HomeMy WebLinkAboutPermit M12-108 - DELGADO RESIDENCEDELGADO RESIDENCE
13527 35 AV S
M12 -108
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -43 1 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.TukwilaWA.gov
MECHANICAL PERMIT
Parcel No.: 8864000175
Address: 13527 35 AV S TUKW
Project Name: DELGADO RESIDENCE
Permit Number: M12 -108
Issue Date: 07/11/2012
Permit Expires On: 01/07/2013
Owner:
Name: DELGADO JUAN
Address: 13527 35TH AVE S , SEATTLE WA 98166
Contact Person:
Name: STEVE ATES
Address: 60 NE LAKE DR , TAHUYA WA 98582
Email: BUILDERATES @GMAIL.COM
Contractor:
Name: PAUL DAVIS REST /W KING CNTY
Address: 15004 35 AV S, STE A , LYNNWOOD WA 98087
Contractor License No: PAULDDR954RA
Phone: 253 514 -7724
Phone: 206 - 364 -3000
Expiration Date: 04/14/2014
DESCRIPTION OF WORK:
CONNECT BATH FANS, HOOD FAN, AND DRYER DUCT
REVISION #1: VENT HOT WATER TANK AND HEAT UPSTAIRS BEDROOM
Value of Mechanical: $1,000.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
Fees Collected: $158.25
International Mechanical Code Edition: 2009
Permit Center Authorized Signature: / Date: 01,
I hereby certify that I have read and xami 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 whether specified herein or not.
The granting of this permit does not pre ume 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: EGG )4_5' (7, i,QpdG[,11
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
M12 -108 Printed: 07 -20 -2012
PERMIT CONDITIONS
Permit No. M12-108
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center
(206/431- 3670).
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: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary
sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other
excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of
this requirement.
5: Manufacturers installation instructions shall be available on the job site at the time of inspection.
6: 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.
7: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the
International Building Code and the Washington State Ventilation and Indoor Air Quality Code.
8: 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.
9: 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.
10: 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).
11: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
12: 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 -108 Printed: 07 -20 -2012
City o ukwila
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.: 8864000175
Address: 13527 35 AV S TUKW
Project Name: DELGADO RESIDENCE
Permit Number: M12 -108
Issue Date: 07/11/2012
Permit Expires On: 01/07/2013
Owner:
Name: DELGADO JUAN
Address: 13527 35TH AVE S , SEATTLE WA 98166
Contact Person:
Name: STEVE ATES
Address: 60 NE LAKE DR , TAHUYA WA 98582
Email: BUILDERATES @GMAIL.COM
Contractor:
Name: PAUL DAVIS REST/W KING CNTY
Address: 15004 35 AV S, STE A , LYNNWOOD WA 98087
Contractor License No: PAULDDR954RA
Phone: 253 514 -7724
Phone: 206 - 364 -3000
Expiration Date: 04/14/2014
DESCRIPTION OF WORK:
CONNECT BATH FANS, HOOD FAN, AND DRYER DUCT
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
Date: 01 11
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 s. 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:
Date:
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
M12-108 Printed: 07 -11 -2012
PERMIT CONDITIONS
Permit No. M12 -108
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center
(206/431- 3670).
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: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary
sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other
excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of
this requirement.
5: Manufacturers installation instructions shall be available on the job site at the time of inspection.
6: 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.
7: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the
International Building Code and the Washington State Ventilation and Indoor Air Quality Code.
8: 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.
9: 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.
10: 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).
11: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
12: 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
M12-108 Printed: 07 -11 -2012
CITY OF TUKWI
Community Developm epartment
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:
Tenant Name:
/ S27 -3174/
;PROPERTY OWNER .d:.. _ _ • ;` ; .,..{
Name: Ta. 0 ei
Address: 6 & ' E atC A ,,_ /Jr
oV / a _ Ci)
!� '
Address:
/
2
7 �s.i -h iv
City: c.4,6//(__
Contr Reg No.: p Lop io i Fxtapate: Lj((4 (, L
1 "(
State:,,.. Zipgs2/
CONTACT-PER$ONR person receivmg`all project r
L.,4 1 dA' 7 fI na• Y 4R r # •` - AL ry
',communtcation•! :. , i �'� ,' `t, ,.. r� t pi ? !°�
S U� % fps Name:
Address: 6 & ' E atC A ,,_ /Jr
ii(iu G State u, Zip: p: g cg: City: - /
Phone: ..3-:3_._‘4--64.....772 Fax:
) %
Email: V--'1,-ii /p {/' e5 6 6-k, qr r/ , G �`i
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes V.. No
6_ Boob /7s
:41M.E s N tC i : CONTRACTOR"INFORMA =TIOM:
1 _ `
Company Name: vin L I/1� ` (C 'JZ Es-r
1 ` "` /l� v 1, V' 'G�� .
Address:
City: State: Zip:
Phone: Fax:
Contr Reg No.: p Lop io i Fxtapate: Lj((4 (, L
1 "(
6��f' 2nie
Tukwila Business License No.:
smm ..a.!r +a.yy:wV•'•.-+w.t.. ^ -y. y, Mn\. W +•.v.Ohs.M•••+..a:'w+•.nw,.,.is
w.l.wvN'�
Valuation of project (contractor's bid price): $ 200
l �
Describe the scope of work in detail: 6, r-i- �' I %-4 )4S / � 7ry-e/ /✓ 7&
Use:
Residential: New ❑ Replacement
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑
Gas ❑
Other:
H:\Applications\Forms- Applications On Line \2011 ApplicationsNlechanical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
Page 1 of 2
Indicate type of mechanical work being ins fled and the quantity below:
Unit Type
Qty'.
Furnace <100k btu
Furnace >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
Unit Type
.A. ...
Qty
Air handling unit
>10,000 cfm
Evaporator cooler
Ventilation fan
connected to single duct
Ventilation system
Hood and duct
Incinerator — domestic
Incinerator —
comm/industrial
•
UmfType .•
-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.. is
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 O T IZENT:
Signature:
Print Name:
Mailing Address:
H:Wpplicatuons\Forms- Applications On Line \2011 Applications\Mechanical Permit Application Revised 8 -9 -1 I.docx
Revised: August 2011
bh
Date: 7-1(' 10 /2
Day Telephone:
City / State Zip
Page 2 a2
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
SET RECEIPT
Copy Reprinted on 07 -20 -2012 at 12:55:04 07/20/2012
RECEIPT NO: R12 -02171
Initials: JEM
Payment Date: 07/20/2012
User ID: 1165 Total Payment: 75.30
Payee: FAMILY CLASSIC HOMES
SET ID: 0720 SET NAME: DELGADO RESIDENCE
SET TRANSACTIONS:
Set Member
M12 -108
PG12 -144
TOTAL:
Amount
61.65
13.65
13.65
TRANSACTION LIST:
Type Method Description Amount
Payment Cash 75.30
TOTAL: 75.30
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
MECHANICAL - RES 000.322.102.00.0
PLUMBING - RES 000.322.103.00.0
61.65
13.65
TOTAL: 75.30
Ci, of Tukwila,
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 20 6- 431 -3665
Web site: http://www.ci.lukwila.wa.us
SET RECEIPT
RECEIPT NO: R12 -02103
Initials: JEM
Payment Date: 07/11/2012
User ID: 1165 Total Payment: 143.85
Payee: PAUL DAVIS RESTORATION
SET ID: S000001777 SET NAME: DELGADO RESIDENCE
SET TRANSACTIONS:
Set Member
M12 -108
PG12 -144
TOTAL:
Amount
96.60
47.25
96.60
TRANSACTION LIST:
Type Method Description Amount
Payment Check 35570 143.85
TOTAL: 143 .8 5
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
MECHANICAL - RES 000.322.102.00.0
PLUMBING - RES 000.322.103.00.0
96.60
47.25
TOTAL: 143.85
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 =la. (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
P112- /05
Pro ect:
1..)E2 G /WO ,?C.5
Type of Inspection:
-/A/zvt. _
Address:
/352 7 3-5
'9v S
Date Called:
Special Instructions:
Date Wanted:.
�a.r.m.
Requester:
Phone No:
2,5-3 - ,5/V
770
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
4-1.4-tolW
i
Date:
i:1i J
'REI Z PECTION FEE REQUIRED. Prior to ninspection, fee must be
p_' at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
�L.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: g�
�� r 6 00 f
Type of Inspec n: --�
14 . 2-4 41k . l
Address: :LI
13S-'24 3S
Date Called: ��
I
Special Instructions:
Date Wanted:
---'1,-- Z- --
\
( (
a.m.
C m,:
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
I t I 11
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Calt to schedule reinspection.
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Web site: http: / /www.TukwilaWA.gov
REVISION
SUBMITTAL
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, etc.
Date: 1/-5//
Plan Check/Permit Number:
iz - /mss'
❑ Response to Incomplete Letter #
❑ Response to Correction Letter #
tir Revision # 1 after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
per/ o Jlt,Co
R 2% y5'7 Ave_ 5, ,Sete y /''
,4r
fdre,s Phone Number: 7- 3 -5 /h /° % 7 2, y
Summary of R7 eviision: ` /
# ®T G/Gt,7 -eY /Gcn
Project Name:
•
Project Address:
Contact Person:
Rae
.1TV Op ruk
UL 202012
'tjkpMi7 CENTER
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revisi n
Received at the City of Tukwila Permit Center by: 01 1_ 742 1
Entered in Permits Plus on
H:\ Applications\Forms- Applications On Line \2010 Applications \i 1010 - Revision Submittal.doc
Revised: May 2011
Contractors or Tradespeople Pry ter 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 PAUL DAVIS REST /W KING CNTY UBI No. 602554001
Phone 2063643000 Status Active
Address 15004 35Th Ave W, Ste A License No. PAULDDR954RA
Suite /Apt. License Type Construction Contractor
City Lynnwood Effective Date 1/18/2006
State WA Expiration Date 4/14/2014
Zip 98087 Suspend Date
County Snohomish Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company KC RESTORATION LLC
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
PAULDDR893NA
PAUL DAVIS RSTRTN
OF OLYMPIA
Construction
Contractor
General
Unused
8/1/2011
8/1/2013
Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
THODE, LAWRENCE G
Partner /Member
04/12/2010
Bond Amount
KC RESTORATION LLC
Partner /Member
12/01/2005
04/02/2012
COCHRAN, KATHRYN L
Partner /Member
01/13/2006
04/02/2012
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
4
Developers Surety E
Indem Co
253621C
09/10/2011
Until Cancelled
$12,000.0009/06
/2011
3
American Contractors
Indem CO
100138029
09/10/2010
Until Cancelled
11/03/2011
$12,000.0009/10
/2010
2
AMERICAN
CONTRACTORS INDEM
CO
100045443
04/02/2008
Until Cancelled
09/27/2010
$12,000.0004/14
/2008
1
MERCHANTS BONDING
CO (MUTUAL)
WA15200
12/08/2005
Until Cancelled
12/19/2007
$12,000.00
12/30/2005 •
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
6
American
Safety
Indemnity Co
ENV028193120202/19/2012
02/19/2013
$1,000,000.0004
/16/2012
5
American
Safety
Indemnity Co
ENV0281931101
02/19/2011
02/19/2013
51,000,000.00
01/05/2012
4
GEMINI INS CO
BGR100115300
02/19/2010
02/19/2012
$1,000,000.00
01/12/2011
3
WESTCHESTER
FIRE INS CO
G24061589001
02/19/2009
02/19/2010
$1,000,000.00
02/18/2009
2
CENTURY
SURETY CO
CCP527909
02/19/2008
02/19/2009
51,000,000.00
04/14/2008
https: // fortress .wa.gov /lni/bbip /Print.aspx
07/11/2012