HomeMy WebLinkAboutPermit M13-035 - MATSON RESIDENCE - ALTERATIONMATSON RESIDENCE
5817 S 144 ST
M13-035
City 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.: 3365901236
Address: 5817 S 144 ST TUKW
Project Name: MATSON RESIDENCE
Permit Number: M13-035
Issue Date: 02/04/2013
Permit Expires On: 08/03/2013
Owner:
Name: MATSON SCOTT M+VALDA T
Address: 5817 S 144TH ST , TUKVVILA WA 98168
Contact Person:
Name:
Address:
Email:
Contractor:
Name:
Address:
Contractor
SAM ALVAREZ III
843 EAST GWINN PL , SEATTLE WA 98102
REVOLVER 1958 @HOTMAIL. C OM
DISCOUNT HEATING
PO BOX 3207 , FEDERAL WAY WA 98036
License No: DISCOHA001L8
Phone: 206 459-6032
Phone:
Expiration Date: 06/26/2014
DESCRIPTION OF WORK:
COMPLETE WORK FOR PERMIT M2000-021
WORK TO INCLUDE PROVIDING WHOLE HOUSE FAN, VENTILATION TO OUTSIDE FOR HOOD, AND
INSTALLATION OF FAN IN LAUNDRY ROOM
Value of Mechanical: $500.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
Permit Center Authorized Signature:
I hereby certify that I have read and d
governing this work will be complied
amii
with,
Fees Collected: $119.55
International Mechanical Code Edition: 2009
Date: 104113
Led this permit and know the same to be true and correct. All provisions of law and ordinances
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: , %/fie
Date: 24//3
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.
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•
PERMIT CONDITIONS
Permit No. M13-035
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: Manufacturers installation instructions shall be available on the job site at the time of inspection.
5: 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.
6: 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.
7: 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.
8: 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.
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.
doc: IMC -4/10
M13-035 Printed: 02-04-2013
CITY OF TUKW A
Community Developn, 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:
85/7 L.S9
Tenant Name:
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑.. No
Name:711A 14:5414 ----
Address: X517st.,11.4 y S i
2/4",/,-7_,
City: ita, k j jci l4_ State: w
Zip: q(5lCv,
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑.. No
Name:
2/4",/,-7_,
Address: ?/7'....3�, < f— / /�/rt/
/
City:'e
State:
A
Zip-r�,, .,
Phone: ;340
Fax:
Phone:
Fax:
Email: v,eaDI\.h,(''
/oSi�c),
J_7
6,012(/
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑.. No
Valuation of project (contractor's bid price): $
re"S 0 /11 "c / d ��
Describe the scope of work in detail:
Use: Residential: New ❑ Replacement ❑
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑ Gas ❑
Other:
HAApplications On Line \2011 Applications\Mechanical Permit Application Revised 8-9-11.docx
Revised: August 2011
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Page 1 of 2
Company Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Contr Reg No.:
Exp Date:
Tukwila Business License No.:
Valuation of project (contractor's bid price): $
re"S 0 /11 "c / d ��
Describe the scope of work in detail:
Use: Residential: New ❑ Replacement ❑
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑ Gas ❑
Other:
HAApplications 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
Appliance vent
Repair or addition to
heat/refrig/cooling
system
Air handling unit
<10,000 cfm
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
Unit Type
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 ter' 0 • IZED AGENT:
Signature:
Date: A'l i,3
Print Name: ,..5;411/2, fl �✓ 'j7 --' Day Telephone:
Mailing Address: c 1 ' 3 7°a -A4e j. ..0y/4 yJ //vkl ,--(')
City State Zip
H:\Applications\Forms-Applications On Line\20l 1 Applications\Mechanical Permit Application Revised 8-9-11.docx
Revised August 2011
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Page 2 of 2
1
AUTHORIZATION FOR ALTERNATE PLAN
SUBMITTAL (LIMITED SCOPE OF WORK)
IBC & IRC Section 104.1
Date: tJ G- 04 k
Address: G'LA1 G I1 -1H
Description of Work:
Permit/Application Number: P19-014
Tukwila, WA 981 111?
& r\i‘RI e:k enc p i rc d Pe r►ex. ck
t\- 013V ar c9 M2000— cYL)
The above project permit applicant, due to the limited scope of work, is authorized to submit reduced plan
requirements described below:
1.
Complete permit application(s):
it Building
Mechanical ❑ Plumbing/Gas Piping ❑ Electrical ❑ Other
2. Plan and/or Specification (minimum):
❑ Site Plan ❑ Floor Plan ❑ Elevations ❑ Foundation ❑ Structural Calcs
❑ Cross Sections ❑ Roof Plan Narrative ❑ Narrative WSEC Compliance
3. Required Inspections (only completed when to be issued over the counter): ij
ftvpt( 1i1 incl`k&y
WCAIS r? ti k,
�
oc-- Dv it 4 i y'c (Atte 1,10(e LoLA,444
In A.kik,rIciAik VvOirvli NA/A_ add
❑ Framing
❑ Glazing
4. Other Special Instructions:
W\Pc,L c)e,Qc
tiv\-\-,Aekohl
atithn --‘?
Authorized By: „
Printed Name:
Final Other:
Date: Q Q� M/-
(Authoriza ' n void 0 days after date)
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 431-3670 • Fax: 206 431-3665
W:\Permit Center\Templates\Forms\Auth for Reduced Plan Submittal.docx
City*Tukwila,
Department of Community Development
6300 Southcerter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206-431-3665
Web site: htty./Mww.ci.tukwila.wa.us
SET RECEIPT
RECEIPT NO: R13-00705
Initials: JEM
Payment Date: 02/04/2013
User ID: 1165 Total Payment: 313.05
Payee: SAMUEL ALVAREZ 111
SET ID: S000001925 SET NAME: 0204
SET TRANSACTIONS:
Set Member Amount
D13-041
M13-035
TOTAL:
193.50
119.55
193.50
TRANSACTION LIST:
Type Method Description Amount
Payment Credit C VISA 313.05
TOTAL: 313.05
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
BUILDING - RES
MECHANICAL - RES
STATE BUILDING SURCHARGE
000.322.100
000.322.102.00.0
640.237.114
189.00
119.55
4.50
TOTAL: 313.05
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
Project:
YYl t i So' 24 S
Type Inspection:
1-- i N ()
Address:
5'Di t ? S • i `--I'4
__
\
Date Called:
Special Instructions:
Date Wanted:.
E—. 1
, a'm_>
p.m.
Requester:
Phone N(oo: _
AO
EA
Approved per applicable codes. D Corrections required prior to approval.
COMMENTS:
f �
Insp r(or:
Date:.:
REINSPECTION FEE REQUIR D. Prior to n, xt inspection, fee must be:
pai, at 6300 Southcenter Blvd . Suite 100. Call to schedule reinspection..
Contractors or Tradespeople Etter 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 DISCOUNT HEATING & AIR
LLC
UBI No. 602047049
Phone 2539457449 Status Active
Address Po Box 3207 License No. DISCOHA001 L8
Suite/Apt. License Type Construction Contractor
City Federal Way Effective Date 6/28/2000
State WA Expiration 6/26/2014
Date
Zip 98063 Suspend Date
County King
Specialty 1
Heating/Vent/Air-Conditioning And Refrig
(Hvac/R)
Business Type Limited Liability Company Specialty 2 Unused
Parent
Company
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
DISCOHA01808
DISCOUNT
HEATING & AIR
Construction
Contractor
General
Unused
9/28/1999
9/27/2000
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
MUNSON, ELDA J
Partner/Member
01/01/1980
Amount
MUNSON, GAIL M
Partner/Member
01/01/1980
06/17/2010
FARRIS, STEVEN
Partner/Member
01/01/1980
06/17/2010
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
3
DEVELOPERS SURETY
& INDEMNITY
852894C
09/30/2001
Until Cancelled
$6,000.00
10/17/2001
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
9
American
States
Insurance Co
01CH11025470
06/26/2012
06/26/2013
$1,000,000.00
06/11/2012
8
American
States
Insurance Co
01CH11025460
06/26/2011
06/26/2012
$1,000,000.00
06/07/2011
7
AMERICAN
STATES INS CO
01CH11025450
06/26/2010
06/26/2011
$1,000,000.00
06/17/2010
6
AMERICAN
STATES INS CO
01CH11025440
06/26/2009
06/26/2010
$1,000,000.00
06/11/2009
5
AMERICAN
STATES INS CO
01CH11025430
06/26/2008
06/26/2009
$1,000,000.0006/11/2008
4
AMERICAN
STATES INS CO
01CH11025420
06/26/2007
06/26/2008
$1,000,000.00
07/02/2007
3
HARTFORD CAS
INS CO
52SBAKM7693
06/26/2003
06/26/2007
$300,000.00
05/23/2006
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02/04/2013