HomeMy WebLinkAboutPermit M11-002 - ROMNEY RESIDENCEROMNEY RESIDENCE
14252 59 AV S
M11-002
City oikukwila
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.ci.tukwila.wa.us
MECHANICAL PERMIT
Parcel No.: 3365901355
Address: 14252 59 AV S TUKW
Project Name: ROMNEY RESIDENCE
Permit Number: M11 -002
Issue Date: 01/13/2011
Permit Expires On: 07/10/2011
Owner:
Name: ROMNEY DAVID S +PATRICIA S
Address: 14252 59TH AVE S , TUKWILA WA 98168
Contact Person:
Name: DAVID ROMNEY
Address: 14252 59 AV S , TUTKWILA WA 98168
Email: DSROMNEY @YAHOO.COM
Contractor:
Name: COLUMBIA HEATING
Address: 13114 SE 258TH , KENT, WA 98031
Contractor License No: COLUMH *023CB
Phone: 425 466 -3855
Phone: 253 631 -6544
Expiration Date: 03/18/2012
DESCRIPTION OF WORK:
INSTALL PROPANE FURNACE IN LOWER LEVEL FURNACE ROOM AND RELATED HEAT PUMP
LOCATED OUTSIDE HOUSE (EXTERIOR PROPANE TANK LISTED IN GAS PIPING PERMIT). USE
EXISTING INTERIOR DUCTING.
Value of Mechanical: $8,975.00
Type of Fire Protection: SMOKE DETECTORS
Permit Center Authorized Signature:
Fees Collected: $293.81
International Mechanical Code Edition: 2009
Date:
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 performance 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: (3 V ZO ( f
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.
doc: IMC -4/10
M11-002 Printed: 01 -13 -2011
• •
PERMIT CONDITIONS
Permit No. M11 -002
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 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 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.
5: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
6: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary
sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other
excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of
this requirement.
7: Manufacturers installation instructions shall be available on the job site at the time of inspection.
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.
11: ** *FIRE DEPARTMENT CONDITIONS * **
12: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the
following concerns:
13: Installation of the propane tank requires a separate LP -Gas permit from the Tukwila Fire Prevention Bureau located at
444 Andover Park East, Tukwila WA 98188, 206 - 575 -4407.
14: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2050 and
#2051)
15: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of
such condition or violation.
16: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at
(206)575 -4407.
doc: IMC-4/10
M11 -002 Printed: 01 -13 -2011
CITY OF TUKWIjia
Community DevelopWt Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Mechanical P.it No. ■ `r DOE
Project No.
(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: /6(7,3-2 - 6-9.4a6_, �o-� �� Suite Number:
v i C-1,& Lt (Q Q •' r
Property Owners Name: bklJ 1fl Q m Lci A- /2o
Mailing Address: / Z'S Z ' 514 Ave v56-'(. .
King Co Assessor's Tax No.: 336)530.1 iS-
Floor:
City
New Tenant: ❑ Yes .. No
Gv� 967?
State Zip
CONTACT PERSON - who do we contact when your permit is ready to be issued.
Name:
A- f j 6 20 04 iti's17 Da elephon(:
Mailing Address: `e ‘Z5‘. 2- 7 ' u-� {� �1 � / -7- .6 c(, ()IA- 9 6 F
• City State Zip
E -Mail Address: d 5 1E0 M NE y Cc) ya ttC1O t C Farmer: "rl `cp( )62) —2,2777"
MECHANICAL CONTRACTOR INFORMATION
Company Name: (0'-u M /3//4 /( &--et-T7 x) 6
Mailing Address: 13 / 4"( $E 5 �e
City
Contact Person: iO, %r £ JU2 & Gt. ( S T Day Telephone: cs3 ) (c3 ' 65-4(5y
E -Mail Address: Fax Number:
Contractor Registration Number: C LCC(/ri // 0 z-3 C. Expiration Date: 2.0 (2_
(.,1A 51W03o
State
Zip
ARCHITECT OF RECORD - All plans must be stamped by architect of record
Company Name: /
Mailing Address:
City
Contact Person: Day Telephone:
Fax Number:
E -Mail Address:
State
Zip
ENGINEER OF RECORD - All plans must be stamped by engineer of record
Company Name:
Mailing Address:
City
Contact Person: I Day Telephone:
E -Mail Address: Fax Number:
State
Zip
H:\ Applications\Forms-Applications On Line\2010 Applications \7 -2010 - Mechanical Permit Application.doc
Revised: 7 -2010
bh
Page 1 of 2
Valuation of project (contractor's bid price): $ c/. 9‘75-- —
Scope of work (please provide detailed information):
Pot OP Mu' E Cyr F-i.L J /4-Gtr /iU LO tLI &7
/SOD 64 ti-CC �z4=1--� �c� lt'�t.► K L- C�E'Z' /� ��
6A6 Oh 0 6- P --Rit C ne (.156-2- &X 5 t / /U6 //U TC'2,f aA D I.Lt I iIJ6,
Replacement �� Ar C7' O��
Use: Residential: New ❑ p
Replacement
Commercial: New
Fuel Type: Electric ❑
Gas ❑
Other.
0
Indicate type of mechanical work being installed and the quantity below:
Unit
furnace <100k btu
furnace >100k btu
floor furnace
suspended/wall/floor
mounted heater
appliance vent
repair or addition to
heat/refrig/cooling system
`Qn%:
air handling unit <10,000
cfm
1
Unit Type:-.
air handling unit
>10,000 cfm
evaporator cooler
ventilation fan connected
to single duct
xM&US r
ventilation syeiem Like-
hood and duct
Incinerator - domestic
incinerator - comm/ind
Unit Type:
fire damper
diffuser
(4j
thermostat
wood/gas stove
emergency
generator
other mechanical
equipment
2
Boler /Compressor;
0 -3 lip /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
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 O R OR AU II ZED AGENT: Date: b
Signature: &M f
Print Name: D A- J l !w � Day Telephone(Y Z / �� 6 _
/�zs z 6-7 ' 5cyu -T/ / I Zd (ca) ((4,, O7� 9gar
Mailing Address: City State Zip
IDate Application Accepted:
Date Application Expires: I Staff Initials:
H: ApplieationffomwMppiiations On Line\2010 Applieuions'7 -2010 - Medumcal Permit Applcation.doe
Revise& 7 -2010
be
Page 2 of 2
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. tukw ila. wa. us
SET RECEIPT
RECEIPT NO: R11 -00013
Initials: JEM
Payment Date: 01/05/2011
User ID: 1165 Total Payment: 414.56
Payee: DAVID S. ROMNEY
SET ID: S000001462 SET NAME: Tmp set/Initialized Activities
SET TRANSACTIONS:
Set Member
M11 -002
PG11 -001
TOTAL:
Amount
293.81
120.75
293.81
TRANSACTION LIST:
Type Method Description Amount
Payment Check 2867 414.56
TOTAL: 414.56
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
GAS - RES
MECHANICAL - RES
PLAN CHECK - RES
000.322.103.00.0
000.322.102.00.0
000.345.830
96.60
235.05
82.91
TOTAL: 414.56
INSPECTION RECORD
Retain a copy with permit
INSPECTI N NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, 'Tukwila, WA 98188 (206)431 -3670
mil.-62PA_
Projec • .
Type of Inspecti n:
Add ess:
i142,5 -
Date Calle :
,
Special Instructions: •"'
0,-30
/if-- ` tha:.Z2i7C/
Date Wanted:
""ft
•
Requester:
Phone
C./9J/ ��,c i/( r-
'
Approved per applicable codes. ❑ Corrections required prior to approval. 2
COMMENTS:
OC T.; >41,te,
Date: .7 -/
El $60.00 REINSPECTION E REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
.r
INSPECTION RECORD
Retain a copy with permit
INSPEwi ION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 112`
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:
041,7
Type of In ction:
Address:
'97/4'
Date Calle�
Special Instructions:
Date Wanted
/./1-/ —//
1
a.m�r
p.m.
Requester: f .
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Inspecto,
'Date:A/1(W
0 $60.REINSPECTIQ$1 FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection:
Receipt No.:
Date:
• Y. �a.b _... �� .tes.� 7�`4 * dAfik6rnMAe -OIk
1
INSPECTION NUMBER
INSPECTION • RECORD
'Retain a copy with .permit
PERMIT NUMBERS
• CITY OF TUKWILA FIRE DEPARTMENT
. 444 Andover Park East, Tukwila, Wa. 98188 206 -575 -4407
Project:
y
Type of Inspection:
Address: 1 t/ &S 2-
Suite #:
,'ir Ate. $.
Contact Person:
‘,/
Special Instructions:
•
Phone No.:
c,Zs--- v 4 E6 - 3 fr-
RI.pproved per applicable codes:
Corrections required prior to approval.
COMMENTS:
744
i ea.
•
Needs Shift Inspection:
y
SprinkIrs:
Date:
Fire Alarm:
Hrs.:
Hood &Duct:
Monitor: _.
1,
Pre - Firer;.
Permits
Occupancy Type:
xi
rInspector:
•
iv7 .
Date:
l ,+,% /r
Hrs.:
/
$80.00 REINSPECTION FEE REQUIRED. You will receive an invoice from
the City of Tukwila Finance Departnient. CaII to schedule a reinspection.
• . Word /Inspection Record Form.Doc • 1/13/06
T.F.D. Form F.P. 113 •
FILE COPY
Permit No. IA IV aCI
Plan review approval is subject to errors and omissions.
isprc,,val of construction documents does not authorize
t -;: of any adopted code or ordinance. Receipt
s is ackno dged:
REVIEWED FOR
CODE COMPLIANCE
APEDINIVPD
JAN 12 2011
CltyotTukwila
BUILDING mom
G 4-4 - ea' /200m
14 -feL16; prfia7
S rARATE PERMIT
REQUIRED FOR:
0 Mechanical
LElectrical
t3 'Plumbing
Comas Piping
LF,7
City of Tukwila
B 9.1G DIVISION
'6-5 7i"
(-9..e ;66,c dAc't.Per,414t)
REVISIONS
No changes shall be made to the scope
of work without prior approval of
Tukwila Building Division.
NOTE: Revisions will require a new plan submittal
and may include additional plan review fees.
fa,( ire 1 -C
� p
6,4 it cca t y S (Zt,ck. Sfee.
rf2K
D6( z 3-9 (ztao-e 56-z41.
Dieetc uu iti& 116.5V-e-A-tUccAl__ PeAlkur-
l 'c
CITY
JAN. 052011
PERM-caw
MV. 002
• PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M11 -002 DATE: 01/05/11
PROJECT NAME: ROMNEY RESIDENCE
SITE ADDRESS: 14252 59 AV S
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # after Permit Issued
DEPARTMENTS: 1 br`‘
0uilding kision
Public Works
AtA
E re PrehtiK/
Ve
Structural
Planning Division
❑ Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
rr
Incomplete n
DUE DATE: 01/06/11
Not Applicable
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES/THURS ROUTING:
Please Route ❑
REVIEWER'S INITIALS:
Structural Review Required ❑ No further Review Required
DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 02/03/11
Approved ❑ Approved with Conditions Not Approved (attach comments) ❑
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents/routing slip.doc
2 -28 -02
Contractors or Tradespeople liter 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 COLUMBIA UBI No. 177007581
HEATING
Phone 2536316544 Status Active
Address 13114 Se 258Th License No. COLUMH'023CB
Suite /Apt. License Type Construction Contractor
City Kent. Effective Date 2/2/1998
State WA Expiration 3/18/2012
Date
Zip 98031 Suspend Date
County King Specialty 1 Heating /Vent /Air - Conditioning And Refrig
(Hvac /R)
Business Type Individual Specialty 2 Unused
Parent
Company
Business Owner Information
Name
Role
Effective Date
Expiration Date
BJORKQUIST, PATRICK L
Owner
02/02/1998
Bond Amount
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
7
AM STATES INS
6431352
01/30/2007
Until Cancelled
$6,000.00
01/22/2007
6
ACCREDITED SURETY
Et CAS CO
1008318
01/30/2004
Until Cancelled
01/30/2007
$6,000.0012/15/2003
/2009
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
9
WESTERN
NATIONAL
ASSUR CO
CPP001476904
02/12/2010
02/12/2011
$1,000,000.0002
/05/2010
8
WESTERN NAT'L
INS
GL300008841
02/12/2008
02/12/2010
$300,000.0001/21
/2009
7
WESTERN NATL
ASSURANCE
GL300008644
02/12/2005
02/12/2008
$300,000.00
01/23/2007
6
NORTHERN
INSURANCE CO
OF NY
SCP039802500
02/12/2004
02/12/2006
$300,000.00
01/25/2005
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
https://fortress.wa.gov/lni/bbip/Printaspx
01/13/2011