HomeMy WebLinkAboutPermit M14-0116 - LAYFIELD RESIDENCE - AIR CONDITIONING SYSTEMLAYFIELD RESIDENCE
4432 S 150 ST
M14-0116
Parcel No:
Address:
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
MECHANICAL OTC PERMIT
0042000071 Permit Number: M14-0116
4432 S 150TH ST
Project Name: LAYFIELD RESIDENCE
Issue Date: 6/5/2014
Permit Expires On: 12/2/2014
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
LAYFIELD RYAN PATRICK+LAKEY
4432 S 150TH ST, TUKWILA, WA,
98188
STEVE FARRIS
1516 45 ST #200 , SUMNER, WA,
98390
DICK'S HEATING/AIR CNDTNG INC
1516 45TH ST E SUITE 200 , SUMNER,
WA, 98390
DICKSI*214DH
Phone: (253) 531-9579
Phone: (253) 845-1213
Expiration Date: 7/5/2015
DESCRIPTION OF WORK:
INSTALL A NEW AIR CONDITIONING SYSTEM TO THE EXISTING GAS FURNACE
Valuation of Work: $4,000.00
Type of Work: NEW
Fuel type: GAS
Fees Collected: $199.03
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 125
Sewer District: VALLEY VIEW SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
Permit Center Authorized Signature:
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
2012
2012
2012
Date: OG 7 S///f
I hearby 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
development per`nit,and agree the conditions attached to this permit.
Signature:
Print Name: .�U� Farm
Date:
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if
the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: 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.
2: ***MECHANICAL PERMIT CONDITIONS***
3: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila
Permit Center (206/431-3670).
4: All permits, inspection record card and approved construction documents shall be kept at the site of work
and shall be open to inspection by the Building Inspector until final inspection approval is granted.
5: Manufacturers installation instructions shall be available on the job site at the time of inspection.
6: 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.
7: 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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1800 MECHANICAL FINAL
0701 ROUGH -IN MECHANICAL
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Mechanical Permit No.
Project No.
Date Application Accepted:
Date Application Expires:
op
(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
Site Address:
Tenant Name:
King Co Assessor's Tax No.: 0o2, 00001 t
-/3®) ` �, J /°� Suite Number: Floor:
PROPERTY OWNER
AName: !/ a i d
Address: )
C ' f i r0� C7-,
City: 7-0 K�t%l `G
State: Zip: Qdyie
CONTACT PERSON — person receiving all project'
communication
Name: ciL4t/4
/—Ori'
Address: / f `iP
Alin
City: /1mnzi� State: �q�
v,
Zip: pi 9�
OJ
Phone p /-j / _ 9�
} f
Email:
New Tenant: ❑ Yes .. No
MECHANICAL CONTRACTOR INFORMATION
Company Name: f aca paxi ,
L(/'ljl(-�\f `GC7f
/ #01
Address: j c 1
City: C"/m,, Stater Zip: 9
J
//tS
Phone/
`Q/ 9/`-/ , :
Contr Reg No /� ? /0),J f// p Date: 7 c a p
L 7
Tukwila Business License No.:
Valuation of project (contractor's bid price): $ 'V 000
Describe the scope of work in detail: A/: /1 _464 r 1
t- �Xlshy� '/9s Fvncuu
Use: Residential: New Replacement ❑
Commercial: New ❑ Replacement ❑
Fuel Type: Electric
Gas 0� Other:
H:\Applications\Forms-Applications 0n 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
Fumace <1 OOk 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
1
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 0
Signature:
Print Name:
Mailing Address:
9
� O' �I • ' IZE 1.AGENT: CV
_ f
_��Ararit�•� Date: � 5 /
F'rri> Day Telephone: a) T 3` 3 7/ ` //A
lla'
City State Zip
H:\Applications\Forms-Applications On Line\20 1I Applications\Mechanical Permit Application Revised 1--9-I I.doccx
Revised: August 201 I
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Page 2 of 2
DESCRIPTIONS
PermitTRAK
Cash Register Receipt
City of Tukwila
ACCOUNT
QUANTITY
PAID
$256.36
EL14-0517
Address: 4432 S 150TH,'
pn: 0042000071!
$57.33
ELECTRICAL
$54.60
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$54.60
TECHNOLOGY FEE
$2.73
TECHNOLOGY FEE
R000.322.900.04.00 0.00
$2.73
M14-0116 Address: 4432 S 150TH ST Apn: 0042000071
$199.03
MECHANICAL
$189.55
PERMIT FEE
R000.322.100.00.00 0.00
$157.05
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00 0.00
$32.50
TECHNOLOGY FEE
$9.48
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R2288
R000.322.900.04.00 0.00
$9.48
$256.36
Date Paid: Thursday, June 05, 2014
Paid By: DICKS HEATING AND AIR
Pay Method: CREDIT CARD 07053G
Printed: Thursday, June 05, 2014 11:32 AM 1 of 1
SYSTEMS
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
Projee/ct: ,. ,
Type joff, Inspection:
ij ilt-
Address: _ J;
Z �Ui
'
Date tzla u G t l
f
.1I. I
�f
Special Instructions:
�-` r��
;j ' " r4 ( 6
i'
Date Wanted: �'
1
.4113. r
p.m.
Requester:
Phone No:
proved per applicable codes. O Corrections required prior to approval.
COMMENTS:
pC_
i
Inspector:
Date:'
4
I
v �
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
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Dick's Heating & Air Cond INC
Page 1 of 4
411111114 Washington State Department of
Labor & Industries
Dick's Heating & Air Cond INC
Owner or tradesperson
Lauritzen, Bret
Principals
Lauritzen, Bret, PRESIDENT
Holland, Craig, VICE PRESIDENT
HOLLAND, CRAIG, AGENT
Doing business as
Dick's Heating & Air Cond INC
WA UBI No.
600 250 626
1516 45TH ST E STE 200
SUMNER, WA 98390
253-531-9579
PIERCE County
Business type
Corporation
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
GENERAL
License no.
DICKSHA915JL
Effective — expiration
04/13/2009— 04/13/2015
Designated administrator
Farris, Steven R
License type
Electrical Administrator
Bond
RLI INS CO
Bond account no.
Ism0094668
Received by L&I
04/13/2009
Insurance
No insurance accounts during the previous 6 year period.
Savings
No savings accounts during the previous 6 year period.
License Violations
Active.
Meets current requirements.
Active.
Meets current requirements.
License no.
FARRISR880Q7
$4,000.00
Effective date
04/10/2009
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600250626&LIC=DICKSHA915JL&SAW= 06/05/2014