HomeMy WebLinkAboutPermit M17-0100 - NGUYEN RESIDENCE - GAS FURNACE AND A/C UNITNGUYEN RESIDENCE
13604 MACADAM RD S
M17-0100
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
1523049014 Permit Number:
13604 MACADAM RD S Issue Date:
Permit Expires On:
Project Name: NGUYEN RESIDENCE
M17-0100
7/11/2017
1/7/2018
Owner:
Name:
Address:
NGUYEN ANH HUYEN THI
1355 HACIENDA ST #1335 , ANAHEIM,
WA, 92804
Contact Person:
Name: LONG NGUYEN
Address: 13604 MACADAM RD S , TUKWILA,
WA, 98168
Contractor:
Name: AFFIDAVIT - TINA NGUYEN
Address:
License No:
Lender:
Name:
Address:
Phone:
Phone:
Expiration Date:
DESCRIPTION OF WORK:
CONVERT OIL FURNACE TO GAS FURNACE AND AIR CONDITIONING
Valuation of Work: $2,500.00
Type of Work: NEW
Fuel type: GAS
Fees Collected: $192.75
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 125
Sewer District: VALLEY VIEW
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2015
Date: 7— (("'�
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 permit and agree to the conditions attached to this permit.
Signature:
Print Name: �Da-,
Date: 7(P(/
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: ***MECHANICAL PERMIT 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 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.
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: Type 1 Hoods, the required grease duct leakage test and light test shall be performed by a special
inspection and testing agency in accordance with I.M.C. Chapter 5.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1800 MECHANICAL FINAL
0701 ROUGH -IN MECHANICAL
CITY OF TUKW. 1
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Mechanical Permit No. VL 1 7 -01,00
Project. No.
Date Application Accepted:
Date Application Expires:
(For office use ally)
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
f King Co Assessor's Tax No.:
Site Address: 13 604 1� �e�cl�w� Vet S Suite Number:
Tenant Name:
PROPERTY OWNER
Name: kl4 — 07E10 0C1U`(EIJ
Address: LS GO /
City:State: Zip:
I OVIOC I- U 94, lei G'
CONTACT PERSON — person receiving all project
communication
Name: Le)wU P�.vYm JJ
Address:
Address:
(3 (o G1t_ IA G1-
VIA
RA —3
City: TO K U) ((I� State:
Zlp.w ( C
a ( (, I ' 1— ja4
Phone::'1.—
Fax:
Email:
Contr Reg No.:
Floor:
New Tenant: ❑ Yes ❑.. No
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): $ j
Describe the scope of work in detail:
✓ter -T nI'
tr cut i 'ftp C71-1
+C)
Use: Residential: New ❑
Commercial: New
Replacement
Replacement
Fuel Type: Electric ❑ Gas ❑
Other:
H:\Applications\Forms-Applications On Line\ 2016.Applications\Mechanical Permit Application Revised 1-4-16.docx
Revised: January 2016
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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
Residential, Nighttime
Furnace >100k btu
I
Floor furnace
j
Suspended/wall/floor
mounted heater
57 dB(A)
Appliance vent
Commercial
Repair or addition to
heat/refrig/cooling
system
47 dB(A)
Air handling unit
65 dB(A)
<10,000 cfm
60 dB(A)'
Unit Type
Qty
Air handling unit
Residential, Nighttime
>10,000 cfm
Industrial
Evaporator cooler
j
Ventilation fan
connected to single duct
57 dB(A)
Ventilation system
Commercial
Hood and duct
47 dB(A)
Incinerator — domestic
65 dB(A)
Incinerator —
comm/industrial
60 dB(A)'
Unit Type
Qty
Fire damper
Residential, Nighttime
Diffuser
Industrial
Thermostat
Z-.
Wood/gas stove
57 dB(A)
Emergency generator
Commercial
Other mechanical
equipment
47 dB(A)
60 dB(A)
65 dB(A)
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
Noise:
Mechanical units need to be in compliance with the Tukwila Noise Code. Maximum permissible sound levels are based on from where the sound is
created and where the sound is heard. Additionally, if sound can be heard from within a house at night in a residential zone it may not be allowed.
For more details, see TMC 8.22
District of Sound
Producing Source
District of Receiving Property
Residential, Daytime*
Residential, Nighttime
Commercial
Industrial
Residential
55 dB(A)
45 dB(A),
57 dB(A)
60 dB(A)
Commercial
57 dB(A)
47 dB(A)
60 dB(A)
65 dB(A)
Industrial
60 dB(A)'
50 dB(A)
65 dB(A)
70 dB(A)
*Daytim
A few sounds are exempt from the noise code, including:
• Warning devices;
• Construction and property maintenance during the daytime hours (7am-lOpm);
• Testing of backup generators during the day.
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
Signature:
Print Name:
R AUTHORIZED AGENT:
Day Telephone:
Date: ///P --0t06 A 6,14
-
Mailing Address:
City State Zip
H:\Applications\Forms-Applications On Line\2016 Applications\Mechanical Permit Application Revised 1-4-16.docx
Revised: January 2016
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Cash Register Receipt
City of Tukwila
DESCRIPTIONS I ACCOUNT I QUANTITY
PermitTRAK
PAID
$192.75
M17-0100 Address: 13604. MACADAM RD S Apn: 1523049014
$192.75.
MECHANICAL
$183.58
PERMIT FEE
R000.322.100.00.00
0.00
$150.34
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$33.15
PLAN CHECK FEE
R000.322.102.00.00
0.00
$0.09
TECHNOLOGY FEE
$9.17
TECHNOLOGY FEE
R000.322.900.04.00 0.00
$9.17
•
A . . .
•
Date Paid: Tuesday, July 11, 2017
Paid By: TINA NGUYEN
Pay Method: CASH
Printed: Tuesday, July 11, 2017 9:43 AM 1 of 1
CRWSYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
11 17-6/66
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431-3670
Project:
Type of Inspection:
(
Address:,RAZ/4009
/3&oMilefratill RA
Date Called:
Special Instructions:
Date Wanted:
q 7--/ 7
a.m.
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
t� k -- y c i)c - -r)s/
Inspector:
Ot5
Date: 7- 7-17
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
{MI? -C10O
PERMIT NO:
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
J60V6v1 gai °J2'
Type of Inspection:
Mai -IA -A)16+1_ ti;✓A-L-_'_
Address:
/36041 MA-CAtelryl R
Date Called:
Special Instructions:
Date Wanted:
/ % l7
a.m
p.m.
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
/00 em, 44:
fii_ se isgseii iUL'
Inspector:
Date:
REINSPECTION FEE REQUIRED. Prior 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) 431-3670
Permit Inspection Request Line (206) 438-9350
11417-0/00
Project:
/N6u /64�fb4ecc
Type of Inspection:
it i4,wK,-L
AL
Address:.Date
%3 0®K1.AC'St'bAi -i a g
Called:
Special Instructions:
Date Wante
9/7
a.m
p.m.
Request :
Phone No:
ElApproved per applicable codes. 2 Corrections required prior to approval.
COMMENTS:
f AJO Ams , SP e -- acb 7
a<o-t-atizx ,, "e 27
Inspector:
Al)/11,--N
Date:
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) 431-3670 FAX (206) 431-3665
E-mail: tukplan@ci.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
PERMIT NO: l9 l 7-010°
STATE OF WASHINGTON)
COUNTY OF KING
ss.
`ill x'01- I/\) v') , states as follows:
[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 requireme t of RCW 18.27.090,
I consider the work authorized under this permit to be exempt under number , 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.
LAURIE A. WERLE
NOTARY PUBLIC
STATE OF WASHINGTON
COMMISSION EXPIRES
MAY 29, 2018
H -0A- 11)OHY-e-J
Owner/Owner's agent"
Agent*
Signed and sworn to before me this
114 l
day of
P -c -1(t
,20/7.
OTARY PUBLIC in and for the State of Washington
Residing at
Name as commissioned:
My commission expires:
,Co/unty
//7e 4-(JC/,,rl_
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;
10. 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;
11. 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;
15. 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
manufacturer;
18. An entity who holds a'valid electrical coritiactor's;:
license under chapter 19.28 RCW that employs a certified
journeyman electrician, a certified residential specialty',
electrician,_or an electrical trainee meeting the
requirements of chapter 19.28 RCW to perform plumbing
work that is:incidentally, directly, and immediately
appropriate to the like -in-kind replacement of a household
appliance or other small household utilization equipment
that requires limited electric power and 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.