HomeMy WebLinkAboutPermit M11-021 - QUINTANA RESIDENCEQUINTANA RESIDENCE
4512 S 136 ST
EXPIRED
08-06-11
Mi 1 -021
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.: 2613200172
Address: 4512 S 136 ST TMKW
Project Name: QUINTANA RESIDENCE
Permit Number: M11 -021
Issue Date: 02/04/2011
Permit Expires On: 08/03/2011
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Email:
HUDGINS ZACHARY
4512 S 136TH ST , TUKVVILA WA 98168
MARK PITT
PO BOX 8021 , COVINGTON WA 98042
MARK. WESTERN @COMCAST.NET
Contractor:
Name: WESTERN MECHANICAL HVAC
Address: PO BOX 8021 , COVINGTON WA 98042
Contractor License No: WESTEMH902PN
Phone: 206 -510 -1719
Phone: 253 - 631 -3530
Expiration Date: 10/15/2012
DESCRIPTION OF WORK:
INSTALL A MITSUBISHI MINI SPLIT HEAT PUMP WITH 2 INDOOR UNITS
Value of Mechanical: $5,120.00
Type of Fire Protection: UNKNOWN
Permit Center Authorized Signature:
Fees Collected: $205.65
International Mechanical Code Edition: 2009
Date: ) -11�(
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: ,7' 9 e-h 7-1 77—
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.
Date: Z`-- ! /
doc: IMC -4/10
M11-021 Printed: 02 -04 -2011
• •
PERMIT CONDITIONS
Permit No. M11 -021
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: 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.
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: 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
M11-021 Printed: 02 -04 -2011
CITY OF TUKWI
Community Developilffit Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httal/www.ci.tukwila.wa.us
Mechanical Pit No.
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 A 6 7
/ v *wl u.a / t/ 4 $981( E
Site Address: 157 2- S / 3 & 9 s j
Tenant Name: E'?AP3i2167- 4 au,
Property Owners Name: 6-4,4 CA./
Mailing Address: d-t S-1 'Z-
King Co Assessor's Tax No.: )-Lo (aid ` -G 1-1
Suite Number: Floor:
New Tenant: ❑ Yes ❑ .. No
City
State
Zip
CONTACT PERSON - who do we contact when your permit is ready to be issued
Name: A1zia !it/t 5 7"-,-ti )14 t
Mailing Address: Pc • Bo X .)21 �p ✓��. y -row
Day Telephone: (J- S70 -( 7 / ej
//-69 9ex)
City
E -Mail Address: ///1.4*-': a //../Z V4)-f37• A,.v 'T Fax Number:
State
Zip
03-3- i -3S-3c)
MECHANICAL CONTRACTOR INFORMATION
Company Name: tA% j'V?
Mailing Address: �O . DV 9z) a(
Contact Person: 1/(/A Z 1 )-; 7
6511 jri� r.i
Ci
State
Day Telephone: ZOIo S % O -1'7 ! �f
Zip
E -Mail Address: Vl/v4- f -k p 6441043 „ Ater" Fax Number: 6-t/ - 3 3
Contractor Registration Number: IAA--7-2514/1 ht fo 2- PA( Expiration Date: /01/51 / 2-
ARCHITECT OF RECORD - All plans must be stamped by architect of record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
ENGINEER OF RECORD - All plans must be stamped by engineer of record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
H:Wpplications\Porms- Applications On Line\2010 Applications \7 -2010 - Mechanical Permit Application.doc
Revised: 7 -2010
bh
City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 2
Valuation of project (contractor's bid price): $ J / 2-0 —
Scope of work (please provide detailed information): / ' -. 5 7- 74-6 c_ /21 t- r5. lS1 i?il /N ►
0/v ✓1 ;17 lit/ 1 rw Z r iv-t UzXL V r% t -r— <
Use: Residential: New Replacement ❑
Commercial: New ❑ Replacement ❑
Fuel Type: Electric E
Gas
Other:
Indicate type of mechanical work being installed and the quantity below:
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Bioler /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
cfm
incinerator - comm/ind
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 OWN
Signature:
OR 0 IZED AGENT:
/,,
1P-4C �Tr
Po &Dx five/
Print Name:
Mailing Address:
IDate Application Accepted:
Date: 2.---.4/-//
Day Telephone: fi -S70-/7/9
ICity
G(h4 '9Az95`2--
Zip
State
Date Application Expires:
Staff Initials:
H:1Applications\Fortns- Applications On Line\2010 Applications17.2010 - Mechanical Permit Application.doc
Revised: 7 -2010
bh
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.ci.tukwila.wa.us
Parcel No.: 2613200172
Address: 4512 S 136 ST TUKW
Suite No:
Applicant: QUINTANA RESIDENCE
RECEIPT
Permit Number: M11 -021
Status: PENDING
Applied Date: 02/04/2011
Issue Date:
Receipt No.: R11 -00220
Initials: WER
User ID: 1655
Payment Amount: $205.65
Payment Date: 02/04/2011 01:52 PM
Balance: $0.00
Payee: WESTERN MECHANICAL HVAC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 9098 205.65
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
MECHANICAL - RES
000.322.102.00.00 205.65
Total: $205.65
doc: Receipt -06 Printed: 02 -04 -2011
INSPECTION RECORD
Retain a .copy with permit
INSPECTION N0. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
/IVA 0,24
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670.
Permit Inspection Request Line (206) 431 -2451
Proj t:
2,,,N 7-417A/P9 l2rg •
Type of Inspection:
6) AO 41--C47.
Address: •
'WIZ- _S . l3 s-r
Date Called:
--
Special Instructions: .
h-, llc� + .6 ,:.rf1,y?Ki
St-0 99z
• •e7 "Je Pe} NT
0. �eb7' / —a/
Date Wanted:-
c — 2— //
6,„,
Requester: •
Phone No:
po4 -$1119 -/7/5
Approved per applicable codes.
zp
Corrections required prior.to approval. I pi-
COMMENTS:
Date
. — 7 -_/ /
REINSPECTION FEE R�QUIRED: Pri r to next inspection. fee must.be
paid at 6300 Southcent r Blvd.. Suy 100. Call to schedule reinspection. •
•
06 -30 -2011
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
MARK PITT
PO BOX 8021
COVINGTON WA 98042
RE: Permit No. M11 -021
4512 S 136 ST TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of
Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform
Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 08/06/2011.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period, , provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and /or receive an extension prior to 08/06/2011, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
----ycA --U
Bill Rambo
Permit Technician
File: Permit File No. MI 1 -021
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople Pf ter Friendly Page
•
General /Specialty Contractor
A business registered as a construction contractor with L8I 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 WESTERN MECHANICAL UBI No. 603027002
HVAC
Phone 2536313530 Status Active
Address Po Box 8021 License No. WESTEMH902PN
Suite /Apt. License Type Construction Contractor
City Covington Effective Date 10/15/2010
State WA Expiration 10/15/2012
Date
Zip 98042 Suspend Date
County King
Specialty 1
Heating /Vent /Air- Conditioning And Refrig
(Hvac /R)
Business Type Corporation Specialty 2 Unused
Parent VELOCITY MECHANICAL
Company SYST INC
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
WESTEMI983K2
WESTERN
MECHANICAL
INC
Construction
Contractor
Heating /Vent /Air-
Conditioning And
Refrig (Hvac /R)
Unused
5/22/2002
6/24/2012
Suspended
Business Owner Information
Name
Role
Effective Date
Expiration Date
VERTICAL STRATEGIES INC
Agent
10/15/2010
Amount
PITT, MARK STEVEN
President
10/15/2010
ACP7523839048
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
1
American Contractors
Indem CO
100027649
10/15/2010
Until Cancelled
$6,000.00
10/15/2010
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
2
NATIONWIDE
MUTUAL INS CO
ACP7523839048
01/09/2011
01/19/2012
$1,000,000.00
01/10/2011
1
NATIONWIDE
MUTUAL INS CO
ACP751383904801/09/2010
01/19/2011
$1,000,000.00
10/15/2010
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/Print.aspx
02/04/2011