HomeMy WebLinkAboutPermit M13-194 - MCCULLUM RESIDENCE - ALTERATIONMcCULLUM RESIDENCE
14015 35 AVE S
M13-194
CCity 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.: 1523049118
Address: 14015 35 AV S TUKW
Project Name: MCCULLUM RESIDENCE
Permit Number: M13-194
Issue Date: 10/21/2013
Permit Expires On: 04/19/2014
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Email:
Contractor:
Name:
Address:
Contractor
MCCULLUM STEWART M+JEMIMA J
20635 MARINE VIEW DR SW , NORMANDY PARK WA 98166
KHIEM TRUONG
10439 EIGHTH AVS , SEATTLE WA 98168
JKKLTRUONG @ GMAIL. C OM
JK CONSTRUCTION
10439 EIGHTH AV S , SEATTLE WA 98168
License No: JKCONC*946QZ
Phone: 206-892-7002
Phone: 206-892-8007
Expiration Date: 11/09/2014
DESCRIPTION OF WORK:
INSTALL VENTILATION FAN AND DUCT FOR NEW BATHROOM, KITCHEN HOOD AND DUCT AND
DRYER EXHAUST
Value of Mechanical: $450.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
Permit Center Authorized Signature:
Fees Collected:
$113.16
International Mechanical Code Edition: 2012
Date: I V I 1 3
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 performa 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: 16-7,-1( 1; '
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.
RAIZ_1on
Printari• 1n_91_,n11
PERMIT CONDITIONS
Permit No. M13-194
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.
doc: IMC -4/10
M13-194 Printed: 10-21-2013
CITY OF TUKWIiii
Community Developme epartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Itttp://www.TukwilaWA.L•ov
Mechanical P
,Project
Date Application Accepted:
Date ApplicationExpires
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:
lUbic 30tlinv.
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑.. No
PROPERTY OWNER
Name:
-tf,e_rm .- Aoo,
Name:
%.11
�'[`��
n CC _L6IM
���(.tl
(ni31 silf.
Address:
City:
--rr LE State: Vf--
City:
Phone:
State:
Zip:
CONTACT PERSON —.person receiving all project , ..
communication
Name:
-tf,e_rm .- Aoo,
City: /' fT-r W State:.
Zip: i $ ia
Address:
(ni31 silf.
go
City:
--rr LE State: Vf--
Zip: lO ICg
D
Phone:
(p 2ttrgy^ Fax:
Email:
'I.T42-1-11AG P
,.i' . Ftil,„t
U
MECHANICAL CONTRACTOR' INFORMATION
Company Name:, l/Jt,+ _ ,'I '- Si f
rjL(,1 G(�] lam,
Address: Knotsi.l. Ave.
City: /' fT-r W State:.
Zip: i $ ia
Phone: ( QZ $009 -Fax:
Contr Reg No.: -0_,b tii6 ,Exp Date:
"`�
Tukwila Business License No.:
no
Valuation of project (contractor's bid price): $ t—r .—
Describe the scope of work in detail: 12.QS‘Artoi i , 9_0.17
rx lttatcStt
Use:
Fuel Type:
Residential: New ❑ Replacement ❑
Commercial: New ❑ Replacement ❑
Electric ❑
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
y
Appliance vent
I
Repair or addition to
heat/refrig/cooling
system
Air handling unit
t
<10,000 cfm
Unit Type
Qty
Air handling unit
>10.000 cfm
Evaporator cooler
Ventilation fan
y
connected to single duct
1
Ventilation system
Hood and duct
t
Incinerator — domestic
Incinerator —
comm/industrial
Unit Type
Qty r,
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 U ORIZED AGENT:
Signature:
Print Name:
Lk Ern -,
Mailing Address:
H:\Applications\Forms-Applications On Line \2011 Applications\Mechanical Permit Application Revised 8-9-I l.docx
Revised: August 2011
bh
Date: ( 7
Day Telephone: 7119 912/ O 09 -
04t —rel vet 1 i b
City 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.aov
Parcel No.: 1523049118
Address: 14015 35 AV S TUKW
Suite No:
Applicant: MCCULLUM RESIDENCE
RECEIPT
Permit Number: M13-194
Status: PENDING
Applied Date: 10/21/2013
Issue Date:
Receipt No.: R13-02924
Initials:
User ID:
WER
1655
Payment Amount: $113.16
Payment Date: 10/21/2013 01:49 PM
Balance: $0.00
Payee: KBIEM TRUONG
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 070662
ACCOUNT ITEM LIST:
Description
113.16
Account Code Current Pmts
MECHANICAL - RES
000.322.102.00.00 113.16
Total: $113.16
„r• Rcrcin4_nR
Printed: 10-21-2013
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:
1 @0/ t_tu,A-_ Q�4
Type of Inspectio
Fnspe
Addres :O i 5
l` lI
4I l.% ,
Date Called:
Special. Instructions:
GAC
Date Wanted
4.!m�
Requester:
Phone No:
` JApproved per applicable codes.
Corrections required prior to. approval.
COMMENTS:
per;r t• C \
n
REI
AA
Date:
SPECTION FEE REQUIED. Prior tolnext inspection, fee must be
d at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTIbN 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
MI3.-tom
Project:
Lu i(Afrt
es
Type f Inspectiojer
Address:e.
l 40 t s 3 �
; ..
-1-0,
Date Called:
—
Special Instructions:
Date Wanted:!
I E' n
�/ •-.4.01=,Lu_
( p.m.
ktequester:
Phi 7, _ - -
- 1. _p -a o 9
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
t9 K
tt}<FA-AGE.
—; ,c 1
Inspec
Date
-(3
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Pri r 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 JK CONSTRUCTION UBI No. . 602209121
Phone 2068928007 Status Active
Address 10439 8Th Ave S License No. JKCONC*946QZ
Suite/Apt. License Type Construction Contractor
City Seattle Effective Date 11/9/2006
State WA Expiration Date 11/9/2014
Zip 98168 Suspend Date
County King Specialty 1 General
Business Type Individual Specialty 2 Unused
Parent Company
Business Owner Information
Name
Role
Effective Date
Expiration Date
TRUONG, KHIEM
Owner
11/09/2006
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
3
Wesco Insurance Co
46WB007508
11/10/2012
Until Cancelled
$12,000.00
10/12/2012
2
Navigators Ins Co
46BCO20989
11/10/2011
Until Cancelled
11/25/2012
$12,000.0011/21/2011
11/21/2011
1
CBIC
SH0166
11/01/2006
Until Cancelled
11/01/2011
$12,000.00
11/09/2006
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
4
Contractors
Bonding &
Insuranc
C11SH0166
11/01/2012
11/01/2013
$300,000.00
10/31/2012
3
Contractors
Bonding &
Insuranc
C11SH0166
11/01/2011
11/01/2012
$300,000.00
11/21/2011
2
CBIC
C11SH0166
11/01/2007
11/01/2011
$300,000.0012/02/2010
1
CBIC
C11SH0166
11/01/2006
11/01/2007
$300,000.00
11/09/2006
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
Infractions/Citations Information No records found for the previous 6 year period
https://fortress.wa.gov/lni/bbip/Print.aspx 10/21/2013