HomeMy WebLinkAboutPermit M13-152 - PERRY RESIDENCE - ALTERATIONPERRY RESIDENCE
13342 34 AV S
M13-152
City of'ikkwila
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.: 7358600120
Address: 13342 34 AV S TUKW
Project Name: PERRY RESIDENCE
Permit Number: M 13-152
Issue Date: 08/22/2013
Permit Expires On: 02/18/2014
Owner:
Name: PERRY LEE C
Address: 5216 40TH AVE SW , SEATTLE WA 98136
Contact Person:
Name:
Address:
Email:
LEE PERRY
PO BOX 46071 , SEATTLE WA 98146
LEEP60@GMAIL.COM
Contractor:
Name: OWNER AFFIDAVIT - LEE PERRY
Address:
Contractor License No:
Phone: 206 459-8677
Phone:
Expiration Date:
DESCRIPTION OF WORK:
INSTALL HVAC SYSTEM (THIS PERMIT FOR FINAL INSPECTION ONLY, REFERENCE EXPIRED
PERMIT M12-062.)
Value of Mechanical: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complied
Fees Collected:
$97.50
International Mechanical Code Edition: 2012
The granting of this permit does not pre
construction or the performance of work.
back of this permit.
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
e to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to sign and obtain this mechanical permit and agree to the conditions on the
Date: / 2 L 1 P3
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.
RAI f3 GO
DAnTeA. 11fL09_91111
•
PERMIT CONDITIONS
Permit No. M13-152
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: Manufacturers installation instructions shall be available on the job site at the time of inspection.
4: 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 Indgor Air Quality Code.
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.
doc: IMC -4/10
M13-152 Printed: 08-22-2013
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukyvilaWA.gov
Mechanical Permit No.
MP) -152 -
Project No.
Date Application Accepted: CA 7-1- 3
Date Application Expires:
(For office use only)
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 LOCATION
King Co Assessor's Tax No.: t9C11 1.� l.O(2'0l Ti)�
Site Address: 133 42 33"14A- 1 1 with NA 181USuiteNumber: Floor:
Tenant Name: (- @ C rVe_ifv
PROPERTY OWNER
Name:
le e `Ve. ✓/y
Name:
(...t_ t- Rei#
City: ("e i 1 State:
Address:
177%4 L 34� Llti..m., fa ‘...u._
Phone (`S1 /Sbl-} Fax:
city.,rt , State: VA-
Zip; I
1/44
CONTACT PERSON — person receiving all project
communication
Name:
le e `Ve. ✓/y
Address: ,J
City: ("e i 1 State:
Zip: 13 I 4(c.
Phone (`S1 /Sbl-} Fax:
Email: l ee Q tat ®S r►'i c. \ , C0 iv..
State:
New Tenant: ❑ Yes
0
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Contr Reg No.:
Exp Date:
Tukwila Business License No.:
Valuation of project (contractor's bid price): $ • t 0V • v ��
Describe the scope of work in detail: }1
Use: Residential: New ❑ Replacement ........�
Commercial: New ❑ Replacement ......... ❑
Fuel Type: Electric F4,
Gas
Other:
H:\Applications\Forms-Applications On Line\201 I Applications\Mechanical Permit Application Revised 8.9.11. docx
Revised: August 2011
bh
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
I
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
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: � Date: k II i2 I 13
Print Name: V L2 C • 7e-iPi
Mailing Address: • S,C 4100 -}t
H:\Applications\Forms-Applications On Line\201 I Applications'Mechanical Permit Application Revised 8.9.1 I.docx
Revised: August 2011
bh
Day Telephone:
2-4co LIS -1 81��
%ale w� 9V r 1)0
City State ` Zip
Page 2 of 2
SET RECEIPT
RECEIPT NO: R13-02427
Initials: JEM Payment Date: 08/22/2013
User ID: 1165 Total Payment: 264.50
Payee: LEE CHRISTINE PERRY
SET ID: S000002032 SET NAME: Tmp set/Initialized Activities
SET TRANSACTIONS:
Set Member Amount
D13-269 69.50
EL13-0797 65.00
M13-152 65.00
PG13-118 65.00
TOTAL: 6"9.50
TRANSACTION LIST:
Type Method Description Amount
Payment Credit C VISA 264.50
'TOTAL: 264.50
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
BUILDING INVESTIGATION
MECHANICAL - RES
STATE BUILDING SURCHARGE
000.322.800 195.00
000.322.102.00.0 65.00
640.237.114 4.50
TOTAL: 264.50
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Elvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project:
-!-t r v t -c R ec,
Type of Inspection:
1- 1 r.1 •k L
Address:
1 —5'314 z. 3 L1 i\/
Date Called:
Special Instructions:
SOA
-(02/-6(
0x.06-
Date Wanted:
equeste :
Lee
Phone No: L
)
- (S4,,,7`7
Approved per applicable codes. C7 Corrections required prior to approval.
COMMENTS:
24)(e -155—$(e1 'f
per;
n
".\
ector:
Date:
n REINSPECTION FEE REQ IRED. Prior t1Qnext inspection, fee must be
paid at 6300 Southcenter 8 d.. 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) 431-3670
Permit Inspection Request Line (206) 431-2451
•
011 3 -652 -
Pr ect:
F- (-Z Li RAS
Type of Inspection:
F----/ r../4L
Address-
Is 3LIZ 3u 4u
Date Called:
1 . '-FJf4d
: 1-4-4,4-e f
Special Instructions:
.
Date Wanted:m�
requester:
., "ft
. L7 f f it Aa �far
Phone No:
ag
5
–2)&77
ElApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
1-6 Sem
�^
VF!..l i•► .\Ji\
1 . '-FJf4d
: 1-4-4,4-e f
er c3Ii4,1 *- ,Jint
M e z. 3D':--
., "ft
. L7 f f it Aa �far
IL,ti4kfLT-,
t
n REINSPECTION FEE REQUIRED. Prior to next inspection; fee must be
paid at 6300 Southcenter Blvd.: Suite 100. Call to schedule reinspection. ,.
•
CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431-367o FAX (206) 431-3665
E-mail: tukplanPci.tukwila.wa.us
•
Permit Center/Building Division
206 431-3670
Public Works Department
206 433-0179
Planning Division
206 431-3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
1 ^ J
PERMIT NO:
X13-- )19
STATE OF WASHINGTON)
COUNTY OF KING )
ss.
CFS C:1„Jl)'kv e» Rti'
[please print name]
1. I have made application for a permit from the City of Tukwila, Washington.
2. I understand that state law requires that all building construction contractors be registered with the
State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the
Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have
read or am familiar with RCW 18.27.090.
3. I understand that prior to issuance of a permit for work which is to be done by any contractor, the
City of Tukwila must verify either that the contractor is registered by the State of Washington, or that
one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I
hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090,
I consider the work authorized under this permit to be exempt under number fl _, and will therefore
not be performed by a registered contractor.
5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to
persons making electrical installations on their own property or to regularly employed employees
working on the premises of their employer. The proposed electrical work is not for the construction
of a new building for rent, sale or lease.
I understand that I may be waiving certain rights that I might otherwise have under state law in any decision
to engage an unregistered contractor to perform construction work.
, states as follows:
0. ark
1ON as�'��
Signed an cj sworn to before me this
day of , 20 .
NOTARY PUBLIC in and for the State of ashington
Residing at
, County
Name as commissioned:
My commission expires:
0-
18.27.090 Exemptions. The registration provisions of this chapter do not apply to:
1. An authorized representative of the United States
government, the state of Washington, or any incorporated
city, town, county, township, irrigation district, reclamation
district, or other municipal or political corporation or
subdivision of this state;
2. Officers of a court when they are acting within the scope
of their office;
3. Public utilities operating under the regulations of the
utilities and transportation commission in construction,
maintenance, or development work incidental to their own
business;
4. Any construction, repair, or operation incidental to the
discovering or producing of petroleum or gas, or the
drilling, testing, abandoning, or other operation of any
petroleum or gas well or any surface or underground mine
or mineral deposit when performed by an owner or lessee;
5. The sale of any finished products, materials, or articles of
merchandise that are not fabricated into and do not become
a part of a structure under the common law of fixtures;
6. Any construction, alteration, improvement, or repair of
personal property performed by the registered or legal
owner, or by a mobile/manufactured home retail dealer or
manufacturer licensed under chapter 46.70 RCW who shall
warranty service and repairs under chapter 46.70 RCW;
7. Any construction, alteration, improvement, or repair
carried on within the limits and boundaries of any site or
reservation under the legal jurisdiction of the federal
government;
8. Any person who only furnished materials, supplies, or
equipment without fabricating them into, or consuming
them in the performance of, the work of the contractor;
9. Any work or operation on one undertaking or project by
one or more contracts, the aggregate contract price of
which for labor and materials and all other items is less
than five hundred dollars, such work or operations being
considered as of a casual, minor, or inconsequential nature.
The exemption prescribed in this subsection does not apply
in any instance wherein the work or construction is only a
part of a larger or major operation, whether undertaken by
the same or a different contractor, or in which a division of
the operation is made into contracts of amounts less than
five hundred dollars for the purpose of evasion of this
chapter or otherwise. The exemption prescribed in this
subsection does not apply to a person who advertises or
puts out any sign or card or other device which might
indicate to the public that he or she is a contractor, or that
he or she is qualified to engage in the business of
contractor;
to. Any construction or operation incidental to the
construction and repair of irrigation and drainage ditches
of regularly constituted irrigation districts or reclamation
districts; or to farming, dairying, agriculture, viticulture,
horticulture, or stock or poultry raising; or to clearing or
other work upon land in rural districts for fire prevention
purposes; except when any of the above work is performed
by a registered contractor;
ii. An owner* who contracts for a project with a registered
contractor, except that this exemption shall not deprive the
owner of the protections of this chapter against registered
and unregistered contractors. The exemption prescribed in
this subsection does not apply to a person who performs
the activities of a contractor for the purpose of leasing or
selling improved property he or she has owned for less than
twelve months;
12.* Any person working on his or her own property,
whether occupied by him or her or not, and any person
working on his or her personal residence, whether owned
by him or her or not but this exemption shall not apply to
any person who performs the activities of a contractor on
his or her own property for the purpose of selling,
demolishing, or leasing the property;
13. An owner* who performs maintenance, repair, and
alteration work in or upon his or her own properties, or
who uses his or her own employees to do such work;
14. A licensed architect or civil or professional engineer
acting solely in his or her professional capacity, an
electrician certified under the laws of the state of
Washington, or a plumber certified under the laws of the
state of Washington or licensed by a political subdivision of
the state of Washington while operating within the
boundaries of such political subdivision. The exemption
provided in this subsection is applicable only when the
person certified is operating within the scope of his or her
certification;
1.5. Any person who engages in the activities herein
regulated as an employee of a registered contractor with
wages as his or her sole compensation or as an employee
with wages as his or her sole compensation;
16. Contractors on highway projects who have been
prequalified as required by RCW 47.28.070, with the
department of transportation to perform highway
construction, reconstruction, or maintenance work;
17. A mobile/manufactured home dealer or manufacturer
who subcontracts the installation, set-up, or repair work to
actively registered contractors. This exemption only applies
to the installation, set-up, or repair of the
mobile/manufactured homes that were manufactured or
sold by the mobile/manufactured home dealer or
tlr Sf Stl Tltr;z
manufacturer; G "
18. An entity who;hokds lv„alid e'leot"rica1 contractor's
license under chapter i9 28 RGW;th ploys a certified
journeyman electrician' a certifie'd.'tesalntil specialty
electrician, or an electrical trainee meeting tile
requirements of ha'per 19.29{R9W to perfgjm plumbing
work that is incidenfally,�directly, andaimmediately
appropriate to the like: land replace1ilep't of a household
appliance or other smalliig.uaoltutil,ii tion equipment
that requires limited electric,pow,ertaiid limited waste
and/or water connections. An electrical trainee must be
supervised by a certified electrician while performing
plumbing work.
• Per Washington State Department of Labor and Industries lessee has
been interpreted to be equivalent to owner for purposes of exemptions.