/ / d r i /2 y <Cd'f if Day Telephone: OS' 26/- 76-5- 7- l� ?` /4--`0,411 >f''I / ze --C 6- do c�/ �, try State Zip Date Application Accepted: Date Application Expires: Staff Initials: H:'.Applications \Forms - Applications On Line\2009 Applications \I -2009- Permit Application.doc Revised: 1 -2009 bh Page 6 of 6 PLUMBING AND GAS PIPING PERMIT INFORMATIOI PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Project (contractor's bi..rice): $ Scope of Work (please provide detaile information): f ISSVt O'E Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Indicate type of plumbing fixtures and /or gas piping outlets berg r evv'i 3- ? &a8 -.11 3 Sewer: stalled and the quantity below: Fixture Type: Qty Fixture Type: Qty ` s ixture Type: "'• Qty. Fixture Type: Qty Bathtub or combination bath/shower Bidet Cptthes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) Lavatory Food- ste grinder, comme • 1 Wash fouu ", :'n Floor Drain Receptor, indirect waste Shower, single head trap Sinks Urinals Water Closet ; Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater : or vent Industrial waste '• tment interceptor, includi ': trap and vent, except for k v hen .e :rease interce.tor ``!. Each grease trap (connected to not more than 4 fixtures - <750 :allon ca.aci Grease interceptor for commercial kitchen ( >750 gallon capacity) Repair r alteration of wate • aping and/or water tre: o ent equipment Repair or alteration of °: drainage or vent piping h Medical gas piping system serving 1 -5 inlets /outlets for a specific gas Each additional medical gas inlets/outlets greater than 5 : ackflow protective device other than atmospheric -type vacuum breakers 2 inch (51 mm) diameter or smaller Backflow protective device other than atmospheric-type vacuum breakers over 2 inch (51 mm) diameter Each lawn sprinkler system on any one meter including backflow protection devices Atmospheric -type vacuu .: breakers not included i ' lawn sprinkler back > , protections (1- Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets H:\Applications\Forms- Applications On- Line\2009 Applications \I -2009 Permit Application.doc Revised: 1 -2009 bh Page 5 of 6 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 RECEIPT Parcel No.: 8125200234 Permit Number: M10 -104 Address: 5140 S 172 LN TUKW Status: PENDING Suite No: Applied Date: 08/02/2010 Applicant: SINGH RESIDENCE Issue Date: Receipt No.: R10 -01463 Initials: WER User ID: 1655 Payment Amount: $126.00 Payment Date: 08/02/2010 02:00 PM Balance: $0.00 Payee: H S CONSTRUCTION TRANSACTION LIST: Type Method Descriptio Amount Payment Check 5517 126.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts MAPS /PUBLIC /MAILING MECHANICAL - RES 000.341.500 92.40 000.322.102.00.00 33.60 Total: $126.00 PAYMENT RECEIVED doc: Receiot -06 Printed: 08 -02 -2010 INSPECTION NO. INSPECTION RECORD Retain a copy with permit Mtn -101 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION P- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Pr•'•ct• ;* • t�C _ , = Type o Inspectipn: Jet )1/4A64- t:&i ' Addres %s o L./Li Date iled: le Special Instructions- A r,A4 Date Wanted: _ n a.m. Requester: Phone No: Jl \/ti ElApproved per applicable codes. Corrections required prior to approval. % COMMENTS: P4 /tr2.t 7 %3,-J' ) ("J le . - ,s. f _ �- -,/t.i. Jl \/ti -rJln u c p ,3) ,gj ® 6As err r1 /t 1 4 i, n a Inspect¢r: 1Date: -- ( 3 ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: r 01 -03 -2011 CIty g e Jim Haggerton, Mayor Department of Community Development Jack Pace, Director HARRY SINGH 21625 4 AV S NORMANDY PARK WA 98198 RE: Permit No. M10 -104 5140 S 172 LN 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 02/05/2011. 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 02/05/2011, 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, Bill Rambo Permit Technician File: Permit File No. M10 -104 6300 Southcenter Boulevard, Suite #100 0 Tukwila, Washington 98188 o Phone: 206 - 431 -3670 o Fax: 206 - 431 -3665 Contractors or Tradespeople Printer Friendly Page Page 1 of 1 • • General /Specialty Contractor A business registered as a construction contractor with LW 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 H S GENERAL CONSTRUCTION INC UBI No. 602481655 Phone 2062617657 Address 21619 4Th Ave S License No. Suite /Apt. License Type City Normandy Park Effective Date State WA Expiration Date Zip 98198 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Status Active HSGENSG953LB Construction Contractor 6/2/2005 6/2/2011 Business Owner Information Name Role Effective Date Expiration Date DRAKE, SYLVIZ Agent 06/02/2005 Amount DRAKE, SYLVIZ President 06/02/2005 C11SG1363 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date CBIC SG1363 05/16/2005 Until Cancelled $12,000.00 06/02/2005 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 4 CBIC C11SG1363 05/16/2009 05/16/2011 $1,000,000.00 04 /26/2010 3 CBIC C11SG1363 05/16/2007 05/16/2009 $300,000.00 05/06/2008 2 CBIC C11SG1363 05/16/2006 05/16/2007 $300,000.00 08/21/2006 1 CBIC C11SG1363 05/16/2005 05/16/2006 $300,000.00 06/02/2005 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 https: // fortress .wa.gov /lni/bbip/Print.aspx 08/02/2010