HomeMy WebLinkAboutPermit M11-153 - BALZARINI RESIDENCEBALZARTNI RESIDENCE
3535 S 126 ST
Mi 1 -153
City albfukwila
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.TukwilaWA.gov
MECHANICAL PERMIT
Parcel No.: 7345600810
Address: 3535 S 126 ST TUKW
Project Name: BALZARINI RESIDENCE
Permit Number: M11 -153
Issue Date: 10/24/2011
Permit Expires On: 04/21/2012
Owner:
Name: BALZARINI THOMAS J
Address: 3535 S 126TH ST , SEATTLE WA 98168
Contact Person:
Name: JAIMIE HOW
Address: 4601 S 134 PL , SEATTLE WA 98168
Email: JAIMIE @BRENNANHEATING.COM
Contractor:
Name: BRENNAN HEATING & A/C LLC
Address: 2725 152ND AV NE , REDMOND WA 98052
Contractor License No: BRENNHA971R9
Phone: 206 248 -7900
Phone: 206 248 -7900
Expiration Date: 12/29/2011
DESCRIPTION OF WORK:
INSTALL BNURNHAM GAS BOILER
Value of Mechanical: $2,500.00
Type of Fire Protection: SMOKE DETECTORS
Electrical Service Provided by:
Permit Center Authorized Signature:
Fees Collected: $177.10
International Mechanical Code Edition: 2009
Date:
I hereby certify that I have read an ex ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie ' with, whether specified herein or not.
The granting of this permit does not pr
construction o the performance of work. am authorized to sign and obtain this mechanical permit and agree to the conditions on the
back of this permit.
e to give authority to violate or cancel the provisions of any other state or local laws regulating
Signatur
Print N
Date:
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
M11-153 Printed: 10 -24 -2011
0 4
PERMIT CONDITIONS
Permit No. M11-153
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 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
M11-153 Printed: 10 -24 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
tiltp://www.ci.tukwila.wa.us
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:-?_)n 'j la6,\AA • �3T
Tenant Name:
Property Owners Name:1OYlf\ 21'(1
Mailing Address: '011/4.,' NU C f
King Co Assessor's Tax No..
Suite Number: Floor:
New Tenant: ❑ Yes ❑..No
City
State
Zip
CONTACT PERSON =
Name: A f 1 /
Mailing Address: (pl.) 2 2 1 w o- q
n l f� j to Zip
E -Mail Address; (.� �� LINJIMAi ere- ,Fax Number:cX ®� `�1
ay Telephone: a 4
MECHANICAL CONTRACTOR INFORMATION
Company Name: �Qt�Y\,-(;V
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number:
City
Day Telephone:
Fax Number:
Expiration Date:
State
) act Tt
Zip
ARCHITECT OF RECO
s must be wet stampe
by Architect
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
H:\Applications\Porms- Applications On Line \2009 Applications \1 -2009 - Mechanical Permit Application.doc
Revised: 1-2009
bh
Page 1 of 2
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): ' (�
r n iAaA,n ci ccg
Use: Residential: New Replacement ❑
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑
Gas - Other:
Indicate type of mechanical work being installed and the quantity below:
Unit Types
Qty
Unit Type: ;
Qty
Unit Type . , -:
Qty
Boiler /Compressor:
Furnace <100K BTU
Air Handling Unit >10,000
CFM
.:
Fire Damper
0 -3 HP /100,000 BTU
Qty
1
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.
BUILD ' $ WN)KR OR AUTH r ZED AGENT:
S i n o t
g 1 £ .•■L
tom'►
Print Name: ,1\-"X__ (�\ Q•-
Mailing Address: \--\ \Q o\ .
Date Application Accepted:
DayTee4lephone:
City
Date: i t j' t 1 t
9A
State Zip
Date Application Expires:
Staff Initials:
H:1Applications \Forms - Applications On Line \2009 Applications \1 -2009 - Mechanical Permit Application.doc
Revised: 1-2009
bh
Page 2 of 2
1
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
SET RECEIPT
RECEIPT NO: R11 -02329
Initials: JEM
Payment Date: 10/24/2011
User ID: 1165 Total Payment: 282.10
Payee: BRENNAN HEATING & AIR CONDITIONING LLC
SET ID: S000001591 SET NAME: Tmp set/Initialized Activities
SET TRANSACTIONS:
Set Member
M11 -153
PG11 -162
TOTAL:
Amount
177.10
105.00
177.10
TRANSACTION LIST:
Type Method Description Amount
Payment Check 22546 282.10
TOTAL: 282.10
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
GAS - RES
MECHANICAL - RES
PLUMBING - RES
000.322.103.00.0
000.322.102.00.0
000.322.103.00.0
63.00
177.10
42.00
TOTAL: 282.10
INSPECTION RECORD
Retain a copy with permit
INSP€ TION NO. PERMIT NO. -
/si // - /.S�
CITY OF•TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
.1?4 L24127^.11 A6S
Type of Inspection:
�iAtilL
Address:
,.3 53 S S I26-5,—
Date Called:
Special Instructions:
r.»q 41 1,q—
0/
Date Wanted:. a. r
23- /2 p.m.
Requester:
Phone No:
c2dC -9 75 -5-149 C
Approved per applicable codes.
ElCorrections required prior to approval. /Q
COMMENTS:
?n -,�, 1711',iM
i 4
Date:
INSPECTION FEE REQ (RED. Preto next inspection. fee must be
paid at 6300 Southcenter BlOd., Suite 100. Call to schedule reinspection.
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
JAIMIE HOW
4601 S 134 PL
SEATTLE WA 98168
RE: Permit No. M11 -153
BALZARINI RESIDENCE
3535 S 126 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 04/21/2012.
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 04/21/2012, 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,
----zit., RI___
Bill Rambo
Permit Technician
File: Permit File No. M11 -153
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople Pter 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 BRENNAN HEATING a A/C LLC UBI No. 602346866
Phone 2062487900 Status Active
Address 4601 S 134Th Pl License No. BRENNHA971R9
Suite /Apt. License Type Construction Contractor
City Seattle Effective Date 12/29/2003
State WA Expiration Date 12/29/2011
Zip 98168 Suspend Date
County King Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
EMPIRPS891PS
EMPIRE
PROTECTION &
SAFETY
Construction
Contractor
General
Unused
10/10/2011
10/10/2013
Active
MIKESMS922L6
MIKE'S MECHANICAL
SERVICES LLC
Construction
Contractor
General
Unused
6/26/2008
6/26/2012
Active
FLOORSL012JL
FLOORING
SOLUTIONS LLC
Construction
Contractor
General
Unused
4/13/1999
4/6/2003
Archived
GUTTEHW995PH
GUTTER HELMET
OF WESTERN WA
LL
Construction
Contractor
General
Unused
10/8/2001
10/8/2007
Out Of
Business
Business Owner Information
Name
Role
Effective Date
Expiration Date
ERDAHL, DARRIN
Partner /Member
12/29/2003
Amount
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
2
FEDERATED MUTUAL
INS CO
9127230
12/22/2004
Until Cancelled
$12,000.00
11/04/2004
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
4
Federated
Mutual Ins Co
9820726
07/13/2007
07/13/2012
$1,000,000.0006
/14/2011
3
FEDERATED
MUTUAL INS CO
9820726
07/13/2005
07/13/2007
$1,000,000.00
06/09/2006
2
FEDERATED
SERVICE INS CO
9224331
01/05/2004
01/05/2006
$1,000,000.00
12/14/2004
Summons /Complaint Information
Cause
County
Complaint
Judgment
Status
Payment
Paid By
07 -2- 13582 -1
GRONVOLD DEVELOPMENT CO LLC
KING
Date: 05/09/2007
Amount: $10,000.00
Date:
Amount: $0.00
Open
Date:
Amount:
https://fortress.wa.gov/lni/bbip/Print.aspx
10/24/2011