HomeMy WebLinkAboutPermit M12-033 - SINGH RESIDENCESINGH RESIDENCE
14723 59 AV S
M12 -033
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.TukwilaWA.gov
MECHANICAL PERMIT
Parcel No.: 8687800147
Address: 14723 59 AV S TUKW
Project Name: SINGH RESIDENCE
Permit Number: M12 -033
Issue Date: 03/06/2012
Permit Expires On: 09/02/2012
Owner:
Name: SINGH ANOKH
Address: 14723 59TH AVE S , TUKWILA WA 98168
Contact Person:
Name: LARRY KEMPH
Address: 4320 156 ST SW , LYNNWOOD WA 98036
Email:
Contractor:
Name: LARRY'S REPAIR
Address: 4230 196 ST SW , LYNNWOOD WA 98036
Contractor License No: LARRYR *081BS
Phone: 425 - 487 -0412
Phone: 425 - 487 -0412
Expiration Date: 01/08/2013
DESCRIPTION OF WORK:
VENT NEW FAN TO OUTSIDE
Value of Mechanical: $200.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
Permit Center Authorized Signature:
Fees Collected: $96.60
International Mechanical Code Edition: 2009
(Kra'2,1,
Date: ' 6-( 2
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 and agree to the conditions on the
back of this permit.
Signature:
Print Name:
This permit shall become null and void if the wor 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
M12 -033
Printed: 03 -06 -2012
PERMIT CONDITIONS
Permit No. M12-033
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: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
6: Manufacturers installation instructions shall be available on the job site at the time of inspection.
7: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be
obtained at City Hall in the office of the City Clerk.
8: 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
M12 -033 Printed: 03 -06 -2012
CITY OF TUKWI
Community DevelopmenNIPpartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
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: / `i 7 3 ✓TS hvG
Tenant Name: %i 0 J vT
PROPERTrOVY■ER
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Name:
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Address:
City:
State:
Zip:
CONTACTTPERS elsOit recewing a1Pp olect
.communication' R: .. ?.
Name: / ,tx. g_____11,1,1 / J
✓ ry I
Address:
',3 2--.C, /1 7'-)14 j'S/.e Q »Y6 e �/
Address:
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City: State:
Zip:
Phone: 4 �4.._it,7/ :
Email:
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes 'E,.. o
C ME.OaNICAL CON.TRAGTOR4.INFORMATIONi
Company Name: —/7 C5
Address:
',3 2--.C, /1 7'-)14 j'S/.e Q »Y6 e �/
City: State: Zip:
yvi , ss-c, 3p
Phone: ! ?..\ y-___ q_ r7l /_Fax:
Contr Reg No.: Ex Date:
Lo,-'' ' /24/5 /271/3
Tukwila Business Lice se No.:
Valuation of project (contractor's bid price): $ 7-6511t)
Describe the scope of work in detail: VC—A / !.1
7
Use: Residential: New
Commercial: New ❑
Fuel Type:
Electric
Replacement
Replacement
Gas ❑ Other:
H:\Applications'Forms- Applications On Line \2011 Applications\ Mechanical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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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 /wall /floor
mounted heater
Ventilation system
Appliance vent
If
Repair or addition to
heat/refrig/cooling
system
Air handling unit
<10,000 cfm
Unit Type..
Qb.
Air handling unit
>10,000 cfm
Evaporator cooler
Ventilation fan
connected to single duct
Wood /gas stove
Ventilation system
Emergency generator
If
Hood and duct
Incinerator — domestic
Incinerator —
comm/industrial
Unit Type I`
Qty
Fire damper
Diffuser
Thermostat
Wood /gas stove
Emergency generator
Other mechanical
equipment
Boiler/Compiressor' `
: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:
Print Name:
Mailing Address:
Day Telephone:
Date ? / —
�ir���/ °W 2 --
City
H:Wpplications\Forms- Applications On Line \201 I ApplicationsUNechanical Permit Application Revised 9 -9 -1 l.docx
Revised: August 2011
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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.00v
Parcel No.: 8687800147
Address: 14723 59 AV S TURIN
Suite No:
Applicant: SINGH RESIDENCE
RECEIPT
Permit Number: M12 -033
Status: PENDING
Applied Date: 03/06/2012
Issue Date:
Receipt No.: R12 -00917
Initials:
User ID:
WER
1655
Payment Amount: $96.60
Payment Date: 03/06/2012 11:40 AM
Balance: $0.00
Payee: LAWRENCE KEMPH
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 005558
ACCOUNT ITEM LIST:
Description
96.60
Account Code Current Pmts
MECHANICAL - RES
000.322.102.00.00 96.60
Total: $96.60
doc: Receipt -06 Printed: 03 -06 -2012
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
PERMIT NO.
DIVISION
(206) 431 -3670
•
Project: .,
Type of Inspection: n:
Address: ,r �{
m --Ii 5 `1 "^A-
�
Date Iled:
lfc. ou 6F-t--
I _
Special Instructions:
D S-3-(32 -01 XS
f
j.
Date Wanted:
/`
/
, / p.m.
Requester:
Phone {No: �f
`4ZS_ _t c`l-Dom{i 2--
Approved per applicable codes. 0 Corrections required prior to approval. is
COMMENTS:
1\
1
Inyt(iector:
Dats
r7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Pryer Friendly Page
•
General /Specialty Contractor
A business registered as a construction contractor with LEI 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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
LARRY'S REPAIR
4254870412
4230 196Th St Sw
PMB B -612
Lynnwood
WA
98036
Snohomish
Individual
UBI No. 600202274
Status Active
License No. LARRYR*081BS
License Type Construction Contractor
Effective Date 1/10/1992
Expiration Date 1/8/2013
Suspend Date
Specialty 1 General
Specialty 2 Unused
Business Owner Information
Name
Role
Effective Date
Expiration Date
KEMPH, LAWRENCE E
Owner
01/01/1980
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
CBIC
632047
12/23/2001
Until Cancelled
$12,000.00
12/24/2001
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
19
American
States
Insurance Co
01C11399824
12/23/2011
12/23/2012
$1,000,000.00
12/19/2011
18
AMERICAN
STATES INS CO
01C11399823
12/23/2010
12/23/2011
$1,000,000.00
12/08/2010
17
AMERICAN
STATES INS CO
01C11399822
12/23/2009
12/23/2010
$1,000,000.00
12/21/2009
16
AMERICAN
STATES INS CO
01C11399821
12/23/2008
12/23/2009
$1,000,000.00
12/23/2008
15
AMERICAN
STATES INS CO
010E47979200
12/23/2007
12/23/2008
$1,000,000.00
12/19/2007
14
AMERICAN
STATES INS CO
010E47979280
12/23/2005
12/23/2007
$1,000,000.00
12/12/2006
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
03/06/2012