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Home My WebLink AboutPermit M09-106 - DERRINGER RESIDENCEDERRINGER RESIDENCE 15629 44 AV S M09 -106 Parcel No.: 8108600123 Address: Suite No: 15629 44 AV S TUKW Tenant: Name: DERRINGER RESIDENCE Address: 15629 44 AV S , TUKWILA WA Owner: Name: DERRINGER DAVID A Address: PO BOX 68454 , SEATTLE WA Contact Person: Name: KEVIN BREIWICK Address: 7116 220 ST SW #1 , MOUNTLAKE TERRACE WA Contractor: Name: BLUE FLAME LLC Address: 7116 220 ST SW #1 , MOUNTLAKE TERRACE WA Contractor License No: BLUEFL *997R1 DESCRIPTION OF WORK: INSTALL 2 -ZONE DUCTLESS HEAT PUMP Value of Mechanical: $7,500.00 Type of Fire Protection: Furnace: <100K BTU >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 >10,000 CFM Evaporator Cooler Ventilation Fan connected to single duct Ventilation System Hood and Duct Incinerator: Domestic Commercial/Industrial doc: IMC -10/06 City* 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.ci.tukwila.wa.us MECHANICAL PERMIT EOUIPMENT TYPE AND OUANTITY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * *continued on next page ** M09 -106 • Permit Number: Issue Date: Permit Expires On: Phone: Phone: 425 771 -7139 Phone: 425 771 -7139 Expiration Date: 12/21/2009 M09 -106 08/26/2009 02/22/2010 Fees Collected: $213.61 International Mechanical Code Edition: 2006 Boiler Compressor: 0 -3 HP /100,000 BTU 0 3 -15 HP /500,000 BTU 0 15 -30 HP /1,000,000 BTU.. 0 30 -50 HP /1,750,000 BTU.. 0 50+ HP /1,750,000 BTU 0 Fire Damper 0 Diffuser 0 Thermostat 0 Wood/Gas Stove 0 Water Heater 0 Emergency Generator 0 Other Mechanical Equipment 1 Printed: 08 -26 -2009 Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie Print Name: doc: IMC -10106 • 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.ci.tukwila.wa.us x WI me, di Permit Number: M09 -106 Issue Date: 08/26/2009 Permit Expires On: 02/22/2010 Date: 0 /I* 4v ned 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 th performance of work. I am authorized to sign and obtain this mechanical permit. / / Signature: Date: Si,?4/ (� q _e49,1• (Azd k-e-r 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. M09 - 106 Printed: 08 -26 -2009 Parcel No.: 8108600123 Address: Suite No: Tenant: 15629 44 AV S TUKW DERRINGER RESIDENCE 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 Cityof Tukwila Permit Center. 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: Cond -10/06 • 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.ci.tukwila.wa.us PERMIT CONDITIONS * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: M09 -106 ISSUED 08/26/2009 08/26/2009 M09 -106 Printed: 08 -26 -2009 ID City of Tukwila I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating construction or the performance of work. doc: Cond -10/06 Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us Signature: �- Date: / Print Name: r1Th. \ '�AQ- M09 -106 Printed: 08 -26 -2009 Mailing Address: CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httol/www.ci.tukwila.wa.us 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 ** 1St 2 9 Li Av s Site Address: Tenant Name: �7 pp / Property Owners Name: ( 7 / 11/ 1 0 9 CiZ1"(A&a. 55,1, t" 4f „466 Name: \ P.V v\ i Vu l Ck Mailing Address: 7 . \ l.o ZZo GJ i I E -Mail Address: CHA tICAL CONTRACTOR INFORMATION U' 1/E FG'/uC Mailing Address: 9 //C 2 2 G ` ( :SL✓ Company Name: Contact Person: E -Mail Address: MECHANICAL PERMIT APPLICATION Evr'l gear FiA/s+ 1204 f' 2r. ( n Contractor Registration Number: /3 t tie C * r,9-fa Contact Person: E -Mail Address: King Co Assessor's Tax No.: /� 60 (Z 3 Suite Number: City Day Telephone: 1 2f 1 1 1- 713 °I (Yl vu. l ...cTet race WA 9(6-0L13 City State Zip Fax Number: 1? ¶ 7 1 I- 7 I l 4? c 'T City Day Telephone: Fax Number: Expiration Date: Company Name: Mailing Address: City Floor: New Tenant: ❑ Yes ❑ ..No State Zip qz 1e � � / G f 77// CZ- 2ft -O?' State Zip Day Telephone: Fax Number: ENGINEER OF RECORD All plans mu d by wf f ord Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: H:\Applications \Forms - Applications On Line \2009 Applications \I -2009 - Mechanical Permit Applicadon.doc Revised: 1 -2009 bh State Zip Page l of2 Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Furnace <100K BTU Air Handling Unit >10,000 CFM Fire Damper 0 -3 HP /100,000 BTU Furnace >100K BTU Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected to Single Duct Thermostat 15 -30 HP /1,000,000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System Wood/Gas Stove 30 -50 HP /1,750,000 BTU Appliance Vent Hood and Duct Emergency Generator 50+ HP /1,750,000 BTU Repair or addition to Heat/Refrig/Cooling System Incinerator— Domestic Other Mechanical Equipment Air Handling Unit <10,000 Incinerator— Comm /Ind f Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Use: Residential: New ❑ Replacement ❑ //17, Commercial: New ❑ Replacement ❑ Fuel Type: Electric Gas Indicate type of mechanical work being installed and the quantity below: .PERIVIITf 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. Signature: Print Name: Mailing Address: BUILDING OWNER OR AUT Date Application Expires: Date Application Accepted: ED cv /Ze7 `-( /. 226 pt- .psi./ r pt2(eto • • H:\Apphcanons \Forms- Applications On Lme\2009 Applications \I -2009 - Mechanical Permit Application.doc Revised: 1 -2009 bh 9 ?� ZoAI c pxTl off MA-neufriP Other: City Date: 4 25 Day Telephone: VI ?? Statc Staff Initials: Zip Page 2 of 2 Receipt No.: R09 -01341 Initials: JEM User ID: 1165 Payee: BLUE FLAME LLC • 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.ci.tukwila.wa.us TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1103 213.61 Authorization No. ACCOUNT ITEM LIST: Description MECHANICAL - RES RECEIPT Account Code Current Pmts 000.322.102.00.0 213.61 Total: $213.61 Parcel No.: 8108600123 Permit Number: M09 -106 Address: 15629 44 AV S TUKW Status: PENDING Suite No: Applied Date: 08/26/2009 Applicant: DERRINGER RESIDENCE Issue Date: Payment Amount: $213.61 Payment Date: 08/26/2009 10:30 AM Balance: $0.00 PAYMENT RECEIVED doc: Receiot -06 Printed: 08 -26 -2009 Proj ct: i err' A/66,Q / e Type of Inspection: /- /4/ • / Address: Date Called: Special Instructions: Date ftented: �- Requester: Phone No lea " 2 2 -c4'3 j 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 `IrLI Approved per applicable codes. COMMENTS: 6 /71"‘friA, - i ,9 (41Ve, ceipt No.: !Date: 0 REINSPECTION F REQUI ° s. Prior to inspection, fee must be Id at 6300 Southcenter Bkvd., Su e 100. Call to schedule reinspection. ❑ Corrections required prior to approval. l/ 14 Name Role Effective Date Expiration Date WALKER, RODNEY PARTNER /MEMBER 12/21/2001 Status VULLIET, RICHARD L VICE PRESIDENT 12/21/2001 APPLIANCES /EQUIPMENT License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status BLUEFGS060Qv BLUE FLAME GAS SERVICE, A CONSTRUCTION CONTRACTOR APPLIANCES /EQUIPMENT SHEET METAL 11/14/199411/1/2003 REREGISTERED; Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 3 DEVELOPERS SURETY It INDEM CO 790796C 02/04/2008 Until Cancelled $6,000.00 01/30/2008 2 COLONIAL AM CAS & SURETY OF MARYLAND LPM4055095 01/01/2006 Until Can 02/04/2008 $6,000.00 03/02/2006 Until Untitled Page • General /Specialty Contractor A business registered as a construction contractor with Lai 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 Phone Address Suite /Apt. City State Zip County Business Type Parent Company BLUE FLAME LLC UBI No. 4257717139 Status 7116 220TH STREET SW #1 MOUNTLAKE TERRAC WA 98043 SNOHOMISH Limited Liability Company License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602166413 ACTIVE BLUEFL *997R1 CONSTRUCTION CONTRACTOR 12/21/2001 12/21/2009 HTG /VENT /AIR CONDITIONING UNUSED Licenses Business Owner Information Bond Information Page 1 of 2 https: // fortress .wa.gov /lni/bbip /Detail.aspx 08/26/2009