HomeMy WebLinkAboutPermit M12-183 - PHAM RESIDENCEPRAM RESIDENCE
14426 42 AV S
M12-183
City o0/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.TukwilaWA.gov
MECHANICAL PERMIT
Parcel No.: 0040000339
Address: 14426 42 AV S TUKW
Project Name: PRAM RESIDENCE
Permit Number: M12 -183
Issue Date: 11/20/2012
Permit Expires On: 05/19/2013
Owner:
Name: DEUTCHE BANK NATIONAL TRUST
Address: 700 KANSAS LN MC 8000 , MONROE LA 71203
Contact Person:
Name: JIMMY ZELEDON
Address: 13629 26 PL W, SUITE B102 , LYNNWOOD WA 98087
Email: NOT PROVIDED
Contractor:
Name: J & M PLUMBING LLC
Address: 13629 26 PL W, SUITE B102 , LYNNWOOD WA 98087
Contractor License No: JMPLUMP886Q0
Phone: 425 -791 -2076
Phone: 425 -791 -2076
Expiration Date: 11/20/2014
DESCRIPTION OF WORK:
HOOK UP A KITCHEN RANGE HOOD
Value of Mechanical: $500.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
Permit Center Authorized Signature:
Fees Collected: $119.55
International Mechanical Code Edition: 2009
Lk) Date: L k f-t�
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:
S nien7 Zele
C/O i4
Date: / 1 -2 0 -1 Z
This permi 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.
r1nr. IM(: -4/1(1 M12-1/11
Printed. 11 -7(1 -7019
• •
PERMIT CONDITIONS
Permit No. M12-183
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 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.
rine IMn -4/1(1
M12 -1R3 Printprl• 11 -70 -2017
CITY OF TUKWIj r1
Community Developme. Department
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: / 4/ Z r, 1/Zrld 11vc5 tau i /�j
Tenant Name:
Name: fit_ c 11
Address:
City:
State:
Zip:
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑.. No
Company Name: .� M P/ i i b1 q C.c. L
Address:
/3649 Z(P PC kJ' 670Z--
City:
State: t . Zip;,80 bi ?
n l v'O+ cD
Phoney Fax:
Contr Reg No5.. OLV fripg 0( 0p Date:
Tukwila Business License No.:
Valuation of project (contractor's bid price): $ 50
Describe the scope of work in detail:
u v /c Up c. ra 14, p? io Oa
Use: Residential: New ❑ Replacement ❑
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑
Gas ❑
Other:
H:\Applications\Forms- Applications On Line\20I 1 Applications\Mechanical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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s, � � a . a g 7 e �
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Name:
l�nj
Address:
City:
State:
Zip:
Phone:1.0
J 227_ 3 �3
,Fax:
Email:
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑.. No
Company Name: .� M P/ i i b1 q C.c. L
Address:
/3649 Z(P PC kJ' 670Z--
City:
State: t . Zip;,80 bi ?
n l v'O+ cD
Phoney Fax:
Contr Reg No5.. OLV fripg 0( 0p Date:
Tukwila Business License No.:
Valuation of project (contractor's bid price): $ 50
Describe the scope of work in detail:
u v /c Up c. ra 14, p? io Oa
Use: Residential: New ❑ Replacement ❑
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑
Gas ❑
Other:
H:\Applications\Forms- Applications On Line\20I 1 Applications\Mechanical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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Indicate type of mechanical work being installed and the quantity below:
z
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
r. y
'Unit Type
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
r:. ?Unit Type -U
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
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' i HORIZED AGENT:
Signature: Date: 1/ Z J
Print Name: Day Telephone: 1-/z1- 791- 2076
Mailing Address: /3 6 25 ZG ft ®G 1IJ4• 1 'OZ' Grn n woo d W 4- gef o d ?
City State Zip
H:Wpplications\Forms- Applications On Line \2011 Applications\Mechanical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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City of Tavvilar •
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206 -431 -3665
Web site: htta: /itvww.ci.iukwila.wa.us
SET RECEIPT
RECEIPT NO: R12 -03168
Initials: WER
User ID: 1670
Payee: JIMMY ZELEDON
Payment Date: 11/20/2012
Total Payment: 84.40
SET ID: 112012 SET NAME: PHAM
SET TRANSACTIONS:
Set Member Amount
M12 -183 5.90
PG12 -204 78.50
TOTAL: 5.90
TRANSACTION LIST:
Type Method Description Amount
Payment Credit C VISA 84.40
TOTAL: 84.40
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
MECHANICAL - RES 000.322.102.00.0
PLUMBING - RES 000.322.103.00.0
5.90
78.50
TOTAL: 84 .4 0
City of Tullila.
Department of Community Development
6300Southcei*er Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site ht4uhivww ci, tukwda wa us
SET RECEIPT
•
RECEIPT NO: R12 -03167
Initials: WER
User ID: 1670
Payee: JIMMY ZELEDON
Payment Date: 11/20/2012
Total Payment: 13.65
SET ID: 112012 SET NAME: PHAM
SET TRANSACTIONS:
Set Member Amount
M12 -183 13.65
TOTAL: 13.65
TRANSACTION LIST:
Type Method Description Amount
Payment Credit C VISA 13.65
TOTAL: 13.65
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
MECHANICAL - RES
000.322.102.00.0 13.65
TOTAL: 13.65
SET RECEIPT
RECEIPT NO: R12 -03166
Initials: WER Payment Date: 11/20/2012
User ID: 1670 Total Payment: 200.00
Payee: J & M PLUMBING
SET ID: 112012 SET NAME: PHAM
SET TRANSACTIONS:
Set Member Amount
M12 -183 100.00
PG12 -204 100.00
TOTAL: 100.00
TRANSACTION LIST:
Type Method Description Amount
Payment Cash 200.00
TOTAL: 200.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
MECHANICAL - RES 000.322.102.00.0
PLUMBING - RES 000.322.103.00.0 .
100.00
100.00
TOTAL: 200.00
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
0 Southcenter Blvd., #100, Tukwila. WA 98188 ,�-. (206) 431 -3670
630
Permit Inspection Request Line (206) 431 -2451
Mt2 --1ES
Project:
Phi An�� cf
Type of Inspection:
nee ,
41'
Address: AA _
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Date Called:
--
Special Instructions:
/
Date Wanted:.S —
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Requester:
Phone No:
Approved per applicable codes. Ei Corrections required prior to approval. 8
COMMENTS:
Insfrect�^
Date*, "" ($
n REINSPECTION FEE REQUIRED. Orior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project:
V1/\ AM Res" AeArA
Type of-Inspection
�- Ai A a )1`,
Address: A-a
I e{ 4'l ((12 —Y /M
Date Called:
--
Special Instructions:
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Date Wanted:
2 (! 3 `.m.
Requester:
AA,. d /\ d ' dP c/Ct dke P.. `e c r' --
Phone No:
1.1)
2'1 -3232
/r
Approved per applicable codes.
:orrections required prior to approval.
COMMENTS:
i) NeP t sm...a tee- As-(7--e-e-----Ca
DvJ�
_
`i
D D AJ ! n A_ GP 7?-0 J M .---
(i) o�Q se• (.- c (_,S ` (k-- 6ArdLA/A -1
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4
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--- 7 .0 r-r 2A a . 6_40 �,- c..o c ilis / v
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Inspector:
Date 1, 1 3
❑ REINSPECTION FEE REQUIRE !Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
die+
INSPECTION RECORD
Retain a copy with permit
INSPECTION ENO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 % (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
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Project: m R 1 p e L
TvPepf In c n: Ake n e
(0) DO Or ' /1 rUi 1c,2 • /�v/CA
Add'esk. , I �� S 2 ti� AU e
Date Called:
AA( .,IL 46,,. A-.0— 6/4--A4 . P-es— M i(
Special Instructions:
Date Wanted;,,,,. r-�
— / / — 13
'p.m,,
Requester:
Phone No:
20 " v- 3 23
2
0 Approved per applicable codes. Corrections required prior to approval.
COMMENTS: ,
": iVfF o se c=t �(os'‘ill -kr J4,re
(0) DO Or ' /1 rUi 1c,2 • /�v/CA
,,py7 -ext‘ .x/1_7" ',/it...k}s ! . Lt ((,_-„e,
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kit
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
3
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
ttt2 - -1'
Project: / k
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Typ of!lnspectio
p
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Address'
2- Ai Ve__-A Ph A,~1 ,3e e✓ li
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ity it'd- *'mil A- zi/o 5 .1.7/4-
Date Called: `
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Special Instructions:
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Date Wanted:
3
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2 /a. -
Requester:
Phone No:
'7,d � - 3
(3
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11 Approved per applicable codes.
Corrections required prior to approval. .3
COMMENTS:
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,i) f /, 4.„ S s? i
/a 1.,01 ' %-i .01 OA/ 17 1---e_4/ lia % ,--m
ki
vim heft/ dt 6-1- c
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ity it'd- *'mil A- zi/o 5 .1.7/4-
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f% Gdvi/IL!l! e--x, /-),' .fr dl%�
11-rite, tr4/S /1 l'v, / YI /XG- GW 22d
Date: 3_ 2 ... /3
Inspector: eetit4�
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
2 a. 2
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (Z, (206) 431 -3670
Permit :Inspection Request Line (206) 431 -2451
Project:
�' . ,Type
���
of Inspection:
�� 7 ,
4
Address:
Date Call" ed:
Special Instructions:
Date Wanted �ZJ 3
a.rr
Requester:
Phone No:
Approved per applicable codes.
14 Corrections required prior to approval.
.,,y
COMMENT: —
ft): �l t
/,- -3,0
Sai�
44,-; 2..
„an, va6 A -44-
/
A,/mod 0,/71.1/45
nspector: •
Date: z -/,3
n
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter.Blvd., Suite 100. Call to schedule reinspection.
'SPECTION RECORD
Retain a copy with permit
INSPECTION NO. :" PERMIT NO.
OF TUKWILA BUILDING DIVISION
(206) 431 -3670
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
Project:
Type of Inspection:
Address:
i L' "42„C k-•12
OW
Date Called:
Special Instructions:
Zr:„ L 7
---d
/
Date Wanted:: )
a.m:
Requester:
Phone No:
?°Co -2 "7.423.?_'
Approved per applicable codes.
COMMENTS:
E3Corrections required .prior to approval.
Inspect r:
A
1 ii
Date
n REINSPECTION FEE REQUIRED. Prior to next inspection;" fee mustbe
paid at. 6300 Southcenter Blvd.. Suite 100. Call to schedule,reinspectiori.
k�l
INSPECTION RECORD
Retain a copy with permit •
INSPECTION NO. PERMIT. NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 G (206).431-3670
Permit Inspection Request Line (206) 431 -2451
Proje -
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�
Typ of Inspection: _�
�KO( 3 �� kf-`_ - -=- !<!'..
Address-
1,44
/--°
42--
L)e..
Date Called:
—
Special Instructions:
-
Date Wanted:.
I 1 "Z( -tL— p.m.
Requester:
Phone N �5 l . ! 7
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
rTh
A t
Seik 4-6,A
r
Inspebtor:
Date
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee.nust'be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection:
-
Contractors or Tradespeople Per Friendly Page
General /Specialty Contractor
A business registered as a construction contractor with L &I 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
J ft M PLUMBING LLC
4257912076
13629 26Th Pl W # B102
Lynnwood
WA
98087
Snohomish
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
603241785
Active
JMPLUMP886Q0
Construction Contractor
11/20/2012
11/20/2014
Plumbing
Unused
Business Owner Information
Name
Role
Effective Date
Expiration Date
ZELEDON, MAGIE
Partner /Member
11/20/2012
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
American Contractors
Indem CO
100209845
11/14/2012
Until Cancelled
$6,000.00
11/20/2012
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
1
Security
National
Insurance
NA01666378
11/14/2012
11/14/2013
$1,000,000.00
11/20/2012
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
Infractions /Citations Information No records found for the previous 6 year period
https: // fortress .wa.gov /lni/bbip/Print.aspx 11/20/2012